2013-11-14T16:46:54-06:00 2012-12-31 941585562 PISENTI & BRINKER LLP 201 FIRST STREET SUITE 208 PETALUMA CA 94952 990 2012-01-01 680286382 SONOMA VALLEY COMMUNITY HEALTH CENTER SONO 7079396075 430 WEST NAPA STREET SUITE F SONOMA CA 95476 CHERYL JOHNSON 7079396075 2013-11-13 1 RAYMOND POUNDS P00459430 7077629900 2012 2016-02-25 16:41:14Z CHERYL JOHNSON 430 WEST NAPA STREET SUITE F SONOMA CA 95476 3945878 0 X WWW.SVCHC.ORG X 1992 CA PROVIDING HEALTH CARE SERVICES, ESPECIALLY TO THE UNDERSERVED, REGARDLESS OF ABILITY TO PAY. 12 12 59 12 0 0 1370885 1159618 3081867 2785701 2428 -65940 0 0 4455180 3879379 0 0 0 0 2680331 2926475 0 20000 20000 1600379 1575543 4280710 4522018 174470 -642639 2338224 1854534 619886 778835 1718338 1075699 X MISSION - TO PROVIDE ACCESSIBLE QUALITY HEALTH CARE TO THOSE WHO NEED IT, ESPECIALLY THE UNDERSERVED.VISION - TO BE RECOGNIZED AS A LEADER IN PROVIDING PATIENT AND COMMUNITY CENTERED CARE IN COLLABORATION WITH OTHER ORGANIZATIONS. SONOMA VALLEY COMMUNITY HEALTH CENTER IS A CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ORGANIZED TO PROVIDE HIGH QUALITY HEATH CARE ACCESS TO THOSE IN NEED, REGARDLESS OF ABILITY TO PAY, LOCATED IN SONOMA, CALIFORNIA. THE HEALTH CENTER PROVIDES ROUTINE HEALTH ASSESSMENTS, PHYSICAL EXAMINATIONS, TREATMENT AND PREVENTATIVE SERVICES. EXPANDED SERVICES INCLUDE URGENT CARE, SPECIALIZED PROCEDURES, PRE AND POST OPERATIVE CARE AND FOLLOW-UP. THE CENTER ALSO OPERATES A MOBILE MEDICAL VAN WHICH MAKES SITE VISITS TO THE LOCAL SCHOOLS, EXPANDING SERVICES TO CHILDREN IN NEED. 0 0 1932586 2044066 FAMILY PRACTICE SERVICES. THE HEALTH CENTER PROVIDES MEDICAL CARE SERVICES FOR INFANTS THROUGH ADULTS, WITH EXTENDED DAY AND EVENING HOURS AND IS OPEN 6 DAYS PER WEEK. SERVICES INCLUDE ROUTINE EXAMINATIONS, IMMUNIZATIONS, PHYSICALS, URGENT CARE AND DIAGNOSIS, AND TREATMENT OF ACUTE AND CHRONIC ILLNESS. THE HEALTH CENTER ALSO OPERATES A MOBILE MEDICAL CLINIC, A CONFIDENTIAL TEEN CLINIC, AND OTHER ENABLING SERVICES. 312840 314024 COMPREHENSIVE PERINATAL SERVICES: THE HEALTH CENTER PROVIDES PRE- AND POST-NATAL OB SERVICES AND EDUCATION TO PREGNANT WOMEN. NURSE EDUCATORS AND NUTRITIONISTS ARE AVAILABLE FULL TIME TO SUPPORT PATIENTS. 305462 255818 BEHAVIORAL HEALTH SERVICES. THE HEALTH CENTER PROVIDES BEHAVIORAL HEALTH SERVICES UTILIZING A PART TIME PYSCHIATRIST, 2 PART TIME PSYCHOLOGISTS AND 1 PART TIME LICENSED CLINICAL SOCIAL WORKER. THE HEALTH CENTER ALSO HAS A SUBSTANCE ABUSE COUNSELING PROGRAM STAFFED BY PART TIME CERTIFIED SUBSTANCE ABUSE COUNSELORS PROVIDED THROUGH A CONTRACT WITH THE DRUG ABUSE ALTERNATIVE CENTER. 171793 OTHER PROGRAM SERVICES: SHARED SAVINGS $76,143/MD ON CALL $900/ALL OTHER $9,236. 171793 2550888 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 40 0 1 59 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X SUSAN TORRES CFO 7079396075 430 WEST NAPA STREET SUITE F SONOMA CA 95476 TOM ANDERSON 2.00 X 0 0 0 RICHARD GANTENBEIN 2.00 X 0 0 0 JOSE ALVAREZ 2.00 X 0 0 0 PAT HARRISON 2.00 X 0 0 0 MISTY RUSHING 2.00 X 0 0 0 MARC SCHWAGER 2.00 X 0 0 0 PAMELA STEPHENS 2.00 X 0 0 0 NICOLE VILLANUEVA 2.00 X 0 0 0 SUSAN DRAKE 2.00 X 0 0 0 LAURA STOVALL 2.00 X 0 0 0 VICTORIA HALL 2.00 X 0 0 0 LINDA MCTAGGART 2.00 X 0 0 0 CHERYL JOHNSON 40.00 X 92209 0 1388 SUSAN TORRES 40.00 X 84873 0 38683 LINN VEHLING 40.00 X 43882 0 4773 PATRICIA TALBOT 40.00 X 137613 0 12390 MARIANNE CLINTON MD 40.00 X 133963 0 8750 492540 0 65984 2 0 0 0 DR PAUL AMARA PO BOX 475 SONOMA CA 95476 CONTRACTED MEDICAL SERVICES PROVIDER 107160 EZEQUIEL M SANDOVAL 3135 BOEING AVE STE B MCKINLEYVILLE CA 95519 CONSULTANT- EHR 104491 PRIMA MEDICAL GROUP 3 HAMILTON LANDING STE 160 NOVATO CA 94949 CONTRACTED MEDICAL SERVICES PROVIDER 104077 3 840297 319321 1159618 PATIENT SERVICE REVENU 624100 2613908 2613908 OTHER PROGRAM SERVICE 624100 171793 171793 2785701 559 559 66499 -66499 -66499 -66499 3879379 2785701 0 -65940 X 657319 241508 415811 1805516 1207282 598234 14684 8638 6046 244596 143886 100710 204360 120217 84143 30000 30000 20000 20000 589895 316201 273694 15633 4433 11200 94527 21237 73290 100877 100877 279083 150054 129029 5297 1521 3776 21153 6586 14567 103647 28537 75110 41048 31266 9782 MEDICAL SUPPLIES 166363 166363 BAD DEBT 91323 91323 DUES & SUBSCRIPTIONS 36697 11836 24861 4522018 2550888 1951130 20000 670524 283247 590902 479966 62818 55000 210980 202060 8215 11175 100663 77539 1582387 850459 598864 731928 95258 13619 2338224 1854534 619886 778835 619886 778835 X 1634900 966934 83438 108765 1718338 1075699 2338224 1854534 -642639 0 X X 0 1 X 1 1 1 X 1081269 945356 1056265 1370885 1159618 5613393 2616986 2756270 3029021 3081867 2785701 14269845 3698255 3701626 4085286 4452752 3945319 19883238 0 0 0 19883238 31130 11514 6968 2428 559 52599 31130 11514 6968 2428 559 52599 3729385 3713140 4092254 4455180 3945878 19935837 0.99740 0.99540 0.00260 0.00460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 1 0 1 0 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING. ALSO, BOARD MEMBERS AND STAFF HAVE ON OCCASION HAD DIRECT CONTACT WITH LEGISLATORS AND/OR THEIR STAFF. 177833 146958 30875 1337784 703501 634283 66770 66770 731928 3945878 0 3945878 -66499 -66499 3879379 4588517 66499 66499 4522018 0 4522018 PART XI, LINE 4B - OTHER ADJUSTMENTS: LOSS FROM PROPERTY AND EQUIPMENT DISPOSAL -66,499. X X X X X 0 CRISTINE DOHRMANN 531 CHASE STREET SONOMA CA 95476 FUNDRAISING CONSULTANT 0 0 20000 -20000 20000 -20000 X X X 0 0 0 0 0 0 0 0 0 ELIZABETH EMMONS-GOSSELIN FAMILY MEMBER OF ORGANIZATION'S FORMER CEO 10143 EMPLOYEE COMPENSATION 0 FORM 990, PART VI, SECTION B, LINE 11 CEO AND CFO DO AN INITIAL REVIEW OF FORM 990 WITH PREPARER. THIS DRAFT IS THEN MAILED AND/OR SENT ELECTRONICALLY TO ALL BOARD MEMBERS FOR THEIR REVIEW PRIOR TO THE FINAL DRAFT BEING ISSUED. DRAFT IS THEN FINALIZED AND FILED. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY RELATING TO THE BOARD OF DIRECTORS AND OFFICERS IS INCLUDED IN THE BYLAWS OF THE ORGANIZATION. DISCLOSURE OF ANY CONFLICTS IS REQUIRED WHEN A BOARD MEMBER IS ELECTED TO SERVE ON THE BOARD. CEO MAINTAINS CONFLICT OF INTEREST FILE. FORM 990, PART VI, SECTION B, LINE 15A THE ORGANIZATION UTILIZES WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION STUDIES AND SURVEYS AND APPROVAL BY A BOARD OR COMPENSATION COMMITTEE. THE BOARD HAS FINAL AUTHORITY OVER THE HIRING, DISMISSING, AND ANNUAL EVALUATION OF THE CEO. THE CEO EVALUATES THE CFO AND THE MEDICAL DIRECTOR. THE CEO REVIEWS THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) ANNUAL STATE WIDE SALARY SURVEY FOR COMMUNITY HEALTH CENTERS TO SET SALARY RANGES AND WAGES EACH YEAR. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION MAKES ITS FORMS 1023 AND 990 AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. OTHER FEES FORM 990, PART IX, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 316,201. MANAGEMENT AND GENERAL EXPENSES 273,694. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 589,895. REVIEW & SELECTION OF INDEPENDENT ACCOUNTANT FORM 990, PAGE 12, PART XII, LINE 2C THE AUDIT COMMITTEE, UNDER THE GOVERNING BOARD'S SUPERVISION, SHALL BE RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD ON THE HIRING AND TERMINATING OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS (CPAS). THE AUDIT COMMITTEE CAN NEGOTIATE THE INDEPENDENT CPA'S COMPENSATION ON BEHALF OF THE GOVERNING BOARD. THE AUDIT COMMITTE MUST: (1) CONFER WITH THE AUDITOR TO SATISFY COMMITTEE MEMBERS THAT THE FINANCIAL AFFAIRS OF THE NONPROFIT ORGANIZATION ARE IN ORDER; (2) REVIEW THE AUDIT AND DECIDE WHETHER TO ACCEPT IT; AND (3) APPROVE NON-AUDIT SERVICES BY THE INDEPENDENT CPAS ACCOUNTING FIRM, AND ENSURE SUCH SERVICES CONFORM TO APPROPRIATE GOVERNMENT STANDARDS. THERE HAS BEEN NO CHANGE TO THIS PRACTICE DURING THE CURRENT YEAR.