2019-08-19T12:58:07-05:00 2018-12-31 680456752 Dillwood Burkel & Millar LLP 175 Concourse Blvd Ste A Santa Rosa CA 95403 990 2018-01-01 680286382 Sonoma Valley Community Health Center SONO 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Cheryl Johnson CEO 7079396070 2019-08-14 1 Penny Millar P00140274 7075778806 2019-08-13 184.23.232.130 2019-08-14 10:12:29 PD P 05614305FD36E972557B617B4478A07939BCBF5D BEED5BC0DDFCBEB52141348B4A4D0801FD284979 2018 2019-02-21 02:37:17Z Cheryl Johnson 19270 Sonoma Highway Sonoma CA 954765414 11855832 0 X svchc.org X 1992 CA Providing health care services, especially to the underserved, regardless of ability to pay. 13 13 104 13 0 0 2253840 2889678 7660778 8956662 1746 5142 4650 4350 9921014 11855832 0 0 0 0 5807178 6817526 0 0 112606 4116382 4915847 9923560 11733373 -2546 122459 12416430 12552752 5835632 5849495 6580798 6703257 To provide accessible, quality health care to those who need it, especially the underserved. 0 0 7168017 6184513 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. 1680061 2055921 DENTAL SERVICES: The Health Center provides the services of a registered dental hygienist on a part time basis. 733600 720578 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. 9581678 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 54 0 1 104 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X Susan Torres 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Michael Mainardi Chair 2.00 X X 0 0 0 Pamela Stephens Secretary 2.00 X X 0 0 0 Linda McTaggart Treasurer 2.00 X X 0 0 0 Rodolfo Valderrama Director 2.00 X 0 0 0 Patricia Coleman Vice-chair 2.00 X X 0 0 0 Jasmes Rosen Director 2.00 X 0 0 0 Dora Barrera Director 2.00 X 0 0 0 Sabina Rafaela Gonzalez Director 2.00 X 0 0 0 Jessica Misuraca Director 2.00 X 0 0 0 Terri Miller Director 2.00 X 0 0 0 Allison O'Donnel Director 2.00 X 0 0 0 Marni Sager Director 2.00 X 0 0 0 Jose Alfredo Villalobos Romero Director 2.00 X 0 0 0 Cheryl Johnson CEO 40.00 X 170377 0 17558 Carol Ahern Medical Director 32.00 X 189313 0 18883 Rosalia McMillen CFO 40.00 X 91504 0 17416 Shira Revzen COO 40.00 X 79422 0 16743 Ajeet Sidhu MD 40.00 X 212532 0 10086 Yen-Trang Vo MD 40.00 X 166104 0 15558 Erin Akar MD 40.00 X 188841 0 13894 Christina Sullivan MD 32.00 X 173803 0 9515 Janet Byrd NP 40.00 X 138948 0 13633 Jennifer Darby NP 40.00 X 130429 0 5110 1541273 0 138396 8 0 1 0 Julie M Vlasis Consulting 5172 E Woodward Ave Fresno CA 83727 Contracted Compliance/Operations: Consul 203081 Michael Thompson 5600 Benhenry Ct Rocklin CA 95677 Contracted IT: Consulting 167900 Health Information Technology 1310 Redwood Way Suite 125 Petaluma CA 94954 Contracted IT: Hardware Systems 151549 Dominic Paul Amara MD 181 Andrieux St Ste 108 Sonoma CA 95476 Contracted Provider MD 145635 Brad Yoshioka DDS 554 Third West St Sonoma CA 95476 Contracted Provider General Dentistry 123500 5 1840367 1049311 236771 2889678 Patient service revenue 624100 7725904 7725904 Other program service 624100 1230758 1230758 8956662 5142 5142 4350 0 4350 4350 4350 11855832 8961012 0 5142 887649 258143 629506 4887546 4566870 244175 76501 622964 585235 20198 17531 419367 352165 56945 10257 250379 44470 202655 3254 587415 505425 76927 5063 135486 103192 32294 235214 129138 106076 633206 389302 243904 65130 33786 31344 Contract services 1516063 1385555 130508 Medical supplies 830308 830308 Facility costs 439524 232675 206849 Bad debt 156926 156926 66196 8488 57708 11733373 9581678 2039089 112606 753887 988335 1210620 1271213 289966 154599 793551 1293349 103945 87015 12384974 3626733 9264321 8758241 140 0 12416430 12552752 1165527 1284179 4670105 4565316 5835632 5849495 X 6546925 6555551 33873 147706 6580798 6703257 12416430 12552752 122459 0 X X 0 1 X 1 1 1 X 1935251 1948656 1985930 2253842 2889678 11013357 1935251 1948656 1985930 2253842 2889678 11013357 11013357 313 275 582 1746 9492 12408 11025765 34382399 0.99890 0.99970 X 1538780 1538780 8867857 2113022 6754835 1778460 1452120 326340 199877 61591 138286 8758241 X 11855832 0 11855832 0 11855832 11733373 0 11733373 0 11733373 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, 2018 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 Cheryl Johnson CEO 170377 0 0 0 0 0 17558 0 0 0 187935 0 0 0 Carol Ahern Medical Director 189313 0 0 0 0 0 18883 0 0 0 208196 0 0 0 Ajeet Sidhu MD 212532 0 0 0 0 0 10086 0 0 0 222618 0 0 0 Yen-Trang Vo MD 166104 0 0 0 0 0 15558 0 0 0 181662 0 0 0 Erin Akar MD 188841 0 0 0 0 0 13894 0 0 0 202735 0 0 0 Christina Sullivan MD 173803 0 0 0 0 0 9515 0 0 0 183318 0 0 0 Janet Byrd NP 138948 0 0 0 0 0 13633 0 0 0 152581 0 0 0 Pamela Stephens Board Secretary 1223 Internet Services To allow access to board material, meeting agendas, etc. electronically. X 35 236771 Purchase orders/invoices 0 0 0 Form 990, Part VI, Section A, line 3 The Health Center hired a full-time CFO in July 2018. Form 990, Part VI, Section B, line 11b The Controller reviews the draft with the preparer. The CFO and the CEO perform a second review go over with the Treasurer and Board chair. Once passed by the Finance Committee, the Draft is sent to the Board for comments. If no other comments after 7 days, the CFO or Controller will submit 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 influenced 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 written employment contracts, a compensation survey or study, and requires approval by the Board or a compensation committee 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 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. Page 12, Part XIII, 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.