2022-03-22T02:46:12-07:00 2021-06-30 270741376 HARSHWAL & COMPANY LLP 7677 OAKPORT ST STE 460 OAKLAND CA 94621 990 2020-07-01 943372130 South County Community Health Center Inc dba Ravenswood Family Health Center SOUT 6503307407 1885 Bay Road East Palo Alto CA 94303 Gralyn Jacques CFO 2022-03-22 true Gralyn Jacques 999009999 Sanwar Harshwal CPA P01249746 5104525051 X 2 AAL1 IAL1 FAL1 2020 2022-09-23 18:48:47Z Luisa Buada RNCEO 43579513 false X www.ravenswoodfhc.org X 2001 CA The mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay. 11 11 344 60 0 10621672 18038176 20011253 24369925 337277 337277 957524 811472 31927726 43556850 150000 0 0 22960379 28395509 0 403169 11149010 15012081 34259389 43407590 -2331663 149260 51518154 47559659 13082507 8974752 38435647 38584907 The mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay. false false 33218164 24369925 Clinical Operations:As a Federally Qualified Health Center (FQHC), South County Community Health Center, Inc. (SCCHC) provides a seamless continuum of care that includes patient exams, preventive care, referrals for additional services, and careful follow up. Services are provided at our Ravenswood Family health Center site in East Palo Alto, California, Sunnyvale, Palo Alto, and Mountain View. Services include prenatal care, chronic disease care and management, health education, family planning, behavioral health counseling, women's health, pharmacy, dental care, and referrals for social services and specialty care. Our second site is Ravenswood Family Dentistry also in East Palo Alto. 323034 Resource Center Operations:Resource Center Operations provide leasing arrangements for space to other non-profit agencies in the East Palo Alto, California area. 33541198 true true false false false false false false false false true false false true true true true true false false false false false false true false false false false true false false false false false false false true false false false false false true false false false true 85 0 true 344 true false false false false false false false 0 false false false false false false false false false false X 11 11 false false false false false false false true true false false true true true true true true true true false CA X Gralyn Jacques 6506177882 1885 Bay Road East Palo Alto CA 94303 Yogita Thakur CDO 40.00 0.00 X 376349 0 8414 Sonia Santana MD AMD - OBGYN 40.00 0.00 314171 0 18955 Jaime Chavarria MD Chief Med. Off. 40.00 0.00 X 314320 0 8214 Jeremiah DavisMD PEDS, OB/GYN 40.00 0.00 282582 0 11190 Luisa Buada RN MPH CEO 40.00 1.00 X 244304 0 16045 Sailaja Nalamati Dentist-General 40.00 0.00 241648 0 6794 Kathleen Yau Dentist- General 40.00 0.00 225541 0 15015 Gralyn Jacques CFO 40.00 1.00 X 213321 0 11700 Bradley Hamann Physician Assistan 40.00 0.00 214011 0 8494 Fred Mondragon Chairman 10.00 1.00 X 0 0 0 Siteri Maravou Vice-Chair 10.00 1.00 X 0 0 0 Genesis Cerna Secretary 10.00 1.00 X 0 0 0 Julio Garcia Treasurer 10.00 1.00 X 0 0 0 Senseria Conley Parliamentarian 10.00 1.00 X 0 0 0 Manuel Arteaga Board Member 10.00 0.00 X 0 0 0 Suleyma Garcia-Prado Board Member 10.00 0.00 X 0 0 0 Melieni Talakai Board Member 10.00 0.00 X 0 0 0 Marcelline Combs Board Member 10.00 0.00 X 0 0 0 Esmeralda Garcia Board Member 10.00 0.00 X 0 0 0 VJ Periyakoil MD Board Member 10.00 0.00 X 0 0 0 Sherri Sager Board Liaison 10.00 0.00 X 0 0 0 2426247 104821 32 false true false Jacobian Engineering Inc 2381 Mariner Squ Dr 280 Alameda CA 94501 Contracted IT Services 1332395 COBE Construction Inc 498 Salmar Avenue Campbell CA 95008 Construction Contractor 599122 Stanford Hospital & Clinics 300 Pasteur Drive Stanford CA 94305 Contracted Physician Svc 351688 Lucile Packard Childrens Hospital 725 Welch Rd Palo Alto CA 94304 Contracted Physician Svc 300435 OCHIN PO Box 5426 Portland OR 972285426 Elect. Medical Records 629107 22 628536 12128403 5281237 18038176 Patient Svc Revenue 621110 24369925 24369925 24369925 337277 337277 0 0 0 0 22663 628536 22663 0 0 0 Miscellaneous Income 621110 811472 811472 811472 43556850 25518674 X 0 0 0 0 1118568 877000 229477 12091 0 22379500 17554976 4577219 247305 520978 404145 113913 2920 2824477 2191067 617579 15831 1551986 1220710 314071 17205 0 18880 14788 4092 73195 57333 15862 0 0 0 4539631 3574263 962068 3300 57047 1449 8540 47058 3097249 2219636 842594 35019 0 0 3811150 2486391 1324728 31 32873 12980 19893 0 272746 203760 68986 517 517 0 979041 955615 23426 322511 5540 316971 Pharmaceutical Supplies 1394211 1387340 6871 Laboratory & Radiology 337922 337922 Printing and Publications 56951 33007 1559 22385 Postage and Shipping 12352 1797 10531 24 5805 962 4843 43407590 33541198 9463223 403169 228311 46707 13203188 7308895 1095662 1752172 3119283 3470111 0 0 0 41850 60816 997965 1350000 13065262 5347244 6978955 7718018 0 0 0 0 25852940 25852940 51518154 47559659 8196006 8793167 11950 11950 4457800 62500 416751 107135 13082507 8974752 X 37651215 38032896 784432 552011 38435647 38584907 51518154 47559659 149260 X false true X true true true X 8581653 8493302 9875021 10621672 18038176 55609824 0 0 8581653 8493302 9875021 10621672 18038176 55609824 9216372 46393452 337275 337277 337277 337277 337277 1686383 0 155625 137329 149146 957524 811472 2211096 59507303 0.77960 0.84060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7277385 2320443 4956942 104633 104633 5683244 2922168 2761076 7718018 NMTC Notes Receivable 25852940 25852940 Other liabilities 107135 107135 X 44951540 1394690 1394690 43556850 43556850 44802280 1394690 1394690 43407590 43407590 Part X : FIN48 Footnote SCCHC is exempt from income taxes under Section 501 C (3) of the Internal Revenue Code and 23701d of the California Revenue and Taxation Code. SCCHC files the necessary informational returns.GAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by SCCHC in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. SCCHCs returns are subject to examination by federal and state taxing authorities, generally for three years and four years respectively after they are filed. X X X X X X X false CA Annual Fall Compaign 573246 563483 9763 9763 Spring Campaign 77953 65053 12900 12900 651199 628536 22663 22663 22663 X X X false false false false false false false false false Bradley Hamann Physician Assistan 213782 229 8494 222505 Gralyn Jacques CFO 213067 254 11700 225021 Jaime Chavarria MD Chief Med. Off. 313132 1188 901 7313 322534 Jeremiah DavisMD PEDS, OB/GYN 282420 162 11190 293772 Kathleen Yau Dentist- General 225502 39 7702 7313 240556 Luisa Buada RN MPH CEO 242018 2286 8732 7313 260349 Sailaja Nalamati Dentist-General 241573 75 6794 248442 Sonia Santana MD AMD - OBGYN 313901 270 11642 7313 333126 Yogita Thakur CDO 376169 180 8414 384763 Fred Mondragon Chairperson See Part V false Siteri Moravu Vice Chair See Part V false Julio Garcia Treasurer See Part V false Genesis Cerna Secretary See Part V false Senseria Conley Parliamentarian See Part V false Luisa Buada CEO See Part V false Gralyn Jacques CFO See Part V false Schedule L, Part V Supplemental Information The persons listed at Part IV above are board members and officers of the filing organization as well as the related organization, RFHC Bay Pulgas Landowner, Inc. Please refer to Schedule O for an explanation of the relationship between both entities. Please refer to Schedule R for details of the transactions between both entities. Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 is reviewed by all members of the Board of Directors. In addition, each board member must sign a verification form stating they reviewed the Form 990 before it was filed. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts All conflicts of interest must be disclosed to the Executive Committee, the Board of Directors or to the members of Committees. A review of the conflict will be conducted and the appropriate action will be taken.All trustees, directors, officers and key employees must complete an annual certification for conflicts of interests. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management For compensation of CEO and CFO, a comparative review is completed by the Audit Committee and subject to approval by the full Board of Directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The compensation review for other officers and key employees is subject to a comparative review and is reviewed by the Personnel Committee and subject to approval by the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The governing documents, policies and financial statements of SCCHC are made available to the public upon request. Form 990, Box C The organization operates under additional "Doing Business As" name:1. Ravenswood Family Health Center Pharmacy2. Ravenswood Family Dentistry.3. Ravenswood Family Health Network4. Mayview Community Health Center Mountain View5. Mayview Community Health Center Palo Alto6. Mayview Community Health Center Sunnyvale Form 990, Part VIII, line 1g Total non-cash contributions received by the organization was $1,394,690. Of this amount, $1,335,550 represented donated use of facilities and $59,140 represented donated imaging services. The donated services and use of facilities has been reconciled in Schedule D, Part XI, Line 2b & Part XII, line 2a. Schedule R, Part IV RFHC Bay/Pulgas Landowner, Inc. (RFHC BPL) was incorporated on April 1, 2015 as anonprofit public benefit corporation and it is organized under the California Nonprofit Public Benefit Corporation Law for public purposes. The Corporation is organized exclusively for religious, charitable, literary, or educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986. The principal office of the Corporation is located at 1885 Bay Road, East Palo Alto,California 94303. RFHC BPL is controlled by South County Community Health Center, Inc. (SCCHC) and majority of the board is comprised of board members of SCCHC, but not exclusively. The purpose of the Corporation is to hold the leasehold interest in the commercial building located at 1885 Bay Road, East Palo Alto, California which is leased to SCCHC. RFHC BPL is considered to be a support organization to support the activities of SCCHC. RFHC BPL is operating the site in a manner enabling it to qualify as a Qualified Active low Income Beneficiary (QUALICB) that receives Qualified Low Income Investment (QLICI) loans under a New Market Tax Credit (NMTC) transaction. RFHC Bay Pulgas Landowner Inc 1885 Bay Road East Palo Alto CA 94303 465313360 QALICB activities CA 501 (c) (3) 509 (a) (3) N/A false false false false false false false false false false false true false false false false false false false false RFHC Bay Pulgas Landowner Inc k 1335550 FMV