2017-11-10T14:16:51-06:00 2016-12-31 680456752 Dillwood Burkel & Millar LLP 175 Concourse Blvd Ste A Santa Rosa CA 95403 990 2016-01-01 680286382 Sonoma Valley Community Health Center SONO 7079396070 19270 Sonoma Highway Sonoma CA 954765414 Cheryl Johnson CEO 7079396070 2017-11-08 1 Penny Millar P00140274 7075778806 2017-11-06 184.23.232.130 2017-11-08 12:07:23 PS P B0FBFEAAE675D2E52F13D0C13783599EDD6214F3 B0FBFEAAE675D2E52F13D0C13783599EDD6214F3 2016 2017-02-10 21:41:12Z Cheryl Johnson 19270 Sonoma Highway Sonoma CA 954765414 9413546 0 X svchc.org X 1992 CA Providing accessible quality health care services, especially to the underserved, regardless of ability to pay. Sonoma Valley Community Health Center is a California nonprofit public benefit corporation organized to provide high quality health care access to those in need, regardless of ability to pay. Services provided include routine health assessments and treatment, physical examinations, preventative services, behavioral health and dentistry. 12 12 104 12 0 0 1948656 1985930 6303210 7423434 275 -10218 0 3600 8252141 9402746 0 0 0 0 4354970 5403478 28831 0 0 3767606 4351215 8151407 9754693 100734 -351947 12811760 12399923 5876471 5816579 6935289 6583344 X Providing accessible quality health care services, especially to the underserved, regardless of ability to pay. 0 0 4600542 3980736 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. 272074 547314 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. 632307 760667 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. 1302987 1427045 DENTAL SERVICES: The Health Center dentists and registered dental hygienists provide full service dentistry five days per week.OTHER PROGRAM SERVICES: include quality shared savings, incentives, and other revenue. 700472 1302987 2127517 6807910 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 44 0 104 1 0 0 0 0 0 0 0 0 X 12 12 0 0 1 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 Richard Gantenbein Chair 2.00 X X 0 0 0 Michael Mainardi Vice Chair 2.00 X X 0 0 0 Pamela Stephens Secretary 2.00 X X 0 0 0 Stanley Pawlak Treasurer 2.00 X X 0 0 0 Linda McTaggart Director 2.00 X 0 0 0 Michelle Alba Director 2.00 X 0 0 0 James Rosen Director 2.00 X 0 0 0 Patricia Coleman Director 2.00 X 0 0 0 Audrey Chapman Director 2.00 X 0 0 0 Martha Evans Director 2.00 X 0 0 0 Victoria Hall Director 2.00 X 0 0 0 Karen Brady Director 2.00 X 0 0 0 Cheryl Johnson CEO 40.00 X 138182 0 35872 Susan Torres Controller 40.00 X 101713 0 17980 Carol Ahern Medical Director 30.00 X 118499 0 26511 Frances X Perez MD 40.00 X 145125 0 11935 Yen-Trang Vo MD 40.00 X 205581 0 18710 Erin Akar MD 40.00 X 169160 0 23264 Monica Haimowitz LCSW 40.00 X 101896 0 17988 980156 0 152260 7 0 1 0 MD Placement 6101 Long Prairie Rd Ste 744 PMB 2 Flower Mound TX 75028 Contracted Providers: Locums 281998 HITCare LLC 775 Baywood Dr Ste 314 Petaluma CA 94954 Contracted IT: Hardware systms 183835 Michael Thompson 5600 Benhenry Ct Rocklin CA 95677 Contracted IT: Consulting 151141 Julie M Vlasis Consulting 5172 E Woodward Ave Fresno CA 83727 Operations/Compliance 137950 Dr Paul Amara 181 Andrieux St Ste 108 Sonoma CA 95476 Contracted Provider 129135 7 1285480 700450 219165 1985930 Patient service revenu 624100 6254079 6254079 Other program service 624100 1169355 1169355 7423434 582 582 3600 0 3600 3600 3600 10800 -10800 -10800 -10800 9402746 7416234 0 582 438757 328651 110106 4162712 3006747 1155965 456102 330131 125971 345907 256850 89057 157910 157910 8740 8740 139522 139522 1426147 888952 537195 123792 111381 12411 136939 32276 104663 249681 170806 78875 496215 395549 100666 6489 4734 1755 38841 19238 19603 69 69 777066 478469 298597 32021 32021 Medical supplies 649170 649170 Bad debt 74302 74302 Dues & subscriptions 34311 28633 5678 9754693 6807910 2946783 0 855579 590213 501480 1003585 296314 241801 451977 551185 46482 59536 12282232 2328769 10659788 9953463 140 140 12811760 12399923 834001 1046906 5042470 4769673 5876471 5816579 X 6663286 6541942 272003 41402 6935289 6583344 12811760 12399923 -351947 2 0 X X 0 1 X 1 1 1 X 1159618 1811969 1935251 1948656 1985930 8841424 1159618 1811969 1935251 1948656 1985930 8841424 8841424 559 475 313 275 582 2204 8843628 24321693 0.99980 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1538780 1538780 8821641 1141737 7679904 1745616 1144072 601544 176195 42960 133235 9953463 X 9413546 0 9413546 -10800 -10800 9402746 9765493 10800 10800 9754693 0 9754693 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, 2016 and 2015, 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: Loss on disposal of assets -10,800. Part XII, Line 2d - Other Adjustments: Loss on disposal of assets 10,800. 1 X X X 0 0 0 0 0 0 0 0 0 Cheryl Johnson CEO 138182 0 0 0 0 0 23999 0 11873 0 174054 0 0 0 Frances X Perez MD 145125 0 0 0 0 0 0 0 11935 0 157060 0 0 0 Yen-Trang Vo MD 205581 0 0 0 0 0 12000 0 6710 0 224291 0 0 0 Erin Akar MD 169160 0 0 0 0 0 18000 0 5264 0 192424 0 0 0 Pamela Stephens Board director/secretary 1090 Internet Services To allow access to board material, meeting agendas, etc. electronically. X 25 179015 Purchase orders/invoices X Software 1 40150 Email from vendor wi 0 0 0 Form 990, Part IV, Line 4: The organization pays dues to the California Primary Care Association (CPCA). A portion of these dues may be used for lobbying. Also, board members and staff have on occasion had direct contact with legislators and/or their staff. Such contact was limited in duration and not part of a lobbying effort. Form 990, Part VI, Section A, line 4 SVCHC amended the portion of their by-laws pertaining to election and terms of office. See attached copy of articles & bylaws amended December 14, 2016. Form 990, Part VI, Section B, line 11b CEO and CFO/Controller do the initial review with the preparer. This Draft is then mailed and/or electronically sent to all board members for their review prior to the final draft. The draft is then finalized and filed. 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. The CEO maintains the conflict of interest file. 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. Form 990, 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.