2018-02-12T14:16:59-06:00 2017-06-30 953680171 MCGOWAN GUNTERMANN 111 E VICTORIA ST 2ND FLOOR SANTA BARBARA CA 931012018 990 2016-07-01 770496382 SANTA BARBARA NEIGHBORHOOD CLINICS SANT 8056177850 915 NORTH MILPAS STREET 2ND FLOOR SANTA BARBARA CA 93103 DR CHARLES C FENZI CEO/CHIEF MEDICAL OFFICER 8056177850 2017-12-19 1 CHRISLEY N REED CPA P00025230 8059629175 64.88.174.3 2017-12-19 10:24:36 PS P F7911414DB3E250BDF9726C8FEB319288ABFE454 7C57F88A82C86F3CB81233F74D1BD7CA4B2FCFDD 2016 2021-01-29 14:40:06Z DR CHARLES C FENZI 915 NORTH MILPAS STREET 2ND FLOOR SANTA BARBARA CA 93103 14753031 0 X WWW.SBCLINICS.ORG X 1998 CA OUR MISSION IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTHCARE TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY, IN AN ENVIRONMENT THAT FOSTERS RESPECT, COMPASSION AND DIGNITY. 17 17 173 175 0 0 3088295 4032162 10061528 10720260 101 609 0 0 13149924 14753031 0 0 0 0 7972947 9409605 0 0 205747 4482430 4987121 12455377 14396726 694547 356305 11037583 11443519 2454277 2466944 8583306 8976575 X THE MISSION OF SANTA BARBARA NEIGHBORHOOD CLINICS IS TO PROVIDE HIGH QUALITY, COMPREHENSIVE AND AFFORDABLE HEALTHCARE TO ALL PEOPLE REGARDLESS OF ABILITY TO PAY, IN AN ENVIRONMENT THAT FOSTERS RESPECT, COMPASSION AND DIGNITY. 0 0 13080127 10720260 SANTA BARBARA NEIGHBORHOOD CLINICS(SBNC) WAS FORMED IN 1998 THROUGH A MERGER OF THREE EXISTING MEDICAL CLINICS, WHICH HAD PROVIDED MEDICAL CARE TO THE UNDERSERVED POPULATIONS SINCE THE 1970'S. IN 2013, SBNC WAS AWARDED A NEW ACCESS POINT DESIGNATION FROM THE HEALTH RESOURCES AND SERVICES ADMINISTRATION, DESIGNATING THE GOLETA EXPANSION SITE AND SERVICES AS A SECTION 330 (E) FEDERALLY QUALIFIED HEALTH CENTER (FQHC) UNDER SECTION 330 (E) OF THE PUBLIC HEALTH SERVICE ACT. THE LEGACY CLINICS, EASTSIDE NEIGHBORHOOD MEDICAL/EASTSIDE NEIGHBORHOOD FAMILY DENTAL, WESTSIDE NEIGHBORHOOD AND ISLA VISTA NEIGHBORHOOD CLINICS WERE PREVIOUSLY OPERATED UNDER LOOK ALIKE STATUS UNDER THE RULES OF AN FQHC, HOWEVER DURING THIS YEAR ALL SBNC CLINICS WERE GRANTED FULL FQHC STATUS UNDER THE 330 (E) STANDARDS. SBNC IS COMPRISED OF FOUR PRIMARY CARE CLINICS, TWO DENTAL CLINICS, WHERE INTEGRATED PRIMARY MEDICAL, DENTAL AND BEHAVIORAL HEALTHCARE IS DELIVERED. ADDITIONALLY, HEALTH PROMOTION SERVICES AND PATIENT EDUCATION, ENABLING SERVICES ARE PROVIDED WITHIN THE CLINICS. THESE CLINICS ARE LOCATED IN THE CITIES OF SANTA BARBARA AND GOLETA AND IN ISLA VISTA, AN UNINCORPORATED DISTRICT AND CENSUS-DESIGNATED PLACE, IN THE COUNTY OF SANTA BARBARA, CALIFORNIA. SBNC PROVIDES A WIDE-SPECTRUM OF HEALTH CARE SERVICES AND HAS BEEN A SUB-RECIPIENT OF SANTA BARBARA COUNTY DEPARTMENT OF PUBLIC HEALTH SECTION 330 (H) HOMELESS GRANT SINCE 1998.SBNC'S TARGET POPULATION INCLUDE THE LOW-INCOME, UNINSURED, HOMELESS AND UNDERSERVED POPULATIONS (E.G. 63% OF SBNC PATIENTS ARE LATINO AND 77% HAVE INCOMES BELOW THE FEDERAL POVERTY GUIDELINE) OF SOUTH SANTA BARBARA COUNTY. IN FISCAL YEAR ENDING JUNE 30, 2017, SBNC PROVIDED 47,733 MEDICAL ENCOUNTERS, 23,143 DENTAL ENCOUNTERS, AND 1,446 BEHAVIORAL HEALTH ENCOUNTERS FOR A TOTAL OF 72,322 CLINICAL VISITS SERVING A TOTAL OF 20,692 UNDUPLICATED PATIENTS. THE MAJOR HEALTH CARE NEEDS OF THE TARGET POPULATION INCLUDE ACCESS TO AFFORDABLE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE, BI-LINGUALLY AND CULTURALLY COMPETENT SERVICES. IN ADDITION, A MAJOR HEALTH CARE CONCERN OF OUR PATIENTS IS THE PREVALENCE OF OBESITY AND THE RESULTING DIAGNOSIS, TREATMENT AND MONITORING OF DIABETES-ESPECIALLY IN ADOLESCENTS. AMONG THE TARGET POPULATION IN OUR AREA, 27% ARE SELF-PAY/SLIDING FEE SCALE PATIENTS INCLUDING THE UNINSURED. THE AFFORDABLE CARE ACT HAS DEMONSTRATED AN IMPACT OF REDUCING THE NUMBER OF UNINSURED PATIENTS SBNC IS SERVING. 13080127 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 53 0 1 173 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X X NANCY TILLIE 8056177850 915 NORTH MILPAS STREET 2ND FLOOR SANTA BARBARA CA 93103 STEPHEN HICKS DIRECTOR 4.00 X 0 0 0 MELINDA STAVELEY VICE CHAIR 4.00 X X 0 0 0 PAUL JACONETTE DIRECTOR 4.00 X 0 0 0 BRIAN KNOWLES SECRETARY 6.00 X X 0 0 0 JOHN LEWIS DIRECTOR 4.00 X 0 0 0 JAMES L ARMSTRONG CHAIR 4.00 X X 0 0 0 DEBORAH BABINEAU DIRECTOR 4.00 X 0 0 0 NORMAN COLAVINCENZO TREASURER 4.00 X X 0 0 0 KEN FARMER DIRECTOR 4.00 X 0 0 0 MARY E FERRIS DIRECTOR 4.00 X 0 0 0 ENRIQUETA GARCIA DIRECTOR 4.00 X 0 0 0 SUE LANG DIRECTOR 4.00 X 0 0 0 JERRY MENCHACA DIRECTOR 4.00 X 0 0 0 NIKKI RICKARD DIRECTOR 4.00 X 0 0 0 GINA GONZALES-CARBAJAL DIRECTOR 4.00 X 0 0 0 BRIAN GOUGH DIRECTOR 4.00 X 0 0 0 RAFAEL ADRIAN FLORES DIRECTOR 4.00 X 0 0 0 NANCY TILLIE COO/CFO 40.00 X 149348 0 14958 DR CHARLES FENZI CEO/CHIEF MEDICAL OFFICER 40.00 X 187150 0 22201 DR DOMENIC CALUORI CHIEF DENTAL OFFICER 40.00 X 183454 0 12064 DR QUYNH NGUYEN DENTIST 40.00 X 144560 0 16358 DR NEIL SULLIVAN MEDICAL DOCTOR 40.00 X 169434 0 21818 DR CHRISTINA R MENDOZA DENTIST 40.00 X 158054 0 9283 DR CHRISTOPHER ELSTNER MEDICAL DOCTOR 40.00 X 166955 0 0 DR JEFFREY TRESTER DENTIST 40.00 X 154115 0 4694 1313070 0 101376 13 0 1 0 KWC SERVICES INC 6268 STOW CANYON RD GOLETA CA 93117 CONSTRUCTION 541130 QUALITY SYSTEMS INC 18111 VON KARMAN AVE IRVINE CA 92612 ELECTRONIC HEALTH SYSTEM SERVICE 274266 NETNOLIMITS 3887 STATE ST SANTA BARBARA CA 93105 COMPUTER IT SERVICES AND EQUIPMENT 219071 3 1989103 2043059 567164 4032162 PATIENT SERVICES 621110 10720260 10720260 10720260 609 609 14753031 10720260 0 609 361099 307765 50012 3322 7386992 6045645 1208701 132646 1087624 881468 198685 7471 573890 452984 114745 6161 13724 6973 916 5835 37700 18850 18850 154635 51459 65862 37314 245148 198673 40169 6306 415025 305078 105781 4166 751139 743653 7476 10 47456 1252 46204 495344 453049 42295 53433 53382 51 SUPPLIES 1127274 1127300 -26 CONTRACT LABOR 762225 687825 74400 IN-KIND EXPENSES 567164 567164 PROFESSIONAL DEVELOPMEN 238001 109704 125931 2366 78853 1067903 -989175 125 14396726 13080127 1110852 205747 1830414 3605383 55191 84980 424170 404414 2889862 1235623 140870 83599 91075 67625 9224766 3856696 5049140 5368070 556861 593825 11037583 11443519 1281006 1514848 176789 99282 996482 852814 2454277 2466944 X 7996246 8082552 556862 863825 30198 30198 8583306 8976575 11037583 11443519 X 356305 36964 X X 0 1 X 1 1 1 X 1137595 2400240 2502387 3088295 4032162 13160679 6605856 7830496 10457259 10061528 10720260 45675399 7743451 10230736 12959646 13149823 14752422 58836078 0 278153 1160000 853296 946489 904575 4142513 278153 1160000 853296 946489 904575 4142513 54693565 262 184 182 101 609 1338 262 184 182 101 609 1338 126356 126356 7870069 10230920 12959828 13149924 14753031 58963772 0.92760 0.92540 0.00000 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 30198 30198 30198 30198 30198 30198 30167 31 30198 112424 82257 30167 1.00000 0 0 1276542 1276542 4911022 2230617 2680405 3037202 1626079 1411123 5368070 CONTRIBUTIONS RECEIVABLE - CRT 593825 593825 LINE OF CREDIT 852814 852814 X 14789995 36964 36964 14753031 0 14753031 14396726 0 14396726 0 14396726 PART V, LINE 4: UP TO 5% OF THE PREVIOUS 12 MONTHS INVESTMENT INCOME MAY BE SPENT FOR NEIGHBORHOOD CLINIC OPERATIONS. PART X, LINE 2: THE ORGANIZATION HAS BEEN DETERMINED TO BE A NONPROFIT CORPORATION EXEMPT FROM FEDERAL INCOME TAXES UNDER IRC 501 (C) (3) AND STATE INCOME TAXES UNDER REVENUE AND TAXATION CODE SECTION 23701 (D). THE ORGANIZATION FILES TAX RETURNS IN THE U.S. FEDERAL AND CALIFORNIA JURISDICTIONS. WITH FEW EXCEPTIONS, THE ORGANIZATION IS NO LONGER SUBJECT TO FEDERAL AND STATE TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS ENDED BEFORE JUNE 30, 2014 AND 2013, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF CRT 36,964. X X X X X 0 0 0 0 0 0 0 0 0 NANCY TILLIE COO/CFO 149348 0 0 0 0 0 4309 0 10649 0 164306 0 0 0 DR CHARLES FENZI CEO/CHIEF MEDICAL OFFICER 187150 0 0 0 0 0 5625 0 16576 0 209351 0 0 0 DR DOMENIC CALUORI CHIEF DENTAL OFFICER 183454 0 0 0 0 0 5472 0 6592 0 195518 0 0 0 DR QUYNH NGUYEN DENTIST 144560 0 0 0 0 0 4773 0 11585 0 160918 0 0 0 DR NEIL SULLIVAN MEDICAL DOCTOR 169434 0 0 0 0 0 4975 0 16843 0 191252 0 0 0 DR CHRISTINA R MENDOZA DENTIST 158054 0 0 0 0 0 4243 0 5040 0 167337 0 0 0 DR CHRISTOPHER ELSTNER MEDICAL DOCTOR 166955 0 0 0 0 0 0 0 0 0 166955 0 0 0 DR JEFFREY TRESTER DENTIST 154115 0 0 0 0 0 4583 0 111 0 158809 0 0 0 X 1 567165 FMV 0 1 0 FORM 990, PART VI, SECTION B, LINE 11B AUDIT COMMITTEE REVIEWED THE 990 IN DETAIL. ALL BOARD MEMBERS RECEIVED A DRAFT OF THE 990 FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL DIRECTORS AND OFFICERS MUST SIGN A CONFLICT OF INTEREST STATEMENT FOR EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR AND OTHER TOP MANAGEMENT'S SALARIES EACH YEAR BASED ON SALARY INFORMATION FOR SIMILAR ORGANIZATIONS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. AUDITED FINANCIAL STATEMENTS ARE AVAILABLE ON OWN WEBSITE, DIRECT MAIL, UPON REQUEST AND GUIDESTAR. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF CRT 36,964. FORM 990, PART XII, LINE 2C: THERE WAS NO CHANGE.