2016-01-15T19:47:25-08:00 2015-06-30 Patel & Associates LLP 266 17th Street Suite 200 Oakland CA 946124124 990 2014-07-01 943372130 South County Community Health Center Inc dba Ravenswood Family Health Center SOUT 6503307407 1885 Bay Road East Palo Alto CA 94303 R Wayne Yost CPA CFE CFO 2016-01-15 true Sanwarmal Harshwal CPA P01249746 5104525051 X 2014 2016-04-25 22:37:26Z Luisa Buada RN MPH 1885 Bay Road East Palo Alto CA 94303 31442115 false false X www.ravenswoodfhc.org X 2001 CA The mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay. 13 13 201 34 0 22402180 19390573 9972874 11652733 220167 2909299 162761 35284353 31426234 5139 1127019 0 12861488 13582107 0 428063 5440057 6715486 18306684 21424612 16977669 10001622 29316609 41389692 3577550 5649011 25739059 35740681 The mission of South County Community Health Center (SCCHC) is to improve the health status of the community we serve by providing high quality, culturally competent primary and preventative health care, and dental care to people of all ages regardless of ability to pay. false false 15377087 11652733 Clinical Operations:As a Federally Qualified Health Center (FQHC), South County Community Health Center, Inc. (SCCHC) provides a seamless continuum of care that includes patient exams, preventive care, referrals for additional services, and careful follow up. Services are provided at our Ravenswood Family health Center site in East Palo Alto, California. Services include prenatal care, chronic disease care and management, health education, family planning, behavioral health counseling, women's health, pharmacy, dental care, and referrals for social services and specialty care. Our second site is Ravenswood Family Dentistry also in East Palo Alto. 128970 Resource Center Operations:Resource Center Operations provide leasing arrangements for space to other non-profit agencies in the East Palo Alto, California area. 15506057 true true false false false false false false false false true false false true false true true true false false false false false false true false false true false true false false false false false false false false false false true true false false false false true false false false false true 89 0 false 201 true false false false false false false false false 0 false false false false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true true true false CA X R Wayne Yost 6503307407 1885 Bay Road East Palo Alto CA 94303 Julio Garcia Chairperson 10.00 0.00 X 0 0 0 Melieni Talakai Vice Chairman 10.00 1.00 X 0 0 0 Karen Hernandez Treasurer 10.00 0.00 X 0 0 0 Jonathan Lindecke Secretary 10.00 1.00 X 0 0 0 Senseria Conley Parliamentarian 10.00 1.00 X 0 0 0 Nancy Alvarez Board Member 10.00 0.00 X 0 0 0 Adrian Amaral Board Member 10.00 0.00 X 0 0 0 Vernal Bailey Board Member 10.00 0.00 X 0 0 0 Karen Blackwell Board Member 10.00 0.00 X 0 0 0 Manuel Arteaga Board Member 10.00 1.00 X 0 0 0 Marcelline Combs Board Member 10.00 0.00 X 0 0 0 Siteri Maravou Board Member 10.00 0.00 X 0 0 0 Elizabeth Sosa Board Member 10.00 0.00 X 0 0 0 Luisa Buada RN MPH CEO 40.00 1.00 X 197184 0 18238 Jaime Chavarria MD Chief Med. Off. 40.00 0.00 X 240342 0 15794 R Wayne Yost CPA CFE CFO 40.00 1.00 X 222890 0 0 Erika Simpson COO 40.00 0.00 X 139991 0 10742 Justin Wu MD Assoc. Med. Dir. 40.00 0.00 X 253125 0 9224 Ellis Fuller Dentist 40.00 0.00 X 192109 0 3313 Rebecca Pinto PA Physician Assist. 40.00 0.00 X 206891 0 6657 James Kaferly III MD Physician 40.00 0.00 X 191956 0 13970 Yogita Thakur Dental Director 30.00 0.00 X 188676 0 6376 1833164 84314 9 false true false Cardinal Health 3238 Dwight Rd Elk Grove CA 95758 Pharmaceuticals 262176 ScriptPro PO Box 809004 Kansas City MO 641809004 Pharmacy Software 228161 Community Initiatiaves 354 Pine St 700 San Francisco CA 94104 Sub-Grantee 226049 Lucile Packard Childrens Hospital 750 Welch Rd Palo Alto CA 94304 Contract Physicians 387933 The Nicholson Company 1680 Dell Ave Campbell CA 95008 Rent 182360 5 2957091 11589557 4843925 1211018 19390573 Patient Svc Revenue 621110 11652733 11652733 11652733 220167 220167 0 0 0 0 15881 2957091 15881 0 0 0 Meaningful Incentive 900099 102000 102000 Miscellaneous Income 621110 60761 60761 162761 31426234 12035661 X 1127019 1127019 0 0 0 881704 594186 261353 26165 0 10340268 6949211 3085384 305673 232321 165234 59657 7430 1106823 787202 284221 35400 1020991 713758 275630 31603 0 46724 38788 7931 5 91531 75985 15536 10 0 0 0 2827287 2272838 554139 310 113153 75074 36031 2048 1159186 819583 323792 15811 0 0 1056810 895433 161377 51672 27226 24409 37 0 123108 60409 59586 3113 122214 122214 0 461849 439840 22009 99783 6172 93611 Pharmaceutical Supplies 410284 410284 Special Events 103325 102975 350 Laboratory & Radiology 47732 47732 Miscellaneous 828 83 637 108 0 21424612 15506057 5490492 428063 42812 62009 5539467 2663975 6394652 4618602 2552002 2557742 0 0 0 19675 19080 185220 320322 10496704 5242253 5494479 5254451 0 0 0 0 9088302 25893511 29316609 41389692 1902550 2390580 1675000 3258431 3577550 5649011 X 15640252 33372277 10098807 2368404 25739059 35740681 29316609 41389692 10001622 X false true X true true true X 7544064 7654573 8730329 22402180 19390573 65721719 0 0 7544064 7654573 8730329 22402180 19390573 65721719 8182199 57539520 44 68 58 220167 220337 0 105706 624300 168214 409617 162761 1470598 67412654 0.85350 0.80540 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1920951 1920951 5040722 2924753 2115969 71685 58750 12935 3463346 2258750 1204596 5254451 Due from Affiliate 40571 NMTC Notes Receivable 25852940 25893511 X 31621116 194882 194882 31426234 31426234 21619494 194882 194882 21424612 21424612 Part X : FIN48 Footnote SCCHC is exempt from income taxes under Section 501 C (3) of the Internal Revenue Code and 23701d of the California Revenue and Taxation Code. SCCHC files the necessary informational returns.GAAP provides accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by SCCHC in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. SCCHCs returns are subject to examination by federal and state taxing authorities, generally for three years and four years respectively after they are filed. X X X X X X X false CA Capital Campaign 2927583 2927583 Ride for Ravenswood 45389 29508 15881 15881 2972972 2957091 15881 15881 15881 true Med-Share 1885 Bay Road East Palo Alto CA 94303 582433968 0 10591 FMV Medical Supplies Medical Care RFHC Bay Pulgas Landowner Inc 1885 Bay Road East Palo Alto CA 94303 465313360 501 c 3 0 1115937 FMV Technology Equipment Infrastructure Technology Equipment 1 1 Grantmaker's Description of How Grants are Used Funds were monitored with the recipient to verify that expenditures were made in accordance with donor specifications. X X X false false false false false false false false false false Ellis Fuller Dentist 175450 16659 3313 195422 Erika Simpson COO 139910 81 3565 7177 150733 Jaime Chavarria MD Chief Med. Off. 239568 774 8617 7177 256136 James Kaferly III MD Physician 185555 6401 5920 8050 205926 Justin Wu MD Assoc. Med. Dir. 232577 20548 9224 262349 Luisa Buada RN MPH CEO 196234 950 7014 11224 215422 R Wayne Yost CPA CFE CFO 204600 18290 222890 Rebecca Pinto PA Physician Assist. 190686 16205 6657 213548 Yogita Thakur Dental Director 170214 18462 6376 195052 Julio Gcarcia Chairperson See Part V false Melieni Talakai Vice Chair See Part V false Karen Hernandez Treasurer See Part V false Johnathan Lindecke Secretary See Part V false Senseria Conley Parliament. See Part V false Luisa Buada CEO See Part V false R Wayne Yost CFO See Part V false Schedule L, Part V Supplemental Information The persons listed at Part IV above are board members and officers of the filing organization as well as the related organization, RFHC Bay Pulgas Landowner, Inc. Please refer to Schedule O for an explanation of the relationship between both entities. Please refer to Schedule R for details of the transactions between both entities. X 7 95081 FMV X Technology Equipment 1 1115937 FMV false true false Form 990, Part VI, Line 11b: Form 990 Review Process The Form 990 is reviewed by all members of the Board of Directors. In addition, each board member must sign a verification form stating they reviewed the Form 990 before it was filed. Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts All conflicts of interest must be disclosed to the Executive Committee, the Board of Directors or to the members of Committees. A review of the conflict will be conducted and the appropriate action will be taken.All trustees, directors, officers and key employees must complete an annual certification for conflicts of interests. Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management For compensation of CEO and CFO, a comparative review is completed by the Audit Committee and subject to approval by the full Board of Directors. Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees The compensation review for other officers and key employees is subject to a comparative review and is reviewed by the Personnel Committee and subject to approval by the Board of Directors. Form 990, Part VI, Line 19: Other Organization Documents Publicly Available The governing documents, policies and financial statements of SCCHC are made available to the public upon request. Form 990, Box C The organization operates under additional "Doing Business As" name:1. Ravenswood Family Health Center Pharmacy2. Ravenswood Family Dentistry. Form 990, Part VIII, line 1g Total non-cash contributions received by the organization was $1,405,900. Of this amount, $194,882 represented donated use of facilities and volunteer services and $1,211,018 represented donated infrastructure technology equipment, medical supplies and pharmaceutical drugs. Only the donated infrastructure technology equipment, medical supplies and pharmaceutical drugs have been reported on line 1g and in Schedule M as per the instructions. The donated services and use of facilities has been reconciled in Schedule D, Part XII, Line 2b & Part XIII, line 2a. Schedule R, Part IV RFHC Bay/Pulgas Landowner, Inc. (RFHC BPL) was incorporated on April 1, 2015 as anonprofit public benefit corporation and it is organized under the California Nonprofit Public Benefit Corporation Law for public purposes. The Corporation is organized exclusively for religious, charitable, literary, or educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986. The principal office of the Corporation is located at 1885 Bay Road, East Palo Alto,California 94303. RFHC BPL is controlled by South County Community Health Center, Inc. (SCCHC) and majority of the board is comprised of board members of SCCHC, but not exclusively. The purpose of the Corporation is to hold the leasehold interest in the commercial building located at 1885 Bay Road, East Palo Alto, California which is leased to SCCHC. RFHC BPL is considered to be a support organization to support the activities of SCCHC. RFHC BPL is operating the site in a manner enabling it to qualify as a Qualified Active low Income Beneficiary (QUALICB) that receives Qualified Low Income Investment (QLICI) loans under a New Market Tax Credit (NMTC) transaction. RFHC Bay Pulgas Landowner Inc 1885 Bay Road East Palo Alto CA 94303 465313360 QALICB activities CA 501 (c) (3) 509 (a) (3) N/A false false true false false false false false false false false true false false false false false false false false RFHC Bay Pulgas Landowner Inc b 1115937 FMV RFHC Bay Pulgas Landowner Inc k 154884 FMV