SANTA ROSA COMMUNITY HEALTH CENTERS: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA COMMUNITY HEALTH CENTERS (EIN 68-0365296)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-02-05
IRS object ID
201300369349300960
Schema version
2011v1.5
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)
Timestamp2013-02-05T10:48:42-08:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Patel & Associates CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1266 17th Street Suite 200AddressLine1
CityOaklandCity
StateCAState
ZIP Code946124124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680365296EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Santa Rosa Community Health CentersBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSANTNameControl
Phone7075838839Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95403ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameHarold BrockmanName
TitleCFOTitle
Date Signed2013-02-05DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRamesh Patel CPAName
Phone5104525051Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonNaomi R FuchsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code954035781ZIPCode
FieldValueIRS element (for citing)
Gross Receipts31100152GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.srhealthcenters.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe Santa Rosa Community Health Centers are dedicated to providing excellent, comprehensive primary health care, prevention, and health education for people who are uninsured and underinsured in Santa Rosa, regardless of ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees323TotalNbrEmployees
Total Nbr Volunteers37TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year5173354ContributionsGrantsPriorYear
Contributions Grants Current Year7681124ContributionsGrantsCurrentYear
Program Service Revenue Prior Year19127273ProgramServiceRevenuePriorYear
Program Service Revenue CY22154018ProgramServiceRevenueCY
Investment Income Prior Year22076InvestmentIncomePriorYear
Investment Income Current Year3326InvestmentIncomeCurrentYear
Other Revenue Prior Year18039OtherRevenuePriorYear
Other Revenue Current Year1261684OtherRevenueCurrentYear
Total Revenue Prior Year24340742TotalRevenuePriorYear
Total Revenue Current Year31100152TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year16431073SalariesEtcPriorYear
Salaries Etc Current Year20753425SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year6858367OtherExpensePriorYear
Other Expenses Current Year9201821OtherExpensesCurrentYear
Total Expenses Prior Year23289440TotalExpensesPriorYear
Total Expenses Current Year29955246TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1051302RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1144906RevenuesLessExpensesCY
Total Assets BOY22146234TotalAssetsBOY
Total Assets EOY23590079TotalAssetsEOY
Total Liabilities BOY15486474TotalLiabilitiesBOY
Total Liabilities EOY15785413TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6659760NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY7804666NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionThe Santa Rosa Community Health Centers are dedicated to providing excellent, comprehensive primary health care, prevention, and health education for people who are uninsured and underinsured in Santa Rosa, regardless of ability to pay.MissionDescription
Significant New Program ServicestrueSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense21948867Expense
Revenue20887456Revenue
DescriptionMedical Services - The center provides comprehensive health care for the individual and family across all ages, genders, and medical problems. Care is provided in the context of the family and the community emphasizing disease prevention and health promotion. Total number of clients served was 34,903.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1140963Expense
Revenue444046Revenue
DescriptionMental Health - Provides psychotherapeutic and psychiatric services for individual patients of all ages, couples, and families. Total number of clients served was 2,288.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense919673Expense
Revenue822516Revenue
DescriptionAdult Day - This is a 6 hour program for frail, elderly or disabled adults. The program includes transportation to and from the center, as well as snacks, activities, and a nutritious lunch. The program is provided to adults with potentially debilitating conditions. The goal of the Adult Day Services is to help those we serve remain independent as long as possible. Total number of clients served is 48.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp363879TotalOfOtherProgramServiceExp
Total Program Service Expense24373382TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109689NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees323NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Licensed More Than One StatefalseLicensedMoreThanOneState
Indoor Tanning ServicesfalseIndoorTanningServices
Form720 FiledfalseForm720Filed
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHarold BrockmanNamePerson
Telephone Number7075838839TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95403ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
David Whalen
Board Member3.00X000
David C Rosas
Board Member3.00X000
Gloria Mora
Board Member3.00X000
Walter W Mills MD
Board Member3.00X000
Robert Benavides Jr EdD
Board Member3.00X000
Bill Hanson
Board Member3.00X000
Elizabeth Camino Byers
Board Member3.00X000
Laura Tinti
Board Member3.00X000
Beth Pardo
Secretary3.00X000
Suzy Marzalek
Treasurer3.00X000
William R Schrader
Vice Chair3.00X000
Blanca Benitez
Chairperson3.00X000
Lyman Greaves MD
Medical Dir32.00183335011483X
Richard Duffin
Facilities Dir40.00106407013967X
Meredith Kieschnick MD
Medical Dir.34.50141086018834X
Marie Mulligan MD
Medical Dir.40.0015530109895X
Francisco Trilla MD
CMO40.0023248303272X
D Kai Nissley
COO40.00129231011697X
Harold Brockman
CFO40.0012175408838X
Naomi R Fuchs
CEO40.00192485018271X
Kyla Rice MD
Staff Physician28.7518958103131X
Douglas Jimenez MD
Staff Physician34.38244901023222X
Lisa Ward MD
Staff Physician36.00198539014917X
Enrique Sanchez-Mendez
Psychologist40.00226737013735X
Erin Lunde MD
Staff Physician36.0021043108694X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2332271TotalReportableCompFromOrg
Total Other Compensation159956TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Julie KiserBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1610 Charles StreetAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95404ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesMedical ServicesDescriptionOfServices
Compensation106880Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Fundraising Events164816FundraisingEvents
Government Grants5664593GovernmentGrants
All Other Contributions1851715AllOtherContributions
Noncash Contributions751970NoncashContributions
Total Contributions7681124TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service FeesDescription
Business Code621110BusinessCode
Total Revenue Column22154018TotalRevenueColumn
Related Or Exempt Function Income22154018RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue22154018TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3326TotalRevenueColumn
Related Or Exempt Function Income3326RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events164816CntrbtnsRprtdFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther IncomeDescription
Business Code621110BusinessCode
Total Revenue Column1261684TotalRevenueColumn
Related Or Exempt Function Income1261684RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue1261684TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column31100152TotalRevenueColumn
Related Or Exempt Function Income23419028RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1343115Total
Program Services1134371ProgramServices
Management And General208744ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total15597418Total
Program Services13092249ProgramServices
Management And General2505169ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total44752Total
Program Services34315ProgramServices
Management And General10437ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2586765Total
Program Services2177915ProgramServices
Management And General408850ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1181375Total
Program Services1000595ProgramServices
Management And General180780ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2343948Total
Program Services2012208ProgramServices
Management And General331740ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total269799Total
Program Services191379ProgramServices
Management And General78420ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1587863Total
Program Services1135950ProgramServices
Management And General451913ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total622352Total
Program Services554404ProgramServices
Management And General67948ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total75660Total
Program Services45808ProgramServices
Management And General29852ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total180874Total
Program Services157850ProgramServices
Management And General23024ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total718347Total
Program Services636743ProgramServices
Management And General81604ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total958999Total
Program Services758921ProgramServices
Management And General200078ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total115081Total
Program Services44676ProgramServices
Management And General70405ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Miscellaneous Expenses19381483455
Fundraising Expenses6759267592
In-Kind Expenses75197072489427076
Equipment & Maintenance1507398669621837777

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total29955246Total
Program Services24373382ProgramServices
Management And General5581864ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3199222BOY
EOY2257442EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY236153BOY
EOY738594EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY528033BOY
EOY859400EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2087020BOY
EOY4082519EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY162741BOY
EOY105770EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15093972LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2554756LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12857510BOY
EOY12539216EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3075555BOY
EOY3007138EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY22146234BOY
EOY23590079EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1703112BOY
EOY2052051EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13270000BOY
EOY13270000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY513362BOY
EOY463362EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15486474BOY
EOY15785413EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY6341705BOY
EOY7674943EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY299954BOY
EOY112813EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY18101BOY
EOY16910EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6659760BOY
EOY7804666EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22146234BOY
EOY23590079EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1144906ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2997405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3779666CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5590322CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5173354CurrentTaxYearMinus1Year
Current Tax Year7681125CurrentTaxYear
Total25221872Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2997405CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3779666CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5590322CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year5173354CurrentTaxYearMinus1Year
Current Tax Year7681125CurrentTaxYear
Total25221872Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17025221872PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years50398CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years35097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years13150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year22076CurrentTaxYearMinus1Year
Current Tax Year3326CurrentTaxYear
Total124047Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year82867CurrentTaxYearMinus1Year
Current Tax Year1261683CurrentTaxYear
Total1344550Total
FieldValueIRS element (for citing)
Total Support26690469TotalSupport
Public Support Pertcentage1700.94500PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98750PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1500000OtherCostOrOtherBasis
Book Value1500000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9893893OtherCostOrOtherBasis
Depreciation600661Depreciation
Book Value9293232BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1196715OtherCostOrOtherBasis
Depreciation771265Depreciation
Book Value425450BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis222573OtherCostOrOtherBasis
Depreciation222573Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2280791OtherCostOrOtherBasis
Depreciation960257Depreciation
Book Value1320534BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings12539216TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Restricted Assets16910
Bond Issuance Costs1359560
Assets limited as to use670383
Assets held by Trustee960285
FieldValueIRS element (for citing)
Total Book Value Other Assets3007138TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Deferred Rent - Noncurrent Portion$120,833
Deferred Rent - Current Portion$50,000
Accrued Bond Interest$292,529
FieldValueIRS element (for citing)
Total Of Amounts463362TotalOfAmounts
Total Revenue31100152TotalRevenue
Total Expenses29955246TotalExpenses
Excess Or Deficit For Year1144906ExcessOrDeficitForYear
Excess Or Deficit Per FS1144906ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt31100152TotRevenueEtcAuditedFinclStmt
Revenue Subtotal31100152RevenueSubtotal
Total Revenue Per Form99031100152TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt29955246TotExpensesEtcAuditedFinclStmt
Expenses Subtotal29955246ExpensesSubtotal
Total Expenses Per Form99029955246TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierPart XIdentifier
Return ReferencePart X : FIN48 FootnoteReturnReference
ExplanationHealth Center has adopted the accounting guidance related to uncertain tax positions, and has evaluated its tax positions and believes that all of the positions taken by the Health Center in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. Health Center's returns for years ended June 30, 2011, 2010 and 2009 are subject to examination by federal and state taxing authorities generally for three years after they are filed.Explanation

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Solicitation Of Govt GrantsXSolicitationOfGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingfalseAgreementRefFundraising
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1VariousNameOfEvent1
Gross Receipts Event171033GrossReceiptsEvent1
Charitable Contributions Event171033CharitableContributionsEvent1
Name Of Event2Capital CampaignNameOfEvent2
Gross Receipts Event266712GrossReceiptsEvent2
Charitable Contributions Event266712CharitableContributionsEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events27071GrossReceiptsOtherEvents
Charitable Contrib Other Events27071CharitableContribOtherEvents
Gross Receipts Total164816GrossReceiptsTotal
Charitable Contributions Total164816CharitableContributionsTotal

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Naomi R Fuchs
19248596248647210756
Meredith Kieschnick MD
141086493813896159920
Marie Mulligan MD
15530154364459165196
Lyman Greaves MD
18333528368647194818
Lisa Ward MD
198539397110946213456
Kyla Rice MD
1895813131192712
Francisco Trilla MD
232483323438235755
Erin Lunde MD
21043132635431219125
Enrique Sanchez-Mendez
22673742779458240472
Douglas Jimenez MD
2449011224510977268123

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CA Municipal Finance AuthBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN201563466IssuerEIN
CUSIP Number13048TFC2CUSIPNumber
Date Issued2010-02-01DateIssued
Issue Price13061021IssuePrice
Description Of PurposePurchase of Bldg & EquipmentsDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds12961496TotalProceeds
Amount In Reserve Fund13270000AmountInReserveFund
Issuance Costs From Proceeds399525IssuanceCostsFromProceeds
Capital Expenditures10306166CapitalExpenditures
Current RefundingfalseCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9906573NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues

Other Non Cash Contributions Table OtherNonCashContributionsTable (3 entries)

DescriptionDescriptionNumber Of ContributionsNumberOfContributionsNoncash Contribs Rptd F990NoncashContribsRptdF990Method Of Determining RevenuesMethodOfDeterminingRevenues
IT Equipment125326FMV
Tickets11750FMV
Books & Walkers1950FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization's governing documents, policies and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPosition descriptions are developed for all positions which identify the requirements of each position, including educational and work experience requirements. The Human Resources Department utilizes these position descriptions and regional and national data bases containing information on comparable positions to develop recommended salary scales for these positions. The salary and benefit packages for other officers/key employees are approved by the CEO.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe oganization's compliance officer monitors conflicts on an annual basis.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 is reviewed by the CEO and the CFO before it is filed with the IRS.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Outreach & Education - This program provides health education in local schools and at the Santa Rosa Junior College. Total number of clients served was 6,235. OTHER PROGRAM SERVICES 5: Dental Services - Provided services to pregnant women 19 years and older who were non-insured, and pregnant women with Medi-Cal coverage. They were sent by Santa Rosa Community Health Center doctors for treatment to the St. Joseph Heath Dental Clinic. Total clients served were 457.
Form 990, Part III, Line 2Form 990, Part III, Line 2: New ServicesThe Santa Rosa Community Health Centers added a new medical clinic, "Brookwood", with a primary mission to serve the homeless of Santa Rosa, California.

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