CLINICA SIERRA VISTA
Caring for the community.
Programs and results
What we aim to solve
Stretching from Sacramento in the north to the Tehachapi Mountains in the south, the San Joaquin Valley is the heartland of California, rich in mineral deposits, petroleum reserves and farmland so fertile and abundant that its crops feed the world. Yet despite this incredible bounty, the most vulnerable among us – farmworkers, the jobless, the elderly, the homeless, the disabled and working poor struggle to access even the most basic needs, particularly health care.
Poverty begets despair, a reality that is reflected in the statistics:
•Nearly a quarter of Kern and Fresno County residents live in poverty as compared to the state rate of 14.3 percent. The rate is even higher for children.
•Kern and Fresno counties are ranked 51 and 52 respectively among California's 58 counties on a variety of health indicators, including smoking, obesity, air pollution and preventable hospital stays.
•Kern and Fresno counties are near the top of the list in STD rates.
•Kern's teen birth rate is
Our programs
What are the organization's current programs, how do they measure success, and who do the programs serve?
Adolescent and Family Services (AFS)
AFS provides several home visiting/case management services for specific targeted populations in various locations in Kern County. These programs include the following: Adolescent Family Life Program/AFLP (Bakersfield, Arvin/Lamont, and East Kern) – serving pregnant and parenting teens and their babiesCal-Learn Program (county-wide) – serving pregnant and parenting teens and their babies who are receiving cash aid and have not graduated from high schoolDifferential Response (CSV managers four out of seven service areas in Kern County) – serving families at-risk of CPS intervention for suspected child abuse and/or neglectProp 10 Family Resource Centers (Ridgecrest, and SE Bakersfield) – serving low income families with children ages 0-5 These programs serve over 1,200 families each month. Paraprofessional case managers carry caseloads of 25 to 50, depending on the program and acuity of the caseload. Families are assessed for the strengths and needs, care plans are developed, and families are linked to any needed services or resources to stabilize the family, insure that the children are healthy and safe, and children are ready to learn.
Health Insurance Assistance Program
HIAP consists of Certified Application Assistors that help individuals an families apply for public benefits, including Medi-Cal, Healthy Families, Healthy Kids, and Food Stamps. CAA's walk families through the application process until a final determination of eligibility has been made. Outstationed Eligibilty Workers from the Kern County Department of Human Services process these applications and determine eligibility. CAAs follow-up with families for any missing paper work and help reinitiate the application process when families fail to follow through or run into other barriers. This program is available at all of our health centers in Kern and Fresno Counties. We have a total of 17 Certified Application Assistors (CAAs), in kern and Fresno Counties. We have a total of 17 Certified Application Assistors (CAAs), who process over 13,000 applications every year. CAAs also participate in health fairs, farmers markets and other community events to educate the public about these valuable public benefits and services.
Medically Vulnerable Infant Program (MVIP)
MVIP provides home-based, comprehensive RN nursing case management services to high risk babies coming out of the neonatal intensive care units (NICUs) at Bakersfield area hospitals. These babies are typically premature, very low birth weight, and have multiple medical and/or genetic conditions that require intensive medical case management from qualified registered nurses. These babies are carried for 18 months to 3 years, depending on the severity of the medical needs and the family’s resources and ability to access needed services. RN case managers assess each baby’s needs and ensure that the family has access to medical and other related services. The babies are assessed for growth and development on a periodic basis. The RN case managers also ensure that all medical visits are scheduled and kept, every baby has a medical home, and that every baby is up-to-date with immunizations and well child check-ups. The RN case managers also link families to other psycho-social services that may be needed on a case by case situation.
Behavioral Health
Children, adult mental health services
Health Care for the Homeless
Primary care services for homeless adults.
HIV/AIDS Services
Primary care and specialized medical treatment to persons living with HIV/AIDS
Maternal Child Outreach Program
Case management, health
Patient Navigator Program
Help improve outcomes of patients with breast and cervical cancer and diabetes.
WIC
Serve income eligible pregnant and break feeding women and. Hold ten up to age 5
Where we work
Awards
A+ Rating Accredited Business 2017
BBB
Top 10 Healthcare Organization in California 2016
Hispanic Professional Network
NACHC Organizational Service and Leadership 2013
National Assoc of Community Health Center
FTCA Deemed 2017
Health Resources and Service Administration
Affiliations & memberships
Health Resources and Services Administration (HRSA) 2017
External reviews

Photos
Our results
How does this organization measure their results? It's a hard question but an important one.
Number of clients who report general satisfaction with their services
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
Percentages
Number of patient visits
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of people tested for HIV
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of participants who would recommend program to others
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
Percentages
Number of patients reporting intentions of loyalty
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
Percentage
Number of patients reporting intentions of loyalty
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
Percentage
Use of Appropriate Medications for Asthma
This metric is no longer tracked.Totals By Year
Type of Metric
Outcome - describing the effects on people or issues
Direction of Success
Increasing
Context Notes
percentage
Tobacco Use Screening and Cessation Intervention
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of clients assisted in enrolling with Medi-Cal .
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Number of clients assisted in enrolling with Covered Ca.
This metric is no longer tracked.Totals By Year
Type of Metric
Output - describing our activities and reach
Direction of Success
Increasing
Goals & Strategy
Learn about the organization's key goals, strategies, capabilities, and progress.
Charting impact
Four powerful questions that require reflection about what really matters - results.
What is the organization aiming to accomplish?
Clinica Sierra Vista was formed in 1971 at the dawn of the community health center movement with the simple philosophy that health care is a right for every human being, not just those who can pay for it.
In those early days, at our humble storefront location in the small farming community of Weedpatch, just steps from the fields, we served the needs of migrant farmworkers, long overlooked and neglected by the health-care establishment. Those farmworkers still constitute a large portion of our patient population, but our reach now extends into three counties, over hundreds of square miles in urban, rural and frontier service areas. We treat inner-city residents, the homeless, teen moms, persons living with HIV, the elderly, the poor, the disenfranchised – all irrespective of a patient's ability to pay, spoken language or immigration status. We take pride in being a “safety net."
By embedding ourselves in underserved communities, Clinica has created critical access points for medical and dental care, behavioral health and patient support services that are addressing the region's health disparities and acute provider shortages. We provide high-quality comprehensive primary and preventative care and related health education and supportive services to the underserved populations of Kern, Fresno and Inyo counties.
But Clinica's commitment to improving the lives of our patients doesn't end with their medical care. We offer a series of programs, services and partnerships that address other challenges our communities face like drug use, homelessness, teen pregnancy, and living with HIV. We learned long ago that effectively treating our patients requires a holistic approach and in becoming more than a primary-care home, Clinica has taken a leading role in advocacy and engagement in the communities we serve.
The ultimate goal is to help our patients and their respective communities to become healthier and more vibrant members of our society.
Our mission:
•To assure that no patient is ever refused necessary health-care services for lack of ability to pay. We treat all who seek care irrespective of immigration status, language preference, race, ethnicity, gender, religion, sexual orientation, age or disability.
•To pursue a Patient Centered Medical Home approach to care that connects our patients with a consistent team of providers in a neighborhood community health center.
•To set health goals with our patients and implement plans to achieve those goals.
•To offer appropriate services – both in-house and referrals – for patients with social, behavioral or other needs.
•To advocate in the best interests of our patients and health centers.
•To identify and pursue opportunities and partnerships with other entities for the purposes of effectively and efficiently delivering first-rate care and services to vulnerable populations.
•To hold ourselves accountable by inviting rigorous external scrutiny, including: accreditation by The Joint Commission
What are the organization's key strategies for making this happen?
Clinica's top strategic initiative over its entire five decades has been to take our mission of health care and patient well-being as far and wide as we can, touching as many lives as possible. By that standard, we are proud to point to a track record of robust growth, having expanded from a lone rural health center in Kern County to 31 sites in three counties, serving an incredibly diverse patient population of 200,000.
Expanding Clinica's footprint: We continue to remain acutely attuned to our communities because we are an integral part of them. But Clinica's reputation extends beyond our original service area of Kern County, a factor that is largely responsible for our entry into Fresno and Inyo counties.
•In 2008, a sister community health center in Fresno County reached out to Clinica in financial desperation. Clinica responded immediately, providing the resources to keep the organization afloat temporarily, though eventually the nonprofit filed for bankruptcy, potentially costing thousands of patients access to care and employees their livelihoods. Despite the considerable risk involved, the distance from the headquarters in Kern County, and several logistical and organizational challenges, Clinica assumed operations. That gesture of goodwill has led to a flourishing, and growing, presence in Fresno County, which has 10 health centers, an array of programs, and serves 42,000 patients.
•In Inyo County, Clinica Sierra Vista offered its support and assistance to a Shoshone resident interested in opening a community health center in the 1970s. Eventually, Clinica was asked to assume operations of the Death Valley Health Center and despite the challenges – low population density and a shortage of providers among them – we are committed to serving this frontier population, having recently expanded into the nearby town of Baker in San Bernardino County.
•In Kern County, Clinica has a long history of heeding the call for action and assistance. When sister health organizations and nonprofits could no longer continue operating their health centers, Clinica has stepped in to ensure continuity of care and stave off job losses. Most recently, Clinica was proud to add Ebony Counseling Center to our network, safeguarding the proud legacy of an organization that has helped residents of southeast Bakersfield overcome substance abuse for half a century.
Identifying and seizing opportunities: Clinica has a track record for bold, nimble, decisive action that enriches the lives of our patients and spreads our mission. We challenge convention and anticipate the evolving needs of our patients and the communities we serve.
* In 2014, Clinica formed a teaching health center for family practice medical residents – one of only six in California - when Kern Medical dissolved its own residency program. In doing so, Clinica has ensured medical residents will continue to learn and train in the valley, with a goal toward retaining these doctors to care for our u
What are the organization's capabilities for doing this?
Clinica is the oldest and largest federally qualified health center network in Kern County and has operated continuously, and successfully, since 1971. We've grown to become one of the largest community health-center organizations in California and the United States, with 1,300 skilled, passionate members of our team treating some 200,000 people a year.
We have an expert team of grant writers, skilled in identifying funding sources and adhering to the strictures and oversight that come with the funding.
Clinica Sierra Vista also remains at the vanguard of technology adoption, which furthers our ability to provide better outcomes for our patients. We have integrated electronic health and dental record systems, which, when combined with the Central Valley's Health Information Exchange, allow us to coordinate care for our patients across the care continuum, including following up with them on missed specialty appointments or scheduling a primary-care visit after a trip to the ER, for example.
Clinica Sierra Vista is also working with specialty providers via Telemedicine technologies, bringing specialty services to underserved areas of our state.
Using these technologies, we are able to further engage patients in their care, an important consideration that demonstrates our commitment to being a Patient Centered Medical Home.
What have they accomplished so far and what's next?
•In June of 2017, Clinca's Rio Bravo Family Medicine Residency Program graduated its first class of six. Two of those doctors have committed to pursuing their careers right here in the valley, and we've signed contracts with future graduates as well. We are at our full complement of 18 residents and will match our next class in early 2018.
•Our growth continues at a torrid pace. In Fresno County, we have partnered with St. Agnes Hospital on a new community health center on Millbrook Avenue that will open in early 2018. In addition, several more community health centers are scheduled to be built on Fresno campuses. Clinica will also greatly expand behavioral health services in Fresno County, having received a multimillion dollar grant to grow our programs.
•Clinica recently received its seventh Joint Commission reaccreditation, affirming its reputation for superior care, efficiency and integrity.
Financials
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Operations
The people, governance practices, and partners that make the organization tick.
Connect with nonprofit leaders
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- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
Connect with nonprofit leaders
SubscribeBuild relationships with key people who manage and lead nonprofit organizations with GuideStar Pro. Try a low commitment monthly plan today.
- Analyze a variety of pre-calculated financial metrics
- Access beautifully interactive analysis and comparison tools
- Compare nonprofit financials to similar organizations
Want to see how you can enhance your nonprofit research and unlock more insights? Learn More about GuideStar Pro.
CLINICA SIERRA VISTA
Board of directorsas of 02/26/2021
Claribel Gutierrez
N/A
Term: 2014 -
Philipp Melendez
n/a
Term: 2019 -
Socorro Gaeta
Retired
Juanita Benavidez
Retired
Roberto Rivera
Retired
Robbie Gerds
Jose J Valdovinos
Claribel Gutierrez
Property Manager
Patricia Miller
Retired Realtor
Michael Cosimano
Retired
Philipp Melendez
Physician
Kris DeLano
Jerry Shipman
Retired
Board leadership practices
GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.
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Board orientation and education
Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes -
CEO oversight
Has the board conducted a formal, written assessment of the chief executive within the past year ? Yes -
Ethics and transparency
Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes -
Board composition
Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes -
Board performance
Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes
Organizational demographics
Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.
Leadership
No data
The organization's co-leader identifies as:
Race & ethnicity
No data
Gender identity
No data
No data
Sexual orientation
No data
Disability
No data