2024-10-16T14:37:16-05:00 2023-12-31 680456752 DILLWOOD BURKEL & MILLAR LLP 175 CONCOURSE BOULEVARD SUITE A SANTA ROSA CA 95403 990 2023-01-01 680286382 SONOMA VALLEY COMMUNITY HEALTH CENTER SONO 7079396070 19270 SONOMA HIGHWAY SONOMA CA 954765414 CHERYL JOHNSON CEO 7079396070 2024-10-16 1 1 CHRISTINA Z HOLLINGSWORTH P02090706 7075778806 2024-10-15 2023 2024-10-15 13:58:12Z CHERYL JOHNSON 19270 SONOMA HIGHWAY SONOMA CA 954765414 16200937 0 X SVCHC.ORG X 1992 CA PROVIDING HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED, REGARDLESS OF ABILITY TO PAY. 11 11 116 107 0 0 5035520 3901222 8570763 12217609 26412 82106 3000 0 13635695 16200937 0 0 0 0 8295327 8088093 0 0 131335 5659432 6037054 13954759 14125147 -319064 2075790 15737268 16827712 8093100 7107753 7644168 9719959 X TO PROVIDE ACCESSIBLE, QUALITY HEALTH CARE TO THOSE WHO NEED IT, ESPECIALLY THE UNDERSERVED. 0 0 7565362 5690489 FAMILY PRACTICE SERVICES: THE HEALTH CENTER PROVIDES MEDICAL CARE SERVICES FOR INFANTS THROUGH ADULTS, WITH EXTENDED DAY AND EVENING HOURS AND IS OPEN 6 DAYS PER WEEK. SERVICES INCLUDE ROUTINE EXAMINATIONS, IMMUNIZATIONS, PHYSICALS, URGENT CARE AND DIAGNOSIS, AND TREATMENT OF ACUTE AND CHRONIC ILLNESS. IN 2023, 32,375 FQHC VISITS WERE GENERATED ACROSS ALL CLINICS SERVING 6,524 UNDUPLICATED PATIENTS. MEDICAL CLINIC VISITS FOR THE YEAR WERE 19,812 PATIENT VISITS. COMPREHENSIVE PERINATAL SERVICES: THE HEALTH CENTER PROVIDES PRE- AND POST-NATAL OB SERVICES AND EDUCATION TO PREGNANT WOMEN. NURSE EDUCATORS AND NUTRITIONISTS ARE AVAILABLE FULL TIME TO SUPPORT PATIENTS. 799 PATIENT VISITS WERE PROVIDED TO 104 WOMEN PATIENTS. 1778747 2448443 DENTAL SERVICES: SVCHC OFFERS PREVENTATIVE AND RESTORATIVE DENTAL SERVICES TO CHILDREN AND ADULTS. SERVICES INCLUDE X-RAY AND EXAMINATIONS, DEEP CLEANINGS, COMPOSITE FILLINGS AND EXTRACTIONS. IN 2023, THE DENTAL CLINIC HAD 7,758 PATIENT VISITS. 1048316 917903 BEHAVIORAL HEALTH SERVICES: SVCHC'S BEHAVIORAL HEALTH CLINICIANS WORK WITH THE PRIMARY CARE TEAM TO EVALUATE THE BARRIERS TO HEALTH AND ADDRESS THOSE BARRIERS BY PROVIDING BRIEF, SOLUTION-FOCUSED INTERVENTIONS. INDIVIDUAL AND GROUP COUNSELING ARE OFFERED THRU FACE-TO-FACE OR VIRTUAL VISITS. IN 2023, THERE WERE 2,112 PATIENT VISITS FOR BEHAVIORAL HEALTH SERVICES. 928455 3160774 ALTERNATIVE CARE-CHIROPRACTIC: PROVIDE ALTERNATIVE TREATMENTS FOR THOSE WITH CHRONIC PAIN DISEASES. OPTOMETRY SERVICES: PROVIDE VISION SERVICES FOR THOSE IN NEED OF VISION CARE PROVIDED BY AN OPTOMETRIST. GLASSES ARE AVAILABLE TO PATIENTS, BASED ON PRESCRIPTION. OTHER PROGRAM SERVICES: OUTREACH/TRANSPORTATION SERVICES, AND DISCOUNTED DRUG PROGRAM. 928455 3160774 11320880 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 1 42 0 1 116 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X X GLEN GIBSON CFO 7079392331 19270 SONOMA HIGHWAY SONOMA CA 954765414 EMMA MCCULLOCH VICE-CHAIR 2.00 X X 0 0 0 CHARLES ZIPKIN MD CHAIR 2.00 X X 0 0 0 PAMELA STEPHENS BOARD SECRETARY 2.00 X X 0 0 0 MARGARET BASTRESS BOARD MEMBER 1.00 X 0 0 0 ROBERT ELDERS ESQ BOARD MEMBER 1.00 X 0 0 0 PETER FITZGERALD BOARD MEMBER 1.00 X 0 0 0 KARINA FLOREZ BOARD MEMBER 1.00 X 0 0 0 SABINA RAFAELA GONZALEZ BOARD MEMBER 1.00 X 0 0 0 LINDA MCTAGGART BOARD MEMBER 1.00 X 0 0 0 BEN ROOKS BOARD MEMBER 1.00 X 0 0 0 CHERYL JOHNSON CHIEF EXECUTIVE OFFICER 40.00 X 209740 0 68531 GLEN GIBSON CHIEF FINANCIAL OFFICER 40.00 X 191300 0 70401 ALISON O'DONNELL TREASURER 2.00 X 0 0 0 JANET BYRD FNP FAMILY NURSE PRACTITIONER 40.00 X 169345 0 75534 WILLIAM KLAS CHIEF MEDICAL DIRECTOR 40.00 X 273411 0 68558 KIANA GUERRERO MCCORMICK FPP FAMILY PRACTICE PHYSICIAN 40.00 X 166288 0 62558 JENNIFER HASA FPP FAMILY PRACTICE PHYSICIAN 40.00 X 251300 0 45917 ALFRED MCGUIN CQI & ECM DIRECTOR 40.00 X 155146 0 18999 ALVARO GONZALEZ OUTREACH DIRECTOR 40.00 X 113300 0 16038 SEAN O'DONNELL IT MANAGER 40.00 X 109844 0 16991 SARET AZIZIANS FNP OUTREACH DIRECTOR 40.00 X 139958 0 42302 MICHAEL MABANGLO DIRECTOR OF IBH 40.00 X 141997 0 49043 JAKELINE GONZALEZ RN 40.00 X 112996 0 25291 2034625 0 560163 12 0 1 0 PROVIDER HEALTHCARE LLC 2455 E PARLEYS WAY SALT LAKE UT 84109 LOCUMS TENENS PLACEMENT 465087 MH BILINGS SOLUTIONS 3400 COTTAGE WAY SACRAMENTO CA 95825 BILLING CONTRACTOR 377562 MEDICUS IT LLC 100 NORTH POINT CENTER EAST ALPHARETTA GA 30022 IT AND NETWORK 357317 PIVOT POINT CONSULTING LLC PO BOX 667 BRENTWOOD TN 37024 IT CONSULTING 336119 VLASIS CONSULTING 5172 E WOODWARD AVE FRESNO CA 93727 CONSULTING 243700 5 2283806 1617416 202556 3901222 PATIENT SERVICE REVENUE 624100 10166583 10166583 OTHER PROGRAM SERVICE REVENUE 624100 2051026 2051026 12217609 82106 82106 16200937 12217609 0 82106 X 1827029 1479915 341714 5400 5292326 4184249 1004198 103879 968738 659006 293985 15747 2554737 2170254 384483 245667 213353 31384 930 119924 64072 55852 275268 263894 11374 860566 540820 319746 132316 127711 4605 COMPUTER AND ELECTRONIC 632918 621217 10567 1134 SUPPLIES/LAB AND DIAGNO 338667 338667 UTILITIES AND TELEPHONE 284010 140184 140964 2862 DONATED MEDICAL SUPPLIE 202556 202556 390425 314982 74060 1383 14125147 11320880 2672932 131335 1245338 564814 3299198 2862875 1251604 3334934 98040 114424 15585769 6763879 8626102 8821890 1216986 1128775 15737268 16827712 2613724 1827941 4087775 3952262 1391601 1327550 8093100 7107753 X 7644168 9306664 413295 7644168 9719959 15737268 16827712 2075790 0 X 0 1 X 1 1 1 X 2539808 3953655 5360723 5035520 3901222 20790928 2539808 3953655 5360723 5035520 3901222 20790928 549507 20241421 10855 8266 7572 29412 82106 138211 20929139 48813522 0.96710 0.98530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1538780 1538780 9598670 4614638 4984032 945715 178598 767117 3258676 1817459 1441217 243928 153184 90744 8821890 OPERATING LEASE RIGHT-OF-USE ASSET 1128775 1128775 OPERATING LEASE LIABILITIES 1327550 1327550 X 16200937 0 16200937 0 16200937 14125146 0 14125146 0 14125146 PART X, LINE 2: THE ORGANIZATION 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 DECEMBER 31, 2023, THE ORGANIZATION HAS REVIEWED ITS TAX POSITIONS AND HAS CONCLUDED NO RESERVE FOR UNCERTAIN TAX POSITIONS IS REQUIRED. THE ORGANIZATION'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. 1 X X X X X 0 0 0 0 0 0 0 0 0 WILLIAM KLAS CHIEF MEDICAL DIRECTOR 273411 0 0 0 0 0 24000 0 44558 0 341969 0 0 0 JENNIFER HASA FPP FAMILY PRACTICE PHYSICIAN 251300 0 0 0 0 0 12515 0 33402 0 297217 0 0 0 CHERYL JOHNSON CHIEF EXECUTIVE OFFICER 209740 0 0 0 0 0 30000 0 38531 0 278271 0 0 0 GLEN GIBSON CHIEF FINANCIAL OFFICER 191300 0 0 0 0 0 30000 0 40401 0 261701 0 0 0 JANET BYRD FNP FAMILY NURSE PRACTITIONER 169345 0 0 0 0 0 30000 0 45534 0 244879 0 0 0 KIANA GUERRERO MCCORMICK FPP FAMILY PRACTICE PHYSICIAN 166288 0 0 0 0 0 22005 0 40553 0 228846 0 0 0 MICHAEL MABANGLO DIRECTOR OF IBH 141997 0 0 0 0 0 0 0 49043 0 191040 0 0 0 SARET AZIZIANS FNP OUTREACH DIRECTOR 139958 0 0 0 0 0 21002 0 21300 0 182260 0 0 0 ALFRED MCGUIN CQI & ECM DIRECTOR 155146 0 0 0 0 0 0 0 18999 0 174145 0 0 0 PAMELA STEPHENS BOARD SECRETARY 1825 INTERNET SERVICE TO PROVIDE REAL-TIME ACCESS TO BOARD REPORTS AS A BOARD OFFICER. X 2 202556 DISTRIBUTION VALUE 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CFO REVIEWS THE DRAFT WITH THE PREPARER. THE CFO REVIEWS WITH THE CEO AND THE FINANCE COMMITTEE. ONCE PASSED BY THE FINANCE COMMITTEE, THE DRAFT IS SENT TO THE BOARD FOR COMMENTS. IF NO OTHER COMMENTS AFTER 7 DAYS, THE CFO APPROVES THE TAX RETURN FOR SUBMISSION TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY RELATING TO THE BOARD OF DIRECTORS AND OFFICERS IS INCLUDED IN THE BYLAWS OF THE ORGANIZATION. DISCLOSURE OF ANY CONFLICTS IS REQUIRED WHEN A BOARD MEMBER IS ELECTED TO SERVE ON THE BOARD. THE BOARD IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENTS ANNUALLY. CEO MAINTAINS CONFLICT OF INTEREST FILE. RELEVANT EMPLOYEES AND THOSE WHO HAVE INFLUENCE OVER DECISION MAKING OR PURCHASING ARE REQUIRED TO COMPLETE AND SIGN A DISCLOSURE OF WHAT MAY APPEAR AS CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION UTILIZES AN INDEPENDENT COMPENSATION CONSULTANT, A REVIEW OF FORM 990 OF OTHER ORGANIZATIONS, WRITTEN EMPLOYMENT CONTRACTS, A COMPENSATION SURVEY OR STUDY, AND REQUIRES APPROVAL BY THE BOARD TO ESTABLISH REASONABLE COMPENSATION OF INSIDERS. THE BOARD HAS FINAL AUTHORITY OVER THE HIRING, DISMISSAL, AND ANNUAL EVALUATION OF THE CEO. THE CEO EVALUATES THE CFO AND THE MEDICAL DIRECTOR. THE CEO REVIEWS THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) ANNUAL STATE WIDE SALARY SURVEY FOR COMMUNITY HEALTH CENTERS TO SET SALARY RANGES AND WAGES EACH YEAR. FORM 990, PART VI, SECTION C, LINE 18 UPON REQUEST AND AVAILABLE THROUGH GUIDESTAR/CANDID. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FORM 990 AND 1023, FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY, AND GOVERNING DOCUMENTS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST, AND THROUGH GUIDESTAR/CANDID. FORM 990, PART IX, LINE 11G CONTRACTED CLINICAL SERVICES: PROGRAM SERVICE EXPENSES 1,409,670. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,409,670. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 760,584. MANAGEMENT AND GENERAL EXPENSES 384,483. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,145,067.