Form 990 for tax year 2022
Filed by SHASTA SUPPORTIVE HOUSING AND SERVICES.
Totals
- Total revenue
- $551,616
- Total expenses
- $112,028
- Contributions and grants received
- $500,000
- Grants paid
- $0
- Program service revenue
- $51,464
- Investment income
- $152
- Other revenue
- $0
- Total assets, end of year
- $1,412,946
- Total liabilities, end of year
- $993,781
- Net assets or fund balances, end of year
- $419,165
- Program services expenses (Part IX)
- $53,977
- Management and general expenses
- $58,051
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $53,977
Program services were 48.2% 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.
-
1f · All other contributions, gifts and grants
$500,000
-
2a · Program service revenue: Rental income
total $51,140 · related or exempt $51,140
-
2b · Program service revenue: OTHER REVENUE
total $324 · related or exempt $324
-
3 · Investment income
total $152 · excluded $152
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6c · Rental income or loss
real property $0 · personal property $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
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
-
11e · Other revenue, total
$0
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $0
-
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 $0
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $0
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $0
-
10 · Payroll taxes
total $0
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $1,915 · management and general $1,915
-
11c · Fees: accounting
total $7,087 · management and general $7,087
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $0
-
12 · Advertising and promotion
total $0
-
13 · Office expenses
total $1,213 · management and general $1,213
-
14 · Information technology
total $0
-
15 · Royalties
total $0
-
16 · Occupancy
total $16,646 · program services $6,646 · management and general $10,000
-
17 · Travel
total $0
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $28,945 · management and general $28,945
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $21,969 · program services $21,969
-
23 · Insurance
total $3,400 · program services $3,400
-
24a · Other expenses: PROPERTY TAXES
total $15,005 · program services $15,005
-
24b · Other expenses: PROPERTY MANAGEMENT SERVICES
total $5,508 · management and general $5,508
-
24c · Other expenses: MINOR EQUIPMENT
total $5,282 · program services $5,282
-
24d · Other expenses: CORP RFD-1
total $50 · management and general $50
-
24e · All other expenses
total $5,008 · program services $1,675 · management and general $3,333
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $0 · end of year $0
-
2 · Savings and temporary cash investments
beginning of year $5,000 · end of year $229,561
-
3 · Pledges and grants receivable
beginning of year $0 · end of year $0
-
4 · Accounts receivable
beginning of year $0 · end of year $5,139
-
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 $0 · end of year $0
-
8 · Inventories for sale or use
beginning of year $0 · end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $0 · end of year $1,700
-
10a · Land, buildings and equipment: cost or other basis
$1,192,395
-
10b · Land, buildings and equipment: accumulated depreciation
$21,969
-
10c · Land, buildings and equipment, net
beginning of year $0 · end of year $1,170,426
-
11 · Investments: publicly traded securities
beginning of year $0 · end of year $0
-
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 $0 · end of year $6,120
-
17 · Accounts payable and accrued expenses
beginning of year $0 · end of year $420
-
18 · Grants payable
beginning of year $0 · end of year $0
-
19 · Deferred revenue
beginning of year $0 · end of year $0
-
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 $0 · end of year $975,898
-
24 · Unsecured notes and loans payable
beginning of year $0 · end of year $0
-
25 · Other liabilities
beginning of year $25,423 · end of year $17,463
-
27 · Net assets without donor restrictions
beginning of year -$20,423 · end of year $419,165
-
28 · Net assets with donor restrictions
beginning of year $0 · end of year $0
Mission and programs · 2022
Mission
TO PROVIDE AFFORDABLE HOUSING AND SUPPORTIVE SERVICES TO PEOPLE EXPERIENCING HOMELESSNESS, THE FRAIL ELDERLY, AND OTHER VULNERABLE POPULATIONS.
-
PROVIDE LOW-COST, TEMPORARY HOUSING TO RECUPERATIVE AND TRANSIENT PATIENTS OF THE SHASTA COMMUNITY HEALTH CENTER.
Expenses $53,977 · Revenue $51,464
As filed on the 2022 return.
Listed in Part VII
-
C Dean GermanoC DEAN GERMANO
CHEIF EXECUTIVE OFFICER
- Total calculated
- $416,942
- From this org
- $0
- From related orgs
- $350,336
- Other
- $66,606
- Hours/week
- 0.25 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $305,432 related
- Bonus
- $0 + $44,904 related
- Other
- $0
- Deferred
- $0 + $54,590 related
- Nontaxable benefits
- $0 + $12,016 related
- Filer's total
- $0 + $416,942 related
-
Sherry CaldwellSHERRY CALDWELL
CHIEF FINANCIAL OFFICER
- Total calculated
- $253,962
- From this org
- $0
- From related orgs
- $236,162
- Other
- $17,800
- Hours/week
- 0.25 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $216,378 related
- Bonus
- $0 + $19,784 related
- Other
- $0
- Deferred
- $0 + $9,100 related
- Nontaxable benefits
- $0 + $8,700 related
- Filer's total
- $0 + $253,962 related
-
Kerry FaskingKERRY FASKING
CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 0.1 + 4 related
-
John KennyJOHN KENNY
VICE CHAIRPERSON
- Total calculated
- $0
- Hours/week
- 0.1 + 4 related
-
Wendy LongwellWENDY LONGWELL
TREASURER
- Total calculated
- $0
- Hours/week
- 0.1 + 4 related
-
Amparo BuckAMPARO BUCK
COMMUNITY MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 4 related
-
Ray HambyRAY HAMBY
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Sandra HarpSANDRA HARP
CONSUMER MEMBER END 03/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Dennis HarrisonDENNIS HARRISON
CONSUMER MEMBER END 09/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Mike MangasMIKE MANGAS
CONSUMER MEMBER BEG 05/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Jospeh MelvinJOSPEH MELVIN
CONSUMER MEMBER END 07/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Dot Van CleaveDOT VAN CLEAVE
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Mark MitchelsonMARK MITCHELSON
COMMUNITY MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Margaret BeckMARGARET BECK
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.1 + 4 related
-
Stephen BellSTEPHEN BELL
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Robert FoldenROBERT FOLDEN
COMMUNITY MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Samantha BretonSAMANTHA BRETON
CONSUMER MEMBER BEG 10/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
Elizabeth OlsonELIZABETH OLSON
CONSUMER MEMBER BEG 12/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 related
-
John Di PerryJOHN DI PERRY
CONSUMER MEMBER BEG 10/22
- Total calculated
- $0
- Hours/week
- 0.1 + 3 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
- 4b · Supplemental nonqualified retirement plan
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
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- SCHEDULE J, PART 1, LINE 3
- COMPENSATION DETERMINATION: THE COMPENSATION OF THE ORGANIZATION'S CEO WAS DETERMINED BY SHASTA COMMUNITY HEALTH CENTER (SCHC), A RELATED PARTY. SCHC USED THE FOLLOWING RESOURCES TO DETERMINE THE CEO'S COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - COMPENSATION SURVEY OR STUDY - APPROVAL BY BOARD OR COMPENSATION COMMITTEE - WRITTEN EMPLOYMENT CONTRACT
- SCHEDULE J, PART 1, LINE 4B
- SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN: C. DEAN GERMANO, CEO, IS COVERED BY A 457(F) SUPPLEMENTAL RETIREMENT AGREEMENT FROM SHASTA COMMUNITY HEALTH CENTER, A RELATED ORGANIZATION, WHICH WAS FUNDED THIS YEAR BY $40,400.
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.
-
SHASTA COMMUNITY HEALTH CENTER
501(C)3 · HEALTH CARE · CA
Directly controlled by NA
-
501(C)3 · RE HOLDING · CA
Directly controlled by SHASTA CHC
-
501(C)3 · RE HOLDING · CA
Directly controlled by SHASTA CHC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 15 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202302549349301700
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