2013-10-22T12:45:08-07:00 2013-06-30 202707086 TCA Partners LLP 1111 E Herndon Avenue Suite 211 Fresno CA 93720 990 2012-07-01 680365296 Santa Rosa Community Health Centers SANT 7075838839 3569 Round Barn Circle Santa Rosa CA 95403 Harold Brockman 7075838839 2013-10-07 1 Jeremy Ware P00642659 5594317708 2013-10-07 2012 2016-02-24 21:20:13Z Naomi Fuchs 3569 Round Barn Circle Santa Rosa CA 95403 34577642 0 X www.srhealthcenters.org X 1996 CA The 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. 14 14 376 55 0 0 7681124 6840093 22154018 22420373 3326 28460 1261684 5288716 31100152 34577642 0 0 0 0 20753425 21969906 0 0 0 9201821 9624846 29955246 31594752 1144906 2982890 23590079 26780625 15785413 15993069 7804666 10787556 X Santa 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. 1 1 26305877 0 35242789 Santa 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. 0 0 0 26305877 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 85 0 1 376 1 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X Harold Brockman 7075838839 3569 Round Barn Circle Santa Rosa CA 95403 Bill Schrader 3 0 X 0 0 0 Suzy Marzalek 3 0 X 0 0 0 Don Chigazola 3 0 X 0 0 0 Robert Benavides 3 0 X 0 0 0 Blanca Benitez 3 0 X 0 0 0 Elizabeth Camino Byers 3 0 X 0 0 0 Jim Eimers 3 0 X 0 0 0 Karla Garcia 3 0 X 0 0 0 Dawn Haddock 3 0 X 0 0 0 Walter Mills 3 0 X 0 0 0 Gloria Mora 3 0 X 0 0 0 Ann Onufrak 3 0 X 0 0 0 David Rosas 3 0 X 0 0 0 Laura Tinti 3 0 X 0 0 0 Francisco Trilla 40 0 X 226557 0 10000 Naomi Fuchs 40 0 X 191790 0 16297 Harold Brockman 40 0 X 131380 0 2633 D Kai Nissley 40 0 X 117706 0 4228 Douglas Jimenez 34 0 X 209424 0 23461 Enrique Sanchez-Mendez 39 0 X 210763 0 21097 Erin Lunde 34 0 X 195942 0 17125 Lisa Ward 35 X 187503 0 12168 Lyman Greaves 32 0 X 165881 0 23707 Donna Tully 41 0 X 118464 0 0 1755410 0 130716 32 1 1 0 Julie Kiser 610 Charles Street Santa Rosa CA 95404 Physician 118860 1 0 0 96586 0 6481365 262142 0 6840093 Net Patient Service Revenue 621400 22420373 22420373 0 0 0 0 0 0 22420373 28460 28460 0 0 0 0 0 0 0 0 0 0 67125 0 0 0 67125 0 67125 67125 0 0 0 0 96586 Meaningful Use Revenue 621400 2537250 2537250 0 0 2684341 2684341 0 0 5221591 34577642 27737549 0 0 718759 718759 16824931 14701987 2122944 483802 380691 103111 2630616 2109053 521563 1311798 1068855 242943 73851 11681 62170 7250 7250 121096 121096 2028992 2028992 142067 60003 82064 1289652 94599 1195053 800549 590198 210351 88872 57117 31755 105878 53334 52544 699006 638483 60523 946632 833191 113441 112056 31542 80514 Supplies 1427548 1340607 86941 0 Equipment rental and maintenance 331062 324477 6585 0 Postage and Shipping 36487 3011 33476 0 1413848 1259297 154551 31594752 26305877 5288875 0 2257442 4252554 738594 768099 859400 1304213 4082519 3272685 105770 173340 17192275 3146401 12539216 14045874 3007138 2963860 23590079 26780625 2052051 2537867 145798 13270000 13020000 463362 289404 15785413 15993069 X 16910 16633 112813 0 7674943 10770923 7804666 10787556 23590079 26780625 2982890 X 0 1 X 1 1 1 X 3779666 5590322 5173354 7681125 6481365 28705832 3779666 5590322 5173354 7681125 6481365 28705832 28705832 35097 13150 22076 3326 95585 169234 82867 1261683 1344550 30219616 0.94991 0.945 X NA 0 1500000 1500000 0 11469050 3146401 8322649 0 1646241 0 1646241 0 2456001 0 2456001 0 120983 0 120983 14045874 Assets limited as to use 2963860 2963860 0 Accrued Bond Interest 289404 289404 X 35725742 0 1148100 0 0 1148100 34577642 0 0 0 34577642 32742852 1148100 0 0 0 1148100 31594752 0 0 0 31594752 SchD_P10_S00_L02 Schedule D, Part X, Line 2 The 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. Capital Campaign 96586 96586 0 0 0 0 0 0 0 0 0 96586 96586 0 0 0 0 0 0 0 0 0 X X 0 0 0 0 0 0 0 0 0 Francisco Trilla 236557 0 0 0 0 0 10000 0 0 0 246557 0 0 0 Douglas Jimenez 209424 0 0 0 0 0 17000 0 6461 0 232885 0 0 0 Enrique Sanchez-Mendez 210763 0 0 0 0 0 16500 0 4597 0 231860 0 0 0 Erin Lunde 195942 0 0 0 0 0 17000 0 125 0 213067 0 0 0 Naomi Fuchs 191790 0 0 0 0 0 7800 0 8497 0 208087 0 0 0 Lisa Ward 187503 0 0 0 0 0 0 0 12168 0 199671 0 0 0 Lyman Greaves 165881 0 0 0 0 0 22500 0 1207 0 189588 0 0 0 A CA Municipal Finance Authority 201563466 13048TFC2 2010-02-01 13061021 Building Expansion 0 0 0 A 0 0 12961496 13270000 0 0 399525 0 0 10306166 0 0 2011 1 0 1 1 A 0 0 0 0 0 0 0 0 0 0 A 1 0 0 0 0 1 A 1 F990_P03_S00_L02 Form 990, Part III, Line 2 We purchased a building to house a Dental Clinic. It is being renovated and will be opening in early 2014. F990_P03_S00_L03 Form 990, Part III, Line 3 We ceased providing Adult Day Services. F990_P06_S0B_L11b Form 990, Part VI, Section B, Line 11b The form 990 is reviewed by the CEO and CFO before it is filed with the IRS. F990_P06_S0B_L12c Form 990, Part VI, Section B, Line 12c The organization's compliance officer monitors conflicts on an annual basis. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 Position 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_L19 Form 990, Part VI, Section C, Line 19 Available upon request.