SANTA ROSA COMMUNITY HEALTH CENTERS: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
SANTA ROSA COMMUNITY HEALTH CENTERS (EIN 68-0365296)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-13
IRS object ID
201121339349303677
Schema version
2009v1.7
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)
Timestamp2011-05-13T13:57:36-07:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Patel & Associates CPABusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1266 17th Street Suite 200AddressLine1
CityOaklandCity
StateCAState
ZIP Code946124124ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN680365296EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Southwest Community Health CenterBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSOUTNameControl
Phone7075838839Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95403ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameNaomi R FuchsName
TitleCEOTitle
Date Signed2011-05-13DateSigned
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13569 Round Barn CircleAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code954035781ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18199498GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Organization501cXOrganization501c
Web Sitewww.srhealthcenters.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1996YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionThe Southwest Community Health Center is 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 Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees240TotalNbrEmployees
Total Nbr Volunteers25TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year3883610ContributionsGrantsPriorYear
Contributions Grants Current Year5590322ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10223110ProgramServiceRevenuePriorYear
Program Service Revenue CY12596026ProgramServiceRevenueCY
Investment Income Prior Year35097InvestmentIncomePriorYear
Investment Income Current Year13150InvestmentIncomeCurrentYear
Other Revenue Current Year-8445OtherRevenueCurrentYear
Total Revenue Prior Year14141817TotalRevenuePriorYear
Total Revenue Current Year18191053TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10290151SalariesEtcPriorYear
Salaries Etc Current Year12177043SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY47708TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year47708TotalFundrsngExpCurrentYear
Other Expense Prior Year3677789OtherExpensePriorYear
Other Expenses Current Year4493570OtherExpensesCurrentYear
Total Expenses Prior Year13967940TotalExpensesPriorYear
Total Expenses Current Year16718321TotalExpensesCurrentYear
Revenues Less Expenses Prior Year173877RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1472732RevenuesLessExpensesCY
Total Assets BOY5178222TotalAssetsBOY
Total Assets EOY20786326TotalAssetsEOY
Total Liabilities BOY2108915TotalLiabilitiesBOY
Total Liabilities EOY15808089TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3069307NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4978237NetAssetsOrFundBalancesEOY
Mission DescriptionThe Southwest Community Health Center is 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense12576451Expense
Revenue11681726Revenue
DescriptionMedical Services - The center provides comprehensive health care for the individual and family across all ages, genders, and medical problems. Care is provided in the context of the family and the community emphasizing disease prevention and health promotion. Total number of clients served was 26,013.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense879236Expense
Revenue535607Revenue
DescriptionAdult Day - This is a 6 hour program for frail, elderly or disabled adults. The program includes transportation to and from the center, as well as snacks, activities, and a nutritious lunch. The program is provided to adults with potentially debilitating conditions. The goal of the Adult Day Services is to help those we serve remain independent as long as possible. Total number of clients served is 62.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense617680Expense
Revenue378693Revenue
DescriptionMental Health - Provides psychotherapeutic and psychiatric services for individual patients of all ages, couples, and families. Total number of clients served was 1,692.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp302221TotalOfOtherProgramServiceExp
Total Program Service Expense14375588TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingtrueProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntityfalseRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109686NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees240NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Form990-T FiledfalseForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Form8886 T FiledfalseForm8886TFiled
Non Deductible ContributionsfalseNonDeductibleContributions
Non Deductible DisclosurefalseNonDeductibleDisclosure
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Quid Pro Quo DisclosurefalseQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Number Of8282 Filed0NumberOf8282Filed
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Filed Lieu1041falseFiledLieu1041
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Policies Reference ChaptersfalsePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonHarold BrockmanNamePerson
Telephone Number7075838839TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13569 Round Barn CirlceAddressLine1
CitySanta RosaCity
StateCAState
ZIP Code95403ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
William R Schrader
Treasurer3.00X000
Walter W Mills MD
Board Member3.00X000
Virginia Marcoida
Board Member3.00X000
Suzy Marzelek
Board Member3.00X000
Rory E Gibbens-Flores
Dir-Edu/Outrch40.0060055018323X
Romeo Alejandrino
Dir - Finance40.0091778015692X
Robert Benavides Jr EdD
Board Member3.00X000
Richard Duffin
COO40.0094117021453X
Naomi R Fuchs
CEO40.00168823035614X
Michelle Furan-Sullivan
CFO40.00000X
Melanie Phoenix
Dir - HR40.0069377016850X
Marie Mulligan
Medical Dir.32.00126776015294X
Laura Tinti de Andrade
President3.00X000
Joel Lewis
Staff Physician40.00164683016969X
Georgina Ramirez-Azcarraga
Staff Physician32.00132829022738X
Elizabeth Camino Byers
Secretary3.00X000
Douglas Jimenez
Staff Physician0.123819033603X
David Whalen
Board Member3.00X000
David Strand
Dir - IT40.0068221019396X
David Rosas
Board Member3.00X000
David Anglada-Figueroa
Dir-Ment Hlth40.00103275015293X
Cindy Dickinson
Dir - Clin Svc40.00101617020865X
Blanca Benitez
Vice President3.00X000
Bill Hanson
Board Member3.00X000
Beth Pardo
Board Member3.00X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org1305370TotalReportableCompFromOrg
Total Other Compensation252090TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sutter Medical Group of the Redwoods
3883 Airway Drive Suite 300Santa RosaCA95403Contract Provider186345
Sutter Medical Group
3325 ChanateSanta RosaCA95404Contract Provider309241
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Fundraising Events1714535FundraisingEvents
Government Grants3503958GovernmentGrants
All Other Contributions371829AllOtherContributions
Noncash Contributions36476NoncashContributions
Total Contributions5590322TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionProgram Service FeesDescription
Business Code621110BusinessCode
Total Revenue Column12596026TotalRevenueColumn
Related Or Exempt Function Income12596026RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12596026TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column13150TotalRevenueColumn
Related Or Exempt Function Income13150RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Cntrbtns Rprtd Fundraising Events1714535CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses8445FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-8445TotalRevenueColumn
Related Or Exempt Function Income-8445RelatedOrExemptFunctionIncome

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column18191053TotalRevenueColumn
Related Or Exempt Function Income12600731RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total915888Total
Program Services819493ProgramServices
Management And General96395ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8863118Total
Program Services7930297ProgramServices
Management And General932821ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1678338Total
Program Services1387837ProgramServices
Management And General290501ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total719699Total
Program Services640392ProgramServices
Management And General79307ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total47708Total
Fundraising47708Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1878985Total
Program Services1558431ProgramServices
Management And General320554ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total196840Total
Program Services72829ProgramServices
Management And General124011ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1079656Total
Program Services903006ProgramServices
Management And General176650ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total751962Total
Program Services662720ProgramServices
Management And General89242ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total42230Total
Program Services20371ProgramServices
Management And General21859ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total36395Total
Program Services21985ProgramServices
Management And General14410ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total34392Total
Management And General34392ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total273416Total
Program Services233237ProgramServices
Management And General40179ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total96868Total
Program Services98275ProgramServices
Management And General-1407ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
Miscellaneous Expenses16981698
Licenses & Fees851416438620755
In-Kind Expenses59605960
Board Expenses1002710027

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total0Total

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16718321Total
Program Services14375588ProgramServices
Management And General2295025ManagementAndGeneral
Fundraising47708Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1412203BOY
EOY1738961EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY609573BOY
EOY234277EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY361944BOY
EOY330962EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1886303BOY
EOY1619170EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY210180BOY
EOY64701EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9795275LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1095462LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY573248BOY
EOY8699813EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY124771BOY
EOY8098442EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5178222BOY
EOY20786326EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1107324BOY
EOY1479762EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY4716EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1001591BOY
EOY13825556EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
EOY498055EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2108915BOY
EOY15808089EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2393905BOY
EOY4373056EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY550631BOY
EOY479732EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY124771BOY
EOY125449EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3069307BOY
EOY4978237EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5178222BOY
EOY20786326EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3080275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3112481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2997405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3779666CurrentTaxYearMinus1Year
Current Tax Year5590322CurrentTaxYear
Total18560149Total

Tax Rev Levied For Org Benefit170 TaxRevLeviedForOrgBenefit170

FieldValueIRS element (for citing)
Total0Total

Value Srvc Fclts Furnished By Govt ValueSrvcFcltsFurnishedByGovt

FieldValueIRS element (for citing)
Total0Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3080275CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years3112481CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2997405CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year3779666CurrentTaxYearMinus1Year
Current Tax Year5590322CurrentTaxYear
Total18560149Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total0AmountsSubstContributorsTotal
Public Support Total17018560149PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35537CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years58902CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years50398CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year35097CurrentTaxYearMinus1Year
Current Tax Year13150CurrentTaxYear
Total193084Total

Net UBI NetUBI

FieldValueIRS element (for citing)
Total0Total

Other Income170 OtherIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Total Support18753233TotalSupport
Public Support Pertcentage1700.98970PublicSupportPertcentage170
Public Support Pertcent Prior Year0.98800PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance529132BeginningOfYearBalance
Other Expenditures10834OtherExpenditures
End Of Year Balance518298EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance529132BeginningOfYearBalance
End Of Year Balance529132EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RfalseAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis2250000OtherCostOrOtherBasis
Book Value2250000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5388032OtherCostOrOtherBasis
Book Value5388032BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis941956OtherCostOrOtherBasis
Depreciation345519Depreciation
Book Value596437BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis222573OtherCostOrOtherBasis
Depreciation222573Depreciation

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis992714OtherCostOrOtherBasis
Depreciation527370Depreciation
Book Value465344BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8699813TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Restricted Assets125449
Bond Issuance Costs1457842
Assets limited as to use5566204
Assets held by Trustee948947
FieldValueIRS element (for citing)
Total Book Value Other Assets8098442TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Deferred Rent - Noncurrent Portion$212,500
Deferred Rent - Current Portion$37,500
Accrued Bond Interest$248,055
FieldValueIRS element (for citing)
Total Of Amounts498055TotalOfAmounts
Total Revenue18191053TotalRevenue
Total Expenses16718321TotalExpenses
Excess Or Deficit For Year1472732ExcessOrDeficitForYear
Other$436,198OtherAmount
Total Adjustments436198TotalAdjustments
Excess Or Deficit Per FS1908930ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt18199498TotRevenueEtcAuditedFinclStmt
Other Revenues8445OtherRevenues
Revenue Not Rptd F9908445RevenueNotRptdF990
Revenue Subtotal18191053RevenueSubtotal
Total Revenue Per Form99018191053TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt16726766TotExpensesEtcAuditedFinclStmt
Other Expenses Included8445OtherExpensesIncluded
Expenses Not Rptd F9908445ExpensesNotRptdF990
Expenses Subtotal16718321ExpensesSubtotal
Total Expenses Per Form99016718321TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part XIII, Line 2dPart XIII, Line 2d: Other expenses and losses per audited F/SFundraising Expenses Netted in Part VIII $8445
Part XII, Line 2dPart XII, Line 2d: Other revenue amounts included in F/S but not included on form 990Fundraising Expenses Netted in Part VIII $8445
Part XI, Line 8Part XI, Line 8: Other Changes in Net Assets or Fund BalancesGain on Extinguishment of Debt $436198

Schedule G IRS990ScheduleG

FieldValueIRS element (for citing)
Email SolicitationsXEmailSolicitations
Phone SolicitationsXPhoneSolicitations
In Person SolicitationsXInPersonSolicitations
Solicitation Of Non Govt GrantsXSolicitationOfNonGovtGrants
Special Fundraising EventsXSpecialFundraisingEvents
Agreement Ref FundraisingtrueAgreementRefFundraising
Total Gross Receipts3429070TotalGrossReceipts
Total Retained By Contractors26690TotalRetainedByContractors
Total Net To Organization3402380TotalNetToOrganization
Licensed StatesCALicensedStates

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Capital Fundraising CampaignNameOfEvent1
Gross Receipts Event11714535GrossReceiptsEvent1
Charitable Contributions Event11714535CharitableContributionsEvent1
Food And Beverage Event11402FoodAndBeverageEvent1
Other Direct Expenses Event17043OtherDirectExpensesEvent1
Gross Receipts Total1714535GrossReceiptsTotal
Charitable Contributions Total1714535CharitableContributionsTotal
Food And Beverage Total Events1402FoodAndBeverageTotalEvents
Other Direct Expenses Total Events7043OtherDirectExpensesTotalEvents
Direct Expense Summary Events8445DirectExpenseSummaryEvents
Net Income Summary-8445NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException
Rebuttable Presumption ProcedurefalseRebuttablePresumptionProcedure

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrg
Naomi R Fuchs
1635355288260799535204437
Joel Lewis
1616113072696510004181652
Georgina Ramirez-Azcarraga
13282922315423155567
Douglas Jimenez
11859052292151412089157422

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99030516NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Line 19Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe organization's governing documents, policies and financial statements are made available to the public upon request.
Form 990, Part VI, Line 15bForm 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesPosition descriptions are developed in response to the functional needs of the organization. Educational & technical requirements are then developed in response to the functional criteria. The Human Resource Department uses local, regional and national salary scale data to set pay levels.
Form 990, Part VI, Line 12cForm 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe oganization's compliance officer monitors conflicts on an annual basis.
Form 990, Part VI, Line 11Form 990, Part VI, Line 11: Form 990 Review ProcessThe Form 990 is reviewed by the CEO and the CFO before it is filed with the IRS.
Form 990, Part III, Line 4dForm 990, Part III, Line 4d : Other Program Services DescriptionOTHER PROGRAM SERVICES 4: Outreach & Education - This program provides health education in local schools and at the Santa Rosa Junior College. Total number of clients served was 6,934.

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