2022-10-06T13:15:04-05:00 2021-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-01-01 680165855 SHASTA COMMUNITY HEALTH CENTER % SHERRY CALDWELL CFO SHAS 5302465710 1035 PLACER STREET REDDING CA 96001 SHERRY CALDWELL CFO 5302465710 2022-11-15 true SHERRY CALDWELL XXX-XX-XXXX Krystal K Creach P01248198 4178658701 3 2021 2022-09-23 18:48:47Z C DEAN GERMANO CEO 1035 PLACER STREET REDDING CA 96001 72333594 false X WWW.SHASTAHEALTH.ORG X 1988 CA CREATE A SEAMLESS SYSTEM OF ACCESS TO COMPASSIONATE, HIGH QUALITY, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH CARE FOR ALL RESIDENTS OF THE COMMUNITY IT SERVES. 13 13 627 20 0 0 12262933 21245669 41874834 50992846 232295 62072 -12222151 29297 42147911 72329884 0 21530 0 0 41143146 42176012 0 0 254850 12761856 15918443 53905002 58115985 -11757091 14213899 61601286 69901459 19903409 14142417 41697877 55759042 X CREATE A SEAMLESS SYSTEM OF ACCESS TO COMPASSIONATE, HIGH QUALITY, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH AND DENTAL CARE FOR ALL RESIDENTS OF THE COMMUNITY IT SERVES, PARTICULARLY FOR THOSE RESIDENTS WHO ARE ECONOMICALLY OR OTHERWISE DISADVANTAGED. false false 35368970 17764 43926554 SHASTA COMMUNITY HEALTH CENTER (SCHC) IS A KEY PROVIDER OF THE HEALTH CARE SAFETY NET SERVICES IN NORTHERN CALIFORNIA, PROVIDING MEDICAL, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 31,485 PATIENTS (106,606 VISITS) IN 2021. SCHC ALSO HAS AN EXTENSIVE OUTREACH TO THE HOMELESS PROGRAM, SERVICES FOR HIV PATIENTS AND IS ONE OF THE FEW MEDICAL RESOURCES FOR THE LOW INCOME POPULATIONS, ESPECIALLY THOSE WITH INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINE AND THE UNINSURED. 3416755 1865 3695791 SHASTA COMMUNITY HEALTH CENTER'S DENTISTS PROVIDE DENTAL SERVICES TO THE LOW INCOME POPULATIONS: THOSE WITH INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINE, THE HOMELESS POPULATION, AND THE UNINSURED. DURING 2021, SCHC'S DENTISTS SERVED 5,934 PATIENTS (12,989 VISITS). 3175450 1670 3370501 SHASTA COMMUNITY HEALTH CENTER IS A MAJOR PROVIDER OF MENTAL HEALTH SERVICES IN SHASTA COUNTY, SEEING 3,222 (17,327 VISITS) PATIENTS DURING 2021. 462567 231 42423742 true true false true false false false false false false true false false false true false false true false false false false false false false false false true false true false false false false false false true false true false false false true true true true false false true 95 0 true 627 true false false false false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false CA X SHERRY CALDWELL CFO 5302465763 1035 PLACER STREET REDDING CA 96001 C DEAN GERMANO CHIEF EXECUTIVE OFFICER 40.0 0.0 X 331561 0 64409 DEBRA LUPEIKA MD RESIDENCY PROGRAM DIRECTOR 40.0 0.0 X 312777 0 39061 DOUGLAS MCMULLIN MD CHIEF MEDICAL OFFICER 40.0 0.0 X 331623 0 16500 JOE VILLALOBOS MD MEDICAL DIRECTOR - ENTERPRISE 48.0 0.0 X 306231 0 41612 KATHLEEN KNOPP MD MED DIRECTOR - MATERNITY CTR 32.0 0.0 X 309707 0 28200 NATALIE NELSON MD MEDICAL DOCTOR 40.0 0.0 X 308464 0 28826 IMRAN KHAN MD MEDICAL DIRECTOR-PSYCHIATRIST 34.0 0.0 X 297950 0 37348 MELISSA TASISTA MEDICAL DOCTOR 36.0 0.0 X 288138 0 37939 SEAN DUGAN MD MEDICAL DOCTOR - PEDIATRICIAN 39.0 0.0 X 286827 0 21490 PAMELA KNICKERBOCKER DO MEDICAL DOCTOR 35.0 0.0 X 266539 0 39877 MARIA NICORA BIA MD MEDICAL DOCTOR 36.0 0.0 X 280303 0 24941 CAREY VENGLARCIK MEDICAL DIRECTOR - PEDIATRICS 37.0 0.0 X 256390 0 36639 COLLIN LYNN MEDICAL DIRECTOR - FELLOWSHIP 32.0 0.0 X 263776 0 27598 ELAINE LARAWAY MD MED DIRECTOR - SHASTA LAKE 33.0 0.0 X 249883 0 38726 PAUL DAVAINIS MD MEDICAL DIRECTOR - ANDERSON 42.0 0.0 X 249502 0 35456 RHETT GROVER DO MEDICAL DIRECTOR - URGENT CARE 32.0 0.0 X 230255 0 43580 KYLE PATTON MEDICAL DIRECTOR - HOPE 32.0 0.0 X 257549 0 12892 DOROTHY BRATTON-SANDOVAL PA DEPUTY CHIEF MEDICAL OFFICER 40.0 0.0 X 225749 0 28223 SHERRY CALDWELL CHIEF FINANCIAL OFFICER 40.0 0.5 X 228648 0 17800 JEFFERY THORNOCK CHIEF OPERATIONS OFFICER 40.0 0.0 X 206994 0 34253 FRANKLIN PIERCE DDS DENTAL DIRECTOR 40.0 0.0 X 202886 0 34434 CHARLES KITZMAN CHIEF INFORMATION OFFICER 40.0 0.5 X 209352 0 23875 LAURA DOUGAN DEPUTY CHIEF OPERATION OFFICER 40.0 0.0 X 171525 0 16284 THERESA BLANCO CHIEF PLANNING & DEV OFFICER 40.0 0.0 X 146279 0 25986 KERRY FASKING CHAIRPERSON 4.0 0.5 X X 0 0 0 JOHN KENNY VICE CHAIRPERSON 3.0 0.5 X X 0 0 0 WENDY LONGWELL TREASURER 3.0 0.5 X X 0 0 0 MARGARET BECK CLU SECRETARY 3.0 0.5 X X 0 0 0 AMPARO BUCK COMMUNITY MEMBER 3.0 0.5 X 0 0 0 MARK MITCHELSON COMMUNITY & PROVIDER MEMBER 3.0 0.5 X 0 0 0 DAWN FOWLER COMMUNITY MEMBER END 11/21 3.0 0.5 X 0 0 0 RAY HAMBY CONSUMER MEMBER 3.0 0.5 X 0 0 0 SANDRA HARP CONSUMER MEMBER BEGIN 04/21 3.0 0.5 X 0 0 0 DENNIS HARRISON CONSUMER MEMBER 3.0 0.5 X 0 0 0 MIKE MANGAS COMMUNITY MEMBER 3.0 0.5 X 0 0 0 DOT VAN CLEAVE CONSUMER MEMBER 3.0 0.5 X 0 0 0 JOSEPH MELVIN CONSUMER MEMBER 3.0 0.5 X 0 0 0 STEPHEN BELL CONSUMER MEMBER BEGIN 04/21 3.0 0.5 X 0 0 0 6218908 0 755949 71 false true false ACCESS EYE HEALTHCARE LLC 112 MISSION RANCH BLVD STE 50 CHICO CA 95926 VISION SERVICES 377090 CLINICIANS TELEMED MEDICAL GROUP I 1801 16TH STREET SUITE B BAKERSFIELD CA 93301 TELEHEALTH SERVICES 241388 BKD LLP PO BOX 1190 SPRINGFIELD MO 658011190 AUDIT, TAX SERVICES 227452 MICHAEL OLINGER LAUNDRY WORLD PO BOX 98 ANDERSON CA 96007 LAUNDRY SERVICES 180365 SHASTA-TEHEMA-TRINITY JOINT COMMUNI PO BOX 496006 REDDING CA 960496006 EDUCATION SERVICES 144597 12 20240348 1005321 1299570 21245669 NET PATIENT SERVICE REVENUE 621400 41790086 41790086 340B PROGRAM CONTRACTED PHARMACIES 621400 6237354 6237354 QUALITY IMPROVEMENT BONUS (MCO) 621400 2763763 2763763 PRECEPTOR INCOME 621400 119823 119823 OTHER REVENUE 621400 81820 81820 50992846 65782 65782 0 0 29297 29297 0 29297 29297 3710 -3710 -3710 -3710 0 0 0 0 0 0 0 0 0 0 72329884 50992846 91369 21530 21530 0 0 0 5391513 4102356 1289157 130337 115174 15163 29022412 22237845 6591767 192800 665747 541240 116274 8233 4620888 3494054 1100230 26604 2345115 1809057 522545 13513 0 67053 67053 229852 229852 8925 8925 0 0 3841805 2845398 996407 33312 33212 100 1132056 639704 490152 2200 1533248 509743 1023505 0 2936679 1406578 1530101 40310 31947 8363 0 258296 138946 116850 2500 285407 5959 279448 0 1126138 586431 530707 9000 210749 121936 88813 DRUGS AND MEDICATIONS 2097038 2094460 2578 MEDICAL AND DENTAL SUPPLIES 1082003 1061684 20319 DUES AND MEMBERSHIPS 294294 136152 158142 RECRUITMENT COSTS 153223 3344 149879 588055 486992 101063 58115985 42423742 15437393 254850 14085 29427 17972390 25293452 2122062 1842300 9608704 9218441 0 0 0 0 6276650 6276650 229327 240585 582879 518459 19877521 8719976 10585372 11157545 13502679 13393749 0 0 0 0 0 0 707138 1930851 61601286 69901459 4150174 4588070 0 0 888130 1182952 0 0 0 0 0 0 9960649 3586565 0 0 4904456 4784830 19903409 14142417 X 41330840 55104644 367037 654398 41697877 55759042 61601286 69901459 14213899 -152734 X false true X true true true X 8787916 9808323 10368544 12262933 21245669 62473385 0 0 8787916 9808323 10368544 12262933 21245669 62473385 0 62473385 271144 300227 291577 260307 95079 1218334 0 0 63691719 217068017 0.98087 0.97328 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true false false true false false true false true 8925 8925 false SCHEDULE C, PART II-B, LINES 1A, D, G & I LOBBYING EXPENSES: SHASTA COMMUNITY HEALTH CENTER (SCHC) PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). OF THESE DUES, A SMALL PORTION IS USED FOR LOBBYING PURPOSES FOR A TOTAL OF $8,925. AS PERTINENT MATTERS ARISE, SCHC'S PROFESSIONAL ASSOCIATIONS ADVISE IT OF OPPORTUNITIES TO CONTACT APPROPRIATE OFFICIALS OF THE STATE, LOCAL AND FEDERAL GOVERNMENTS TO EMPHASIZE THE NEEDS OF THE UNINSURED AND UNDERSERVED IN SCHC'S COMMUNITIES AND THEIR CONSTITUENTS. BOTH EMPLOYEES AND BOARD MEMBERS ARE INVOLVED IN THESE ACTIVITIES THROUGH THE USE OF E-MAIL, PHONE CALLS AND FAX. SCHC SENDS A FEW EMPLOYEES AND BOARD MEMBERS TO "A DAY AT THE CAPITAL" IN SACRAMENTO, CA, WHERE THEY MEET WITH REPRESENTATIVES AND SENATORS TO DISCUSS CURRENT HEALTH RELATED POLICIES AND LEGISLATURE AND ATTEMPT TO INFLUENCE REFORM. 4197746 4197746 5513610 3330041 2183569 1006477 605932 400545 7811435 4689412 3122023 1348253 94591 1253662 11157545 0 ESTIMATED MEDI-CAL SETTLE 3076512 ESTIMATED SELF-INSURANCE 850000 DEFERRED COMPENSATION 235010 CAPITAL LEASES 623308 4784830 72424260 90666 90666 72333594 -3710 -3710 72329884 58363095 90666 156444 247110 58115985 58115985 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (3,710) LOSS ON DISPOSAL OF PROPERTY SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART IX, LINE 25: $ 152,734 UNREALIZED LOSS ON INVESTMENTS 3,710 LOSS ON DISPOSAL OF PROPERTY ---------- $ 156,444 true SHASTA REGIONAL COMMUNITY FOUNDATION 1335 ARBORETUM DRIVE SUITE B REDDING CA 96003 680242276 501(C)(3) 7000 SUPPORT 1 SCHEDULE I, PART I, LINE 2 MONITORING GRANT FUNDS: GRANTS FUNDS WERE AWARDED TO VARIOUS ORGANIZATIONS' SINGLE EVENTS, SO ALL GRANT AWARDS WERE MONITORED BY THE RECIPIENTS. X X X X X X false true false false false false false true false SHERRY CALDWELL CHIEF FINANCIAL OFFICER 206580 0 22068 0 0 0 9100 0 8700 0 246448 0 0 0 CHARLES KITZMAN CHIEF INFORMATION OFFICER 185225 0 24127 0 0 0 9175 0 14700 0 233227 0 0 0 DOROTHY BRATTON-SANDOVAL PA DEPUTY CHIEF MEDICAL OFFICER 195707 0 30042 0 0 0 8537 0 19686 0 253972 0 0 0 FRANKLIN PIERCE DDS DENTAL DIRECTOR 191905 0 10981 0 0 0 9901 0 24533 0 237320 0 0 0 IMRAN KHAN MD MEDICAL DIRECTOR-PSYCHIATRIST 275300 0 22650 0 0 0 13000 0 24348 0 335298 0 0 0 ELAINE LARAWAY MD MED DIRECTOR - SHASTA LAKE 231133 0 18750 0 0 0 11628 0 27098 0 288609 0 0 0 RHETT GROVER DO MEDICAL DIRECTOR - URGENT CARE 217005 0 13250 0 0 0 11532 0 32048 0 273835 0 0 0 PAUL DAVAINIS MD MEDICAL DIRECTOR - ANDERSON 233502 0 16000 0 0 0 11108 0 24348 0 284958 0 0 0 DEBRA LUPEIKA MD RESIDENCY PROGRAM DIRECTOR 295527 0 17250 0 0 0 14713 0 24348 0 351838 0 0 0 JOE VILLALOBOS MD MEDICAL DIRECTOR - ENTERPRISE 267323 0 38908 0 0 0 13514 0 28098 0 347843 0 0 0 PAMELA KNICKERBOCKER DO MEDICAL DOCTOR 248539 0 18000 0 0 0 12779 0 27098 0 306416 0 0 0 DOUGLAS MCMULLIN MD CHIEF MEDICAL OFFICER 319123 0 12500 0 0 0 0 0 16500 0 348123 0 0 0 SEAN DUGAN MD MEDICAL DOCTOR - PEDIATRICIAN 272577 0 14250 0 0 0 12790 0 8700 0 308317 0 0 0 NATALIE NELSON MD MEDICAL DOCTOR 254284 0 54180 0 0 0 12826 0 16000 0 337290 0 0 0 JEFFERY THORNOCK CHIEF OPERATIONS OFFICER 185139 0 21855 0 0 0 9426 0 24827 0 241247 0 0 0 C DEAN GERMANO CHIEF EXECUTIVE OFFICER 286757 0 44804 0 0 0 57018 0 7391 0 395970 0 0 0 LAURA DOUGAN DEPUTY CHIEF OPERATION OFFICER 154214 0 17311 0 0 0 7584 0 8700 0 187809 0 0 0 KATHLEEN KNOPP MD MED DIRECTOR - MATERNITY CTR 296707 0 13000 0 0 0 19500 0 8700 0 337907 0 0 0 MARIA NICORA BIA MD MEDICAL DOCTOR 267303 0 13000 0 0 0 7491 0 17450 0 305244 0 0 0 THERESA BLANCO CHIEF PLANNING & DEV OFFICER 130950 0 15329 0 0 0 6736 0 19250 0 172265 0 0 0 COLLIN LYNN MEDICAL DIRECTOR - FELLOWSHIP 248526 0 15250 0 0 0 3250 0 24348 0 291374 0 0 0 KYLE PATTON MEDICAL DIRECTOR - HOPE 246072 0 11477 0 0 0 4192 0 8700 0 270441 0 0 0 CAREY VENGLARCIK MEDICAL DIRECTOR - PEDIATRICS 239890 0 16500 0 0 0 12291 0 24348 0 293029 0 0 0 MELISSA TASISTA MEDICAL DOCTOR 270638 0 17500 0 0 0 13591 0 24348 0 326077 0 0 0 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: C. DEAN GERMANO, CEO, IS COVERED BY A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT FROM SHASTA COMMUNITY HEALTH CENTER WHICH WAS FUNDED THIS YEAR BY $43,550. SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: SENIOR MANAGEMENT BONUSES ARE DETERMINED EACH YEAR BASED ON INTERNAL METRICS AND INDIVIDUAL PERFORMANCE. ALL CLINICIANS GET PAID A MONTHLY BONUS BASED ON THE AMOUNT OF ENCOUNTERS OVER BUDGETED EXPECTATIONS. KIMBERLY NEMCHICK SEE PART V 15163 EMPLOYEE COMP & BENEFITS false SARA CHOUDHRY SEE PART V 115174 EMPLOYEE COMP & BENEFITS false SCHEDULE L, PART IV, LINE 1 RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION: (1) KIMBERLY NEMCHICK IS THE DAUGHTER OF LAURA DOUGAN, DEPUTY CHIEF OPERATIONS OFFICER OF SHASTA COMMUNITY HEALTH CENTER. (2) SARA CHOUDHRY IS THE WIFE OF IMRAN KHAN, MEDICAL DIRECTOR - PSYCHIATRIST OF SHASTA COMMUNITY HEALTH CENTER. X 26 1299570 FMV false true false SCHEDULE M, PART I, COLUMN B NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: COMMUNITY EDUCATION WE HAVE EXPANDED OUR COMMUNITY EDUCATION TO HELP OUR PATIENTS MANAGE AND COPE WITH CHRONIC HEALTH ISSUES. CLASSES ON DIABETES, SMOKING CESSATION, HEALTHIER LIVING, AND YOGA ARE OFFERED. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 BOARD REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE DO AN EXTENSIVE REVIEW OF THE FORM WITH THE CURRENT CPA FIRM. THE BOARD OF DIRECTORS IS PROVIDED A COMPLETE COPY OF THE FORM 990 THROUGH EMAIL DISTRIBUTION. THE DIRECTORS ARE GIVEN A PERIOD OF ONE WEEK TO REVIEW THE FORM 990, TO COMMENT AND TO ASK ANY PERTINENT QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: SHASTA COMMUNITY HEALTH CENTER (SCHC) IS COMMITTED TO STRICT COMPLIANCE OF ITS CONFLICT OF INTEREST POLICY. THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES HAVE THE RESPONSIBILITY OF ADMINISTERING THE AFFAIRS OF SCHC HONESTLY AND PRUDENTLY AND OF EXERCISING THEIR BEST CARE, SKILL, AND JUDGMENT FOR THE SOLE BENEFIT OF SCHC. THE INTERESTS OF THE ORGANIZATION MUST BE THE FIRST PRIORITY IN ALL DECISIONS AND ACTIONS. IT IS THE POLICY OF SCHC'S BOARD THAT THE EXISTENCE OF ANY CONFLICTS OF INTEREST BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT IS THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE ITS TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURE IS MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF HE OR SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO BRINGS THE MATTER TO THE ATTENTION OF THE BOARD, OR A DULY CONSTITUTED COMMITTEE THEREOF. DISCLOSURE INVOLVING DIRECTORS IS MADE TO THE BOARD CHAIR, (OR IF HE OR SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE-CHAIR). THE BOARD, OR A DULY CONSTITUTED COMMITTEE THEREOF, DETERMINES WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO SCHC. ANY CONFLICTS OF INTEREST ARE PROMPTLY ADDRESSED AND THE PERSON WITH THE CONFLICT IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF ANY RELATED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINES 15A & 15B COMPENSATION DETERMINATION POLICY: SHASTA COMMUNITY HEALTH CENTER (SCHC) DOES AN ANNUAL SALARY SURVEY FOR ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES. THIS REVIEW IS CONDUCTED BY THE HR MANAGERS WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE REVIEW FOR EACH POSITION CONSISTS OF MARKET SALARY SURVEYS, INCLUDING INDUSTRY SPECIFIC AND REGIONAL DATA. THE RESULTS OF THIS INFORMATION ARE REVIEWED BY SENIOR MANAGEMENT. THIS REVIEW USUALLY IS CONTEMPORANEOUSLY CONDUCTED DURING THE ANNUAL EVALUATION PERIOD. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DIRECTLY REVIEWS THE RESULTS OF CHIEF EXECUTIVE OFFICER'S SURVEY RESULTS. ALL CHANGES ARE THEN DOCUMENTED IN THE CEO'S CONTRACT ADDENDUM. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION PROVIDES TO INTERESTED PARTIES FINANCIAL STATEMENTS, IRS FORM 990, AND OTHER DOCUMENTS AND POLICIES UPON REQUEST. SHASTA INVESTMENT FUND LLC HOLDING CO MO 0 0 SHASTA CHC SCHC PROPERTY CORPORATION 1035 PLACER STREET REDDING CA 96001 463207999 RE HOLDING CA 501(C)(3) 12A I SHASTA CHC true ANDERSON PROPERTY CORPORATION 2965 EAST STREET ANDERSON CA 96007 815371499 RE HOLDING CA 501(C)(3) 12A I SHASTA CHC true SHASTA SUPPORTIVE HOUSING AND SERVICES 1035 PLACER STREET REDDING CA 96001 872892533 HOUSING CA 501(C)(3) 7 SHASTA CHC true false false false false false false false false false false true false false true true true true false false SCHC PROPERTY CORPORATION K 1093125 FMV ANDERSON PROPERTY CORPORATION K 156780 FMV