SANTA ROSA COMMUNITY HEALTH CENTERS: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA COMMUNITY HEALTH CENTERS (EIN 68-0365296)
Tax period
2012-07-01 to 2013-06-30
Filed
2013-10-22
IRS object ID
201332959349300808
Schema version
2012v2.0
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)
Timestamp2013-10-22T12:45:08-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN202707086EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1TCA Partners LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11111 E Herndon Avenue Suite 211AddressLine1
CityFresnoCity
StateCAState
ZIP Code93720ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

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
TitleChief Financial OfficerTitle
Phone7075838839Phone
Date Signed2013-10-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJeremy WareName
PTINP00642659PTIN
Phone5594317708Phone
Date Prepared2013-10-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95403ZIPCode
FieldValueIRS element (for citing)
Gross Receipts34577642GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
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 Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees376TotalNbrEmployees
Total Nbr Volunteers55TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7681124ContributionsGrantsPriorYear
Contributions Grants Current Year6840093ContributionsGrantsCurrentYear
Program Service Revenue Prior Year22154018ProgramServiceRevenuePriorYear
Program Service Revenue CY22420373ProgramServiceRevenueCY
Investment Income Prior Year3326InvestmentIncomePriorYear
Investment Income Current Year28460InvestmentIncomeCurrentYear
Other Revenue Prior Year1261684OtherRevenuePriorYear
Other Revenue Current Year5288716OtherRevenueCurrentYear
Total Revenue Prior Year31100152TotalRevenuePriorYear
Total Revenue Current Year34577642TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year20753425SalariesEtcPriorYear
Salaries Etc Current Year21969906SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year9201821OtherExpensePriorYear
Other Expenses Current Year9624846OtherExpensesCurrentYear
Total Expenses Prior Year29955246TotalExpensesPriorYear
Total Expenses Current Year31594752TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1144906RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2982890RevenuesLessExpensesCY
Total Assets BOY23590079TotalAssetsBOY
Total Assets EOY26780625TotalAssetsEOY
Total Liabilities BOY15785413TotalLiabilitiesBOY
Total Liabilities EOY15993069TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY7804666NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY10787556NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSanta Rosa Community Health Centers (SRCHC) is a 501(c)3 non-profit Federally Qualified Health Center that provides comprehensive primary care to low-income and uninsured people in Sonoma County.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change1SignificantChange
Expense26305877Expense
Grants0Grants
Revenue35242789Revenue
DescriptionSanta Rosa Community Health Centers (SRCHC) is a 501(c)3 non-profit Federally Qualified Health Center that provides comprehensive primary care to low-income and uninsured people in Sonoma County. We operate eight sites that provided 183,000 medical visits to 40,000 patients in 2012. Our mission is providing excellent, patient-centered, primary health care and health education to underserved people in our community, regardless of their ability to pay. We're dedicated to caring for the whole person with dignity and respect, and committed to the education of health care professionals.Description
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense26305877TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109685NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees376NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
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 (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Bill Schrader
Chairperson30X000
Suzy Marzalek
Vice Chairperson30X000
Don Chigazola
Treasurer30X000
Robert Benavides
Member30X000
Blanca Benitez
Member30X000
Elizabeth Camino Byers
Member30X000
Jim Eimers
Member30X000
Karla Garcia
Member30X000
Dawn Haddock
Member30X000
Walter Mills
Member30X000
Gloria Mora
Member30X000
Ann Onufrak
Member30X000
David Rosas
Member30X000
Laura Tinti
Member30X000
Francisco Trilla
Chief Medical Officer400226557010000X
Naomi Fuchs
Chief Executive Officer400191790016297X
Harold Brockman
Chief Financial Officer40013138002633X
D Kai Nissley
Chief Operations Officer40011770604228X
Douglas Jimenez
Physician Team Lead340209424023461X
Enrique Sanchez-Mendez
Staff Physician390210763021097X
Erin Lunde
Staff Physician340195942017125X
Lisa Ward
Staff Physician35187503012168X
Lyman Greaves
Medical Director320165881023707X
Donna Tully
Physician Assistan41011846400X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1755410TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation130716TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

FieldValueIRS element (for citing)
Name PersonJulie KiserNamePerson

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 ServicesPhysicianDescriptionOfServices
Compensation118860Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events96586FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants6481365GovernmentGrants
All Other Contributions262142AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions6840093TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient Service RevenueDescription
Business Code621400BusinessCode
Total Revenue Column22420373TotalRevenueColumn
Related Or Exempt Function Income22420373RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue22420373TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column28460TotalRevenueColumn
Related Or Exempt Function Income28460RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real67125Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real67125Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column67125TotalRevenueColumn
Related Or Exempt Function Income67125RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events96586CntrbtnsRprtdFundraisingEvents

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMeaningful Use RevenueDescription
Business Code621400BusinessCode
Total Revenue Column2537250TotalRevenueColumn
Related Or Exempt Function Income2537250RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2684341TotalRevenueColumn
Related Or Exempt Function Income2684341RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5221591TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column34577642TotalRevenueColumn
Related Or Exempt Function Income27737549RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total718759Total
Program Services718759ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16824931Total
Program Services14701987ProgramServices
Management And General2122944ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total483802Total
Program Services380691ProgramServices
Management And General103111ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2630616Total
Program Services2109053ProgramServices
Management And General521563ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1311798Total
Program Services1068855ProgramServices
Management And General242943ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total73851Total
Program Services11681ProgramServices
Management And General62170ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total7250Total
Management And General7250ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total121096Total
Management And General121096ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2028992Total
Program Services2028992ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total142067Total
Program Services60003ProgramServices
Management And General82064ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1289652Total
Program Services94599ProgramServices
Management And General1195053ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total800549Total
Program Services590198ProgramServices
Management And General210351ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total88872Total
Program Services57117ProgramServices
Management And General31755ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total105878Total
Program Services53334ProgramServices
Management And General52544ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total699006Total
Program Services638483ProgramServices
Management And General60523ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total946632Total
Program Services833191ProgramServices
Management And General113441ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total112056Total
Program Services31542ProgramServices
Management And General80514ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Supplies14275481340607869410
Equipment rental and maintenance33106232447765850
Postage and Shipping364873011334760

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1413848Total
Program Services1259297ProgramServices
Management And General154551ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total31594752Total
Program Services26305877ProgramServices
Management And General5288875ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2257442BOY
EOY4252554EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY738594BOY
EOY768099EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY859400BOY
EOY1304213EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY4082519BOY
EOY3272685EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY105770BOY
EOY173340EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17192275LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3146401LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY12539216BOY
EOY14045874EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3007138BOY
EOY2963860EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY23590079BOY
EOY26780625EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2052051BOY
EOY2537867EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY145798EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13270000BOY
EOY13020000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY463362BOY
EOY289404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY15785413BOY
EOY15993069EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY16910BOY
EOY16633EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY112813BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY7674943BOY
EOY10770923EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY7804666BOY
EOY10787556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23590079BOY
EOY26780625EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses2982890ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3779666CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5590322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5173354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7681125CurrentTaxYearMinus1Year
Current Tax Year6481365CurrentTaxYear
Total28705832Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3779666CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years5590322CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years5173354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7681125CurrentTaxYearMinus1Year
Current Tax Year6481365CurrentTaxYear
Total28705832Total
FieldValueIRS element (for citing)
Public Support Total17028705832PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35097CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13150CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years22076CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3326CurrentTaxYearMinus1Year
Current Tax Year95585CurrentTaxYear
Total169234Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years82867CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1261683CurrentTaxYearMinus1Year
Total1344550Total
FieldValueIRS element (for citing)
Total Support30219616TotalSupport
Public Support Pertcentage1700.94991PublicSupportPertcentage170
Public Support Pertcent Prior Year0.945PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170
General ExplanationNAGeneralExplanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1500000OtherCostOrOtherBasis
Book Value1500000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis11469050OtherCostOrOtherBasis
Depreciation3146401Depreciation
Book Value8322649BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1646241OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1646241BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis2456001OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value2456001BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis120983OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value120983BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14045874TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionAssets limited as to useDescription
Book Value2963860BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2963860TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionAccrued Bond InterestDescription
Amount$289,404Amount
FieldValueIRS element (for citing)
Total Of Amounts289404TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt35725742TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments0NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities1148100DonatedSrvcAndUseOfFacilities
Recoveries Of Prior Year Grants0RecoveriesOfPriorYearGrants
Other Revenues0OtherRevenues
Revenue Not Rptd F9901148100RevenueNotRptdF990
Revenue Subtotal34577642RevenueSubtotal
Investment Expenses Not Included0InvestmentExpensesNotIncluded
Other Revenues Not Included0OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99034577642TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt32742852TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities1148100DonatedServicesUseOfFacilities
Prior Year Adjustments0PriorYearAdjustments
Losses Reported0LossesReported
Other Expenses Included0OtherExpensesIncluded
Expenses Not Rptd F9901148100ExpensesNotRptdF990
Expenses Subtotal31594752ExpensesSubtotal
Investment Expenses Not Included20InvestmentExpensesNotIncluded2
Other Expenses Not Included0OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99031594752TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L02Identifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationThe Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec 501(a) of the IRC and California Revenue and Taxation Code Sec 23701(d). The Center files a United States federal tax return and a California state tax return and has determined that its major tax jurisdictions are the United States and California. The tax years of 2007 through 2012 remain open and subject to examination by the appropriate government agencies in the United States and California.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Capital CampaignNameOfEvent1
Gross Receipts Event196586GrossReceiptsEvent1
Charitable Contributions Event196586CharitableContributionsEvent1
Gross Revenue Event10GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event10RentFacilityCostsEvent1
Food And Beverage Event10FoodAndBeverageEvent1
Entertainment Event10EntertainmentEvent1
Other Direct Expenses Event10OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total96586GrossReceiptsTotal
Charitable Contributions Total96586CharitableContributionsTotal
Gross Revenue Total Events0GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events0RentFacilityCostsTotalEvents
Food And Beverage Total Events0FoodAndBeverageTotalEvents
Entertainment Total Events0EntertainmentTotalEvents
Other Direct Expenses Total Events0OtherDirectExpensesTotalEvents
Direct Expense Summary Events0DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Francisco Trilla
Chief Medical Officer2365570000010000000246557000
Douglas Jimenez
Physician Team Lead2094240000017000064610232885000
Enrique Sanchez-Mendez
Staff Physician2107630000016500045970231860000
Erin Lunde
Staff Physician195942000001700001250213067000
Naomi Fuchs
Chief Executive Officer191790000007800084970208087000
Lisa Ward
Staff Physician1875030000000121680199671000
Lyman Greaves
Medical Director1658810000022500012070189588000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CA Municipal Finance AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN201563466IssuerEIN
CUSIP Number13048TFC2CUSIPNumber
Date Issued2010-02-01DateIssued
Issue Price13061021IssuePrice
Description Of PurposeBuilding ExpansionDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds12961496TotalProceeds
Amount In Reserve Fund13270000AmountInReserveFund
Capitalized Interest0CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds399525IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures10306166CapitalExpenditures
Other Spent Proceeds0OtherSpentProceeds
Amount Unspent0AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current Refunding1CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Prcntge Prvt Business Use By Others0PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0PercentageOfPrvtBusinessReUBI
Total Private Business Use0TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test0BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop0ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs0NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed1Form8038TFiled
Variable Rate Issue0VariableRateIssue
Hedge Identified In Books And Recds0HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGIC
Gross Proceeds Invested0GrossProceedsInvested
Written Proc To Monitor Reqs1WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Proc To Undertk Corrective Action1ProcToUndertkCorrectiveAction

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P03_S00_L02Form 990, Part III, Line 2We purchased a building to house a Dental Clinic. It is being renovated and will be opening in early 2014.
F990_P03_S00_L03Form 990, Part III, Line 3We ceased providing Adult Day Services.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bThe form 990 is reviewed by the CEO and CFO before it is filed with the IRS.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cThe organization's compliance officer monitors conflicts on an annual basis.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15Position 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 databases containing information on comparable positions to develop and recommend salary scales for these positions. The salary and benefit packages for other officers and key employees are approved by the CEO.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Available upon request.

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