2016-11-08T18:05:58-07:00 2016-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2015-07-01 680365296 Santa Rosa Community Health Centers SANT 7075838839 3569 Round Barn Circle Santa Rosa CA 95403 Harold Brockman Chief Financial Officer 7075838839 2016-11-03 1 Jeremy Ware P64260590 5595495400 2016-11-02 2015 2017-02-10 21:41:12Z SRCHC 3569 Round Barn Circle Santa Rosa CA 95403 60149884 0 X www.srhealthcenters.org X 1996 CA The Santa Rosa Community Health Centers are dedicated to providing excellent, comprehensive primary health care, prevention, and health education for people who are uninsured and underinsured in Santa Rosa, regardless of ability to pay. 10 10 509 76 0 0 8682344 10549219 38795274 42834397 0 10969 4177919 6755299 51655537 60149884 0 0 0 0 30828606 35801379 0 0 0 15979332 19768722 46807938 55570101 4847599 4579783 41900847 53822366 18763958 25934808 23136889 27887558 Santa Rosa Community Health Centers (SRCHC) is a 501(c)3 non-profit Federally Qualified Health Center that provides comprehensive primary care to low-income and uninsured people in Sonoma County. 0 0 45311176 0 42834397 Santa Rosa Community Health Centers (SRCHC) is a 501(c)3 non-profit Federally Qualified Health Center that provides comprehensive primary care to low-income and uninsured people in Sonoma County. We operate nine sites that provided 215,510 medical, dental and behavioral health visits to 56,125 patients in 2015. Our mission is providing excellent, patient-centered, primary health care and health education to underserved people in our community, regardless of their ability to pay. We're dedicated to caring for the whole person with dignity and respect, and committed to the education of health care professionals. 0 0 0 45311176 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 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 0 0 0 0 0 0 0 1 86 0 1 509 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Harold Brockman 7075838839 3569 Round Barn Circle Santa Rosa CA 95403 Don Chigazola Chairperson 1 0 X 0 0 0 John Sawyer Vice Chair 1 0 X 0 0 0 Tom Scott Secretary 1 0 X 0 0 0 Jim Eimers Treasurer 1 0 X 0 0 0 Elizabeth Camino Byers Member 1 0 X 0 0 0 Karla Garcia Member 1 0 X 0 0 0 Robert Benavides Member 1 0 X 0 0 0 Maria Villagomez Member 1 0 X 0 0 0 Suzy Marzalek Member 1 0 X 0 0 0 Ann Onufrak Member 1 0 X 0 0 0 Naomi Fuchs Chief Executive Officer 40 0 X 249839 0 45166 Lisa Ward Chief Medical Officer 40 0 X 231125 0 30920 Harold Brockman Chief Financial Officer 40 0 X 151796 0 34453 D Kai Nissley Chief Operations Officer 40 0 X 113955 0 35834 Enrique Sanchez-Mendez Staff Physician 40 0 X 226586 0 38977 Joseph Matel Staff Physician 40 0 X 204954 0 28282 Marie Mulligan Site Medical Director 40 0 X 201982 0 23354 Joel Lewis Clinical Wing Leader 40 0 X 183982 0 12849 Lyman Greaves Site Medical Director 32 0 X 191255 0 33438 1755474 0 283273 43 1 1 0 Face to Face 873 2nd St Santa Rosa CA 95404 Homeless and HIV Care 388069 Sutter Medical Group of the Redwood 3883 Airway Drive Santa Rosa CA 95403 Preceptors 294690 West County Health Center PO Box 1449 Guerneville CA 95446 Homeless and HIV Care 199824 Julie Kiser 610 Charles Street Santa Rosa CA 95404 Physician 154685 Doctor Rebecca Ewing PO Box 535213 Atlanta GA 30353 Locum 124531 6 0 0 97555 0 8781881 1669783 0 10549219 Net patient service revenue 621400 42834397 42834397 0 0 0 0 0 0 42834397 10969 0 0 10969 0 0 0 0 0 0 0 0 111872 0 0 0 111872 0 111872 0 0 111872 0 0 97555 MUse and other incentives 621400 6244302 6244302 0 0 399125 399125 0 0 6643427 60149884 49477824 0 122841 X 28328725 23414288 4914437 7472654 6176306 1296348 5735863 4346266 1389597 305749 219621 86128 796113 184374 611739 1810074 1210814 599260 608739 363049 245690 727339 676376 50963 1388613 1154547 234066 122402 32123 90279 Medical Supplies 6015302 6015302 0 0 Repairs and Maintenance 258288 177990 80298 0 2000240 1340120 660120 55570101 45311176 10258925 0 6479885 9035607 6255343 4077734 692102 1205523 5067101 4862719 135987 123830 28663941 6488173 16381415 22175768 9312134 6889014 3029051 41900847 53822366 5615972 8502873 365329 156522 12500050 12230050 4766386 282607 278977 18763958 25934808 X 23120256 27870925 0 0 16633 16633 23136889 27887558 41900847 53822366 4579783 170886 0 0 0 0 X 0 1 X 1 1 1 X 7681125 6481365 8812393 8682344 10549219 42206446 7681125 6481365 8812393 8682344 10549219 42206446 42206446 3326 95585 65912 42185 122841 329849 1261683 1261683 43797978 0.96366 0.95902 X Schedule A, Part II, Line 10 Other revenues. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 16633 0 0 0 0 0 16633 18079 0 -1446 0 0 0 16633 16633 0 1446 0 0 0 18079 16910 0 -277 0 0 0 16633 0 0 0 0 0 0 0 1 0 0 0 0 0 2860000 2860000 0 18740026 2470285 16269741 0 2254987 1587245 667742 0 4271188 2430643 1840545 0 537740 0 537740 22175768 Assets limited as to use 1650670 Bond Issuance Costs 1378381 3029051 0 Accrued Bond Interest 278977 278977 X 60320770 170886 0 0 0 170886 60149884 0 0 0 60149884 55570101 0 0 0 0 0 55570101 0 0 0 55570101 Schedule D, Part V, Line 4 To support general operations. Schedule D, Part X, Line 2 The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec 501(a) of the IRC and California Revenue and Taxation Code Sec 23701(d). The Center files a United States federal tax return and a California state tax return and has determined that its major tax jurisdictions are the United States and California. The tax years of 2012 through 2014 remain open and subject to examination by the appropriate government agencies in the United States and California. La Vida Ask Event 110626 0 110626 0 0 6562 0 0 6509 0 0 110626 0 110626 0 0 6562 0 0 6509 13071 97555 X 0 0 0 0 0 0 0 0 0 Naomi Fuchs Chief Executive Officer 249839 0 0 0 0 0 24000 0 5939 0 279778 0 0 0 Lisa Ward Chief Medical Officer 231125 0 0 0 0 0 23000 0 6981 0 261106 0 0 0 Harold Brockman Chief Financial Officer 151796 0 0 0 0 0 18000 0 10939 0 180735 0 0 0 Enrique Sanchez-Mendez Staff Physician 226586 0 0 0 0 0 18000 0 10841 0 255427 0 0 0 Joseph Matel Staff Physician 204954 0 0 0 0 0 18000 0 4632 0 227586 0 0 0 Marie Mulligan Site Medical Director 201982 0 0 0 0 0 10733 0 939 0 213654 0 0 Lyman Greaves Site Medical Director 191255 0 0 0 0 0 24000 0 939 0 216194 0 0 0 Joel Lewis Clinical Wing Leader 183982 0 0 0 0 0 0 0 2670 0 186652 0 0 0 A CA Municipal Finance Authority 201563466 13048TFC2 2010-02-01 13061021 Building Expansion 0 0 0 A 0 0 12961496 13270000 0 0 399525 0 0 10306166 0 0 2011 1 0 1 1 A 0 0 0 0 0 0 0 0 0 0 A 1 0 0 0 0 1 Form 990, Part VI, Section B, Line 11b The form 990 is reviewed by the CEO and CFO before it is filed with the IRS, made available to all the board members; prior to filing, as requested. Form 990, Part VI, Section B, Line 12c The organization's compliance officer monitors conflicts on an annual basis. Form 990, Part VI, Section B, Line 15 Position descriptions are developed for all positions which identify the requirements of each position, including educational and work experience requirements. The Human Resources Department utilizes these position descriptions and regional and national databases containing information on comparable positions to develop and recommend salary scales for these positions. The salary and benefit packages for other officers and key employees are approved by the CEO Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part IX, Line 11g Professional fees and purchased services.