SONOMA VALLEY COMMUNITY HEALTH CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: SONOMA VALLEY COMMUNITY HEALTH CENTER (EIN 68-0286382)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201123149349302427
Schema version: 2010v3.4
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-10T15:21:40-06:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PISENTI & BRINKER LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 FIRST STREET SUITE 208	AddressLine1
City	PETALUMA	City
State	CA	State
ZIP Code	94952	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	680286382	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	SONOMA VALLEY COMMUNITY HEALTH CENTER	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	SONO	NameControl
Phone	7079396075	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	430 WEST NAPA STREET SUITE F	AddressLine1
City	SONOMA	City
State	CA	State
ZIP Code	95476	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	PATRICIA TALBOT	Name
Title	CEO	Title
Phone	7079396075	Phone
Date Signed	2011-11-07	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	RAYMOND POUNDS	Name
Phone	7077629900	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	PATRICIA TALBOT	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	430 WEST NAPA STREET SUITE F	AddressLine1
City	SONOMA	City
State	CA	State
ZIP Code	95476	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	4092254	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.SVCHC.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1992	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	To provide accessible, quality health care to those who need it, especially the underserved.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	11	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	11	NbrIndependentVotingMembers
Total Nbr Employees	52	TotalNbrEmployees
Total Nbr Volunteers	11	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	945356	ContributionsGrantsPriorYear
Contributions Grants Current Year	1056265	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	2756270	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3029021	ProgramServiceRevenueCY
Investment Income Prior Year	11514	InvestmentIncomePriorYear
Investment Income Current Year	6968	InvestmentIncomeCurrentYear
Other Revenue Prior Year	97	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3713237	TotalRevenuePriorYear
Total Revenue Current Year	4092254	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	4736	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	2447095	SalariesEtcPriorYear
Salaries Etc Current Year	2536239	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	1404817	OtherExpensePriorYear
Other Expenses Current Year	1476631	OtherExpensesCurrentYear
Total Expenses Prior Year	3856648	TotalExpensesPriorYear
Total Expenses Current Year	4012870	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-143411	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	79384	RevenuesLessExpensesCY
Total Assets BOY	1773646	TotalAssetsBOY
Total Assets EOY	2039359	TotalAssetsEOY
Total Liabilities BOY	309162	TotalLiabilitiesBOY
Total Liabilities EOY	495491	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1464484	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1543868	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2035799	Expense
Revenue	2112825	Revenue
Description	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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	349356	Expense
Revenue	536408	Revenue
Description	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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	291867	Expense
Revenue	195690	Revenue
Description	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.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Revenue	184098	Revenue
Description	OTHER PROGRAM SERVICES: Shared savings $137161/MD On Call $26,850/All other $20,087	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Rev	184098	TotalOfOtherProgramServiceRev
Total Program Service Expense	2677022	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	0	ReportOtherLiabilities
Report Fin48 Footnote	0	ReportFin48Footnote
Independent Audit Financial Stmt	1	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	0	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	0	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	0	RelatedEntity
Related Org Controlled Entity	0	RelatedOrgControlledEntity
Transaction Related Entity	0	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	40	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	52	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	0	UnrelatedBusinessIncome
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	11	NbrVotingGoverningBodyMembers
Number Independent Voting Members	11	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	0	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	SUSAN TORRES CFO	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	7079396075	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	430 WEST NAPA STREET SUITE F	AddressLine1
City	SONOMA	City
State	CA	State
ZIP Code	95476	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
TOM ANDERSON
DIRECTOR/MEMBER	2.00	X	0	0	0
DIANE BYRD
DIRECTOR/MEMBER	2.00	X	0	0	0
RICHARD GANTENBEIN
DIRECTOR/MEMBER	2.00	X	0	0	0
GUILLERMO GOZALEZ
DIRECTOR/MEMBER	2.00	X	0	0	0
VICTORIA HALL
DIRECTOR/MEMBER	2.00	X	0	0	0
LINDA MCTAGGART
DIRECTOR/MEMBER	2.00	X	0	0	0
LINN VEHLING
DIRECTOR/MEMBER	2.00	X	0	0	0
SUSAN DRAKE
CHAIR	2.00		0	0	0	X
LAURA STOVALL
VICE CHAIR	2.00		0	0	0	X
SHARI GLAGO
SECRETARY	2.00		0	0	0	X
SANDRA EVERETT
TREASURER	2.00		0	0	0	X
PATRICIA TALBOT
CEO	40.00		128410	0	13490	X
SUSAN TORRES
CFO	40.00		79079	0	29729	X
JEROME SMITH MD
MEDICAL DIRECTOR	40.00		167199	0	10448		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	374688	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	53667	TotalOtherCompensation
Number Individuals GT100 K	2	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Field	Value	IRS element (for citing)
Name Person	DR PAUL AMARA	NamePerson

Address Of Contractor AddressOfContractor

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	PO BOX 475	AddressLine1
City	SONOMA	City
State	CA	State
ZIP Code	95476	ZIPCode

Field	Value	IRS element (for citing)
Description Of Services	CONTRACTED MEDICAL SERVICES PROVIDER	DescriptionOfServices
Compensation	129594	Compensation

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	1	NumberOfContractorsGT100K
Government Grants	864469	GovernmentGrants
All Other Contributions	191796	AllOtherContributions
Total Contributions	1056265	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE REVENU	624100	2844923	2844923
OTHER PROGRAM SERVICE	624100	184098	184098

Field	Value	IRS element (for citing)
Total Program Service Revenue	3029021	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	6968	TotalRevenueColumn
Exclusion	$6,968	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	4092254	TotalRevenueColumn
Related Or Exempt Function Income	3029021	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$6,968	ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	428355	Total
Program Services	177647	ProgramServices
Management And General	250708	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1782452	Total
Program Services	1324323	ProgramServices
Management And General	458129	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10901	Total
Program Services	8764	ProgramServices
Management And General	2137	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	153524	Total
Program Services	131583	ProgramServices
Management And General	21941	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	161007	Total
Program Services	111325	ProgramServices
Management And General	49682	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	43759	Total
Management And General	43759	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	519781	Total
Program Services	359611	ProgramServices
Management And General	160170	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	14773	Total
Program Services	2779	ProgramServices
Management And General	11994	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	163082	Total
Program Services	37407	ProgramServices
Management And General	125675	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	59944	Total
Program Services	4673	ProgramServices
Management And General	55271	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	209237	Total
Program Services	139490	ProgramServices
Management And General	69747	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	6768	Total
Program Services	2422	ProgramServices
Management And General	4346	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	29381	Total
Program Services	2923	ProgramServices
Management And General	26458	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	93335	Total
Program Services	68428	ProgramServices
Management And General	24907	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	42839	Total
Program Services	35441	ProgramServices
Management And General	7398	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	211392	211392
BAD DEBT	49120	49120
DUES & SUBSCRIPTIONS	33220	9694	23526

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	4012870	Total
Program Services	2677022	ProgramServices
Management And General	1335848	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1150	BOY
EOY	1150	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	968055	BOY
EOY	1370135	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	26494	BOY
EOY	28406	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	250641	BOY
EOY	191253	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	7113	BOY
EOY	8249	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	66428	BOY
EOY	78819	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	1028509	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	696062	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	392776	BOY
EOY	332447	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	60989	BOY
EOY	28900	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	1773646	BOY
EOY	2039359	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	309162	BOY
EOY	495491	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	309162	BOY
EOY	495491	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1338640	BOY
EOY	1490556	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	125844	BOY
EOY	53312	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1464484	BOY
EOY	1543868	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	1773646	BOY
EOY	2039359	EOY

Field	Value	IRS element (for citing)
Reconcilation Revenue Expenses	79384	ReconcilationRevenueExpenses
Reconcilation Other Changes	0	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	1	FederalGrantAuditRequired
Federal Grant Audit Performed	1	FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	X	PubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1002903	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	1251443	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	1081269	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	945356	CurrentTaxYearMinus1Year
Current Tax Year	1056265	CurrentTaxYear
Total	5337236	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1948853	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	2227622	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	2616986	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	2756270	CurrentTaxYearMinus1Year
Current Tax Year	3029021	CurrentTaxYear
Total	12578752	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2951756	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3479065	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3698255	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3701626	CurrentTaxYearMinus1Year
Current Tax Year	4085286	CurrentTaxYear
Total	17915988	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Amts From Subst Contributors AmtsFromSubstContributors

Field	Value	IRS element (for citing)
Total	0	Total

Support From DQ Ps Etc SupportFromDQPsEtc

Field	Value	IRS element (for citing)
Total	0	Total

Field	Value	IRS element (for citing)
Public Support Total509	17915988	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17930	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	37801	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31130	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11514	CurrentTaxYearMinus1Year
Current Tax Year	6968	CurrentTaxYear
Total	105343	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	17930	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	37801	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	31130	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	11514	CurrentTaxYearMinus1Year
Current Tax Year	6968	CurrentTaxYear
Total	105343	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	2969686	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3516866	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3729385	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3713140	CurrentTaxYearMinus1Year
Current Tax Year	4092254	CurrentTaxYear
Total	18021331	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99420	PublicSupportPercentage509
Prior Year Support Percentage	0.99350	PriorYearSupportPercentage
Investment Income Percentage	0.00580	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00650	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Total Lobbying Expenditures IIB	0	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Explanation of Other Lobbying Activities:	Identifier
Return Reference	Part II-B, Line 1i:	ReturnReference
Explanation	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.	Explanation

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	123163	OtherCostOrOtherBasis
Depreciation	106394	Depreciation
Book Value	16769	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	700131	OtherCostOrOtherBasis
Depreciation	589668	Depreciation
Book Value	110463	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	205215	OtherCostOrOtherBasis
Book Value	205215	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	332447	TotalOfBookValueLandBuildings
Total Revenue	4092254	TotalRevenue
Total Expenses	4012870	TotalExpenses
Excess Or Deficit For Year	79384	ExcessOrDeficitForYear
Total Adjustments	0	TotalAdjustments
Excess Or Deficit Per FS	79384	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	4140846	TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F990	0	RevenueNotRptdF990
Revenue Subtotal	4140846	RevenueSubtotal
Other Revenues Not Included	-48592	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	-48592	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	4092254	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	4012870	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	4012870	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	4012870	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part XII, Line 4b - Other Adjustments:	Identifier
Explanation	CAPITAL GRANTS AND CONTRIBUTIONS 16,706. CHANGE IN NET ASSETS RELEASED FROM RESTRICTION USED FOR OPERATIONS -65,298.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	0	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Field	Value	IRS element (for citing)
Name Person	JEROME SMITH MD	NamePerson
Base Compensation Filing Org	167199	BaseCompensationFilingOrg
Comp Based On Related Orgs	0	CompBasedOnRelatedOrgs
Bonus Filing Org	0	BonusFilingOrg
Bonus Related Orgs	0	BonusRelatedOrgs
Other Compensation Filing Org	0	OtherCompensationFilingOrg
Other Compensation Related Orgs	0	OtherCompensationRelatedOrgs
Deferred Comp Filing Org	852	DeferredCompFilingOrg
Deferred Comp Related Orgs	0	DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org	9596	NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs	0	NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org	177647	TotalCompensationFilingOrg
Total Compensation Related Orgs	0	TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org	0	CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs	0	CompReportPrior990RelatedOrgs

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	ELIZABETH EMMONS-GOSSELIN	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship	FAMILY MEMBER OF ORGANIZATION'S CEO	Relationship
Amount Of Transaction	15982	AmountOfTransaction
Description Of Transaction	EMPLOYEE COMPENSATION	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Organization Mission Statement	Form 990, Part III, Line 1	The target population served by the Health Center includes: -Individuals and families who have the economic means and insurance to access care but are otherwise unserved due to the health professional shortage in our area. -Local agricultural workers facing continual health disparities and barriers to access. -Monolingual immigrant minorities, who are often unaware of heath care services or have difficulty accessing them because of language and cultural differences. -The low-income population, including the elderly, unable to afford services through other Sonoma heath care resources. -The uninsured and under-insured, at-risk and disenfranchised population as a whole, including the homeless, who traditionally only enter the health care system in times of emergency.
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.
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 approprate government standards. There has been no change to this practice during the current year.