FURP.ORG / PUBLIC DATA EXPLORER

SOUTH COUNTY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY COMMUNITY HEALTH CENTER INC (EIN 94-3372130)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-02-04
IRS object ID
201530359349301103
Schema version
2013v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2015-02-04T09:52:36-08:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Patel & Associates LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1266 17th Street Suite 200AddressLine1
CityOaklandCity
StateCAState
ZIP Code946124124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN943372130EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1South County Community Health Center IncBusinessNameLine1
Business Name Line2dba Ravenswood Family Health CenterBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone6503307407PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11798-A Bay RoadAddressLine1
CityEast Palo AltoCity
StateCAState
ZIP Code94303ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonR Wayne Yost CPA CFEPersonNm
Person TitleCFOPersonTitleTxt
Signature2015-02-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRamesh Patel CPAPreparerPersonNm
PTINP00422725PTIN
Phone5104525051PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLuisa Buada RN MPHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11798 -A Bay RoadAddressLine1
CityMenlo ParkCity
StateCAState
ZIP Code94303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$35,289,681GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ravenswoodfhc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2001FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee185TotalEmployeeCnt
Total Volunteers61TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$8,730,329PYContributionsGrantsAmt
CY Contributions Grants$22,402,180CYContributionsGrantsAmt
PY Program Service Revenue$7,835,499PYProgramServiceRevenueAmt
CY Program Service Revenue$9,972,874CYProgramServiceRevenueAmt
PY Investment Income$58PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$168,214PYOtherRevenueAmt
CY Other Revenue$2,909,299CYOtherRevenueAmt
PY Total Revenue$16,734,100PYTotalRevenueAmt
CY Total Revenue$35,284,353CYTotalRevenueAmt
PY Grants And Similar Paid$11,614PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,139CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,436,992PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,861,488CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$511,161CYTotalFundraisingExpenseAmt
PY Other Expenses$6,347,267PYOtherExpensesAmt
CY Other Expenses$5,440,057CYOtherExpensesAmt
PY Total Expenses$17,795,873PYTotalExpensesAmt
CY Total Expenses$18,306,684CYTotalExpensesAmt
PY Revenues Less Expenses-$1,061,773PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,977,669CYRevenuesLessExpensesAmt
Total Assets BOY$10,778,538TotalAssetsBOYAmt
Total Assets EOY$29,316,609TotalAssetsEOYAmt
Total Liabilities BOY$2,017,148TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,577,550TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$8,761,390NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$25,739,059NetAssetsOrFundBalancesEOYAmt
MissionThe mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$13,084,012ExpenseAmt
Revenue$9,972,874RevenueAmt
DescClinical Operations:As a Federally Qualified Health Center (FQHC), South County Community Health Center, Inc. (SCCHC) provides a seamless continuum of care that includes patient exams, preventive care, referrals for additional services, and careful follow up. Services are provided at our Ravenswood Family health Center site in East Palo Alto, California and at our second medical site, Ravenswood family Health Center at Belle Haven in Menlo Park, California. Services include prenatal care, chronic disease care and management, health education, family planning, behavioral health counseling, dental care, and referrals for social services and specialty care. Our third site is Ravenswood Family Dentistry also in East Palo Alto.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$105,581ExpenseAmt
DescResource Center Operations:Resource Center Operations provide leasing arrangements for space to other non-profit agencies in the East Palo Alto, California area.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$13,189,593TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationYes (true)PartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document107IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld CompliancefalseBackupWthldComplianceInd
Employee185EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonR Wayne YostPersonNm
Phone6503307407PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11798-A Bay RoadAddressLine1
CityEast Palo AltoCity
StateCAState
ZIP Code94303ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Julio Garcia
Chairperson10.001.00Yes (X)$0$0$0
Melieni Talakai
Vice Chair.10.000.00Yes (X)$0$0$0
Gordon Russell
Treasurer10.001.00Yes (X)$0$0$0
Karen Hernandez
Secretary10.001.00Yes (X)$0$0$0
Karen Blackwell
Board Member10.000.00Yes (X)$0$0$0
Manuel Artega
Board Member10.000.00Yes (X)$0$0$0
Vernal Bailey
Board Member10.000.00Yes (X)$0$0$0
Senseria Conley
Parliamentarian10.001.00Yes (X)$0$0$0
Jonathan Lindeke
Board Member10.001.00Yes (X)$0$0$0
Marcelline Combs
Board Member10.000.00Yes (X)$0$0$0
Siteri Maravou
Board Member10.000.00Yes (X)$0$0$0
Luisa Buada RN MPH
CEO40.001.00$171,304$0$21,380Yes (X)
Jaime Chavarria MD
Chief Med. Off.40.000.00$229,247$0$13,414Yes (X)
R Wayne Yost CPA CFE
CFO40.001.00$225,357$0$0Yes (X)
Justin Wu MD
Assoc. Med. Dir.40.000.00$233,446$0$8,771Yes (X)
Candice Weaver MD
Physician40.000.00$200,568$0$2,928Yes (X)
Rebecca Pinto PA
Physician Assist.40.000.00$185,109$0$6,712Yes (X)
James Kaferly III MD
Physician40.000.00$161,634$0$18,791Yes (X)
Yogita Thakur
Dental Director40.000.00$172,981$0$6,140Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,579,646TotalReportableCompFromOrgAmt
Total Other Compensation$78,136TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Where to Start
PO Box 43NewarkCA94560IT Services$393,563
Quality Systems Inc
PO Box 511449Los AngelesCA90051EMR Software$137,875
Med Tech Sol
27943 Seco Canyon Rd 127Santa ClaritaCA91350EMR Hosting Svcs$108,120
Lucile Packard Childrens Hospital
750 Welch RdPalo AltoCA94304Contract Physicians$569,476
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Fundraising$14,188,637FundraisingAmt
Government Grants$6,263,820GovernmentGrantsAmt
All Other Contributions$1,949,723AllOtherContributionsAmt
Noncash Contributions$52,951NoncashContributionsAmt
Total Contributions$22,402,180TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPatient Svc RevenueDesc
Business621110BusinessCd
Total Revenue Column$9,972,874TotalRevenueColumnAmt
Related Or Exempt Func Income$9,972,874RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,972,874TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$5,328FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$14,188,637ContriRptFundraisingEventAmt
Fundraising Direct Expenses$5,328FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Gain on Sale of Property900099$2,499,682$2,499,682
Miscellaneous Income621110$409,617$409,617
FieldValueIRS element (for citing)
Other Revenue Total$2,909,299OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$35,284,353TotalRevenueColumnAmt
Related Or Exempt Func Income$12,882,173RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,139TotalAmt
Program Services$5,139ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$685,263TotalAmt
Program Services$462,861ProgramServicesAmt
Management And General$196,578ManagementAndGeneralAmt
Fundraising$25,824FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,892,685TotalAmt
Program Services$6,675,770ProgramServicesAmt
Management And General$2,851,620ManagementAndGeneralAmt
Fundraising$365,295FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$183,534TotalAmt
Program Services$125,237ProgramServicesAmt
Management And General$49,853ManagementAndGeneralAmt
Fundraising$8,444FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$995,262TotalAmt
Program Services$679,131ProgramServicesAmt
Management And General$270,344ManagementAndGeneralAmt
Fundraising$45,787FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,104,744TotalAmt
Program Services$690,655ProgramServicesAmt
Management And General$398,199ManagementAndGeneralAmt
Fundraising$15,890FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,995TotalAmt
Program Services$26,754ProgramServicesAmt
Management And General$3,134ManagementAndGeneralAmt
Fundraising$107FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$50,043TotalAmt
Program Services$44,637ProgramServicesAmt
Management And General$5,228ManagementAndGeneralAmt
Fundraising$178FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,267,320TotalAmt
Program Services$2,022,371ProgramServicesAmt
Management And General$236,875ManagementAndGeneralAmt
Fundraising$8,074FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$25,726TotalAmt
Program Services$15,284ProgramServicesAmt
Management And General$7,548ManagementAndGeneralAmt
Fundraising$2,894FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,242,106TotalAmt
Program Services$901,161ProgramServicesAmt
Management And General$305,226ManagementAndGeneralAmt
Fundraising$35,719FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$658,995TotalAmt
Program Services$504,618ProgramServicesAmt
Management And General$154,377ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$61,395TotalAmt
Program Services$38,716ProgramServicesAmt
Management And General$20,297ManagementAndGeneralAmt
Fundraising$2,382FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$52,919TotalAmt
Program Services$30,844ProgramServicesAmt
Management And General$21,508ManagementAndGeneralAmt
Fundraising$567FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,005TotalAmt
Program Services$8,652ProgramServicesAmt
Management And General$1,353ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$482,456TotalAmt
Program Services$482,456ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$79,454TotalAmt
Program Services$989ProgramServicesAmt
Management And General$78,465ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pharmaceutical Supplies$398,212$397,012$1,200
Laboratory & Radiology$59,138$59,138
Miscellaneous$18,168$18,168
Special Events$4,125$4,125

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$18,306,684TotalAmt
Program Services$13,189,593ProgramServicesAmt
Management And General$4,605,930ManagementAndGeneralAmt
Fundraising$511,161FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$56,772BOYAmt
EOY$42,812EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$165,611BOYAmt
EOY$5,539,467EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,038,963BOYAmt
EOY$6,394,652EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,637,406BOYAmt
EOY$2,552,002EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$19,417BOYAmt
EOY$19,675EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$191,604BOYAmt
EOY$185,220EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$10,274,883LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,780,404LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$6,431,545BOYAmt
EOY$5,494,479EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$237,220BOYAmt
EOY$9,088,302EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,778,538BOYAmt
EOY$29,316,609EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,892,148BOYAmt
EOY$1,902,550EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$125,000BOYAmt
EOY$1,675,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,017,148BOYAmt
EOY$3,577,550EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,848,371BOYAmt
EOY$15,640,252EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,913,019BOYAmt
EOY$10,098,807EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$8,761,390BOYAmt
EOY$25,739,059EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,778,538BOYAmt
EOY$29,316,609EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,977,669ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,409,513CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,544,064CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,654,573CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,730,329CurrentTaxYearMinus1YearAmt
Current Tax Year$22,402,180CurrentTaxYearAmt
Total$55,740,659TotalAmt

Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,409,513CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$7,544,064CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$7,654,573CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,730,329CurrentTaxYearMinus1YearAmt
Current Tax Year$22,402,180CurrentTaxYearAmt
Total$55,740,659TotalAmt
FieldValueIRS element (for citing)
Substantial Contributors Tot$9,720,384SubstantialContributorsTotAmt
Public Support Total170$46,020,275PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$795CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$44CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$68CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$58CurrentTaxYearMinus1YearAmt
Total$965TotalAmt

Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$90,334CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$105,706CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$624,300CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$168,214CurrentTaxYearMinus1YearAmt
Current Tax Year$409,617CurrentTaxYearAmt
Total$1,398,171TotalAmt
FieldValueIRS element (for citing)
Total Support$57,139,795TotalSupportAmt
Public Support CY1700.80540PublicSupportCY170Pct
Public Support PY1700.85500PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,789,405OtherCostOrOtherBasisAmt
Book Value$1,789,405BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,933,612OtherCostOrOtherBasisAmt
Depreciation$2,605,195DepreciationAmt
Book Value$2,328,417BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$71,685OtherCostOrOtherBasisAmt
Depreciation$49,202DepreciationAmt
Book Value$22,483BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,480,181OtherCostOrOtherBasisAmt
Depreciation$2,126,007DepreciationAmt
Book Value$1,354,174BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$5,494,479TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from Affiliate$9,088,302
Other receivables
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,088,302TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$35,381,286TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$96,933DonatedServicesAndUseFcltsAmt
Revenue Not Reported$96,933RevenueNotReportedAmt
Revenue Subtotal$35,284,353RevenueSubtotalAmt
Total Revenue Per Form990$35,284,353TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$18,403,617TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$96,933DonatedServicesUseFcltsAmt
Expenses Not Reported$96,933ExpensesNotReportedAmt
Expenses Subtotal$18,306,684ExpensesSubtotalAmt
Total Expenses Per Form990$18,306,684TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationSCCHC is exempt from income tax under Section 501(c)(3) of the U.S.Internal Revenue Code and State income tax under Section 23701d of California Revenue and Taxation Code.GAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by SCCHC in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. SCCHC's returns are subject to examination by federal and state taxing authorities, generally for three and four years respectively after they are filed.ExplanationTxt

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
Email SolicitationsYes (X)EmailSolicitationsInd
Phone SolicitationsYes (X)PhoneSolicitationsInd
In Person SolicitationsYes (X)InPersonSolicitationsInd
Solicitation Of Non Govt GrantsYes (X)SolicitationOfNonGovtGrantsInd
Solicitation Of Govt GrantsYes (X)SolicitationOfGovtGrantsInd
Special Fundraising EventsYes (X)SpecialFundraisingEventsInd
Agrmt Prof Fundraising ActyfalseAgrmtProfFundraisingActyInd
Licensed StatesCALicensedStatesCd

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Name Of Event1Capital CampaignNameOfEvent1Amt
Gross Receipts Event1$14,152,422GrossReceiptsEvent1Amt
Charitable Contri Event1$14,152,422CharitableContriEvent1Amt
Name Of Event2Ride for RavenswoodNameOfEvent2Amt
Gross Receipts Event2$41,543GrossReceiptsEvent2Amt
Charitable Contri Event2$36,215CharitableContriEvent2Amt
Gross Revenue Event2$5,328GrossRevenueEvent2Amt
Other Direct Expenses Event2$5,328OtherDirectExpensesEvent2Amt
Gross Receipts Total$14,193,965GrossReceiptsTotalAmt
Charitable Contributions Tot$14,188,637CharitableContributionsTotAmt
Gross Revenue Total Events$5,328GrossRevenueTotalEventsAmt
Oth Direct Expnss Total Events$5,328OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$5,328DirectExpenseSummaryEventsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt
Candice Weaver MD
Physician$181,986$18,582$2,928$203,496
Jaime Chavarria MD
Chief Med. Off.$228,473$774$4,472$242,661$8,942
James Kaferly III MD
Physician$161,508$126$2,675$180,425$16,116
Justin Wu MD
Assoc. Med. Dir.$211,632$21,814$8,471$242,217$300
Luisa Buada RN MPH
CEO$170,354$950$6,775$192,684$14,605
R Wayne Yost CPA CFE
CFO$204,615$20,742$225,357
Rebecca Pinto PA
Physician Assist.$167,997$17,112$6,712$191,821
Yogita Thakur
Dental Director$152,729$20,252$6,140$179,121

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (7 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Julio Gcarcia
ChairpersonSee Part Vfalse
Karen Hernandez
SecretarySee Part Vfalse
Jonathan Lindeke
Board MemberSee Part Vfalse
Gordon Russell
TreasurerSee Part Vfalse
Senseria Conley
Parliament.See Part Vfalse
Luisa Buada
CEOSee Part Vfalse
R Wayne Yost
CFOSee Part Vfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part V Supplemental InformationFormAndLineReferenceDesc
ExplanationThe persons listed at Part IV above are board members and officers of the filing organization as well as the related organization, RFHC Bay Pulgas Landowner, Inc. Please refer to Schedule O for an explanation of the relationship between both entities. Please refer to Schedule R for details of the transactions between both entities.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution12ContributionCnt
Noncash Contributions Rpt F990$52,951NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (5 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeIRC SectionIRCSectionTxt
RFHC Bay Pulgas Landowner Inc
Cash remittances2014-04-24$2,805,396Cash4653133601798-A Bay RoadEast Palo AltoCA94303501 (c)(3)
RFHC Bay Pulgas Landownder Inc
Property2014-04-24$4,710,000FMV4653133601798-A Bay RoadEast Palo AltoCA94303501 (c)(3)
RFHC Bay Pulgas Landowner Inc
Construction in Progress2014-04-24$1,414,348FMV4653133601798-A Bay RoadEast Palo AltoCA94303501 (c)(3)
RFHC Bay Pulgas Landowner Inc
Furniture and Equipment2014-04-24$390,426FMV4653133601798-A Bay RoadEast Palo AltoCA94303501 (c)(3)
RFHC Bay Pulgas Landowner Inc
Liability Assumed2014-04-24-$231,868FMV4653133601798-A Bay RoadEast Palo AltoCA94303501 (c)(3)
FieldValueIRS element (for citing)
Director Of Successor2Yes (true)DirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I & 2, Line 2e - Name and Explanation for Involvement in SuccessorFormAndLineReferenceDesc
ExplanationJulio Garcia, Chairperson of SCCHC is Chairperson of related entity.Karen Hernandez, Secretary of SCCHC is Secretary of related entity.Jonathan Lindeke, Board Member of SCCHC is Vice Chair of related entity.Gordon Russell, Treasurer of SCCHC is Treasurer of related entity.Senseria Conley, Parliamentarian of SCCHC is Parliamentarian of related entity.Luisa Buada, CEO of SCCHC is CEO of related entity.R. Wayne Yost, CFO of SCCHC is CFO of related entity.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Form 990 is reviewed by all members of the Board of Directors. In addition, each board member must sign a verification form stating they reviewed the Form 990 before it was filed.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAll conflicts of interest must be disclosed to the Executive Committee, the Board of Directors or to the members of Committees. A review of the conflict will be conducted and the appropriate action will be taken.All trustees, directors, officers and key employees must complete an annual certification for conflicts of interests.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top ManagementFor compensation of CEO and CFO, a comparative review is completed by the Audit Committee and subject to approval by the full Board of Directors.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe compensation review for other officers and key employees is subject to a comparative review and is reviewed by the Personnel Committee and subject to approval by the Board of Directors.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe governing documents, policies and financial statements of SCCHC are made available to the public upon request.
Form 990, Box CThe organization operates under two additional "Doing Business As" names:1. Ravenswood Family Health Center at Belle Haven and2. Ravenswood Family Dentistry.
Form 990, Part VIII, line 1gTotal non-cash contributions received by the organization was $149,884. Of this amount, $96,933 represented donated use of facilities and volunteer services and $52,951 represented donated medical supplies and pharmaceutical drugs. Only the donated medical supplies and pharmaceutical drugs have been reported on line 1g and in Schedule M as per the instructions. The donated services and use of facilities has been reconciled in Schedule D, Part XI, line 5 and in Parts XII & XIII, line 2b.
Schedule N, Part II and Schedule R, Part IVRFHC BPL though formed under the California Non profit Public Benefit Corporation Law as a Non-Profit Organization has not obtained the IRS tax determination letter to be classified as a tax exempt entity. RFHC BPL filed IRS Form 1023, Application for Recognition of Exemption Under Section 501(c)(3) of the Internal Revenue Code on December 19, 2014. As of the date of financial statements issuance, the tax determination by IRS is still in process. Until the exemption is granted, for tax purposes, RFHC BPL is required to file an annual information return (Form 990 Return of Organization Exempt from Income Tax) while the application for exemption determination is pending.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1RFHC Bay Pulgas Landowner IncBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line11798-A Bay RoadAddressLine1
CityEast Palo AltoCity
StateCAState
ZIP Code94303ZIPCode
FieldValueIRS element (for citing)
EIN465313360EIN
Primary ActivitiesQALICB activitiesPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501 c 3ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgYes (true)AssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
RFHC Bay Pulgas Landowner Inc
g$4,710,000FMV
RFHC Bay Pulgas Landowner Inc
r$4,378,302FMV