Form 990 for tax year 2022
Filed by SHASTA COMMUNITY HEALTH CENTER.
Totals
- Total revenue
- $65,176,096
- Total expenses
- $66,260,050
- Contributions and grants received
- $16,066,789
- Grants paid
- $16,775
- Program service revenue
- $51,489,571
- Investment income
- -$910,453
- Other revenue
- -$1,469,811
- Total assets, end of year
- $70,174,953
- Total liabilities, end of year
- $16,627,016
- Net assets or fund balances, end of year
- $53,547,937
- Program services expenses (Part IX)
- $49,320,408
- Management and general expenses
- $16,677,706
- Fundraising expenses
- $261,936
- Program service expenses (Part III)
- $49,320,408
Program services were 74.4% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$15,200,647
-
1f · All other contributions, gifts and grants
$866,142
-
1g · Noncash contributions included above
$1,884,741
-
2a · Program service revenue: NET PATIENT SERVICE REVENUE
total $42,550,676 · related or exempt $42,550,676
-
2b · Program service revenue: 340B PROGRAM CONTRACTED PHARMACIES
total $5,288,843 · related or exempt $5,288,843
-
2c · Program service revenue: QUALITY IMPROVEMENT BONUS (MCO)
total $3,138,965 · related or exempt $3,138,965
-
2d · Program service revenue: PRECEPTOR INCOME
total $85,895 · related or exempt $85,895
-
2e · Program service revenue: OTHER REVENUE
total $425,192 · related or exempt $425,192
-
3 · Investment income
total $570,360 · excluded $570,360
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6a · Gross rents
real property $30,189
-
6c · Rental income or loss
real property $30,189 · personal property $0
-
6d · Net rental income or loss
total $30,189 · excluded $30,189
-
7a · Gross sales of assets other than inventory
securities $7,560,331 · other assets $21,380
-
7b · Less cost or other basis and sales expenses
securities $9,034,337 · other assets $28,187
-
7c · Gain or loss
securities -$1,474,006 · other assets -$6,807
-
7d · Net gain or loss
total -$1,480,813 · excluded -$1,480,813
-
8a · Fundraising events: gross income
$0
-
8b · Fundraising events: direct expenses
$0
-
8c · Net income from fundraising events
total $0
-
9a · Gaming: gross income
$0
-
9b · Gaming: direct expenses
$0
-
9c · Net income from gaming
total $0
-
10a · Gross sales of inventory
$0
-
10b · Cost of goods sold
$0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: LOSS ON LITIGATION OF SETTLEMENT
total -$1,500,000 · excluded -$1,500,000
-
11e · Other revenue, total
-$1,500,000
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $16,775 · program services $16,775
-
2 · Grants to domestic individuals
total $0
-
3 · Grants to foreign organizations and individuals
total $0
-
4 · Benefits paid to or for members
total $0
-
5 · Compensation of officers, directors and key employees
total $5,719,123 · program services $3,952,789 · management and general $1,766,334
-
6 · Compensation of disqualified persons
total $219,009 · program services $155,580 · management and general $63,429
-
7 · Other salaries and wages
total $31,913,644 · program services $25,275,719 · management and general $6,434,489 · fundraising $203,436
-
8 · Pension plan contributions
total $842,685 · program services $737,008 · management and general $96,731 · fundraising $8,946
-
9 · Other employee benefits
total $5,429,915 · program services $4,045,159 · management and general $1,363,443 · fundraising $21,313
-
10 · Payroll taxes
total $2,548,103 · program services $1,953,994 · management and general $579,868 · fundraising $14,241
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $123,088 · management and general $123,088
-
11c · Fees: accounting
total $236,955 · management and general $236,955
-
11d · Fees: lobbying
total $7,140 · management and general $7,140
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $4,686,123 · program services $3,235,909 · management and general $1,450,214
-
12 · Advertising and promotion
total $256,707 · program services $256,707
-
13 · Office expenses
total $1,707,411 · program services $730,486 · management and general $974,625 · fundraising $2,300
-
14 · Information technology
total $1,588,213 · program services $295,426 · management and general $1,292,787
-
15 · Royalties
total $0
-
16 · Occupancy
total $3,207,119 · program services $2,496,802 · management and general $701,117 · fundraising $9,200
-
17 · Travel
total $45,287 · program services $34,824 · management and general $10,463
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $426,679 · program services $248,236 · management and general $175,943 · fundraising $2,500
-
20 · Interest
total $178,748 · management and general $178,748
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $1,199,937 · program services $631,524 · management and general $568,413
-
23 · Insurance
total $321,855 · program services $189,128 · management and general $132,727
-
24a · Other expenses: DRUGS AND MEDICATIONS
total $2,846,718 · program services $2,844,144 · management and general $2,574
-
24b · Other expenses: MEDICAL AND DENTAL SUPPLIES
total $1,274,299 · program services $1,256,384 · management and general $17,915
-
24c · Other expenses: DUES AND MEMBERSHIPS
total $315,921 · program services $107,739 · management and general $208,182
-
24d · Other expenses: RECRUITMENT COSTS
total $101,420 · program services $9,947 · management and general $91,473
-
24e · All other expenses
total $1,047,176 · program services $846,128 · management and general $201,048
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $29,427 · end of year $57,585
-
2 · Savings and temporary cash investments
beginning of year $25,293,452 · end of year $23,802,013
-
3 · Pledges and grants receivable
beginning of year $1,842,300 · end of year $1,025,978
-
4 · Accounts receivable
beginning of year $9,218,441 · end of year $9,448,019
-
5 · Loans and receivables from officers and key people
beginning of year $0 · end of year $0
-
6 · Loans and receivables from disqualified persons
beginning of year $0 · end of year $0
-
7 · Other notes and loans receivable
beginning of year $6,276,650 · end of year $7,252,548
-
8 · Inventories for sale or use
beginning of year $240,585 · end of year $302,656
-
9 · Prepaid expenses and deferred charges
beginning of year $518,459 · end of year $705,537
-
10a · Land, buildings and equipment: cost or other basis
$25,455,149
-
10b · Land, buildings and equipment: accumulated depreciation
$9,584,551
-
10c · Land, buildings and equipment, net
beginning of year $11,157,545 · end of year $15,870,598
-
11 · Investments: publicly traded securities
beginning of year $13,393,749 · end of year $8,272,664
-
12 · Investments: other securities
beginning of year $0 · end of year $0
-
13 · Investments: program-related
beginning of year $0 · end of year $0
-
14 · Intangible assets
beginning of year $0 · end of year $0
-
15 · Other assets
beginning of year $1,930,851 · end of year $3,437,355
-
17 · Accounts payable and accrued expenses
beginning of year $4,588,070 · end of year $7,775,301
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $1,182,952 · end of year $376,646
-
20 · Tax-exempt bond liabilities
beginning of year $0 · end of year $0
-
21 · Escrow or custodial account liability
beginning of year $0 · end of year $0
-
22 · Loans and payables to officers and key people
beginning of year $0 · end of year $0
-
23 · Secured mortgages and notes payable
beginning of year $3,586,565 · end of year $2,644,082
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $4,784,830 · end of year $5,830,987
-
27 · Net assets without donor restrictions
beginning of year $55,104,644 · end of year $53,181,368
-
28 · Net assets with donor restrictions
beginning of year $654,398 · end of year $366,569
Mission and programs · 2022
Mission
CREATE A SEAMLESS SYSTEM OF ACCESS TO COMPASSIONATE, HIGH QUALITY, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH AND DENTAL CARE FOR ALL RESIDENTS OF THE COMMUNITY IT SERVES, PARTICULARLY FOR THOSE RESIDENTS WHO ARE ECONOMICALLY OR OTHERWISE DISADVANTAGED.
Activities or mission (Part I)
CREATE A SEAMLESS SYSTEM OF ACCESS TO COMPASSIONATE, HIGH QUALITY, COST-EFFECTIVE PRIMARY AND PREVENTIVE HEALTH CARE FOR ALL RESIDENTS OF THE COMMUNITY IT SERVES.
-
SHASTA COMMUNITY HEALTH CENTER (SCHC) IS A KEY PROVIDER OF THE HEALTH CARE SAFETY NET SERVICES IN NORTHERN CALIFORNIA, PROVIDING MEDICAL, MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES TO 33,529 PATIENTS (112,295 VISITS) IN 2022. SCHC ALSO HAS AN EXTENSIVE OUTREACH TO THE HOMELESS PROGRAM, SERVICES FOR HIV PATIENTS AND IS ONE OF THE FEW MEDICAL RESOURCES FOR THE LOW INCOME POPULATIONS, ESPECIALLY THOSE WITH INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINE AND THE UNINSURED.
Expenses $42,061,836 · Grants $14,228 · Revenue $45,587,101
-
SHASTA COMMUNITY HEALTH CENTER'S DENTISTS PROVIDE DENTAL SERVICES TO THE LOW INCOME POPULATIONS: THOSE WITH INCOME BELOW 200% OF THE FEDERAL POVERTY GUIDELINE, THE HOMELESS POPULATION, AND THE UNINSURED. DURING 2022, SCHC'S DENTISTS SERVED 5,172 PATIENTS (10,933 VISITS).
Expenses $3,414,170 · Grants $1,160 · Revenue $3,222,013
-
SHASTA COMMUNITY HEALTH CENTER IS A MAJOR PROVIDER OF MENTAL HEALTH SERVICES IN SHASTA COUNTY, SEEING 3,110 (15,145 VISITS) PATIENTS DURING 2022.
Expenses $3,369,115 · Grants $1,231 · Revenue $2,680,457
As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
C Dean GermanoC DEAN GERMANO
CHIEF EXECUTIVE OFFICER
- Total calculated
- $416,942
- From this org
- $350,336
- From related orgs
- $0
- Other
- $66,606
- Hours/week
- 40 + 0.5 related
Schedule J breakdown matched by us
- Base
- $305,432
- Bonus
- $44,904
- Other
- $0
- Deferred
- $54,590
- Nontaxable benefits
- $12,016
- Filer's total
- $416,942
-
Joe Villalobos MDJOE VILLALOBOS MD
MEDICAL DIRECTOR - ENTERPRISE
- Total calculated
- $366,531
- From this org
- $324,223
- From related orgs
- $0
- Other
- $42,308
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $284,580
- Bonus
- $39,643
- Other
- $0
- Deferred
- $14,360
- Nontaxable benefits
- $27,948
- Filer's total
- $366,531
-
Debra Lupeika MDDEBRA LUPEIKA MD
RESIDENCY PROGRAM DIRECTOR
- Total calculated
- $362,463
- From this org
- $322,979
- From related orgs
- $0
- Other
- $39,484
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $304,229
- Bonus
- $18,750
- Other
- $0
- Deferred
- $15,136
- Nontaxable benefits
- $24,348
- Filer's total
- $362,463
-
Pamela Knickerbocker DoPAMELA KNICKERBOCKER DO
MEDICAL DOCTOR
- Total calculated
- $354,457
- From this org
- $312,441
- From related orgs
- $0
- Other
- $42,016
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $293,606
- Bonus
- $18,835
- Other
- $0
- Deferred
- $14,818
- Nontaxable benefits
- $27,198
- Filer's total
- $354,457
-
Carey Venglarcik MDCAREY VENGLARCIK MD
MEDICAL DIRECTOR
- Total calculated
- $346,174
- From this org
- $309,258
- From related orgs
- $0
- Other
- $36,916
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $287,830
- Bonus
- $21,428
- Other
- $0
- Deferred
- $12,568
- Nontaxable benefits
- $24,348
- Filer's total
- $346,174
-
Kathleen Knopp MDKATHLEEN KNOPP MD
MEDICAL DOCTOR - OB/GYN
- Total calculated
- $339,612
- From this org
- $319,541
- From related orgs
- $0
- Other
- $20,071
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $306,791
- Bonus
- $12,750
- Other
- $0
- Deferred
- $11,371
- Nontaxable benefits
- $8,700
- Filer's total
- $339,612
-
Imran Khan MDIMRAN KHAN MD
MEDICAL DIRECTOR-PSYCHIATRIST
- Total calculated
- $337,990
- From this org
- $300,716
- From related orgs
- $0
- Other
- $37,274
- Hours/week
- 33
Schedule J breakdown matched by us
- Base
- $273,801
- Bonus
- $26,915
- Other
- $0
- Deferred
- $12,926
- Nontaxable benefits
- $24,348
- Filer's total
- $337,990
-
Melissa Tasista MDMELISSA TASISTA MD
MEDICAL DOCTOR
- Total calculated
- $337,496
- From this org
- $299,250
- From related orgs
- $0
- Other
- $38,246
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $280,415
- Bonus
- $18,835
- Other
- $0
- Deferred
- $13,898
- Nontaxable benefits
- $24,348
- Filer's total
- $337,496
-
Collin LynnCOLLIN LYNN
MEDICAL DIRECTOR - FELLOWSHIP
- Total calculated
- $334,592
- From this org
- $296,169
- From related orgs
- $0
- Other
- $38,423
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $281,311
- Bonus
- $14,858
- Other
- $0
- Deferred
- $11,225
- Nontaxable benefits
- $27,198
- Filer's total
- $334,592
-
Maria Nicora Bia MDMARIA NICORA BIA MD
MEDICAL DIRECTOR
- Total calculated
- $333,470
- From this org
- $311,332
- From related orgs
- $0
- Other
- $22,138
- Hours/week
- 36
Schedule J breakdown matched by us
- Base
- $295,900
- Bonus
- $15,432
- Other
- $0
- Deferred
- $7,438
- Nontaxable benefits
- $14,700
- Filer's total
- $333,470
-
Sean Dugan MDSEAN DUGAN MD
MEDICAL DOCTOR-PEDIATRICIAN
- Total calculated
- $329,980
- From this org
- $292,851
- From related orgs
- $0
- Other
- $37,129
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $287,351
- Bonus
- $5,500
- Other
- $0
- Deferred
- $12,781
- Nontaxable benefits
- $24,348
- Filer's total
- $329,980
-
Douglas McMullin MDDOUGLAS MCMULLIN MD
CHIEF MED OFFICER END 04/22
- Total calculated
- $323,604
- From this org
- $307,104
- From related orgs
- $0
- Other
- $16,500
- Hours/week
- 33
Schedule J breakdown matched by us
- Base
- $258,604
- Bonus
- $48,500
- Other
- $0
- Deferred
- $0
- Nontaxable benefits
- $16,500
- Filer's total
- $323,604
-
Amanda Mooneyham MDAMANDA MOONEYHAM MD
ASSOCIATE RESIDENCY PRG DIR
- Total calculated
- $308,582
- From this org
- $268,433
- From related orgs
- $0
- Other
- $40,149
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $250,933
- Bonus
- $17,500
- Other
- $0
- Deferred
- $10,801
- Nontaxable benefits
- $29,348
- Filer's total
- $308,582
-
Elaine Laraway MDELAINE LARAWAY MD
MED DIRECTOR - SHASTA LAKE
- Total calculated
- $298,048
- From this org
- $258,894
- From related orgs
- $0
- Other
- $39,154
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $238,846
- Bonus
- $20,048
- Other
- $0
- Deferred
- $11,956
- Nontaxable benefits
- $27,198
- Filer's total
- $298,048
-
Rhett Grover DoRHETT GROVER DO
MEDICAL DIRECTOR - URGENT CARE
- Total calculated
- $283,181
- From this org
- $241,475
- From related orgs
- $0
- Other
- $41,706
- Hours/week
- 32
Schedule J breakdown matched by us
- Base
- $226,177
- Bonus
- $15,298
- Other
- $0
- Deferred
- $10,858
- Nontaxable benefits
- $30,848
- Filer's total
- $283,181
-
Darrick Nelson MDDARRICK NELSON MD
CHIEF MED OFFICER BEG 04/22
- Total calculated
- $282,099
- From this org
- $252,133
- From related orgs
- $0
- Other
- $29,966
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $217,133
- Bonus
- $35,000
- Other
- $0
- Deferred
- $3,754
- Nontaxable benefits
- $26,212
- Filer's total
- $282,099
-
Charles KitzmanCHARLES KITZMAN
CHIEF INFORMATION OFFICER
- Total calculated
- $259,408
- From this org
- $232,948
- From related orgs
- $0
- Other
- $26,460
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $214,628
- Bonus
- $18,320
- Other
- $0
- Deferred
- $10,760
- Nontaxable benefits
- $15,700
- Filer's total
- $259,408
-
Jeffery ThornockJEFFERY THORNOCK
CHIEF OPERATIONS OFFICER
- Total calculated
- $255,187
- From this org
- $220,240
- From related orgs
- $0
- Other
- $34,947
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $201,541
- Bonus
- $18,699
- Other
- $0
- Deferred
- $10,119
- Nontaxable benefits
- $24,828
- Filer's total
- $255,187
-
Dorothy Bratton PaDOROTHY BRATTON PA
DEPUTY CHIEF MEDICAL OFFICER
- Total calculated
- $254,780
- From this org
- $225,842
- From related orgs
- $0
- Other
- $28,938
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $200,185
- Bonus
- $25,657
- Other
- $0
- Deferred
- $9,152
- Nontaxable benefits
- $19,786
- Filer's total
- $254,780
-
Sherry CaldwellSHERRY CALDWELL
CHIEF FINANCIAL OFFICER
- Total calculated
- $253,962
- From this org
- $236,162
- From related orgs
- $0
- Other
- $17,800
- Hours/week
- 40 + 0.5 related
Schedule J breakdown matched by us
- Base
- $216,378
- Bonus
- $19,784
- Other
- $0
- Deferred
- $9,100
- Nontaxable benefits
- $8,700
- Filer's total
- $253,962
-
Franklin PierceFRANKLIN PIERCE
DENTAL DIRECTOR
- Total calculated
- $238,229
- From this org
- $203,728
- From related orgs
- $0
- Other
- $34,501
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $193,247
- Bonus
- $10,481
- Other
- $0
- Deferred
- $9,968
- Nontaxable benefits
- $24,533
- Filer's total
- $238,229
-
Robert Gamboe PaROBERT GAMBOE PA
NP/PA FELLOWSHIP PRG DIRECTOR
- Total calculated
- $213,612
- From this org
- $180,939
- From related orgs
- $0
- Other
- $32,673
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $164,189
- Bonus
- $16,750
- Other
- $0
- Deferred
- $8,325
- Nontaxable benefits
- $24,348
- Filer's total
- $213,612
-
Laura BaynardLAURA BAYNARD
DEPUTY CHIEF OPERATIONS OFFICR
- Total calculated
- $207,599
- From this org
- $182,823
- From related orgs
- $0
- Other
- $24,776
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $166,281
- Bonus
- $16,542
- Other
- $0
- Deferred
- $8,276
- Nontaxable benefits
- $16,500
- Filer's total
- $207,599
-
Theresa BlancoTHERESA BLANCO
CHIEF PLANNING AND DEV OFFICER
- Total calculated
- $192,579
- From this org
- $165,552
- From related orgs
- $0
- Other
- $27,027
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $151,362
- Bonus
- $14,190
- Other
- $0
- Deferred
- $7,677
- Nontaxable benefits
- $19,350
- Filer's total
- $192,579
-
Melissa TurleyMELISSA TURLEY
DEPUTY CHIEF HR OFFICER
- Total calculated
- $180,657
- From this org
- $153,383
- From related orgs
- $0
- Other
- $27,274
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $141,427
- Bonus
- $11,956
- Other
- $0
- Deferred
- $2,926
- Nontaxable benefits
- $24,348
- Filer's total
- $180,657
-
Kerry FaskingKERRY FASKING
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 4 + 0.5 related
-
John KennyJOHN KENNY
VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Wendy LongwellWENDY LONGWELL
TREASURER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Margaret Beck CluMARGARET BECK CLU
SECRETARY
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Amparo BuckAMPARO BUCK
COMMUNITY MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 5 related
-
Mark MitchelsonMARK MITCHELSON
COMMUNITY & PROVIDER MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Ray HambyRAY HAMBY
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Sandra HarpSANDRA HARP
CONSUMER MEMBER END 03/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Dennis HarrisonDENNIS HARRISON
CONSUMER MEMBER END 09/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Mike MangasMIKE MANGAS
CONSUMER MEMBER BEG 05/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Dot Van CleaveDOT VAN CLEAVE
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Joseph MelvinJOSEPH MELVIN
CONSUMER MEMBER END 07/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Stephen BellSTEPHEN BELL
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Robert FoldenROBERT FOLDEN
COMMUNITY AND PROVIDER MEMBER
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Samantha BretonSAMANTHA BRETON
CONSUMER MEMBER BEG 10/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
Elizabeth OlsonELIZABETH OLSON
CONSUMER MEMBER BEG 12/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
-
John Di PerryJOHN DI PERRY
CONSUMER MEMBER BEG 10/22
- Total calculated
- $0
- Hours/week
- 3 + 0.5 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
- 3 · Compensation committee
- 3 · Independent compensation consultant
- 3 · Form 990 of other organizations
- 3 · Written employment contract
- 3 · Compensation survey or study
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
Answered no
- 4a · Severance or change-of-control payment
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART I, LINE 4B
- SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: C. DEAN GERMANO, CEO, IS COVERED BY A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT FROM SHASTA COMMUNITY HEALTH CENTER WHICH WAS FUNDED THIS YEAR BY $40,400.
- SCHEDULE J, PART I, LINE 7
- NON-FIXED PAYMENTS: SENIOR MANAGEMENT BONUSES ARE DETERMINED EACH YEAR BASED ON INTERNAL METRICS AND INDIVIDUAL PERFORMANCE. ALL CLINICIANS GET PAID A MONTHLY BONUS BASED ON THE AMOUNT OF ENCOUNTERS OVER BUDGETED EXPECTATIONS.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
501(C)(3) · RE HOLDING · CA · controlled entity
Directly controlled by SHASTA CHC
-
501(C)(3) · RE HOLDING · CA · controlled entity
Directly controlled by SHASTA CHC
-
SHASTA SUPPORTIVE HOUSING AND SERVICES
501(C)(3) · HOUSING · CA · controlled entity
Directly controlled by SHASTA CHC
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Disregarded entities
Part I: entities that legally are the filer and file no return of their own.
-
SHASTA INVESTMENT FUND LLC
HOLDING CO · MO · income $0 · assets $0
Directly controlled by SHASTA CHC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 October 2023
- IRS schema version
- 2022v5.0
- Source object
- 202332769349300328
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