FURP.ORG / PUBLIC DATA EXPLORER

SOUTH COUNTY COMMUNITY HEALTH CENTER INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
SOUTH COUNTY COMMUNITY HEALTH CENTER INC (EIN 94-3372130)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-13
IRS object ID
201321339349301997
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)
Timestamp2013-05-13T09:28:23-07:00Timestamp
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)
EIN943372130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1South County Community Health Center IncBusinessNameLine1
Business Name Line2dba Ravenswood Family Health CenterBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone6503307407Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameR Wayne Yost CPAName
TitleCFOTitle
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePatel Associates CPAName
Phone5104525051Phone
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLuisa Buada RN MPHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11798 -A Bay RoadAddressLine1
CityMenlo ParkCity
StateCAState
ZIP Code94303ZIPCode
FieldValueIRS element (for citing)
Gross Receipts16668811GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501c3XOrganization501c3
Web Sitewww.ravenswoodfhc.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees169TotalNbrEmployees
Total Nbr Volunteers380TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year7544064ContributionsGrantsPriorYear
Contributions Grants Current Year7689128ContributionsGrantsCurrentYear
Program Service Revenue Prior Year6691078ProgramServiceRevenuePriorYear
Program Service Revenue CY8326191ProgramServiceRevenueCY
Investment Income Prior Year44InvestmentIncomePriorYear
Investment Income Current Year68InvestmentIncomeCurrentYear
Other Revenue Prior Year105706OtherRevenuePriorYear
Other Revenue Current Year624300OtherRevenueCurrentYear
Total Revenue Prior Year14340892TotalRevenuePriorYear
Total Revenue Current Year16639687TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6020GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY510GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year8218420SalariesEtcPriorYear
Salaries Etc Current Year9278589SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year590734TotalFundrsngExpCurrentYear
Other Expense Prior Year4894390OtherExpensePriorYear
Other Expenses Current Year5749389OtherExpensesCurrentYear
Total Expenses Prior Year13118830TotalExpensesPriorYear
Total Expenses Current Year15028488TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1222062RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1611199RevenuesLessExpensesCY
Total Assets BOY9859059TotalAssetsBOY
Total Assets EOY11099966TotalAssetsEOY
Total Liabilities BOY1619481TotalLiabilitiesBOY
Total Liabilities EOY1276803TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY8239578NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY9823163NetAssetsOrFundBalancesEOY
Mission DescriptionThe mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense11453250Expense
Revenue8326191Revenue
DescriptionClinical Operations:As a Federally Qualified Health Center (FQHC), South County Community Health Center, Inc. (SCCHC) provides a seamless continuum of care that includes patient exams, preventive care, referrals for additional services, and careful follow up. Services are provided at our Ravenswood Family health Center site in East Palo Alto, California and at our second medical site, Ravenswood family Health Center at Belle Haven in Menlo Park, California. Services include prenatal care, chronic disease care and management, health education, family planning, behavioral health counseling, dental care, and referrals for social services and specialty care.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense93688Expense
DescriptionResource Center Operations:Resource Center Operations provide leasing arrangements for space to other non-profit agencies in the East Palo Alto, California area.Description
FieldValueIRS element (for citing)
Total Program Service Expense11546938TotalProgramServiceExpense
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 AssetsfalseReportOtherAssets
Report Other LiabilitiesfalseReportOtherLiabilities
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 BondsfalseTaxExemptBonds
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 With1096106NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingfalseComplianceWithBackupWitholding
Number Of Employees169NumberOfEmployees
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 BodytrueForm990ProvidedToGoverningBody
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 PersonR Wayne YostNamePerson
Telephone Number6503307407TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Siteri Maravou
Board Member10.00X000
Karen Hernandez
Board Member10.00X000
Jonathan Lindeke
Board Member10.00X000
Senseria Conley
Board Member10.00X000
Vernal Bailey
Board Member10.00X000
Carlota Flores
Board Member10.00X000
Gordon Russell
Board Member10.00X000
Karen Blackwell
Board Member10.00X000
Marcelline Combs
Secretary10.00X000
Manuel Arteaga
Treasurer10.00X000
Julio Garcia
Vice Chair.10.00X000
Melieni Talakai
Chairperson10.00X000
Laurie Bauer
Compliance Off.40.0013701000X
R Wayne Yost CPA CFE
CFO40.0018303602704X
Jaime Chavarria MD
Chief Med. Off.40.00154110029428X
Luisa Buada RN MPH
CEO40.00165561025621X
Rebecca Pinto
Physician's Assist40.00161835022000X
Justin Wu
Assoc Med Dir40.00149393018653X
Belinda Magallannes MD
Physician40.00119582019013X
Franklin Cordero
Dentist40.00112344018849X
Bradley Hamman
Physician's Assist40.0012726708800X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1310138TotalReportableCompFromOrg
Total Other Compensation145068TotalOtherCompensation
Number Individuals GT100 K14NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Where to Start
PO Box 43NewarkCA94560IT Services503807
Quality Systems Inc
PO Box 51149Los AngelesCA90051IT Services386223
Lucille Packard Childrens Hospital
750 Welch RdPalo AltoCA94304Contract Physicians235797
Anchor Pharmacy
161 South Spruce AvenueSan FranciscoCA94080Pharmaceuticals365002
Acton Construction Inc
544 E McGlincy LaneCampbellCA95008Construction428572
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events128394FundraisingEvents
Government Grants3448366GovernmentGrants
All Other Contributions4112368AllOtherContributions
Noncash Contributions96395NoncashContributions
Total Contributions7689128TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPatient Svc RevenueDescription
Business Code621110BusinessCode
Total Revenue Column8326191TotalRevenueColumn
Related Or Exempt Function Income8326191RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue8326191TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column68TotalRevenueColumn
Related Or Exempt Function Income68RelatedOrExemptFunctionIncome

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)
Gross Income Fundraising Events29124GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events234755CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses29124FundraisingDirectExpenses

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)
DescriptionMiscellaneous IncomeDescription
Business Code621110BusinessCode
Total Revenue Column624300TotalRevenueColumn
Related Or Exempt Function Income624300RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue624300TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16639687TotalRevenueColumn
Related Or Exempt Function Income8950559RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total510Total
Program Services510ProgramServices

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)
Total733677Total
Program Services505844ProgramServices
Management And General187203ManagementAndGeneral
Fundraising40630Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6961920Total
Program Services4762638ProgramServices
Management And General1805514ManagementAndGeneral
Fundraising393768Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total859121Total
Program Services635123ProgramServices
Management And General185850ManagementAndGeneral
Fundraising38148Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total723871Total
Program Services531559ProgramServices
Management And General180904ManagementAndGeneral
Fundraising11408Fundraising

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)
Total53716Total
Management And General53716ManagementAndGeneral

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)
Total2624214Total
Program Services2440613ProgramServices
Management And General149121ManagementAndGeneral
Fundraising34480Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total69920Total
Program Services31049ProgramServices
Management And General4279ManagementAndGeneral
Fundraising34592Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1150565Total
Program Services1021588ProgramServices
Management And General102658ManagementAndGeneral
Fundraising26319Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total537875Total
Program Services448229ProgramServices
Management And General89646ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total61761Total
Program Services42888ProgramServices
Management And General15702ManagementAndGeneral
Fundraising3171Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total147295Total
Program Services84640ProgramServices
Management And General59837ManagementAndGeneral
Fundraising2818Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total3738Total
Program Services3738ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total408245Total
Program Services408245ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total83380Total
Program Services43893ProgramServices
Management And General39487ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Miscellaneous1466714667
Special Events269174618168995400
Laboratory & Radiology4615346153
Pharmaceutical Supplies520943520943

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total15028488Total
Program Services11546938ProgramServices
Management And General2890816ManagementAndGeneral
Fundraising590734Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY18200BOY
EOY20866EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY881260BOY
EOY2628377EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY2460227BOY
EOY1939783EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1271595BOY
EOY1220180EOY

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)
BOY10948BOY
EOY19229EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY156202BOY
EOY186660EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8849077LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3842340LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5005007BOY
EOY5006737EOY

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)
BOY55620BOY
EOY78134EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9859059BOY
EOY11099966EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1494481BOY
EOY1151803EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY125000BOY
EOY125000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1619481BOY
EOY1276803EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5974462BOY
EOY6967734EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2265116BOY
EOY2855429EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8239578BOY
EOY9823163EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9859059BOY
EOY11099966EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses1611199ReconcilationRevenueExpenses
Reconcilation Other Changes-27614ReconcilationOtherChanges
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 Years5258463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6268589CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9409513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7544064CurrentTaxYearMinus1Year
Current Tax Year7654573CurrentTaxYear
Total36135202Total

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 Years5258463CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years6268589CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years9409513CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7544064CurrentTaxYearMinus1Year
Current Tax Year7654573CurrentTaxYear
Total36135202Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17036135202PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years14719CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3988CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years795CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44CurrentTaxYearMinus1Year
Current Tax Year68CurrentTaxYear
Total19614Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years111386CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years59992CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years90334CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year105706CurrentTaxYearMinus1Year
Current Tax Year624300CurrentTaxYear
Total991718Total
FieldValueIRS element (for citing)
Total Support37146534TotalSupport
Public Support Pertcentage1700.97280PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98510PublicSupportPertcentPriorYear
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 Basis1693637OtherCostOrOtherBasis
Book Value1693637BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4417210OtherCostOrOtherBasis
Depreciation2237084Depreciation
Book Value2180126BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis149548OtherCostOrOtherBasis
Depreciation127010Depreciation
Book Value22538BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2588682OtherCostOrOtherBasis
Depreciation1478246Depreciation
Book Value1110436BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5006737TotalOfBookValueLandBuildings
Total Revenue16639687TotalRevenue
Total Expenses15028488TotalExpenses
Excess Or Deficit For Year1611199ExcessOrDeficitForYear
Other-$27,614OtherAmount
Total Adjustments-27614TotalAdjustments
Excess Or Deficit Per FS1583585ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt16905132TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities265445DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990265445RevenueNotRptdF990
Revenue Subtotal16639687RevenueSubtotal
Total Revenue Per Form99016639687TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt15293933TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities265445DonatedServicesUseOfFacilities
Expenses Not Rptd F990265445ExpensesNotRptdF990
Expenses Subtotal15028488ExpensesSubtotal
Total Expenses Per Form99015028488TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XPart X : FIN48 FootnoteGAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by SCCHC in its federal and state exempt organization returns are more likely than not to be sustained upon examination. SCCHC's returns for the 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.
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesDiscount for L/T Grants Receivable $ -27614

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Mail SolicitationsXMailSolicitations
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
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 Event1Capital CampaignNameOfEvent1
Gross Receipts Event1128394GrossReceiptsEvent1
Charitable Contributions Event1128394CharitableContributionsEvent1
Name Of Event210th Anniversary GalaNameOfEvent2
Gross Receipts Event296685GrossReceiptsEvent2
Charitable Contributions Event275421CharitableContributionsEvent2
Gross Revenue Event221264GrossRevenueEvent2
Other Direct Expenses Event221264OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events38800GrossReceiptsOtherEvents
Charitable Contrib Other Events30940CharitableContribOtherEvents
Gross Revenue Other Events7860GrossRevenueOtherEvents
Other Direct Expenses Other Events7860OtherDirectExpensesOtherEvents
Gross Receipts Total263879GrossReceiptsTotal
Charitable Contributions Total234755CharitableContributionsTotal
Gross Revenue Total Events29124GrossRevenueTotalEvents
Other Direct Expenses Total Events29124OtherDirectExpensesTotalEvents
Direct Expense Summary Events29124DirectExpenseSummaryEvents

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
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 (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
Rebecca Pinto
1472121462322000183835
R Wayne Yost CPA CFE
171507115292470185740234
Luisa Buada RN MPH
1649685931300019118212621
Justin Wu
1493118216804618653
Jaime Chavarria MD
153806304220001835387428

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99096385NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
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)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VIII, line 1gTotal noncash contributions received by the organization was $361,840. Of this amount, $265,445 represented donated use of facilities and volunteer services; and $96,395 represented donated medical supplies and pharmaceutical drugs. Only the donated medical supplies and pharmaceutical drugs have been reported on line 1g and in Schedule M as per the instructions. The donated use of facilities has been reconciled in Schedule D, Part XI, line 5 and in Parts XII & XIII, line 2b.
Form 990, Box CThe organization operates under two additional "Doing Business As" names:1. Ravenswood Family Health Center at Belle Haven and2. Ravenswood Family Dentistry.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe governing documents, policies and financial statements of SCCHC are made available to the public upon request.Form 990, Part VI, Line 19
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe compensation review for other officers and key employees is subject to a comparative review and is reviewed by the Personnel Committee and subject to approval by the Board of Directors.Form 990, Part VI, Line 15b
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsAll conflicts of interest must be disclosed to the Executive Committee, the Board of Directors or to the members of Committees. A review of the conflict will be conducted and the appropriate action will be taken.All trustees, directors, officers and key employees must complete an annual certification for conflicts of interests.Form 990, Part VI, Line 12c
Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 is reviewed by all members of the Board of Directors. In addition, each board member must sign a verification form stating they reviewed the Form 990 before it was filed.Form 990, Part VI, Line 11