| FORM 990, PART III, LINE 3 |
THE CONTRACT DENTAL PROGRAM WAS CLOSED DURING THE TAX YEAR. THE PROGRAM REPRESENTED APPROXIMATELY 60% OF OUR REVENUE. IN ADDITION, OUR ASSISTED LIVING FACILITY CLOSED ON JUNE 30, 2021. |
| FORM 990, PART VI, SECTION A, LINE 3 |
PREMIER HEALTHCARE MANAGEMENT - MANAGEMENT AND BILLING FOR CONTRACT PROVIDERS. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 WAS REVIEWED BY THE CHIEF FINANCIAL OFFICER AND THEN WAS PRESENTED AT A SPECIAL SESSION OF THE BOARD. FOLLOWING THIS REVIEW, A COMPLETE COPY OF THE FORM 990, INCLUDING ALL SCHEDULES, WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF TRUSTEES PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C |
THE ORGANIZATION HAS A CONFLICT OF INTEREST AND ETHICS POLICY. UNDER THE POLICY, "COVERED PERSONS" (DEFINED AS ANY MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES, ANY MEMBER OF A COMMITTEE OF THE BOARD OF TRUSTEES THAT ADVISES THE BOARD OR ACTS WITH THE DELEGATED AUTHORITY OF THE BOARD, ANY BOARD-APPOINTED OFFICER, AND ANY OTHER KEY EMPLOYEE OF BORREGO HEALTH WITH THE POWER TO ENTER INTO A MATERIAL FINANCIAL ARRANGEMENT ON BEHALF OF THE ORGANIZATION) ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. ALL EMPLOYEES ARE SUBJECT TO WRITTEN STANDARDS OF CONDUCT COVERING CONFLICTS OF INTEREST AND GOVERNING THE ACTIONS OF THOSE ENGAGED IN THE SELECTION, AWARD, OR ADMINISTRATION OF CONTRACTS. THE ORGANIZATION MAINTAINS A RECORD OF ALL ACTUAL OR POTENTIAL CONFLICTS OF INTEREST DISCLOSED BY COVERED PERSONS THAT IS AVAILABLE FOR REVIEW BY ALL TRUSTEES. UPON RECEIVING A DISCLOSURE REGARDING AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE CHAIR OF THE BOARD OR THE VICE CHAIR OF THE BOARD MUST PROMPTLY REFER THE DISCLOSURE TO THE BOARD OF TRUSTEES OR THE EXECUTIVE COMMITTEE FOR EVALUATION AND, AS NEEDED, FOR APPROPRIATE ACTION. PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE DELIBERATION OF ANY TRANSACTION IN WHICH THEY HAVE A CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 |
THE BOARD OF TRUSTEES HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE BOARD OF TRUSTEES SETS THE SALARIES OF THE CEO, CFO AND OTHER KEY EMPLOYEES BASED ON COMPARABLE MARKET DATA OF SIMILAR SIZED ORGANIZATIONS AND INDUSTRY. THE RESULTS OF THE STUDY WERE PRESENTED TO THE FULL BOARD AND THE FULL BOARD VOTED ON THE COMPENSATION OFFERED TO THE CEO, CFO AND OTHER KEY EMPLOYEES. THE PROCESS FOR DETERMINING THE COMPENSATION FOR THE CEO AND OTHER KEY EMPLOYEES IS SET OUT IN MULTIPLE ORGANIZATION POLICIES AND PROCEDURES INCLUDING THE BYLAWS, A "CEO EVALUATION POLICY AND THE ORGANIZATION'S PERSONNEL COMMITTEE CHARTER. THE ORGANIZATION'S BOARD OF TRUSTEES CONTEMPORANEOUSLY DOCUMENTED ITS DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS, INCLUDING WHO WAS PRESENT, HOW THEY VOTED, A DESCRIPTION OF THE COMPARABILITY DATA AND HOW IT WAS OBTAINED. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. CERTAIN ORGANIZATIONAL DOCUMENTS ARE ALSO PUBLICLY AVAILABLE THROUGH THE CALIFORNIA SECRETARY OF STATE'S OFFICE. |
| FORM 990, PART IX, LINE 11G |
LAB SERVICE FEE: PROGRAM SERVICE EXPENSES 989,772. MANAGEMENT AND GENERAL EXPENSES 96,684. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,086,456. DATA PROCESSING: PROGRAM SERVICE EXPENSES 2,660,623. MANAGEMENT AND GENERAL EXPENSES 259,899. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,920,522. MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 50,609,356. MANAGEMENT AND GENERAL EXPENSES 4,948,066. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 55,557,422. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,048,267. MANAGEMENT AND GENERAL EXPENSES 883,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,932,132. GOVERNMENT RELATIONS CONSULTANTS: PROGRAM SERVICE EXPENSES 81,033. MANAGEMENT AND GENERAL EXPENSES 383,967. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 465,000. |
| FORM 990, PART IX, LINE 24E |
MARKETING: PROGRAM SERVICE EXPENSES 42,687. MANAGEMENT AND GENERAL EXPENSES 270,901. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 313,588. STORAGE RENT: PROGRAM SERVICE EXPENSES 89,576. MANAGEMENT AND GENERAL EXPENSES 17,112. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,688. DUES & SUBSCRIPTION: PROGRAM SERVICE EXPENSES 13,812. MANAGEMENT AND GENERAL EXPENSES 65,445. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 79,257. EMPLOYEE RECOGNITION PROGRAM EXPENSE: PROGRAM SERVICE EXPENSES 37,852. MANAGEMENT AND GENERAL EXPENSES 2,399. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 40,251. EDUCATIONAL MATERIALS: PROGRAM SERVICE EXPENSES 17,873. MANAGEMENT AND GENERAL EXPENSES 1,133. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,006. LEGAL SETTLEMENT: PROGRAM SERVICE EXPENSES 436. MANAGEMENT AND GENERAL EXPENSES 2,064. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,500. PROGRAM INCENTIVES: PROGRAM SERVICE EXPENSES 654. MANAGEMENT AND GENERAL EXPENSES 41. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 695. |
Attach to Form 990 or 990-EZ.