PAJARO VALLEY COMMUNITY HEALTH TR: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PAJARO VALLEY COMMUNITY HEALTH TR (EIN 94-1149702)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2014-11-13
- IRS object ID
- 201423179349303387
- Schema version
- 2013v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-13T10:34:55-08:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAYASHI WAYLAND Accounting & Consulting | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1188 Padre Drive Suite 101 | AddressLine1 |
| City | Salinas | City |
| State | CA | State |
| ZIP Code | 93901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 941149702 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PAJARO VALLEY COMMUNITY HEALTH TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PAJA | BusinessNameControlTxt |
| Phone | 8317615639 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 NIELSON ST | AddressLine1 |
| City | WATSONVILLE | City |
| State | CA | State |
| ZIP Code | 95076 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KATHLEEN KING | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2014-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Autumn Rossi CPA | PreparerPersonNm |
| PTIN | P01404602 | PTIN |
| Phone | 8317596300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHLEEN KING | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 NIELSON ST | AddressLine1 |
| City | WATSONVILLE | City |
| State | CA | State |
| ZIP Code | 95076 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $6,032,261 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | AllAffiliatesIncludedInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.pvhealthtrust.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1998 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE OF THE GREATER PAJARO VALLEY BY SUPPORTING PROGRAMS AND ACTIVITIES THAT ENSURE ACCESS TO HIGH QUALITY, CULTURALLY COMPETENT HEALTHCARE SERVICES THAT PROMOTE HEALTH, WELLNESS, AND DISEASE PREVENTION. | ActivityOrMissionDesc |
| Voting Members Governing Body | 20 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 20 | VotingMembersIndependentCnt |
| Total Employee | 16 | TotalEmployeeCnt |
| Total Volunteers | 75 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $317,028 | PYContributionsGrantsAmt |
| CY Contributions Grants | $157,348 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $44,345 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $55,477 | CYProgramServiceRevenueAmt |
| PY Investment Income | $996,475 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,233,334 | CYInvestmentIncomeAmt |
| PY Other Revenue | $21,986 | PYOtherRevenueAmt |
| CY Other Revenue | $29,965 | CYOtherRevenueAmt |
| PY Total Revenue | $1,379,834 | PYTotalRevenueAmt |
| CY Total Revenue | $1,476,124 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $125,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $150,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $680,338 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $679,110 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $73,909 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $278,859 | PYOtherExpensesAmt |
| CY Other Expenses | $333,318 | CYOtherExpensesAmt |
| PY Total Expenses | $1,084,197 | PYTotalExpensesAmt |
| CY Total Expenses | $1,162,428 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $295,637 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $313,696 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,298,741 | TotalAssetsBOYAmt |
| Total Assets EOY | $16,911,107 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $640,267 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $379,245 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $14,658,474 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $16,531,862 | NetAssetsOrFundBalancesEOYAmt |
| Mission | IMPROVE THE HEALTH AND QUALITY OF LIFE FOR ALL PEOPLE OF THE GREATER PAJARO VALLEY BY SUPPORTING PROGRAMS AND ACTIVITIES THAT ENSURE ACCESS TO HIGH QUALITY, CULTURALLY COMPETENT HEALTHCARE SERVICES THAT PROMOTE HEALTH, WELLNESS, AND DISEASE PREVENTION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $485,246 | ExpenseAmt |
| Revenue | $55,477 | RevenueAmt |
| Desc | DIABETES HEALTH CENTER (DHC) - THE DHC IS A DIRECT SERVICE PROGRAM OPERATED BY THE HEALTH TRUST TO PROVIDE DIABETES PREVENTION, SELF MANAGEMENT EDUCATION AND MEDICAL NUTRITION THERAPY TO ALL WHO NEED THESE SERVICES REGARDLESS OF THEIR ABILITY TO PAY FOR THEM. DURING THE 2013-14 FISCAL YEAR, THE DHC PROVIDED 28 OUTREACH AND EDUCATION SESSIONS IN COMMUNITY SETTINGS TO 880 INDIVIDUALS AND 2,238 ON-SITE EDUCATION SESSIONS TO 945 UNDUPLICATED PATIENTS WITH OR AT RISK FOR DIABETES AT THE DHC. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $282,199 | ExpenseAmt |
| Grant | $150,000 | GrantAmt |
| Desc | GRANT MAKING - THE HEALTH TRUST AWARDED $150,000 TO 19 ORGANIZATIONS DURING THE 2013-14 FISCAL YEAR, INCLUDING $6,000 IN SCHOLARSHIPS TO LOCAL HIGH SCHOOL STUDENTS SEEKING CAREERS IN HEALTH PROFESSIONS. THESE GRANTS SUPPORTED THE STRATEGIC PROGRAM AREAS AND POPULATION GROUPS TARGETED BY THE HEALTH TRUST. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $52,051 | ExpenseAmt |
| Desc | REGIONAL DIABETES COLLABORATIVE (RDC) - THE RDC IS A COLLABORATIVE CONVENED BY THE HEALTH TRUST IN 2002 TO BRING STAKEHOLDERS TOGETHER TO SUPPORT, PROMOTE AND COORDINATE EFFORTS TO PREVENT AND MANAGE DIABETES IN MONTEREY, SAN BENITO AND SANTA CRUZ COUNTIES. WITH 35 MEMBER AGENCIES FROM THE TRI-COUNTY AREA, THE RDC HOLDS GENERAL MEETINGS BI-ANNUALLY AND SPONSORS ACTIVITIES THROUGHOUT THE YEAR TO INCREASE PUBLIC AWARENESS OF DIABETES IN THE REGION, TO PROMOTE BEST PRACTICES IN CLINICAL MANAGEMENT OF DIABETES AND TO IMPROVE ACCESSIBILITY TO TREATMENT, MEDICINES AND EDUCATION. DURING THE 2013-14 FISCAL YEAR, THE RDC CONVENED THE RDC GENERAL MEMBERSHIP AND STEERING COMMITTEE MEETINGS, AS WELL AS HOSTED THE ELEVENTH ANNUAL DIABETES FORUM, ELEVENTH ANNUAL DIABETES HEALTH FAIR AND HOSTED SCHOOL HEALTH PERSONNEL TRAINING. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $819,496 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | false | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 3 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 16 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | false | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Form8282 Filed | 0 | Form8282FiledCnt |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | false | Form1098CFiledInd |
| Excess Business Holdings | false | ExcessBusinessHoldingsInd |
| Taxable Distributions | false | TaxableDistributionsInd |
| Distribution To Donor | false | DistributionToDonorInd |
| Org Filed In Lieu Of Form1041 | false | OrgFiledInLieuOfForm1041Ind |
| Licensed More Than One State | false | LicensedMoreThanOneStateInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 20 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 20 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ADDRESSEE | PersonNm |
| Phone | 8317615639 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 85 NIELSON ST | AddressLine1 |
| City | WATSONVILLE | City |
| State | CA | State |
| ZIP Code | 95076 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|
| TRINA COFFMAN-GOMEZ | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JUDY CAREY | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JAVIER CARRILLO | |||||||
| CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| CATHLEEN CHANDLER-ECKHARDT | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GINA GALLUCCI | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| CAROLINE EISKAMP | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| STAN HAJDUK MD | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ROSIE IBARRA | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DEVON CAROSELLI | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| GERALD KONDO DDS | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DAVID MESA | |||||||
| Treasurer | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SUZANNE MINE-EGUCHI | |||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICH OTTO | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ELSA MENDOZA JIMENEZ | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| DOUG KEEGAN | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| MICHELE VIOLICH MD | |||||||
| Secretary | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| SALLY ANDERSON | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| JOSE CHIBRAS MD | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| ERIC TAYLOR | |||||||
| Director | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |
| KATHLEEN KING | |||||||
| CEO | 40.00 | 0.00 | $106,300 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $106,300 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | UBS FINANCIAL SERVICES INC | BusinessNameLine1 |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 8149 | AddressLine1 |
| City | WALNUT CREEK | City |
| State | CA | State |
| ZIP Code | 945968149 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | INVESTMENT MGMT | ServicesDesc |
| Compensation | $146,494 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $36,470 | FundraisingAmt |
| All Other Contributions | $120,878 | AllOtherContributionsAmt |
| Noncash Contributions | $33,805 | NoncashContributionsAmt |
| Total Contributions | $157,348 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| DHC PATIENT FEES | 621300 | $54,108 | $54,108 |
| MISCELLANEOUS | 621300 | $1,369 | $1,369 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $55,477 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $524,134 | TotalRevenueColumnAmt |
| Exclusion | $524,134 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,207,254 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,498,054 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $709,200 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $709,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $709,200 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $88,048 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $36,470 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $58,083 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,965 | TotalRevenueColumnAmt |
| Exclusion | $29,965 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,476,124 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $764,677 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $554,099 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,000 | TotalAmt |
| Program Services | $150,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,055 | TotalAmt |
| Program Services | $105,791 | ProgramServicesAmt |
| Management And General | $21,158 | ManagementAndGeneralAmt |
| Fundraising | $14,106 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,093 | TotalAmt |
| Program Services | $344,165 | ProgramServicesAmt |
| Management And General | $36,351 | ManagementAndGeneralAmt |
| Fundraising | $41,577 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,771 | TotalAmt |
| Program Services | $21,702 | ProgramServicesAmt |
| Management And General | $4,090 | ManagementAndGeneralAmt |
| Fundraising | $1,979 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,368 | TotalAmt |
| Program Services | $34,515 | ProgramServicesAmt |
| Management And General | $6,337 | ManagementAndGeneralAmt |
| Fundraising | $2,516 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,823 | TotalAmt |
| Program Services | $35,021 | ProgramServicesAmt |
| Management And General | $6,606 | ManagementAndGeneralAmt |
| Fundraising | $3,196 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,600 | TotalAmt |
| Program Services | $19,600 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,494 | TotalAmt |
| Management And General | $146,494 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,939 | TotalAmt |
| Program Services | $26,735 | ProgramServicesAmt |
| Management And General | $1,703 | ManagementAndGeneralAmt |
| Fundraising | $2,501 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,231 | TotalAmt |
| Program Services | $5,573 | ProgramServicesAmt |
| Management And General | $375 | ManagementAndGeneralAmt |
| Fundraising | $1,283 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,220 | TotalAmt |
| Program Services | $16,728 | ProgramServicesAmt |
| Management And General | $10,216 | ManagementAndGeneralAmt |
| Fundraising | $2,276 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,098 | TotalAmt |
| Program Services | $46,894 | ProgramServicesAmt |
| Management And General | $15,204 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,163 | TotalAmt |
| Program Services | $1,249 | ProgramServicesAmt |
| Management And General | $844 | ManagementAndGeneralAmt |
| Fundraising | $70 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44 | TotalAmt |
| Management And General | $44 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,913 | TotalAmt |
| Management And General | $6,913 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Printing and Publications | $17,549 | $3,588 | $12,167 | $1,794 |
| Postage and Shipping | $7,968 | $4,836 | $521 | $2,611 |
| DUPLICATING | $3,099 | $3,099 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,162,428 | TotalAmt |
| Program Services | $819,496 | ProgramServicesAmt |
| Management And General | $269,023 | ManagementAndGeneralAmt |
| Fundraising | $73,909 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $107,869 | BOYAmt |
| EOY | $101,299 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,585 | BOYAmt |
| EOY | $108 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,000 | BOYAmt |
| EOY | $99,530 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,968 | BOYAmt |
| EOY | $304 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,918 | BOYAmt |
| EOY | $8,448 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $128,329 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $78,637 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,071 | BOYAmt |
| EOY | $49,692 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,992,330 | BOYAmt |
| EOY | $16,651,726 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,298,741 | BOYAmt |
| EOY | $16,911,107 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,670 | BOYAmt |
| EOY | $78,587 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $559,597 | BOYAmt |
| EOY | $300,658 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $640,267 | BOYAmt |
| EOY | $379,245 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,299,503 | BOYAmt |
| EOY | $15,045,223 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,579 | BOYAmt |
| EOY | $413,828 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,055,392 | BOYAmt |
| EOY | $1,072,811 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,658,474 | BOYAmt |
| EOY | $16,531,862 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,298,741 | BOYAmt |
| EOY | $16,911,107 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $313,696 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,358,453 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $201,239 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $443,079 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $247,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157,883 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $282,078 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,878 | CurrentTaxYearAmt |
| Total | $1,251,523 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $443,079 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $247,605 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $157,883 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $282,078 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $120,878 | CurrentTaxYearAmt |
| Total | $1,251,523 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $0 | SubstantialContributorsTotAmt |
| Public Support Total170 | $1,251,523 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $585,829 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $917,498 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $441,028 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $450,937 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $524,134 | CurrentTaxYearAmt |
| Total | $2,919,426 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $59,103 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $45,301 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $47,983 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $21,986 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,965 | CurrentTaxYearAmt |
| Total | $204,338 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,375,287 | TotalSupportAmt |
| Public Support CY170 | 0.28600 | PublicSupportCY170Pct |
| Public Support PY170 | 0.30710 | PublicSupportPY170Pct |
| Ten Pct Facts Crcmstncs Test CY | Yes (X) | TenPctFactsCrcmstncsTestCYInd |
| Facts And Circumstances Test | Part II, Line 17a--The Pajaro Valley Community Health Trust, a 501 (c) 3 public benefit health care foundation, meets the IRS Facts & Circumstances test through the following:Actively seeking public support: The Health Trust is operated to attract new and additional public or governmental support on a continuous basis by:Maintaining a continuous and comprehensive program for solicitation of funds from the general public, community businesses and others by meeting with potential donors, soliciting funds through direct mail, holding annual special event fundraisers, soliciting support through its website and other social media outlets and by actively seeking grants from private and public foundations as well as government funders. Percentage of financial support and sources of support: With 30% of its support during FY 2013-14 coming from a variety of public sources, the Health Trust is well above the minimum threshold of 10% required under the IRS Facts and Circumstances Test.Representative governing body: The Health Trusts Board of Directors is comprised of a broad cross-section of members who reflect the professional, gender and ethnic diversity of the community including the following:a.A member of the City Council appointed by the City of Watsonville b.One member each appointed by the Health Departments of Santa Cruz and Monterey Counties.c.Local physicians, nurses and health care advocates who provide special knowledge and expertise in the field of health, which is the primary charitable mission of the organization.d.Individuals who are considered leaders in the community from the fields of education, law, finance and agriculture who provide a broad cross section of community views and interests. Availability of public facilities or services: The Health Trust meets this standard in several ways: a.Facilities/Services: The Health Trust provides large conference and meeting space and furniture (tables and chairs) free of charge to nonprofit organizations for meetings, trainings and other events to which the public is invited. Examples include the Red Cross Blood Drive, School District Meetings, Health Collaborative Meetings, Medical Education Seminars and fund raising events.b.Publications: The Health Trust publishes an annual report and a health care newsletter on an annual basis. In addition, the Health Trust publishes its own healthcare survey research data on a biannual basis to inform other health care organizations and the public about local health care trends and challenges affecting the community. This data is widely used by public, private and governmental agencies to inform their health strategic planning efforts.c.Direct Program Service: The Health Trust operates a direct service health care program known as the Diabetes Health Center (DHC). The DHC provides diabetes self-management and prevention education as well as nutrition education for persons with or at risk of diabetes. The target populations served by this program are youth, low-income and underserved individuals and farm workers and their families. The staff of the DHC are licensed bilingual nurses and dietitians who are certified to provide the programs services. Their clinical standards are monitored by a highly qualified physician who also serves on the Health Trust Board. While the program accepts insurance reimbursement and sliding scale fees, patients are provided services regardless of their ability to pay. Accountability to Funders: The Health Trust regularly solicits grants from private and community foundations and occasionally from government funding sources. In each case, the Health Trust is contractually accountable to its funders for reporting progress of its program efforts and use of grant funds. Part II, Line 17b--The Pajaro Valley Community Health Trust, a 501 (c) 3 public benefit health care foundation, meets the IRS Facts & Circumstances test through the following:Actively seeking public support: The Health Trust is operated to attract new and additional public or governmental support on a continuous basis by:Maintaining a continuous and comprehensive program for solicitation of funds from the general public, community businesses and others by meeting with potential donors, soliciting funds through direct mail, holding annual special event fundraisers, soliciting support through its website and other social media outlets and by actively seeking grants from private and public foundations as well as government funders. Percentage of financial support and sources of support: With 30% of its support during FY 2012-13 coming from a variety of public sources, the Health Trust is well above the minimum threshold of 10% required under the IRS Facts and Circumstances Test.Representative governing body: The Health Trusts Board of Directors is comprised of a broad cross-section of members who reflect the professional, gender and ethnic diversity of the community including the following:a.A member of the City Council appointed by the City of Watsonville b.One member each appointed by the Health Departments of Santa Cruz and Monterey Counties.c.Local physicians, nurses and health care advocates who provide special knowledge and expertise in the field of health, which is the primary charitable mission of the organization.d.Individuals who are considered leaders in the community from the fields of education, law, finance and agriculture who provide a broad cross section of community views and interests. Availability of public facilities or services: The Health Trust meets this standard in several ways: a.Facilities/Services: The Health Trust provides large conference and meeting space and furniture (tables and chairs) free of charge to nonprofit organizations for meetings, trainings and other events to which the public is invited. Examples include the Red Cross Blood Drive, School District Meetings, Health Collaborative Meetings, Medical Education Seminars and fund raising events.b.Publications: The Health Trust publishes an annual report and a health care newsletter on an annual basis. In addition, the Health Trust publishes its own healthcare survey research data on a biannual basis to inform other health care organizations and the public about local health care trends and challenges affecting the community. This data is widely used by public, private and governmental agencies to inform their health strategic planning efforts.c.Direct Program Service: The Health Trust operates a direct service health care program known as the Diabetes Health Center (DHC). The DHC provides diabetes self-management and prevention education as well as nutrition education for persons with or at risk of diabetes. The target populations served by this program are youth, low-income and underserved individuals and farm workers and their families. The staff of the DHC are licensed bilingual nurses and dietitians who are certified to provide the programs services. Their clinical standards are monitored by a highly qualified physician who also serves on the Health Trust Board. While the program accepts insurance reimbursement and sliding scale fees, patients are provided services regardless of their ability to pay. Accountability to Funders: The Health Trust regularly solicits grants from private and community foundations and occasionally from government funding sources. In each case, the Health Trust is contractually accountable to its funders for reporting progress of its program efforts and use of grant funds. | FactsAndCircumstancesTestTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,258,701 | BeginningYearBalanceAmt |
| Contributions | $10,725 | ContributionsAmt |
| Investment Earnings Or Losses | $232,528 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $43,735 | OtherExpendituresAmt |
| Administrative Expenses | $10,084 | AdministrativeExpensesAmt |
| End Year Balance | $1,448,135 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,137,421 | BeginningYearBalanceAmt |
| Contributions | $15,487 | ContributionsAmt |
| Investment Earnings Or Losses | $127,765 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $14,640 | OtherExpendituresAmt |
| Administrative Expenses | $7,332 | AdministrativeExpensesAmt |
| End Year Balance | $1,258,701 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,147,222 | BeginningYearBalanceAmt |
| Contributions | $12,240 | ContributionsAmt |
| Investment Earnings Or Losses | $24,090 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $36,653 | OtherExpendituresAmt |
| Administrative Expenses | $9,478 | AdministrativeExpensesAmt |
| End Year Balance | $1,137,421 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $958,805 | BeginningYearBalanceAmt |
| Contributions | $14,880 | ContributionsAmt |
| Investment Earnings Or Losses | $182,883 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $9,346 | AdministrativeExpensesAmt |
| End Year Balance | $1,147,222 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $103,245 | BeginningYearBalanceAmt |
| Contributions | $88,070 | ContributionsAmt |
| Other Expenditures | $9,370 | OtherExpendituresAmt |
| Administrative Expenses | $958,805 | AdministrativeExpensesAmt |
| End Year Balance | $958,805 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.01000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.74000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.25000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | false | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,977 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,886 | DepreciationAmt |
| Book Value | $32,091 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,853 | DepreciationAmt |
| Book Value | $17,106 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,393 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,898 | DepreciationAmt |
| Book Value | $495 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $49,692 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | WORKERS COMP DEPOSIT | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $16,651,726 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED WORKMANS COMPENSATION | $292,193 |
| CAPITAL LEASE OBLIGATIONS | $8,465 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $300,658 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $2,995,486 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $1,358,453 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | $249,320 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $58,083 | OtherRevenueAmt |
| Revenue Not Reported | $1,665,856 | RevenueNotReportedAmt |
| Revenue Subtotal | $1,329,630 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $146,494 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $146,494 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $1,476,124 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $1,323,337 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $249,320 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $58,083 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $307,403 | ExpensesNotReportedAmt |
| Expenses Subtotal | $1,015,934 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $146,494 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $146,494 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $1,162,428 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: Intended uses of the endowment fund. | THE ENDOWMENT FUNDS ARE HELD IN ORDER TO GENERATE REVENUES IN SUPPORT OF HEALTH PROGRAMS FOR SENIORS AND CHILDREN, DENTAL NEEDS OF THOSE IN THE PAJARO VALLEY AND FOR THE UNRESTRICTED USE OF THE TRUST. |
| Part X : FIN48 Footnote | As a tax-exempt not-for-profit organization, the Organization is exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code and from state franchise tax under California Revenue and Taxation Code Section 23701(d), but is subject to taxes on unrelated business income when earned. Management has considered its tax positions and believes that all of the positions taken in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organizations returns are subject to examination by federal and state taxing authorities, generally for three year and four years, respectively, after they are filed. |
| Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990 | SPECIAL EVENTS EXPENSE $58083 LOSS ON DISPOSAL OF PROPERTY $0 |
| Part XII, Line 2d: Other expenses and losses per audited F/S | SPECIAL EVENTS EXPENSE $58083 LOSS ON DISPOSAL OF PROPERTY $0 |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agrmt Prof Fundraising Acty | false | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | WINE & ROSES EVENT | NameOfEvent1Amt |
| Gross Receipts Event1 | $113,028 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $36,470 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $76,558 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $3,276 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $5,759 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $500 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $37,164 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | MISCELLANEOUS EVENTS | NameOfEvent2Amt |
| Gross Receipts Event2 | $11,490 | GrossReceiptsEvent2Amt |
| Gross Revenue Event2 | $11,490 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $11,384 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $124,518 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $36,470 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $88,048 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $3,276 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $5,759 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $500 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $48,548 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $58,083 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $29,965 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (13 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| COMMUNITY ALLIANCE FAM FARMER | |||||||
| 406 MAIN STREET STE 406 | WATSONVILLE | CA | 95076 | 942914745 | $15,000 | $0 | DIABETES & CONTRIBUTING FACTORS |
| DIENTES COMMUNITY DENTAL CARE | |||||||
| 1830 COMMERCIAL WAY | SANTA CRUZ | CA | 95065 | 770311752 | $10,000 | $0 | DENTAL SERVICES TO LOW INCOME ADULTS |
| ENCOMPASS COMMUNITY SVCS | |||||||
| 195 HARVEY WEST BLVD | SANTA CRUZ | CA | 95060 | 237275290 | $9,000 | $0 | DEVELOPMENT OF MENTORING PROJECT |
| FAMILY SVCS AGENCY | |||||||
| 104 WALNUT AVE STE 208 | SANTA CRUZ | CA | 95060 | 941716354 | $12,500 | $0 | CRISIS COUNSELING SESSIONS |
| JACOBS HEART | |||||||
| 2007 FREEDOM BLVD | FREEDOM | CA | 95076 | 680413822 | $10,000 | $0 | ACCESS TO CARE |
| MESA VERDE GARDENS | |||||||
| 2120 N PACIFIC AVE 91 | SANTA CRUZ | CA | 95060 | $15,000 | $0 | DIABETES & CONTRIBUTING FACTORS | |
| PVUSDSTARLGHT & CESAR CHAVEZ | |||||||
| 440 ARTHUR DRIVE | WATSONVILLE | CA | 95076 | 770375541 | $15,000 | $0 | DIABETES & CONTRIBUTING FACTORS |
| SALUD PARA LA GENTE | |||||||
| 195 AVIATION WAY SUITE 200 | WATSONVILLE | CA | 95076 | 942705747 | $8,650 | $0 | DENTAL CARE CHILDREN OF MIGRANT ED |
| UNITED WAY OF SANTA CRUZ COUNTY | |||||||
| PO BOX 1458 | CAPITOLA | CA | 95010 | 941422471 | $6,000 | $0 | COMMUNITY ASSESSMENT PROJECT |
| VOLUNTEER CENTER SANTA CRUZ | |||||||
| 1740 17TH AVE SUITE 2 | SANTA CRUZ | CA | 95062 | 941702678 | $8,850 | $0 | BEAT BACK DIABETES PROGRAM |
| WATSAPTOS ADULT EDUCA | |||||||
| 294 GREEN VALLEY ROAD | WATSONVILLE | CA | 95076 | 770375541 | $10,000 | $0 | HEALTH CAREER SCHOLARSHIPS |
| WATSONVILLE FAMILY YMCA | |||||||
| 27 SUDDEN STREET | WATSONVILLE | CA | 95076 | 770020233 | $15,000 | $0 | HEALTH FAMILY HOME PROGRAM |
| WATSONVILLE HIGH SCOOL | |||||||
| 250 EAST BEACH STREET | WATSONVILLE | CA | 95076 | 770375541 | $6,000 | $0 | SUPPORT HEALTH STUDIES |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 13 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Grantmaker's Description of How Grants are Used | FormAndLineReferenceDesc |
| Explanation | ALL ORGANIZATIONS APPLYING FOR FUNDING MUST SUBMIT A DETAILED LINE-ITEM BUDGET, INCLUDING INCOME AND EXPENSES FOR THE PROPOSED PROJECT. THEY MUST INDICATE THE AMOUNT PROPOSED FOR FUNDING FROM THE TRUST BY LINE ITEM AND INCLUDE NOTES FOR ANY LINE ITEMS THAT REQUIRE ADDITIONAL EXPLANATION.IF APPROVED FOR FUNDING, GRANTEES MUST SIGN A GRANT CONTRACT IN WHICH THEY AGREE TO USE THE GRANT FUNDS TO ACCOMPLISH THE SPECIFIC OUTCOMES OUTLINED IN THEIR GRANT PROPOSAL. THEY ALSO AGREE TO INFORM THE TRUST IMMEDIATELY IF THEY ARE UNABLE TO PERFORM ON ANY ASPECT OF THE GRANT CONTRACT ACTIVITIES AS OUTLINED IN THE PROPOSAL. THE CONTRACT INDICATES THAT USE OF THESE FUNDS FOR ANY PURPOSE OTHER THAN SET FORTH IN THE GRANT PROPOSAL AND/OR FAILURE TO REPORT CHANGES IMMEDIATELY OR TO PERFORM ON THE CONTRACT OUTCOMES MAY RESULT IN FORFEITURE OF PART OR ALL OF THE GRANT AMOUNT. ALSO REQUIRE GRANTEES TO SUBMIT PROGRESS AND FINAL REPORTS IN WHICH THEY MUST PROVIDE A DETAILED PROGRAM BUDGET THAT COMPARES ACTUAL EXPENDITURES TO THE APPROVED BUDGET. | ExplanationTxt |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AUCTION ITEMS | Desc |
| Noncash Contributions Rpt F990 | $33,805 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | DONATION | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 11b: Form 990 Review Process | Pajaro Valley Community Health Trust engages a CPA firm to assist with the preparation and filing of the Form 990, based on an audit engagement completed by the same CPA firm. Once the CPA firm has completed a draft of the form 990, a copy will be sent to the Board of Directors for review and approval before the tax return is filed. |
| Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts | Conflict of interest statements are updated annually as well as when grants are approved to monitor for potential conflicts of interest. |
| Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management | FOR CEO AND TOP FINANCIAL PERSON, EXECUTIVE COMMITTEE COMPARES COMPENSATION WITH SIMILAR ORGANIZATIONS LOCALLY AND NATIONALLY; SALARY INCREASES ARE BASED ON COMPENSATION AND PERFORMANCE BASED. EXECUTIVE COMMITTEE EVALUATES CEO'S PERFORMANCE AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS FOR APPROVAL, ANNUALLY, WITHIN BUDGETARY PARAMETERS. |
| Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees | OTHER EMPLOYEE COMPENSATION IS DETERMINED BY THE CEO AND REVIEWED WITH THE EXECUTIVE COMMITTEE. |
| Form 990, Part VI, Line 19: Other Organization Documents Publicly Available | Governing docs are available upon request. |
| Other Changes In Net Assets Or Fund Balances - Other Increases | DISCONTINUED OPERATIONS - NET ACTIVITY = $201239 |
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