SAN BENITO HEALTH FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- SAN BENITO HEALTH FOUNDATION (EIN 94-2299959)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2012-12-05
- IRS object ID
- 201203409349300430
- Schema version
- 2011v1.3
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-12-05T17:28:49-06:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1 |
| City | SPRINGFIELD | City |
| State | MO | State |
| ZIP Code | 658062523 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942299959 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SAN BENITO HEALTH FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % ROSA VIVIAN FERNANDEZ | InCareOfName |
| Name Control | SANB | NameControl |
| Phone | 8316375306 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 FELICE DR | AddressLine1 |
| City | HOLLISTER | City |
| State | CA | State |
| ZIP Code | 95023 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | ROSA VIVIAN FERNANDEZ | Name |
| Title | PRESIDENT & CEO | Title |
| Date Signed | 2012-11-29 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Brian D Todd | Name |
| Phone | 4178658701 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | ROSA VIVIAN FERNANDEZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 FELICE DRIVE | AddressLine1 |
| City | HOLLISTER | City |
| State | CA | State |
| ZIP Code | 950233361 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4316789 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVISION OF PRIMARY MEDICAL, DENTAL, ANCILLARY, AND WOMEN, INFANT AND CHILDREN (WIC) SERVICES. SEE SCHEDULE O FOR MORE INFORMATION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 9 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 9 | NbrIndependentVotingMembers |
| Total Nbr Employees | 51 | TotalNbrEmployees |
| Total Nbr Volunteers | 9 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2272256 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2055650 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2683634 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2254555 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8738 | InvestmentIncomePriorYear |
| Investment Income Current Year | 6584 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4964628 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4316789 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2219398 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2093451 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2792457 | OtherExpensePriorYear |
| Other Expenses Current Year | 2071705 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 5011855 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4165156 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -47227 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 151633 | RevenuesLessExpensesCY |
| Total Assets BOY | 4337619 | TotalAssetsBOY |
| Total Assets EOY | 4298457 | TotalAssetsEOY |
| Total Liabilities BOY | 1221088 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1053462 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 3116531 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 3244995 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE QUALITY, AFFORDABLE COMPREHENSIVE HEALTH SERVICES TO THE COMMUNITY OF SAN BENITO COUNTY AND SURROUNDING AREAS IN A MANNER THAT IS ACCOUNTABLE TO THE COMMUNITY WHILE BEING RESPECTFUL, EMPATHETIC, AND CULTURALLY-SENSITIVE TO OUR CLIENTS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 1805105 | Expense |
| Revenue | 1538362 | Revenue |
| Description | TO PROVIDE QUALITY AND AFFORDABLE HEALTHCARE TO QUALIFYING FAMILIES OF HOLLISTER, CALIFORNIA, AND THE SURROUNDING AREA. FOR THE YEAR ENDED JUNE 30, 2012, 17,413 MEDICAL VISITS WERE PROVIDED, WITH MEDICAL SERVICES FUNCTIONING AS THE LARGEST PROGRAM SERVICE AREA. MEDICAL SERVICES INCLUDE PREVENTATIVE MEDICINE, INTERNAL MEDICINE, OBSTETRICS & GYNECOLOGY, FAMILY PLANNING, PEDIATRICS, IMMUNIZATION & HEALTH SCREENING SERVICES, NUTRITION COUNSELING, AND HIV/AIDS TESTING & COUNSELING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 623530 | Expense |
| Revenue | 716193 | Revenue |
| Description | DENTAL SERVICES FOR CHILDREN AND ADULTS ARE OFFERED AT SAN BENITO HEALTH FOUNDATION, AND FOR THE YEAR ENDED JUNE 30, 2012, 10,533 VISITS WERE PROVIDED. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 609283 | Expense |
| Description | WOMEN, INFANT AND CHILDREN (WIC) SERVICES IS A SIGNIFICANT PROGRAM AREA FOR THE ORGANIZATION. FOR THE YEAR ENDED JUNE 30, 2012, A MONTHLY CASE LOAD OF 2,390 AND ANNUAL SERVICE POPULATION OF 29,163 CASE LOADS WERE MAINTAINED. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 3037918 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 13 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 51 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 9 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 9 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | ROSA VIVIAN FERNANDEZ | NamePerson |
| Telephone Number | 8316375783 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 351 FELICE DRIVE | AddressLine1 |
| City | HOLLISTER | City |
| State | CA | State |
| ZIP Code | 95023 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (13 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| VICTORIA VASQUEZ | ||||||||
| BOARD CHAIR THROUGH 03/12 | 1.0 | X | X | 0 | 0 | 0 | ||
| ISABEL FLETES | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| MONICA MARSHALL | ||||||||
| VICE CHAIR BEG. 04/12 | 1.0 | X | X | 0 | 0 | 0 | ||
| VICKY MONTOYA | ||||||||
| CHAIR BEG. 04/12 | 1.0 | X | X | 0 | 0 | 0 | ||
| JIM GIBSON | ||||||||
| BOARD TREASURER | 1.0 | X | X | 0 | 0 | 0 | ||
| NATALIE VELAZQUEZ | ||||||||
| BOARD MEMBER | 1.0 | X | 0 | 0 | 0 | |||
| ESPERANZA GARCIA WALTERS | ||||||||
| BOARD MEMBER BEG. 09/11 | 1.0 | X | 0 | 0 | 0 | |||
| BONITA VILLALOBOS-RIVERA | ||||||||
| BOARD SECRETARY BEG. 04/12 | 1.0 | X | X | 0 | 0 | 0 | ||
| GREGORY RIVERA | ||||||||
| BOARD MEMBER BEG. 09/11 | 1.0 | X | 0 | 0 | 0 | |||
| LINDA SMITH | ||||||||
| BOARD MEMBER BEG. 06/12 | 1.0 | X | 0 | 0 | 0 | |||
| ROSA VIVIAN FERNANDEZ | ||||||||
| PRESIDENT & CEO | 40.0 | X | 181391 | 0 | 14226 | |||
| JUMNAH THANAPATHY | ||||||||
| CHIEF MED OFFICER THRU 10/11 | 24.0 | 269825 | 0 | 31778 | X | |||
| ROSEMARIE SANDOVAL | ||||||||
| CHIEF MED OFFICER BEG. 11/11 | 40.0 | 100430 | 26494 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 551646 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 72498 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|
| BKD LLP | |
| CONSULTING/TAX | 250389 |
| GODOFREDO TORRES | |
| PHYSICIAN | 117780 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Government Grants | 1952007 | GovernmentGrants |
| All Other Contributions | 103643 | AllOtherContributions |
| Noncash Contributions | 251047 | NoncashContributions |
| Total Contributions | 2055650 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | 2089202 | 2089202 |
| OTHER INCOME | 624100 | 165353 | 165353 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2254555 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6584 | TotalRevenueColumn |
| Exclusion | $6,584 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4316789 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2254555 | RelatedOrExemptFunctionIncome |
| Exclusion | $6,584 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 497220 | Total |
| Program Services | 301603 | ProgramServices |
| Management And General | 195617 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1262608 | Total |
| Program Services | 1144490 | ProgramServices |
| Management And General | 118118 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17899 | Total |
| Program Services | 14482 | ProgramServices |
| Management And General | 3417 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 182236 | Total |
| Program Services | 154912 | ProgramServices |
| Management And General | 27324 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133488 | Total |
| Program Services | 107557 | ProgramServices |
| Management And General | 25931 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8215 | Total |
| Management And General | 8215 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 238228 | Total |
| Management And General | 238228 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 387815 | Total |
| Program Services | 337832 | ProgramServices |
| Management And General | 49983 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35204 | Total |
| Program Services | 25260 | ProgramServices |
| Management And General | 9944 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 181320 | Total |
| Program Services | 85378 | ProgramServices |
| Management And General | 95942 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104864 | Total |
| Program Services | 27890 | ProgramServices |
| Management And General | 76974 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 135344 | Total |
| Program Services | 55065 | ProgramServices |
| Management And General | 80279 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87504 | Total |
| Program Services | 31079 | ProgramServices |
| Management And General | 56425 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54892 | Total |
| Program Services | 36227 | ProgramServices |
| Management And General | 18665 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 264570 | Total |
| Program Services | 222600 | ProgramServices |
| Management And General | 41970 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 52694 | Total |
| Program Services | 4242 | ProgramServices |
| Management And General | 48452 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 2475 | 2475 | |
| LICENSES, DUES & SUBSCRIPTIONS | 18633 | 9684 | 8949 |
| RECRUITING | 12381 | 7997 | 4384 |
| MEDICAL SUPPLIES & DRUGS | 430342 | 430342 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57224 | Total |
| Program Services | 38803 | ProgramServices |
| Management And General | 18421 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4165156 | Total |
| Program Services | 3037918 | ProgramServices |
| Management And General | 1127238 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 800 | BOY |
| EOY | 800 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 740023 | BOY |
| EOY | 456947 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 469235 | BOY |
| EOY | 378253 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 161756 | BOY |
| EOY | 351643 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 111856 | BOY |
| EOY | 137232 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 56976 | BOY |
| EOY | 48829 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4847389 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1922636 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2796973 | BOY |
| EOY | 2924753 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4337619 | BOY |
| EOY | 4298457 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 285461 | BOY |
| EOY | 184775 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 935627 | BOY |
| EOY | 868687 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1221088 | BOY |
| EOY | 1053462 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3116531 | BOY |
| EOY | 3244995 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3116531 | BOY |
| EOY | 3244995 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4337619 | BOY |
| EOY | 4298457 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 151633 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -23169 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1848006 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1868579 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2573178 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2272256 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2055650 | CurrentTaxYear |
| Total | 10617669 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1848006 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1868579 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2573178 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2272256 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2055650 | CurrentTaxYear |
| Total | 10617669 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 10617669 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 19848 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 18014 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 10779 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8738 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6584 | CurrentTaxYear |
| Total | 63963 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 20 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 40482 | CurrentTaxYearMinus3Years |
| Total | 40502 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 10722134 | TotalSupport |
| Gross Receipts From Admissions Etc | 12056252 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.99026 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98790 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | OTHER ACTIVITIES | Identifier |
| Return Reference | SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | THE ORGANIZATION PAYS ANNUAL DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION, CALIFORNIA WIC ASSOCIATION, AND NATIONAL WIC ASSOCIATION; A PORTION OF DUES MAY BE ATTRIBUTABLE TO LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 491887 | OtherCostOrOtherBasis |
| Book Value | 491887 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2327196 | OtherCostOrOtherBasis |
| Depreciation | 1016428 | Depreciation |
| Book Value | 1310768 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 749217 | OtherCostOrOtherBasis |
| Depreciation | 165958 | Depreciation |
| Book Value | 583259 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1123167 | OtherCostOrOtherBasis |
| Depreciation | 740250 | Depreciation |
| Book Value | 382917 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 155922 | OtherCostOrOtherBasis |
| Book Value | 155922 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2924753 | TotalOfBookValueLandBuildings |
| Total Revenue | 4316789 | TotalRevenue |
| Total Expenses | 4165156 | TotalExpenses |
| Excess Or Deficit For Year | 151633 | ExcessOrDeficitForYear |
| Other | -$23,169 | OtherAmount |
| Total Adjustments | -23169 | TotalAdjustments |
| Excess Or Deficit Per FS | 128464 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 4293620 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -23169 | OtherRevenues |
| Revenue Not Rptd F990 | -23169 | RevenueNotRptdF990 |
| Revenue Subtotal | 4316789 | RevenueSubtotal |
| Total Revenue Per Form990 | 4316789 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4165156 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 4165156 | ExpensesSubtotal |
| Total Expenses Per Form990 | 4165156 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| UNCERTAIN TAX POSITIONS | SCHEDULE D, PART X, LINE 2 | THE CENTER ADOPTED ACCOUNTING GUIDANCE RELATED TO THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES ON JULY 1, 2009. THE CENTER FILES A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAXES). WHEN THE RETURN IS FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH CENTERS INCLUDE SUCH MATTERS AS THE FOLLOWING: TAX-EXEMPT STATUS OF THE ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS ISSUED BY THE ORGANIZATION, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBIT). UBIT IS REPORTED ON INTERNAL REVENUE SERVICE FORM 990-T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON AVAILABLE EVIDENCE, MANAGEMENT BELIEVES IT IS MORE LIKELY THAN NOT THE TAX POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH THE TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE BALANCE SHEET ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. AT JUNE 30, 2010, THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES. |
| OTHER RECONCILING CHANGE IN NET ASSETS | SCHEDULE D, PART XI, LINE 8 | LOSS ON PRIOR YEAR GRANT $(23,169) |
| OTHER REVENUE INCLUDED IN LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12 | SCHEDULE D, PART XII, LINE 2D | LOSS ON PRIOR YEAR GRANT $(23,169) |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROSA VIVIAN FERNANDEZ | |||||||||||||
| 157791 | 0 | 15801 | 0 | 7799 | 0 | 4712 | 0 | 9514 | 0 | 195617 | 0 | 0 | 0 |
| JUMNAH THANAPATHY | |||||||||||||
| 269774 | 0 | 51 | 0 | 0 | 0 | 0 | 0 | 31778 | 0 | 301603 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON-FIXED PAYMENTS | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 7 | ReturnReference |
| Explanation | THE ORGANIZATION'S PRESIDENT & CEO IS ELIGIBLE TO RECEIVE INCENTIVE COMPENSATION BASED ON NEW GRANT DOLLARS SECURED ON BEHALF OF SBHF. THE BONUSES PAID TO THE ORGANIZATION'S CHIEF MEDICAL OFFICERS DURING THE YEAR WERE PAID AT THE DISCRETION OF THE BOARD OF DIRECTORS. | Explanation |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArt | |
| Art Historical Treasures | ArtHistoricalTreasures | |
| Art Fractional Interest | ArtFractionalInterest | |
| Books And Publications | BooksAndPublications | |
| Clothing And Household Goods | ClothingAndHouseholdGoods | |
| Cars And Other Vehicles | CarsAndOtherVehicles | |
| Boats And Planes | BoatsAndPlanes | |
| Intellectual Property | IntellectualProperty | |
| Securities Publicly Traded | SecuritiesPubliclyTraded | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStock | |
| Securities Prtnrshp Trust Intrsts | SecuritiesPrtnrshpTrustIntrsts | |
| Securities Miscellaneous | SecuritiesMiscellaneous | |
| Qualified Contrib Hist Struct | QualifiedContribHistStruct | |
| Qualified Contrib Other | QualifiedContribOther | |
| Real Estate Residential | RealEstateResidential | |
| Real Estate Commercial | RealEstateCommercial | |
| Real Estate Other | RealEstateOther | |
| Collectibles | Collectibles | |
| Food Inventory | FoodInventory |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 2 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 251047 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | Taxidermy | |
| Historical Artifacts | HistoricalArtifacts | |
| Scientific Specimens | ScientificSpecimens | |
| Archaeological Artifacts | ArchaeologicalArtifacts | |
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | NON-CASH CONTRIBUTIONS | Identifier |
| Return Reference | SCHEDULE M, PART I, LINE 20 | ReturnReference |
| Explanation | THE NUMBER OF CONTRIBUTIONS WAS DETERMINED BY THE NUMBER OF CONTRIBUTORS. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART I, LINE 1 | THE MISSION OF SAN BENITO HEALTH FOUNDATION IS TO PROVIDE QUALITY, AFFORDABLE COMPREHENSIVE HEALTH SERVICES TO THE COMMUNITY OF SAN BENITO COUNTY AND SURROUNDING AREAS IN A MANNER THAT IS ACCOUNTABLE TO THE COMMUNITY WHILE BEING RESPECTFUL, EMPATHETIC, AND CULTURALLY-SENSITIVE TO OUR CLIENTS. THE VISION OF SAN BENITO HEALTH FOUNDATION IS FOR A SAFE AND HEALTHY SAN BENITO COUNTY WHERE HEALTH DISPARITIES DO NOT EXIST, PEOPLE HAVE ACCESS TO CARE, AND HAVE THE KNOWLEDGE AND SKILLS TO MAKE HEALTHY CHOICES. THE SAN BENITO HEALTH FOUNDATION IS A LEADER AMONG ALLIANCES AND PARTNERSHIPS THAT FOSTER A CLIMATE OF THOUGHTFUL CHANGE AND CREATE SOLUTIONS FOR MAINTAINING OUR COMMUNITY SAFE AND HEALTHY. THE VALUES OF SAN BENITO HEALTH FOUNDATION ARE AS FOLLOWS: TEAM WORK - WE SUPPORT ONE ANOTHER AND WORK TOGETHER, VALUING THE WORTH THAT PEOPLE, AS INDIVIDUALS, BRING TO THE ORGANIZATION. INTEGRITY - WE WILL DEMONSTRATE HONEST, POSITIVE, ETHICAL BEHAVIOR IN DEALING WITH OUR PATIENTS, PHYSICIANS, EMPLOYEES, AND COMMUNITY. COMPASSION - WE BELIEVE THAT EACH PERSON IS UNIQUE AND TREAT EVERYONE WITH RESPECT. WE SHOW SYMPATHY AND CONCERN FOR THOSE IN DISTRESS, RESPONDING KINDLY AND SENSITIVELY. COMMUNITY - WE VALUE OUR COMMUNITY'S WELL-BEING AND WILL CONTRIBUTE TO OUR COMMUNITY'S PROGRESS. QUALITY SERVICES - WE TAKE PRIDE IN OUR WORK AND DEVELOP OUR TALENTS, SKILLS AND ABILITIES IN ORDER TO BENEFIT THE PATIENT AND CONTRIBUTE TO THE OVERALL ENVIRONMENT OF OUR WORKPLACE. FINANCIAL RESPONSIBILITY - AS A COMMUNITY RESOURCE, WE UNDERSTAND THAT WE ARE ACCOUNTABLE TO OUR COMMUNITY AND WE ARE RESPONSIBLE FOR CONTROLLING COSTS AND PROTECTING OUR FINANCIAL VIABILITY. INNOVATION - WE DEVELOP NEW SERVICES AND WAYS TO PROVIDE THOSE SERVICES IN ORDER TO MEET OUR COMMUNITY'S NEEDS. WE WELCOME NEW INSIGHTS, NEW TECHNIQUES AND NEW IDEAS, FOSTERING A CLIMATE OF THOUGHTFUL CHANGE. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, A TENTATIVE DRAFT IS REVIEWED BY THE PRESIDENT AND CEO AND THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ONCE ANY UPDATES ARE MADE, A FINAL DRAFT WILL BE PROVIDED TO THE BOARD OF DIRECTORS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C | ALL STAFF AND BOARD OF DIRECTORS ARE REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST STATEMENT OF DISCLOSURE WHICH IS KEPT IN PERSONNEL AND BOARD VOLUNTEER FILE. POLICY ALSO INCLUDES THE DISCLOSURE OF CONFLICTS OF INTEREST AS THEY ARISE. |
| COMPENSATION REVIEW | FORM 990, PART VI, SECTION B, LINES 15A & B | AN INDEPENDENT CONSULTING AGENCY, MANAGEMENT RESOURCE CENTER, INC, CONDUCTS ANNUAL SALARY SURVEY AND PREPARES THE COMPENSATION SCALE AS APPROPRIATE. MRC UTILIZED A SYSTEMATIC APPROACH TO EMPLOYEE COMPENSATION THAT INVOLVES THE USE OF POINT FACTOR JOB EVALUATION TO ASSIGN JOBS TO PAY GRADES, AND SURVEYS OF THE LABOR MARKET TO ENSURE THAT PAY IS COMPETITIVE, AND A METHODOLOGY FOR ASSESSING INDIVIDUAL PAY LEVELS. ON A BI-ANNUAL BASIS, SAN BENITO HEALTH FOUNDATION (SBHF) RETAINS MRC TO REVIEW THE COMPETITIVE LABOR MARKET AND DEVELOP PAY RANGES FOR THE UPCOMING YEAR. MRC RECOMMENDS THE ADOPTION OF THE NEW RANGES TO THE BOARD OF DIRECTORS WHO REVIEW THE INFORMATION PROVIDED, AND CONSIDERATION OF ADJUSTMENTS TO CURRENT COMPENSATION, WHERE APPROPRIATE, TO ENSURE THAT ALL EMPLOYEES ARE PAID ACCORDING TO THEIR CONTRIBUTION TO THE ORGANIZATION. THE BOARD ADOPTS CHANGES TO THE COMPENSATION SCALE BASED ON MRC INPUT. THIS PROCEDURE WAS LAST PERFORMED IN JUNE 2012. THE BOARD ALSO REVIEWS THE PERFORMANCE OF THE CHIEF EXECUTIVE OFFICER AND MAKES SALARY DETERMINATIONS BASED ON THE ABOVE MENTIONED METHODOLOGY. OTHER BENEFITS ARE IN LINE WITH WHAT IS OFFERED TO ALL EMPLOYEES OF THE ORGANIZATION. THE CEO'S COMPENSATION WAS REVIEWED, USING THIS PROCEDURE, IN JULY 2012. THE CEO EVALUATES KEY MANAGEMENT STAFF ON A BI-ANNUAL BASIS AND MAKES COMPENSATION DETERMINATIONS BASED ON THE ABOVE MENTIONED METHODOLOGY AS APPROVED BY THE BOARD OF DIRECTORS. |
| DOCUMENT DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS ARE MADE AVAILABLE AND UPON REQUESTS WHILE KEEPING WITHIN LIMITS OF HIPPA GUIDELINES FOR PROTECTED INFORMATION. ALL DOCUMENTS ARE AVAILABLE ON AN ANNUAL BASIS WITHOUT RESTRICTION TO THE INDEPENDENT AUDITOR. |
| ACCOUNTING AND CONSULTING SERVICES | FORM 990, PART IX, LINE 11C | CERTAIN DUTIES TRADITIONALLY PERFORMED BY THE FINANCE DEPARTMENT WERE PERFORMED BY AN ACCOUNTING FIRM WITH EXPERTISE IN THE FIELD. DUTIES PERFORMED INCLUDED ASSISTING WITH FINANCIAL ESTIMATES, ASSISTING THE CEO WITH THE BUDGET PROCESS, AND AIDING THE CEO ON FINANCIAL STATEMENT PRESENTATION. FINAL DECISION MAKING RESIDED SOLELY WITH THE CEO IN ALL CIRCUMSTANCES. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 5 | LOSS ON PRIOR YEAR GRANT $(23,169) |