Form 990 for tax year 2022
Filed by SAMUEL DIXON FAMILY HEALTH CENTER INC.
Totals
- Total revenue
- $5,295,018
- Total expenses
- $4,883,180
- Contributions and grants received
- $4,809,334
- Grants paid
- $0
- Program service revenue
- $208,227
- Investment income
- $4,171
- Other revenue
- $273,286
- Total assets, end of year
- $4,442,951
- Total liabilities, end of year
- $1,289,575
- Net assets or fund balances, end of year
- $3,153,376
- Program services expenses (Part IX)
- $3,442,959
- Management and general expenses
- $1,043,084
- Fundraising expenses
- $397,137
- Program service expenses (Part III)
- $3,442,959
Program services were 70.5% 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)
$4,654,862
-
1f · All other contributions, gifts and grants
$154,472
-
1g · Noncash contributions included above
$4,494
-
2a · Program service revenue: Incentives
total $132,230 · related or exempt $132,230
-
2b · Program service revenue: Program Service Fees
total $75,997 · related or exempt $75,997
-
3 · Investment income
total $4,171 · excluded $4,171
-
4 · Income from investment of tax-exempt bond proceeds
total $0
-
5 · Royalties
total $0
-
6d · Net rental income or loss
total $0
-
7d · Net gain or loss
total $0
-
8c · Net income from fundraising events
total $0
-
9c · Net income from gaming
total $0
-
10c · Net income from sales of inventory
total $0
-
11a · Other revenue: Other Income
total $273,286 · related or exempt $273,286
-
11e · Other revenue, total
$273,286
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 $606,419 · program services $353,464 · management and general $215,012 · fundraising $37,943
-
6 · Compensation of disqualified persons
total $0
-
7 · Other salaries and wages
total $2,431,238 · program services $1,807,758 · management and general $313,285 · fundraising $310,195
-
8 · Pension plan contributions
total $0
-
9 · Other employee benefits
total $124,583 · program services $91,701 · management and general $17,293 · fundraising $15,589
-
10 · Payroll taxes
total $224,216 · program services $159,194 · management and general $39,013 · fundraising $26,009
-
11a · Fees: management
total $0
-
11b · Fees: legal
total $1,456 · management and general $1,456
-
11c · Fees: accounting
total $16,440 · management and general $16,440
-
11d · Fees: lobbying
total $0
-
11e · Fees: professional fundraising services
total $0
-
11f · Fees: investment management
total $0
-
11g · Fees: other
total $187,502 · program services $65,839 · management and general $121,663
-
12 · Advertising and promotion
total $55,339 · management and general $55,339
-
13 · Office expenses
total $42,211 · program services $35,763 · management and general $6,078 · fundraising $370
-
14 · Information technology
total $7,838 · program services $6,667 · management and general $1,004 · fundraising $167
-
15 · Royalties
total $0
-
16 · Occupancy
total $338,846 · program services $240,587 · management and general $98,259
-
17 · Travel
total $54,401 · program services $22,191 · management and general $32,210
-
18 · Travel or entertainment for public officials
total $0
-
19 · Conferences, conventions and meetings
total $0
-
20 · Interest
total $702 · management and general $702
-
21 · Payments to affiliates
total $0
-
22 · Depreciation, depletion and amortization
total $133,334 · program services $123,439 · management and general $9,895
-
23 · Insurance
total $93,534 · program services $70,004 · management and general $17,286 · fundraising $6,244
-
24a · Other expenses: Provision for Bad Debt
total $142,628 · program services $142,628
-
24b · Other expenses: Supplies - Medical
total $127,142 · program services $127,142
-
24c · Other expenses: Outside Services
total $82,648 · program services $3,230 · management and general $79,418
-
24d · Other expenses: Equipment and maintenance and
total $73,897 · program services $73,897
-
24e · All other expenses
total $138,806 · program services $119,455 · management and general $18,731 · fundraising $620
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $548,671 · end of year $694,243
-
2 · Savings and temporary cash investments
beginning of year $1,072,886 · end of year $1,411,222
-
3 · Pledges and grants receivable
beginning of year $372,591 · end of year $473,999
-
4 · Accounts receivable
beginning of year $24,801 · end of year $24,280
-
5 · Loans and receivables from officers and key people
end of year $0
-
6 · Loans and receivables from disqualified persons
end of year $0
-
7 · Other notes and loans receivable
end of year $0
-
8 · Inventories for sale or use
end of year $0
-
9 · Prepaid expenses and deferred charges
beginning of year $24,721 · end of year $16,268
-
10a · Land, buildings and equipment: cost or other basis
$2,621,668
-
10b · Land, buildings and equipment: accumulated depreciation
$1,786,438
-
10c · Land, buildings and equipment, net
beginning of year $896,272 · end of year $835,230
-
11 · Investments: publicly traded securities
end of year $0
-
12 · Investments: other securities
end of year $0
-
13 · Investments: program-related
end of year $0
-
14 · Intangible assets
end of year $0
-
15 · Other assets
end of year $987,709
-
17 · Accounts payable and accrued expenses
beginning of year $10,284 · end of year $38,808
-
25 · Other liabilities
beginning of year $190,813 · end of year $1,250,767
-
27 · Net assets without donor restrictions
beginning of year $2,733,845 · end of year $3,138,376
-
28 · Net assets with donor restrictions
beginning of year $5,000 · end of year $15,000
Mission and programs · 2022
Mission
A community health center offering medical, dental, health education services, outreach/enrollment services and mental health services to uninsured and under insured persons based on a sliding fee scale which is based on federal poverty guidelines. See Schedule O.
-
Samuel Dixon Family Health Center, Inc.s goal is to enhance wellness by providing quality outpatient health care services, dental services, mental health services and other programs including; outreach and enrollment, health education, community resources, and referrals. Ensuring that all our friends and neighbors have access to affordable quality primary care while making a special effort to serve the uninsured and under-insured residents of Santa Clarita Valley.
Expenses $3,442,959 · Revenue $75,997
As filed on the 2022 return.
Listed in Part VII
-
Samuel P Dixon
CMO
- Total calculated
- $287,379
- From this org
- $277,080
- From related orgs
- $0
- Other
- $10,299
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $277,080
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $10,299
- Filer's total
- $287,379
-
Philip Solomon MPA
CEO
- Total calculated
- $155,892
- From this org
- $149,770
- From related orgs
- $0
- Other
- $6,122
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $149,770
- Bonus
- not reported
- Other
- not reported
- Deferred
- not reported
- Nontaxable benefits
- $6,122
- Filer's total
- $155,892
-
Mary Overlander
Nurse Practitioner
- Total calculated
- $131,417
- From this org
- $125,795
- From related orgs
- $0
- Other
- $5,622
- Hours/week
- 40
-
Ruben Esparza
Physician's Assist
- Total calculated
- $130,471
- From this org
- $126,118
- From related orgs
- $0
- Other
- $4,353
- Hours/week
- 40
-
Tom Christensen
CFO
- Total calculated
- $121,515
- From this org
- $115,870
- From related orgs
- $0
- Other
- $5,645
- Hours/week
- 40
-
Vazgen Tervardanyan
Dental Prg. Mng.
- Total calculated
- $110,152
- From this org
- $100,962
- From related orgs
- $0
- Other
- $9,190
- Hours/week
- 40
-
Amanda Hills
BH Clinical Dir.
- Total calculated
- $109,463
- From this org
- $109,463
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
-
Gloria Mercado-Fortine
Chairperson
- Total calculated
- $0
- Hours/week
- 0.5
-
Michael Fisher
Vice Chairman
- Total calculated
- $0
- Hours/week
- 0.5
-
Carolina Orozco Hernandez
Treasurer
- Total calculated
- $0
- Hours/week
- 0.5
-
Dr David Goldberg DDS
Secretary
- Total calculated
- $0
- Hours/week
- 0.5
-
Anthony McKinnies
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Nickie DeTolve
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Paul Lowe
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Mike Thomas
Director
- Total calculated
- $0
- Hours/week
- 0.5
-
Chris Hermosura
Director
- Total calculated
- $0
- Hours/week
- 0.5
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 · Approval by the board or compensation committee
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 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
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.
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 9 April 2024
- IRS schema version
- 2022v5.0
- Source object
- 202431009349300413
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