2020-07-21T17:02:19-05:00 2019-12-31 680456752 Dillwood Burkel & Millar LLP 175 Concourse Blvd Ste A Santa Rosa CA 95403 990 2019-01-01 680286382 Sonoma Valley Community Health Center SONO 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Cheryl Johnson CEO 7079396070 2020-07-21 1 Penny Millar P00140274 7075778806 2020-07-20 184.23.232.130 2020-07-21 10:24:31 PD P 05614305FD36E972557B617B4478A07939BCBF5D 05614305FD36E972557B617B4478A07939BCBF5D 2019 2020-09-23 17:36:50Z Cheryl Johnson 19270 Sonoma Highway Sonoma CA 954765414 13246771 0 X svchc.org X 1992 CA Providing health care services, especially to the underserved, regardless of ability to pay. 11 11 111 14 0 0 2889678 2539808 8956662 10696108 5142 5913 4350 4800 11855832 13246629 0 0 0 0 6817526 7528914 0 0 135204 4915847 5245572 11733373 12774486 122459 472143 12552752 12485907 5849495 5310507 6703257 7175400 X To provide accessible, quality health care to those who need it, especially the underserved. 0 0 6874029 6691449 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.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. 1791799 2430618 DENTAL SERVICES: Sonoma Valley Community Health Center provides preventive, diagnostic, and restorative dentistry for adults and children. The Dental Clinic offers a variety of services for children and adults using state-of-the-art equipment and facility. All of our dentists are fully credentialed, Board certified and committed in providing care to patients of diverse cultural backgrounds. Our dentists are supported by licensed hygienists and registered dental assistants. 1210862 885513 BEHAVIORAL HEALTH SERVICES: The Health Center provides behavioral health services utilizing a psychiatrist, psychologists, licensed clinical social workers, and behavioral health candidates. The Health Center also has a substance abuse counseling program staffed by part time certified substance abuse counselors provided through a contract with the Drug Abuse Alternative Center. 651950 693328 OTHER PROGRAM SERVICES: Outreach/Transportation services, and discounted drug program. 651950 693328 10528640 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 61 0 1 111 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 Rosalia McMillen CFO 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Michael Mainardi MD Chair 2.00 X X 0 0 0 Alison ODonnel Vice-Chair & Chair 2.00 X X 0 0 0 Linda McTaggart Treasurer 2.00 X X 0 0 0 Pamela Stephens Secretary & Treasurer 2.00 X X 0 0 0 Dora Barrera Board member 2.00 X 0 0 0 Lauren Caproni Board member 2.00 X 0 0 0 Sabina Rafaela Gonzalez Board member 2.00 X 0 0 0 Emma McCulloch Board member 2.00 X 0 0 0 Jessica Misuraca Board member 2.00 X 0 0 0 Terri Miller Board member & Vice-Chair 2.00 X X 0 0 0 James Rosen Board member 2.00 X 0 0 0 Marni Sager Board member 2.00 X 0 0 0 Rodolfo Valderama Board member 2.00 X 0 0 0 Charles Zipkin MD Board member 2.00 X 0 0 0 Carol Ahern MD CMO 32.00 X 204645 0 18780 Cheryl Johnson CEO 40.00 X 187885 0 19186 Rosalia Aquino McMillen CFO 40.00 X 176841 0 15363 Shira Revzen COO 40.00 X 169836 0 8124 Ajeet Sidhu MD Family Practice Physician 40.00 X 207443 0 9315 Helen Carlile PNP Psychiatric Nurse Practitioner 32.00 X 187539 0 12338 Christina Sullivan MD Pediatrician 32.00 X 185385 0 13611 Janet Byrd FNP Family Nurse Practitioner 40.00 X 153142 0 14916 Jennifer Darby FNP Family Nurse Practitioner 40.00 X 139920 0 5340 1612636 0 116973 12 0 1 0 Provider Healthcare LLC 2455 East Parleys Way Ste 130 Salt Lake City UT 84109 Locum tenens placement agency 373154 Julie M Vlasis 5172 E Woodward Ave Fresno CA 83727 Clinical quality improvement and complia 174697 Health Information Technology Care LLC 755 Baywood Dr Ste 314 Petaluma CA 94954 Information technology and network suppo 162112 Michael Thompson 5600 Benhenry Ct Rocklin CA 95677 NexGen consulting expert 159265 Dominic Paul Amara MD 181 Andrieux St Ste 108 Sonoma CA 95476 Obstetrics/Gynecology 135540 8 1834704 705104 258166 2539808 Patient service revenue 624100 9319271 9319271 Other program service 624100 1376837 1376837 10696108 6055 6055 4800 0 4800 4800 4800 142 -142 -142 -142 13246629 10700908 0 5913 X 800660 401386 399274 5392840 4924222 362751 105867 116914 93913 20713 2288 762488 588156 160541 13791 456012 343624 104595 7793 1788737 1521249 267488 235255 145057 90198 187002 152686 34316 229278 125713 103565 611439 365938 245501 84901 38227 46674 Supplies/lab and diagno 661191 661191 Computer and electronic 549319 510170 39149 Medical supplies 258166 258166 Administrative and gene 205469 94029 109227 2213 434815 304913 126650 3252 12774486 10528640 2110642 135204 988335 565811 1271213 1182927 154599 113734 1293349 2349496 87015 88266 12380360 4194687 8758241 8185673 12552752 12485907 1284179 855527 4565316 4454980 5849495 5310507 X 6555551 7017958 147706 157442 6703257 7175400 12552752 12485907 472143 0 X X 0 1 X 1 1 1 X 1948656 1985930 2253840 2889678 2539808 11617912 1948656 1985930 2253840 2889678 2539808 11617912 531577 11086335 275 4182 6396 9492 10855 31200 11649112 41040192 0.95170 0.95630 X 0.99980 0.02000 Schedule A, Part II, Lines 1, 5, and 8 During a review of the reporting for Schedule A some reporting errors were indentified. The following restated items do not affect the revenue reporting on the 990, nor the public support test results for prior years, so no amended returns required: Line 1 amount for 2017 Line 5 all years missing excess payments Line 8 for 2016 and 2017 missing rent income Line 12 for 2016 overstated RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1538780 1538780 8867857 2600833 6267024 1775874 1514950 260924 197849 78904 118945 8185673 X 13237034 0 13237034 9595 9595 13246629 12774629 143 143 12774486 0 12774486 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, 2019 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 Part XI, Line 4b - Other Adjustments: Release of restricted net assets 9,737. Gain on sale reported as expense on f/s -142. Part XII, Line 2d - Other Adjustments: Gain on sale reported as revenue for tax 143. 1 X X X X X 0 0 0 0 0 0 0 0 0 Carol Ahern MD CMO 204645 0 0 0 0 0 6970 0 11810 0 223425 0 0 0 Cheryl Johnson CEO 187885 0 0 0 0 0 7516 0 11670 0 207071 0 0 0 Rosalia Aquino McMillen CFO 176841 0 0 0 0 0 2478 0 12885 0 192204 0 0 0 Shira Revzen COO 169836 0 0 0 0 0 0 0 8124 0 177960 0 0 0 Ajeet Sidhu MD Family Practice Physician 207443 0 0 0 0 0 2410 0 6905 0 216758 0 0 0 Helen Carlile PNP Psychiatric Nurse Practitioner 187539 0 0 0 0 0 3548 0 8790 0 199877 0 0 0 Christina Sullivan MD Pediatrician 185385 0 0 0 0 0 7415 0 6196 0 198996 0 0 0 Janet Byrd FNP Family Nurse Practitioner 153142 0 0 0 0 0 6126 0 8790 0 168058 0 0 0 Pamela Stephens Board Secretary 1223 Internet Services In order to access Board materials electronically and on real-time. X 45 258166 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 service 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 1,009,581. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,009,581. Outside services: Program service expenses 511,668. Management and general expenses 267,488. Fundraising expenses 0. Total expenses 779,156. Page 12, Part XII, Line 2c The Audit Committee, under the Board's supervision, is responsible for making recommendations to the Board on the hiring and firing of independent certified public accountants (CPAs). The Audit Committee can negotiate the independent CPA's compensation on behalf of the Board. The Audit Committee must: (1) Confer with the Auditor to satisfy committee members that the financial affairs of the Health Center are in order; (2) Review the audit and decide whether to accept it; and (3) Approve non audit services by the independent CPAs accounting firm, and ensure such services conform to appropriate government standards.