2022-11-10T16:55:57-06:00 2021-12-31 680456752 Dillwood Burkel & Millar LLP 175 Concourse Boulevard Suite A Santa Rosa CA 95403 990 2021-01-01 680286382 Sonoma Valley Community Health Center SONO 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Cheryl Johnson CEO 7079396070 2022-11-10 1 Cheryl Johnson 999009999 Christina Z Hollingsworth P02090706 7075778806 2022-11-10 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Cheryl Johnson 19270 Sonoma Highway Sonoma CA 954765414 13937473 0 X svchc.org X 1992 CA Providing health care services, especially to the underserved, regardless of ability to pay. 11 11 126 18 0 0 3953655 5360723 8759863 8569179 3216 1921 5050 5650 12721784 13937473 0 0 0 0 7277561 7975172 0 0 70303 5358438 5206776 12635999 13181948 85785 755525 14712476 15645180 7451291 7628470 7261185 8016710 X To provide accessible, quality health care to those who need it, especially the underserved. 0 0 8139859 5015601 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 2021, 32,606 FQHC visits were generated across all clinics serving 6,399 unduplicated patients. Medical clinic visits for the year were 22,674 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. 735 patient visits were provided to 95 women patients. 1340432 1431865 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. SVCHC offers preventative and restorative services. Due to pandemic, the dental clinic was partially shut-down, provided emergency dental services only. Only 1,043 patients were seen at the dental clinic with 5,485 visits. 1031415 761893 BEHAVIORAL HEALTH SERVICES: SVCHC's behavioral health clinicians work with 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. 3,302 therapy sessions were provided to 280 patients. 63511 1365470 ALTERNATIVE CARE-CHIROPRACTIC: Provide alternative treatments for those with chronic pain diseases.OTHER PROGRAM SERVICES: Outreach/Transportation services, and discounted drug program. 63511 1365470 10575217 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 57 0 1 126 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 Alison ODonnell Board Chair 2.00 X X 0 0 0 Emma McCulloch Vice-Chair 2.00 X X 0 0 0 Charles Zipkin MD Board Treasurer 2.00 X X 0 0 0 Pamela Stephens Board Secretary 2.00 X X 0 0 0 Venice Cotton Board Member 1.00 X 0 0 0 Robert Elders Esq Board Member 1.00 X 0 0 0 Dora Barrera Estrada Board Member 1.00 X 0 0 0 Sabina Rafaela Gonzalez Board Member 1.00 X 0 0 0 Peter Fitzgerald Board Member 1.00 X 0 0 0 Maria Solarez Board Member 1.00 X 0 0 0 Louis Tercero Board Member 1.00 X 0 0 0 Cheryl Johnson Chief Executive Officer 40.00 X 230419 0 47807 Rosalia Aquino McMillen Chief Financial Officer 40.00 X 153464 0 19258 Carol Ahern MD Chief Medical Director 30.00 X 147092 0 27464 Adham Abdelrahim DDS Director, Dental Services 40.00 X 207849 0 8117 Janet Byrd FNP Family Nurse Practitioner 40.00 X 161043 0 42636 Delaine Alejandro MD Family Practice Physician 40.00 X 263785 0 19693 Crystal Ward FNP Family Nurse Practitioner 40.00 X 156657 0 19500 Kiana Guerrero McCormick MD Family Practice Physician 40.00 X 231979 0 24751 Mei Ou FNP Family Nurse Practitioner 40.00 X 166056 0 22690 Jennifer Hasa MD Family Practice Physician 40.00 X 153443 0 3204 Myrna Granados RDH 40.00 X 123600 0 14449 Susan Torres Controller 40.00 X 119664 0 29116 Teresa Rodriguez Clinic Manager 40.00 X 110675 0 21036 2225726 0 299721 13 0 1 0 Barton Associates Inc POBox 417844 Boston MA 02241 Locum tenens placement agency 232232 Alexander Wignal 130 Stony Point Rd Santa Rosa CA 95401 SUD treatment program 167000 Medicus IT LLC 100 North Point Center East Alpharetta GA 30022 IT and network 165772 Dominic Paul Amara MD 181 Andrieux St Ste 108 Sonoma CA 95476 Obstetrics/Gynecology 161554 Marie Hudson POBox 997 Pauma Valley CA 92061 Billing contractor 159197 9 4121504 1239219 232734 5360723 Patient service revenue 624100 7412699 7412699 Other program service revenue 624100 1156480 1156480 8569179 1921 1921 5650 0 5650 5650 5650 13937473 8574829 0 1921 X 2106907 1655959 450948 4740628 3897265 791210 52153 1127637 864613 252209 10815 1878131 1776415 101716 263085 170016 92055 1014 150476 53468 96758 250 217266 118876 98390 564386 315906 248480 74217 30119 44098 Supplies/lab and diagno 865548 865548 Computer and electronic 526404 480168 45102 1134 Utilities and telephone 225412 119978 102572 2862 Administrative and gene 135007 73627 59305 2075 306844 153259 153585 13181948 10575217 2536428 70303 1901365 1813017 3258658 3266587 246860 231173 1412386 1842988 102428 130711 13679710 5319006 7790779 8360704 14712476 15645180 2112479 2661954 4338812 4216516 1000000 750000 7451291 7628470 X 7087532 7666179 173653 350531 7261185 8016710 14712476 15645180 755525 0 X 0 1 X 1 1 1 X 2253840 2889678 2539808 3953655 5360723 16997704 2253840 2889678 2539808 3953655 5360723 16997704 441038 16556666 6396 9492 10855 8266 7572 42581 17040285 44642590 0.97160 0.94680 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1538780 1538780 8978317 3578295 5400022 1816518 1628131 188387 1346095 112580 1233515 8360704 X 13937473 0 13937473 0 13937473 13181948 0 13181948 0 13181948 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, 2021 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 Delaine Alejandro MD Family Practice Physician 263785 0 0 0 0 0 19500 0 193 0 283478 0 0 0 Cheryl Johnson Chief Executive Officer 230419 0 0 0 0 0 26000 0 21807 0 278226 0 0 0 Kiana Guerrero McCormick MD Family Practice Physician 231979 0 0 0 0 0 19500 0 5251 0 256730 0 0 0 Adham Abdelrahim DDS Director, Dental Services 207849 0 0 0 0 0 0 0 8117 0 215966 0 0 0 Janet Byrd FNP Family Nurse Practitioner 161043 0 0 0 0 0 26000 0 16636 0 203679 0 0 0 Mei Ou FNP Family Nurse Practitioner 166056 0 0 0 0 0 15554 0 7136 0 188746 0 0 0 Crystal Ward FNP Family Nurse Practitioner 156657 0 0 0 0 0 19500 0 0 0 176157 0 0 0 Carol Ahern MD Chief Medical Director 147092 0 0 0 0 0 7800 0 19664 0 174556 0 0 0 Rosalia Aquino McMillen Chief Financial Officer 153464 0 0 0 0 0 3979 0 15279 0 172722 0 0 0 Jennifer Hasa MD Family Practice Physician 153443 0 0 0 0 0 0 0 3204 0 156647 0 0 0 Pamela Stephens Board Secretary 1492 Internet Service To provide real-time access to Board reports as a Board officer. X 1 232734 Purchase orders/invoices 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 submits the Form 990 electronically to 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 1,100,667. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,100,667. Outside services: Program service expenses 675,748. Management and general expenses 101,716. Fundraising expenses 0. Total expenses 777,464.