SONOMA VALLEY COMMUNITY HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
SONOMA VALLEY COMMUNITY HEALTH CENTER (EIN 68-0286382)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201423219349303312
Schema version
2013v3.0
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)
Return2014-11-17T15:12:40-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN941585562PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PISENTI & BRINKER LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1201 FIRST STREET SUITE 208AddressLine1
CityPETALUMACity
StateCAState
ZIP Code94952ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680286382EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SONOMA VALLEY COMMUNITY HEALTH CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlSONOBusinessNameControlTxt
Phone7079396075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line119270 SONOMA HIGHWAYAddressLine1
CitySONOMACity
StateCAState
ZIP Code954765414ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHERYL JOHNSONPersonNm
Person TitleCEOPersonTitleTxt
Phone7079396075PhoneNum
Signature2014-11-17SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRAYMOND POUNDSPreparerPersonNm
PTINP00459430PTIN
Phone7077629900PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerCHERYL JOHNSONPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line119270 SONOMA HIGHWAYAddressLine1
CitySONOMACity
StateCAState
ZIP Code954765414ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$5,583,477GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.SVCHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDING HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED, REGARDLESS OF ABILITY TO PAY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee65TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,159,618PYContributionsGrantsAmt
CY Contributions Grants$1,811,969CYContributionsGrantsAmt
PY Program Service Revenue$2,785,701PYProgramServiceRevenueAmt
CY Program Service Revenue$3,771,033CYProgramServiceRevenueAmt
PY Investment Income-$65,940PYInvestmentIncomeAmt
CY Investment Income-$80,525CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$3,879,379PYTotalRevenueAmt
CY Total Revenue$5,502,477CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,926,475PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,144,530CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$20,000PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$79,672CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$79,672CYTotalFundraisingExpenseAmt
PY Other Expenses$1,575,543PYOtherExpensesAmt
CY Other Expenses$1,781,818CYOtherExpensesAmt
PY Total Expenses$4,522,018PYTotalExpensesAmt
CY Total Expenses$5,006,020CYTotalExpensesAmt
PY Revenues Less Expenses-$642,639PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$496,457CYRevenuesLessExpensesAmt
Total Assets BOY$1,854,534TotalAssetsBOYAmt
Total Assets EOY$8,126,217TotalAssetsEOYAmt
Total Liabilities BOY$778,835TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,102,895TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,075,699NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,023,322NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMISSION - TO PROVIDE ACCESSIBLE QUALITY HEALTH CARE TO THOSE WHO NEED IT, ESPECIALLY THE UNDERSERVED.VISION - TO BE RECOGNIZED AS A LEADER IN PROVIDING PATIENT AND COMMUNITY CENTERED CARE IN COLLABORATION WITH OTHER ORGANIZATIONS. SONOMA VALLEY COMMUNITY HEALTH CENTER IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ORGANIZED TO PROVIDE HIGH QUALITY HEATH CARE ACCESS TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY, LOCATED IN SONOMA, CALIFORNIA. THE HEALTH CENTER PROVIDES ROUTINE HEALTH ASSESSMENTS, PHYSICAL EXAMINATIONS, TREATMENT AND PREVENTATIVE SERVICES. EXPANDED SERVICES INCLUDE URGENT CARE, SPECIALIZED PROCEDURES, PRE AND POST OPERATIVE CARE AND FOLLOW-UP. THE CENTER ALSO OPERATES A MOBILE MEDICAL VAN WHICH MAKES SITE VISITS TO THE LOCAL SCHOOLS, EXPANDING SERVICES TO CHILDREN IN NEED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,404,895ExpenseAmt
Revenue$2,364,787RevenueAmt
DescFAMILY PRACTICE SERVICES. THE HEALTH CENTER PROVIDES MEDICAL CARE SERVICES FOR INFANTS THROUGH ADULTS, WITH EXTENDED DAY AND EVENING HOURS AND IS OPEN 6 DAYS PER WEEK. SERVICES INCLUDE ROUTINE EXAMINATIONS, IMMUNIZATIONS, PHYSICALS, URGENT CARE AND DIAGNOSIS, AND TREATMENT OF ACUTE AND CHRONIC ILLNESS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$413,883ExpenseAmt
Revenue$492,231RevenueAmt
DescCOMPREHENSIVE PERINATAL SERVICES: THE HEALTH CENTER PROVIDES PRE- AND POST-NATAL OB SERVICES AND EDUCATION TO PREGNANT WOMEN. NURSE EDUCATORS AND NUTRITIONISTS ARE AVAILABLE FULL TIME TO SUPPORT PATIENTS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$554,026ExpenseAmt
Revenue$584,465RevenueAmt
DescBEHAVIORAL HEALTH SERVICES. THE HEALTH CENTER PROVIDES BEHAVIORAL HEALTH SERVICES UTILIZING A PART TIME PYSCHIATRIST, 2 PART TIME PSYCHOLOGISTS AND 1 PART TIME LICENSED CLINICAL SOCIAL WORKER. THE HEALTH CENTER ALSO HAS A SUBSTANCE ABUSE COUNSELING PROGRAM STAFFED BY PART TIME CERTIFIED SUBSTANCE ABUSE COUNSELORS PROVIDED THROUGH A CONTRACT WITH THE DRUG ABUSE ALTERNATIVE CENTER.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$51,340ExpenseAmt
Revenue$248,550RevenueAmt
DescDENTAL SERVICES: THE HEALTH CENTER PROVIDES THE SERVICES OF A REGISTERED DENTAL HYGENIST ON A PART TIME BASIS, THIS STARTED IN 2013.OTHER PROGRAM SERVICES: INCLUDES QULAITY-SHARED SAVINGS $127,400/EHR, INCENT $64,500/ALL OTHER $33,173.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$51,340TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$248,550TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$3,424,144TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional FundraisingYes (1)ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document48IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee65EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SUSAN TORRES CFOBusinessNameLine1
FieldValueIRS element (for citing)
Phone7079396075PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line119270 SONOMA HIGHWAYAddressLine1
CitySONOMACity
StateCAState
ZIP Code954765414ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
SUSAN DRAKE
CHAIR2.00Yes (X)Yes (X)$0$0$0
LAURA STOVALL
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
PAMELA STEPHENS
SECRETARY2.00Yes (X)Yes (X)$0$0$0
LINDA MCTAGGART
TREASURER2.00Yes (X)Yes (X)$0$0$0
TOM ANDERSON
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
RICHARD GANTENBEIN
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
JOSE ALVAREZ
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
PAT HARRISON
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
MISTY RUSHING
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
MARC SCHWAGER
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
NICOLE VILLANUEVA
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
MARTHA EVANS
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
VICTORIA HALL THRU 92013
DIRECTOR/MEMBER2.00Yes (X)$0$0$0
CHERYL JOHNSON
CEO40.00Yes (X)$107,808$0$9,141
SUSAN TORRES
CFO40.00Yes (X)$76,149$0$40,378
MARIANNE CLINTON MD
MEDICAL DIRECTOR40.00$170,056$0$16,587Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$354,013TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$66,106TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
THE NEENAN COMPANY LLLP
2607 MIDPOINT DRIVEFORT COLLINSCO80525DESIGN/CONSTRUCTION$211,262
DR PAUL AMARA
PO BOX 475SONOMACA95476CONTRACTED MEDICAL SERVICES PROVIDER$112,899
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Government Grants$1,351,565GovernmentGrantsAmt
All Other Contributions$460,404AllOtherContributionsAmt
Noncash Contributions$13,256NoncashContributionsAmt
Total Contributions$1,811,969TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENU624100$3,545,960$3,545,960
OTHER PROGRAM SERVICE624100$225,073$225,073
FieldValueIRS element (for citing)
Total Program Service Revenue$3,771,033TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$475TotalRevenueColumnAmt
Exclusion$475ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$81,000OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$81,000OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$81,000TotalRevenueColumnAmt
Related Or Exempt Func Income-$81,000RelatedOrExemptFuncIncomeAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,502,477TotalRevenueColumnAmt
Related Or Exempt Func Income$3,690,033RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$475ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$420,119TotalAmt
Program Services$186,643ProgramServicesAmt
Management And General$233,476ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,216,319TotalAmt
Program Services$1,643,142ProgramServicesAmt
Management And General$573,177ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,067TotalAmt
Program Services$12,539ProgramServicesAmt
Management And General$5,528ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$282,972TotalAmt
Program Services$196,393ProgramServicesAmt
Management And General$86,579ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$207,053TotalAmt
Program Services$143,702ProgramServicesAmt
Management And General$63,351ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$9,397TotalAmt
Management And General$9,397ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$31,500TotalAmt
Management And General$31,500ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$79,672TotalAmt
Fundraising$79,672FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$595,634TotalAmt
Program Services$398,924ProgramServicesAmt
Management And General$196,710ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$8,615TotalAmt
Program Services$1,233ProgramServicesAmt
Management And General$7,382ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$61,010TotalAmt
Program Services$8,888ProgramServicesAmt
Management And General$52,122ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$284,089TotalAmt
Program Services$272,526ProgramServicesAmt
Management And General$11,563ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$303,518TotalAmt
Program Services$157,040ProgramServicesAmt
Management And General$146,478ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$3,208TotalAmt
Program Services$2,457ProgramServicesAmt
Management And General$751ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$17,068TotalAmt
Program Services$1,478ProgramServicesAmt
Management And General$15,590ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,587TotalAmt
Management And General$5,587ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$167,341TotalAmt
Program Services$123,419ProgramServicesAmt
Management And General$43,922ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,375TotalAmt
Program Services$45,375ProgramServicesAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$172,504$172,504
BAD DEBT$51,392$51,392
DUES & SUBSCRIPTIONS$25,580$6,489$19,091

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,006,020TotalAmt
Program Services$3,424,144ProgramServicesAmt
Management And General$1,502,204ManagementAndGeneralAmt
Fundraising$79,672FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$283,247BOYAmt
EOY$680,565EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$479,966BOYAmt
EOY$216,953EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$55,000BOYAmt
EOY$93,132EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$202,060BOYAmt
EOY$445,201EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$11,175BOYAmt
EOY$11,304EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$77,539BOYAmt
EOY$42,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,644,646LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,008,215LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$731,928BOYAmt
EOY$6,636,431EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,619BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,854,534BOYAmt
EOY$8,126,217EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$778,835BOYAmt
EOY$1,102,895EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
EOY$5,000,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$778,835BOYAmt
EOY$6,102,895EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$966,934BOYAmt
EOY$1,463,391EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$108,765BOYAmt
EOY$559,931EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,075,699BOYAmt
EOY$2,023,322EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,854,534BOYAmt
EOY$8,126,217EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$496,457ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$451,166OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$945,356CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,056,265CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,370,885CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,159,618CurrentTaxYearMinus1YearAmt
Current Tax Year$1,811,969CurrentTaxYearAmt
Total$6,344,093TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$2,756,270CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,029,021CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,081,867CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,785,701CurrentTaxYearMinus1YearAmt
Current Tax Year$3,771,033CurrentTaxYearAmt
Total$15,423,892TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,701,626CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,085,286CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,452,752CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,945,319CurrentTaxYearMinus1YearAmt
Current Tax Year$5,583,002CurrentTaxYearAmt
Total$21,767,985TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$21,767,985PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,968CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$559CurrentTaxYearMinus1YearAmt
Current Tax Year$475CurrentTaxYearAmt
Total$21,944TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$11,514CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,968CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,428CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$559CurrentTaxYearMinus1YearAmt
Current Tax Year$475CurrentTaxYearAmt
Total$21,944TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,713,140CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,092,254CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,455,180CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,945,878CurrentTaxYearMinus1YearAmt
Current Tax Year$5,583,477CurrentTaxYearAmt
Total$21,789,929TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99900PublicSupportCY509Pct
Public Support PY5090.99740PublicSupportPY509Pct
Investment Income CY0.00100InvestmentIncomeCYPct
Investment Income PY0.00260InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings MembersYes (1)MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAYS DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING. ALSO, BOARD MEMBERS AND STAFF HAVE ON OCCASION HAD DIRECT CONTACT WITH LEGISLATORS AND/OR THEIR STAFF.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,538,780OtherCostOrOtherBasisAmt
Book Value$1,538,780BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,032,954OtherCostOrOtherBasisAmt
Book Value$4,032,954BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,833OtherCostOrOtherBasisAmt
Depreciation$169,432DepreciationAmt
Book Value$8,401BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,447,329OtherCostOrOtherBasisAmt
Depreciation$838,783DepreciationAmt
Book Value$608,546BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$447,750OtherCostOrOtherBasisAmt
Book Value$447,750BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$6,636,431TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$5,039,660TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$543,817OtherRevenueAmt
Revenue Not Reported-$543,817RevenueNotReportedAmt
Revenue Subtotal$5,583,477RevenueSubtotalAmt
Other Revenues Not Included-$81,000OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$81,000RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,502,477TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,087,020TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,087,020ExpensesSubtotalAmt
Other Expenses Not Included-$81,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt-$81,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,006,020TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART XI, LINE 2D - OTHER ADJUSTMENTS:CURRENT YEAR RELEASE OF NET ASSETS -543,817.
PART XI, LINE 4B - OTHER ADJUSTMENTS:LOSS FROM PROPERTY AND EQUIPMENT DISPOSAL -81,000.
PART XII, LINE 4B - OTHER ADJUSTMENTS:LOSS FROM PROPERTY DISPOSIAL REFLECTED IN REVENUE SECTION -81,000.

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsYes (X)MailSolicitationsInd
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 Acty0AgrmtProfFundraisingActyInd

Fundraiser Activity Info FundraiserActivityInfoGrp

FieldValueIRS element (for citing)
PersonCRISTINE DOHRMANNPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1531 CHASE STREETAddressLine1
CitySONOMACity
StateCAState
ZIP Code95476ZIPCode
FieldValueIRS element (for citing)
ActivityFUNDRAISING CONSULTANTActivityTxt
Fundraiser Control Of Funds0FundraiserControlOfFundsInd
Gross Receipts$433,000GrossReceiptsAmt
Retained By Contractor$79,672RetainedByContractorAmt
Net To Organization$353,328NetToOrganizationAmt
FieldValueIRS element (for citing)
Total Gross Receipts$433,000TotalGrossReceiptsAmt
Total Retained By Contractors$79,672TotalRetainedByContractorsAmt
Total Net To Organization$353,328TotalNetToOrganizationAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonMARIANNE CLINTON MDPersonNm
TitleMEDICAL DIRECTORTitleTxt
Base Compensation Filing Org$170,056BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$0BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$0DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$0NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$170,056TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11CEO AND CFO DO AN INITIAL REVIEW OF FORM 990 WITH PREPARER. THIS DRAFT IS THEN MAILED AND/OR SENT ELECTRONICALLY TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO THE FINAL DRAFT BEING ISSUED. DRAFT IS THEN FINALIZED AND FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHE CONFLICT OF INTEREST POLICY RELATING TO THE BOARD OF DIRECTORS AND OFFICERS IS INCLUDED IN THE BYLAWS OF THE ORGANIZATION. DISCLOSURE OF ANY CONFLICTS IS REQUIRED WHEN A BOARD MEMBER IS ELECTED TO SERVE ON THE BOARD. THE BOARD IS REQUIRED TO COMPLETE THE CONFLICT OF INTEREST STATEMENTS ANNUALLY. CEO MAINTAINS CONFLICT OF INTEREST FILE.
FORM 990, PART VI, SECTION B, LINE 15ATHE ORGANIZATION UTILIZES WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION STUDIES AND SURVEYS AND APPROVAL BY A BOARD OR COMPENSATION COMMITTEE. THE BOARD HAS FINAL AUTHORITY OVER THE HIRING, DISMISSING, AND ANNUAL EVALUATION OF THE CEO. THE CEO EVALUATES THE CFO AND THE MEDICAL DIRECTOR. THE CEO REVIEWS THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) ANNUAL STATE WIDE SALARY SURVEY FOR COMMUNITY HEALTH CENTERS TO SET SALARY RANGES AND WAGES EACH YEAR.
FORM 990, PART VI, SECTION C, LINE 18THE ORGANIZATION MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION APER SONOMA VALLEY COMMUNITY HEALTH CENTER'S BYLAWS THE BOARD OF DIRECTORS WILL BE MADE UP OF 13 INDIVIDUALS. DURING 2013 ONE MEMBER LEFT PRIOR TO END OF TERM, LEAVING THE BOARD AT 12 MEMBERS AT YEAR END. THIS VACANCY WAS FILLED IN EARLY 2014, BRINGING THE TOTAL NUMBER OF MEMBERS TO THE 13 INDIVIDUALS REQUIRED BY THE BYLAWS.
FORM 990, PART IX, LINE 11GOTHER: PROGRAM SERVICE EXPENSES 398,924. MANAGEMENT AND GENERAL EXPENSES 196,710. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 595,634.
FORM 990, PART XI, LINE 9:RESTATEMENT OF TEMPORARILY RESTRICTED REVENUE FROM PRIOR PERIOD 55,000. CURRENT YEAR INCREASE IN TEMPORARILY RESTRICTED ASSETS 396,166.
FORM 990, PAGE 12, PART XII, LINE 2CREVIEW & SELECTION OF INDEPENDENT ACCOUNTANT THE AUDIT COMMITTEE, UNDER THE GOVERNING BOARD'S SUPERVISION, SHALL BE RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD ON THE HIRING AND TERMINATING OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS (CPAS). THE AUDIT COMMITTEE CAN NEGOTIATE THE INDEPENDENT CPA'S COMPENSATION ON BEHALF OF THE GOVERNING BOARD. THE AUDIT COMMITTEE MUST: (1) CONFER WITH THE AUDITOR TO SATISFY COMMITTEE MEMBERS THAT THE FINANCIAL AFFAIRS OF THE NONPROFIT ORGANIZATION ARE IN ORDER; (2) REVIEW THE AUDIT AND DECIDE WHETHER TO RECOMMEND ACCEPTANCE; AND (3) APPROVE NON-AUDIT SERVICES BY THE INDEPENDENT CPAS ACCOUNTING FIRM, AND ENSURE SUCH SERVICES CONFORM TO APPROPRIATE GOVERNMENT STANDARDS. THERE HAS BEEN NO CHANGE TO THIS PRACTICE DURING THE CURRENT YEAR.

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