SANTA CRUZ COMMUNITY HEALTH CENTERS: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- SANTA CRUZ COMMUNITY HEALTH CENTERS (EIN 23-7428303)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-10-12
- IRS object ID
- 202342859349302379
- Schema version
- 2021v4.2
- 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) |
|---|---|---|
| Return | 2023-10-12T21:59:16-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMANINO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2700 CAMINO RAMON STE 350 | AddressLine1Txt |
| City | SAN RAMON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945835004 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 237428303 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA CRUZ COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SANT | BusinessNameControlTxt |
| Phone | 8314273500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 542 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95061 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LESLIE CONNER | PersonNm |
| Person Title | CHIEF EXECUTIVE OFFICER | PersonTitleTxt |
| Phone | 8314273500 | PhoneNum |
| Signature | 2023-10-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | LESLIE | PersonFirstNm |
| Person Last | CONNER | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW PETROSKI | PreparerPersonNm |
| PTIN | P00853132 | PTIN |
| Phone | 9257902600 | PhoneNum |
| Preparation | 2023-10-12 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BILL LELAND | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 542 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,225,238 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.SCHEALTHCENTERS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH OF OUR PATIENTS AND THE COMMUNITY AND TO ADVOCATE THE FEMINIST GOALS OF SOCIAL, POLITICAL AND ECONOMIC EQUALITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 203 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,463,912 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,044,222 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,151,740 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $14,029,507 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$6 | PYInvestmentIncomeAmt |
| CY Investment Income | $38,919 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $22,615,646 | PYTotalRevenueAmt |
| CY Total Revenue | $23,112,648 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $14,059,701 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $14,896,368 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $88,950 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,082,086 | PYOtherExpensesAmt |
| CY Other Expenses | $4,475,956 | CYOtherExpensesAmt |
| PY Total Expenses | $18,141,787 | PYTotalExpensesAmt |
| CY Total Expenses | $19,372,324 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,473,859 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,740,324 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $20,142,395 | TotalAssetsBOYAmt |
| Total Assets EOY | $20,012,919 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,744,097 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,698,244 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $16,398,298 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,314,675 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH OF OUR PATIENTS AND THE COMMUNITY AND TO ADVOCATE THE FEMINIST GOALS OF SOCIAL, POLITICAL AND ECONOMIC EQUALITY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $10,645,465 | ExpenseAmt |
| Revenue | $8,811,948 | RevenueAmt |
| Desc | FAMILY PRACTICE: FAMILY PRACTICE IS SCCH'S LARGEST SERVICE LINE; IT MAKES UP 55% OF ALL VISITS EACH MONTH. FAMILY PRACTICE PROVIDES PATIENT-CENTERED, PRIMARY CARE SERVICES TO ALL AGES ADULTS, CHILDREN AND SENIORS -- VIA A CARE TEAM STRUCTURE. FAMILY PRACTICE IS MADE UP OF MDS, DOS, FNPS AND PAS, AS WELL AS BEHAVIORAL HEALTH PROVIDERS, RNS, MEDICAL ASSISTANTS AND FRONT OFFICE STAFF. THIS CARE TEAM STRUCTURE PROVIDES ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES FROM DEDICATED, CARING, HIGHLY-SKILLED PROVIDERS AND STAFF. PATIENT VISITS OCCUR IN-PERSON OR VIA TELEPHONE. OUR PATIENT-CENTERED CARE TEAM APPROACH IN FAMILY PRACTICE OFFERS COORDINATED HEALTH SERVICES; IT GIVES EACH PATIENT ACCESS TO THEIR OWN PRIMARY CARE PROVIDER (MD, DO, PA OR FNP) PLUS A CARE TEAM OF BEHAVIORAL HEALTH PROVIDERS, NURSES, ASSISTANTS, AND SPECIALISTS DEDICATED TO THEIR HEALTH AND WELLNESS. FAMILY PRACTICE INCLUDES SICK VISITS, PREVENTIVE CARE VISITS, SPECIALTY VISITS SUCH AS PRENATAL CARE, MEDICAL PROCEDURES AND REFERRALS FOR EXTERNAL SPECIALTY CARE, FOR ALL AGES. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, SCCHC SERVED 9,008 PATIENTS VIA 35,957 VISITS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,775,963 | ExpenseAmt |
| Revenue | $2,988,966 | RevenueAmt |
| Desc | PEDIATRICS: WE KNOW THAT HEALTHY CHILDREN GROW UP INTO SUCCESSFUL ADULTS, AND FAMILIES WITH HEALTHY CHILDREN CREATE A HEALTHY, VIBRANT COMMUNITY. OUR PEDIATRICS AND FAMILY PRACTICE CARE TEAMS ADDRESS THE NEEDS OF THE "WHOLE CHILD AND THEIR FAMILY. OUR STAFF ARE DEDICATED TO ONE PURPOSE: PROVIDING THE BEST CARE FOR YOU AND YOUR GROWING FAMILY, EVERY STEP OF THE WAY. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, SCCHC SERVED 3,240 PATIENTS VIA 11,683 VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,683,528 | ExpenseAmt |
| Revenue | $1,655,601 | RevenueAmt |
| Desc | BEHAVIORAL HEALTH: SANTA CRUZ COMMUNITY HEALTH (SCCH) OFFERS COMPREHENSIVE BEHAVIORAL HEALTH SUPPORT SERVICES FOR LIFE'S CHALLENGES. CONFIDENTIAL SERVICES ARE PROVIDED IN ENGLISH OR SPANISH TO ALL PATIENTS AT OUR DOWNTOWN WOMEN'S HEALTH CENTER AND THE NEW LIVE OAK HEALTH CENTER ON CAPITOLA ROAD, BOTH IN SANTA CRUZ, CA AND THE SANTA CRUZ MOUNTAIN HEALTH CENTER IN BEN LOMAND, CA. YOUR MENTAL AND EMOTIONAL WELL-BEING ARE AS IMPORTANT TO YOUR OVERALL HEALTH AS YOUR PHYSICAL WELL-BEING. WE OFFER A "WHOLE PERSON" APPROACH TO ENSURING PHYSICAL, MENTAL, SOCIAL AND EMOTIONAL HEALTH. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, SCCHC SERVED 1,498 PATIENTS VIA 6,951 VISITS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,142,128 | ExpenseAmt |
| Revenue | $572,992 | RevenueAmt |
| Desc | CHINESE MEDICINE; CHIROPRACTIC; HEALTHY PREGNANCY; PSYCHIATRIC: OUR PROGRAMS PROVIDE PATIENT-CENTERED, PRIMARY CARE SERVICES TO ALL AGES ADULTS, CHILDREN AND SENIORS -- VIA A CARE TEAM STRUCTURE MADE UP OF MDS, DOS, FNPS AND PAS, AS WELL AS BEHAVIORAL HEALTH PROVIDERS, RNS, MEDICAL ASSISTANTS AND FRONT OFFICE STAFF. THIS CARE TEAM STRUCTURE PROVIDES ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES FROM DEDICATED, CARING, HIGHLY-SKILLED PROVIDERS AND STAFF. DURING THE FISCAL YEAR ENDED JUNE 30, 2022, VIA THESE DEPARTMENTS, SCCHC SERVED 1,434 PATIENTS VIA 5,524 VISITS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,142,128 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $572,992 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $17,247,084 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 72 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 203 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | IGNACIO PEREZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8314273500 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 542 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95061 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Key EmployeeKeyEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| CASEY KIRKHART | ||||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $267,004 | $0 | $35,462 | |||
| CARRIE C EISBERG | ||||||||
| OB/GYN MANAGER | 40.00 | $232,052 | $0 | $32,918 | Yes (X) | |||
| GARRY CRUMMER | ||||||||
| SITE MEDICAL DIRECTOR | 40.00 | $239,042 | $0 | $21,993 | Yes (X) | |||
| LESLIE CONNER | ||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $201,682 | $0 | $52,291 | Yes (X) | |||
| DILLON MYERS | ||||||||
| STAFF PHYSICIAN | 40.00 | $221,056 | $0 | $11,239 | Yes (X) | |||
| REBECCA BRETON | ||||||||
| PEDIATRICIAN | 30.00 | $180,258 | $0 | $25,422 | Yes (X) | |||
| IGNACIO PEREZ | ||||||||
| CHIEF FINANCE OFFICER | 40.00 | $188,526 | $0 | $10,786 | Yes (X) | |||
| JULIA STEVENS | ||||||||
| SITE MEDICAL DIRECTOR | 40.00 | $179,043 | $0 | $16,531 | Yes (X) | |||
| NICOLE C BUSSING | ||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | $131,129 | $0 | $43,303 | Yes (X) | |||
| CHRISTINA M LOIJOS | ||||||||
| CHIEF STRATEGY & IMPACT OFFICER | 40.00 | $138,933 | $0 | $28,613 | Yes (X) | |||
| PHILIPPA J BARRON | ||||||||
| CHIEF OPERATING OFFICER | 40.00 | $155,138 | $0 | $3,277 | Yes (X) | |||
| MILA SHANK | ||||||||
| CHIEF BEHAVIORAL HEALTH OFFICER | 40.00 | $121,857 | $0 | $30,325 | Yes (X) | |||
| STOREY LA MONTAGNE | ||||||||
| HEALTH INFO TECH (LEFT 1/2022) | 8.00 | $34,044 | $0 | $656 | Yes (X) | |||
| JORGE A OVANDO ZALAPA | ||||||||
| CHIEF INFORMATION OFFICER | 40.00 | $19,038 | $0 | $382 | Yes (X) | |||
| BILL LELAND | ||||||||
| CHAIR | 1.30 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JORGE SAVALA | ||||||||
| VICE CHAIR | 1.30 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| GLORIA NIETO | ||||||||
| SECRETARY | 1.30 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| KIMBERLY HALLINAN | ||||||||
| SECRETARY (LEFT 2/2022) | 1.30 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| NASEEM NANGOLI | ||||||||
| TREASURER | 1.30 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| JOYCE BROWN | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| MACE CROWBEAR-MACEWINTU | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| GLENNYS DAVIDSON | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ANDREW GOLDENKRANZ | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ISABELLA KRESSMAN | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| EILEEN MURPHY | ||||||||
| MEMBER (LEFT 2/2022) | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JULIO PORRO | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| JACKIE POWELL | ||||||||
| MEMBER (LEFT 9/2021) | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| RANDY POZOS | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| ARIADNA RENTERIA TORRES | ||||||||
| MEMBER | 1.00 | $0 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,308,802 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $313,198 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 28 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BOGARD CONSTRUCTION CORP | |||||
| 350-A CORAL STREET | SANTA CRUZ | CA | 95060 | CONSTRUCTION SERVICES | $5,772,740 |
| ALLISON GUEVARA | |||||
| 114 SHERMAN ST | SANTA CRUZ | CA | 95060 | CONSULTANT | $184,947 |
| WALD RUHNKE & DOST ARCHITECTS LLP | |||||
| 2340 GARDEN ROAD SUITE 100 | MONTEREY | CA | 93940 | ARCHITECT SERVICES | $163,842 |
| E CLINICAL WORKS LLC | |||||
| PO BOX 847950 | BOSTON | MA | 02284 | COMPUTER SOFTWARE | $107,139 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $5,400 | FederatedCampaignsAmt |
| Government Grants | $3,676,027 | GovernmentGrantsAmt |
| All Other Contributions | $5,362,795 | AllOtherContributionsAmt |
| Total Contributions | $9,044,222 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICAL FEES | 621400 | $13,422,497 | $13,422,497 |
| INCENTIVES AND OTHER | 621400 | $607,010 | $607,010 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $14,029,507 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,517 | TotalRevenueColumnAmt |
| Exclusion | $25,517 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $125,992 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $112,590 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $13,402 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,402 | TotalRevenueColumnAmt |
| Exclusion | $13,402 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $23,112,648 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,029,507 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $38,919 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499,742 | TotalAmt |
| Program Services | $640,580 | ProgramServicesAmt |
| Management And General | $798,045 | ManagementAndGeneralAmt |
| Fundraising | $61,117 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,883,162 | TotalAmt |
| Program Services | $10,519,434 | ProgramServicesAmt |
| Management And General | $363,728 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,140 | TotalAmt |
| Program Services | $18,695 | ProgramServicesAmt |
| Management And General | $31,445 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,573,411 | TotalAmt |
| Program Services | $1,487,253 | ProgramServicesAmt |
| Management And General | $70,184 | ManagementAndGeneralAmt |
| Fundraising | $15,974 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $889,913 | TotalAmt |
| Program Services | $787,801 | ProgramServicesAmt |
| Management And General | $97,834 | ManagementAndGeneralAmt |
| Fundraising | $4,278 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $732,654 | TotalAmt |
| Program Services | $716,922 | ProgramServicesAmt |
| Management And General | $14,732 | ManagementAndGeneralAmt |
| Fundraising | $1,000 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,850 | TotalAmt |
| Management And General | $119,850 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,917 | TotalAmt |
| Management And General | $9,917 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,230 | TotalAmt |
| Program Services | $262,001 | ProgramServicesAmt |
| Management And General | $36,229 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,108 | TotalAmt |
| Program Services | $14,469 | ProgramServicesAmt |
| Management And General | $25,058 | ManagementAndGeneralAmt |
| Fundraising | $6,581 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,123 | TotalAmt |
| Program Services | $95,886 | ProgramServicesAmt |
| Management And General | $21,237 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,341 | TotalAmt |
| Program Services | $555,309 | ProgramServicesAmt |
| Management And General | $62,032 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $394,274 | TotalAmt |
| Program Services | $216,699 | ProgramServicesAmt |
| Management And General | $177,575 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,268 | TotalAmt |
| Program Services | $6,316 | ProgramServicesAmt |
| Management And General | $15,952 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,129 | TotalAmt |
| Program Services | $297,227 | ProgramServicesAmt |
| Management And General | $21,902 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,420 | TotalAmt |
| Program Services | $84,818 | ProgramServicesAmt |
| Management And General | $7,602 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| OTHER EXPENSES | $731,918 | $631,054 | $100,864 |
| MEDICAL SUPPLIES | $487,126 | $487,126 | |
| RECRUITMENT | $159,109 | $144,370 | $14,739 |
| REPAIRS & MAINTENANCE | $149,964 | $129,006 | $20,958 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,525 | TotalAmt |
| Program Services | $152,118 | ProgramServicesAmt |
| Management And General | $26,407 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,372,324 | TotalAmt |
| Program Services | $17,247,084 | ProgramServicesAmt |
| Management And General | $2,036,290 | ManagementAndGeneralAmt |
| Fundraising | $88,950 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,515,688 | BOYAmt |
| EOY | $2,160,247 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,547,983 | BOYAmt |
| EOY | $266,460 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,073,284 | BOYAmt |
| EOY | $1,298,557 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,097,524 | BOYAmt |
| EOY | $1,795,183 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110,164 | BOYAmt |
| EOY | $161,613 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $226,413 | BOYAmt |
| EOY | $186,700 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $5,463,271 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,473,401 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,464,502 | BOYAmt |
| EOY | $1,989,870 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,060 | BOYAmt |
| EOY | $1,846,884 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,656,777 | BOYAmt |
| EOY | $10,307,405 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,142,395 | BOYAmt |
| EOY | $20,012,919 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,263,247 | BOYAmt |
| EOY | $1,975,835 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,230,850 | BOYAmt |
| EOY | $3,722,409 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,744,097 | BOYAmt |
| EOY | $5,698,244 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,980,637 | BOYAmt |
| EOY | $14,314,675 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,417,661 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,398,298 | BOYAmt |
| EOY | $14,314,675 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,142,395 | BOYAmt |
| EOY | $20,012,919 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $3,740,324 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$336,563 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | -$687 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | -$5,486,697 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,685,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,769,115 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,499,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,463,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,044,222 | CurrentTaxYearAmt |
| Total | $32,462,072 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,685,341 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,769,115 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $6,499,482 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,463,912 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,044,222 | CurrentTaxYearAmt |
| Total | $32,462,072 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,605,035 | SubstantialContributorsTotAmt |
| Public Support Total170 | $30,857,037 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $53,213 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $80,641 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $76,645 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $0 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $25,517 | CurrentTaxYearAmt |
| Total | $236,016 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $32,698,088 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $62,504,784 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.94650 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $227,000 | OtherCostOrOtherBasisAmt |
| Book Value | $227,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,422,212 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,804,921 | DepreciationAmt |
| Book Value | $1,617,291 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $761,411 | OtherCostOrOtherBasisAmt |
| Depreciation | $615,832 | DepreciationAmt |
| Book Value | $145,579 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,648 | OtherCostOrOtherBasisAmt |
| Depreciation | $52,648 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,989,870 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS - FIXED INCOME SECURITIES | Desc |
| Book Value | $1,846,884 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $1,846,884 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSIT FOR 911 CENTER | $56,526 |
| LOAN RECEIVABLE | $10,250,879 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $10,307,405 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| OTHER LIABILITIES - LT PRIMARY CARE DEVELOPMENT CORP LOAN | $2,000,000 |
| CURRENT PORTION OF PPP LOAN | $64,079 |
| DEFERRED RENT | $14,756 |
| LONG-TERM PORTION OF PPP LOAN | $1,401,573 |
| DUE TO STATE OF CA | $242,001 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,722,409 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | SCCHC HAS OBTAINED DETERMINATION LETTERS FROM THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA FRANCHISE TAX BOARD THAT SCCHC QUALIFIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA TAX CODE. ACCORDINGLY, THE PRIMARY OPERATIONS OF SCCHC ARE CURRENTLY CONSIDERED EXEMPT FROM FEDERAL INCOME AND STATE FRANCHISE TAXES. THE ORGANIZATION IS SUBJECT TO TAXES ON UNRELATED BUSINESS INCOME WHEN EARNED. SCCHC HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF JUNE 30, 2022, IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. SCCHC FILES U.S. FEDERAL, AND U.S. STATE INFORMATION RETURNS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CASEY KIRKHART | ||||||||||||||
| CHIEF MEDICAL OFFICER | $267,004 | $0 | $0 | $0 | $0 | $0 | $11,118 | $0 | $24,344 | $0 | $302,466 | $0 | $0 | $0 |
| CARRIE C EISBERG | ||||||||||||||
| OB/GYN MANAGER | $232,052 | $0 | $0 | $0 | $0 | $0 | $22,186 | $0 | $10,732 | $0 | $264,970 | $0 | $0 | $0 |
| GARRY CRUMMER | ||||||||||||||
| SITE MEDICAL DIRECTOR | $239,042 | $0 | $0 | $0 | $0 | $0 | $19,685 | $0 | $2,308 | $0 | $261,035 | $0 | $0 | $0 |
| LESLIE CONNER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $201,682 | $0 | $0 | $0 | $0 | $0 | $23,771 | $0 | $28,520 | $0 | $253,973 | $0 | $0 | $0 |
| DILLON MYERS | ||||||||||||||
| STAFF PHYSICIAN | $221,056 | $0 | $0 | $0 | $0 | $0 | $3,946 | $0 | $7,293 | $0 | $232,295 | $0 | $0 | $0 |
| REBECCA BRETON | ||||||||||||||
| PEDIATRICIAN | $180,258 | $0 | $0 | $0 | $0 | $0 | $17,956 | $0 | $7,466 | $0 | $205,680 | $0 | $0 | $0 |
| IGNACIO PEREZ | ||||||||||||||
| CHIEF FINANCE OFFICER | $188,526 | $0 | $0 | $0 | $0 | $0 | $3,680 | $0 | $7,106 | $0 | $199,312 | $0 | $0 | $0 |
| JULIA STEVENS | ||||||||||||||
| SITE MEDICAL DIRECTOR | $179,043 | $0 | $0 | $0 | $0 | $0 | $3,677 | $0 | $12,854 | $0 | $195,574 | $0 | $0 | $0 |
| NICOLE C BUSSING | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $131,129 | $0 | $0 | $0 | $0 | $0 | $22,319 | $0 | $20,984 | $0 | $174,432 | $0 | $0 | $0 |
| CHRISTINA M LOIJOS | ||||||||||||||
| CHIEF STRATEGY & IMPACT OFFICER | $138,933 | $0 | $0 | $0 | $0 | $0 | $17,264 | $0 | $11,349 | $0 | $167,546 | $0 | $0 | $0 |
| PHILIPPA J BARRON | ||||||||||||||
| CHIEF OPERATING OFFICER | $155,138 | $0 | $0 | $0 | $0 | $0 | $3,117 | $0 | $160 | $0 | $158,415 | $0 | $0 | $0 |
| MILA SHANK | ||||||||||||||
| CHIEF BEHAVIORAL HEALTH OFFICER | $121,857 | $0 | $0 | $0 | $0 | $0 | $2,624 | $0 | $27,701 | $0 | $152,182 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS REVIEWED BY THE CONTROLLER, INTERIM CFO, EXECUTIVE DIRECTOR, AND FINANCE COMMITTEE. ULTIMATELY, IT IS APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION STANDARDS OF CONDUCT REQUIRES WRITTEN DISCLOSURE OF CONFLICTS OF INTEREST THAT ARISE IN PROCUREMENTS FROM A RELATED ORGANIZATION AND AVOIDANCE/MITIGATION OF ANY IDENTIFIED ACTUAL OR APPARENT CONFLICTS DURING THE PROCUREMENT PROCESS. THE ORGANIZATION DETERMINES APPROPRIATE METHODS FOR ITS EMPLOYEES, OFFICERS, BOARD MEMBERS AND AGENTS TO DISCLOSE REAL OR APPARENT CONFLICTS OF INTEREST, AS IT APPLIES TO THE PROCUREMENT PROCESS. IN CASES WHERE A CONFLICT OF INTEREST IS IDENTIFIED, THE ORGANIZATION'S PROCUREMENT RECORDS DOCUMENT ADHERENCE TO ITS STANDARDS OF CONDUCT AND WILL AS NECESSARY, ENFORCE DISCIPLINARY ACTIONS FOR VIOLATING THESE STANDARDS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE EXECUTIVE DIRECTOR INCLUDES A REVIEW AND APPROVAL BY INDEPENDENT PERSONS, WHICH CONSISTS OF THE BOARD GOVERNANCE COMMITTEE AND EXECUTIVE COMMITTEE. HUMAN RESOURCES CONDUCTS PERIODIC COMPENSATION SURVEYS TO INCLUDE CPCA SALARY INFORMATION FOR THE ORGANIZATION'S PEERS AS COMPARISONS. COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES INCLUDES AN ANNUAL EVALUATION AND PERIODIC SALARY SURVEYS CONDUCTED BY HUMAN RESOURCES. THIS EVALUATION INCLUDES COMPENSATION DATA FROM CPCA TO COMPARE AGAINST THE ORGANIZATION'S PEERS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE UPON WRITTEN REQUEST. |
| FORM 990, PART XI, LINE 9: | NET ASSETS TRANSFERRED TO SCCHC LLC -5,486,697. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCCHC LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 WATER STREET SUITE A1 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861648017 | EIN |
| Primary Activities | MEDICAL CLINIC DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SANTA CRUZ COMMUNITY HEALTH CENTERS | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCCH CAPITOLA ROAD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 WATER STREET A2 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880636885 | EIN |
| Primary Activities | MEDICAL CLINIC DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 12C, III-FI | PublicCharityStatusTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SCCHC LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 WATER STREET SUITE A1 | AddressLine1Txt |
| City | SANTA CRUZ | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95060 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 861648017 | EIN |
| Primary Activities | MEDICAL CLINIC DEVELOPMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of EOY Assets | $3,667,127 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |