CENTER FOR COMMUNITY HEALTH AND WELL-BEING INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- CENTER FOR COMMUNITY HEALTH AND WELL-BEING INC (EIN 68-0248303)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2023-04-18
- IRS object ID
- 202301089349302110
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-04-18T19:30:37-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 465577902 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARDSON & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 550 HOWE AVENUE SUITE 210 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95825 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680248303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CENTER FOR COMMUNITY HEALTH AND | BusinessNameLine1Txt |
| Business Name Line2 | WELL-BEING INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | CENT | BusinessNameControlTxt |
| Phone | 9165584820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4625 44TH STREET NO 13 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95820 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SHANNON SHAW | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 9165584820 | PhoneNum |
| Signature | 2023-04-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | SHANNON | PersonFirstNm |
| Person Last | SHAW | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CURT JENSON | PreparerPersonNm |
| PTIN | P01208626 | PTIN |
| Phone | 9165648727 | PhoneNum |
| Preparation | 2023-04-13 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HER HEALTH FIRST | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | SHANNON SHAW | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4625 44TH STREET NO 13 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95820 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,288,047 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HERHEALTHFIRST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE SACRAMENTO COMMUNITY AND TO ENSURE THAT ITS FAMILIES AND CHILDREN HAVE THE BEST ENVIRONMENT IN WHICH TO GROW AND THRIVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 26 | TotalEmployeeCnt |
| Total Volunteers | 30 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $670,649 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,187,507 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $46,020 | PYOtherRevenueAmt |
| CY Other Revenue | $100,540 | CYOtherRevenueAmt |
| PY Total Revenue | $716,674 | PYTotalRevenueAmt |
| CY Total Revenue | $1,288,047 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $504,115 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $678,861 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $8,000 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $18,145 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $197,018 | PYOtherExpensesAmt |
| CY Other Expenses | $520,022 | CYOtherExpensesAmt |
| PY Total Expenses | $701,133 | PYTotalExpensesAmt |
| CY Total Expenses | $1,206,883 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,541 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $81,164 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $421,583 | TotalAssetsBOYAmt |
| Total Assets EOY | $652,397 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $413,303 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $562,953 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,280 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $89,444 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF THE SACRAMENTO COMMUNITY AND TO ENSURE THAT ITS FAMILIES AND CHILDREN HAVE THE BEST ENVIRONMENT IN WHICH TO GROW AND THRIVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $583,821 | ExpenseAmt |
| Revenue | $600,900 | RevenueAmt |
| Desc | BLACK MOTHERS UNITED (BMU) IS A PREGNANCY SUPPORT PROGRAM FOR AFRICAN AMERICAN WOMEN IN SACRAMENTO COUNTY. THE PROGRAM WAS CREATED IN 2013 WITH FUNDING FROM FIRST 5 SACRAMENTO. THE PROGRAM'S MISSION IS TO INCREASE THE NUMBER OF AFRICAN AMERICAN WOMEN ENTERING PRENATAL CARE EARLY AND DECREASE THE NUMBER OF AFRICAN AMERICAN BABIES BORN PREMATURELY OR AT LOW BIRTHWEIGHT. BMU UTILIZES A "CULTURAL BROKER" MODEL THAT ENGAGES MEMBERS OF THE COMMUNITY BY PROVIDING CULTURALLY SENSITIVE AND RELEVANT HEALTH NAVIGATION SERVICES. CULTURAL BROKERS, KNOWN FORMALLY AS PREGNANCY COACHES, PROVIDE ONE-ON-ONE CASE MANAGEMENT, HOME VISITS, HEALTH EDUCATION, TRANSPORTATION, AND REFERRALS TO CRITICAL HEALTH/SOCIAL SUPPORT SERVICES, TO ENSURE OUR CLIENTS HAVE THE HEALTHIEST PREGNANCY AND BIRTH OUTCOMES POSSIBLE. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $298,821 | ExpenseAmt |
| Revenue | $300,000 | RevenueAmt |
| Desc | THE SIERRA HEALTH FOUNDATION PROVIDED FUNDING FOR EXPENDITURES INCURRED BY THE SACRAMENTO COMMUNITY DUE TO THE PUBLIC HEALTH EMERGENCY WITH RESPECT TO COVID19. IN ADDITION TO PROVIDING DIRECT FINANCIAL ASSISTANCE TO SACRAMENTO RESIDENTS IMPACTED COVID-19 HER HEALTH FIRST DEVELOPED AND INITIATED A SOCIAL MEDIA PROJECT TO ADVERTISE A WOMEN'S HEALTH PODCAST AND DOCUMENTARY WEB SERIES AND EDUCATIONAL COURSES.THIS ENABLED AFRICAN AMERICAN WOMEN TO ACCESS IMPORTANT HEALTH INFORMATION FROM THEIR HOMES DURING THE PANDEMIC. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $127,045 | ExpenseAmt |
| Revenue | $131,165 | RevenueAmt |
| Desc | OUR REQUEST FOR FUNDING CREATES AN UNPARALLELED COMPREHENSIVE APPROACH TO MENTAL HEALTH FOR PREGNANT AFRICAN AMERICAN WOMEN THAT INCLUDES: PMHSS REACHING APPROXIMATELY 300 PREGNANT AFRICAN AMERICAN WOMEN THROUGH COMMUNITY CAPACITY-BUILDING, 120 WILL RECEIVE TRAUMA-INFORMED DOULA SERVICES, AND 100 WILL RECEIVE LACTATION SUPPORT SERVICES. IN ADDITION, 420 WILL RECEIVE BMU SERVICES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (7 entries)
| ExpenseExpenseAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|
| $41,289 | $48,963 | TEEN PREGNANCY: TO PREVENT TEEN PREGNANCY. |
| $28,722 | $28,722 | BLACK CHILD LEGACY CAMPAIGN: REDUCE DEATHS OF AFRICAN AMERICAN CHILDREN. |
| $21,346 | $22,044 | BLUE SHIELD DOULA: PROVIDE DOULA SERVICE TO AFRICAN AMERICAN PREGNANT WOMEN. |
| $19,717 | $19,717 | GIRLS ON THE RISE: LEADERSHIP SKILLS TRINING FOR HIGH SCHOOL STUDENTS. |
| $15,928 | CARES: SUPPORT FOR FAMILIES IMPACTED BY COVID-19. | |
| $8,715 | VACATION ACCRUAL: VACATION ACCRUAL FOR PROGRAM EMPLOYEES. | |
| $1,207 | $100,540 | PROGRAM SERVICE FEES: ADMINISTRATION SUPPORT FOR NON-PROFIT WITH COMPLEMENTARY MISSION TO HHF. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $136,924 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $219,986 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,146,611 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | Yes (1) | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 26 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9165584820 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4625 44TH STREET NO 13 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95820 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| SHANNON SHAW | ||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | Yes (X) | $96,696 | $0 | $967 |
| ALICIA BERNSTEIN | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| JULIET LEE | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| YUUKO FELETTO JOHNSON | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| CHARLENE CARR | ||||||
| MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $96,696 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $967 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,081,028 | GovernmentGrantsAmt |
| All Other Contributions | $106,479 | AllOtherContributionsAmt |
| Total Contributions | $1,187,507 | TotalContributionsAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NON-PROFIT FIDUCIARY R | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $100,540 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,540 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $100,540 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,288,047 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $100,540 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,925 | TotalAmt |
| Program Services | $60,941 | ProgramServicesAmt |
| Management And General | $10,663 | ManagementAndGeneralAmt |
| Fundraising | $6,321 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,679 | TotalAmt |
| Program Services | $468,237 | ProgramServicesAmt |
| Management And General | $4,267 | ManagementAndGeneralAmt |
| Fundraising | $1,175 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,197 | TotalAmt |
| Program Services | $32,286 | ProgramServicesAmt |
| Management And General | $580 | ManagementAndGeneralAmt |
| Fundraising | $331 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,423 | TotalAmt |
| Program Services | $43,855 | ProgramServicesAmt |
| Management And General | $1,085 | ManagementAndGeneralAmt |
| Fundraising | $483 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,637 | TotalAmt |
| Program Services | $46,894 | ProgramServicesAmt |
| Management And General | $1,284 | ManagementAndGeneralAmt |
| Fundraising | $459 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,348 | TotalAmt |
| Program Services | $6,795 | ProgramServicesAmt |
| Management And General | $2,501 | ManagementAndGeneralAmt |
| Fundraising | $52 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,362 | TotalAmt |
| Program Services | $42,465 | ProgramServicesAmt |
| Management And General | $636 | ManagementAndGeneralAmt |
| Fundraising | $261 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,000 | TotalAmt |
| Fundraising | $8,000 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,984 | TotalAmt |
| Program Services | $110,576 | ProgramServicesAmt |
| Management And General | $2,407 | ManagementAndGeneralAmt |
| Fundraising | $1 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,024 | TotalAmt |
| Program Services | $74,973 | ProgramServicesAmt |
| Management And General | $34 | ManagementAndGeneralAmt |
| Fundraising | $17 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,786 | TotalAmt |
| Program Services | $27,134 | ProgramServicesAmt |
| Management And General | $2,531 | ManagementAndGeneralAmt |
| Fundraising | $121 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,576 | TotalAmt |
| Program Services | $20,527 | ProgramServicesAmt |
| Management And General | $27 | ManagementAndGeneralAmt |
| Fundraising | $22 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,973 | TotalAmt |
| Program Services | $15,544 | ProgramServicesAmt |
| Management And General | $1,314 | ManagementAndGeneralAmt |
| Fundraising | $115 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,256 | TotalAmt |
| Program Services | $5,256 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,331 | TotalAmt |
| Program Services | $11,373 | ProgramServicesAmt |
| Management And General | $3,938 | ManagementAndGeneralAmt |
| Fundraising | $20 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,902 | TotalAmt |
| Program Services | $15,756 | ProgramServicesAmt |
| Management And General | $934 | ManagementAndGeneralAmt |
| Fundraising | $212 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| CARES ASSISTANCE TO COV | $124,373 | $124,373 | ||
| PROGRAM SUPPLIES | $28,871 | $26,522 | $2,269 | $80 |
| OTHER EXPENSES | $16,392 | $9,683 | $6,547 | $162 |
| DUES & SUBSCRIPTIONS | $4,528 | $3,421 | $794 | $313 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316 | TotalAmt |
| Management And General | $316 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,206,883 | TotalAmt |
| Program Services | $1,146,611 | ProgramServicesAmt |
| Management And General | $42,127 | ManagementAndGeneralAmt |
| Fundraising | $18,145 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $327,944 | BOYAmt |
| EOY | $398,950 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,655 | BOYAmt |
| EOY | $235,612 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $14,840 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,984 | BOYAmt |
| EOY | $2,995 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,220 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $18,220 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,583 | BOYAmt |
| EOY | $652,397 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,366 | BOYAmt |
| EOY | $159,501 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $252,460 | BOYAmt |
| EOY | $126,578 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $120,477 | BOYAmt |
| EOY | $276,874 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,303 | BOYAmt |
| EOY | $562,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,280 | BOYAmt |
| EOY | $89,444 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,280 | BOYAmt |
| EOY | $89,444 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $421,583 | BOYAmt |
| EOY | $652,397 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $81,164 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $778,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $654,790 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $733,453 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $670,649 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,187,507 | CurrentTaxYearAmt |
| Total | $4,025,033 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $778,634 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $654,790 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $733,453 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $670,649 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,187,507 | CurrentTaxYearAmt |
| Total | $4,025,033 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,025,033 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus2 Years | $14 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5 | CurrentTaxYearMinus1YearAmt |
| Total | $32 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | $38,370 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $46,020 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $100,540 | CurrentTaxYearAmt |
| Total | $184,930 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,209,995 | TotalSupportAmt |
| Public Support CY170 | 0.95610 | PublicSupportCY170Pct |
| Public Support PY170 | 0.97610 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II SECTION B LINE 10: | FormAndLineReferenceDesc |
| Explanation | CENTER FOR COMMUNITY HEALTH AND WELL-BEING (CCHW) ACTED AS AN AGENT FOR THE BENEFIT OF OTHER NONPROFITS WHOSE MISSIONS ALIGN WITH CCHW AND SERVED AS A PASS-THROUGH AGENCY FOR RECEIPT OF FUNDS AND PAYMENT OF EXPENSES. THE $100,540 WAS PROVIDED TO CCHW AS REIMBURSEMENT FOR SERVICES PROVIDED TO THOSE NONPROFIT AGENCIES. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | Yes (1) | AgentTrusteeEtcInd |
| Beginning Balance | $120,399 | BeginningBalanceAmt |
| Additions During Year | $219,739 | AdditionsDuringYearAmt |
| Distributions During Year | $63,264 | DistributionsDuringYearAmt |
| Ending Balance | $276,874 | EndingBalanceAmt |
| Incl Escrow Custodial Acct Liab | Yes (1) | InclEscrowCustodialAcctLiabInd |
| Explanation Provided | Yes (X) | ExplanationProvidedInd |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,220 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 2B: | FormAndLineReferenceDesc |
| Explanation | AMOUNTS HELD AS AGENT: AMOUNTS HELD AS AGENT REPRESENT GRANT PROCEEDS RECEIVED FOR THE BENEFIT OF ANOTHER ORGANIZATION FOR WHICH THE ORGANIZATION SERVES AS A PASS-THROUGH AGENCY FOR RECEIPT OF FUNDS AND PAYMENT OF EXPENSES. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | FORM 990 AND ALL ATTACHMENTS ARE SENT TO THE BOARD OF DIRECTORS FOR REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 12C | MANAGERS REGULARLY MONITOR STAFF ACTIONS IN RELATION TO THE ORGANIZATION'S ETHICS AND CONFLICT OF INTEREST POLICIES, AND ACT ACCORDINGLY WHEN ISSUES ARISE. |
| FORM 990, PART VI, SECTION B, LINE 15 | SALARY INCREASE FOR THE EXECUTIVE DIRECTOR AND OTHER STAFF WAS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION C, LINE 19 | IN PAST YEARS, THE ORGANIZATION HAS MADE THESE DOCUMENTS AVAILABLE WITHIN 30 DAYS OF REQUEST. |
Comments