Form 990 for tax year 2023
Filed by SHASTA SUPPORTIVE HOUSING AND SERVICES.
Totals
- Total revenue
- $1,245,695
- Total expenses
- $108,131
- Contributions and grants received
- $126,740
- Grants paid
- $0
- Program service revenue
- $89,673
- Investment income
- $29,282
- Other revenue
- $1,000,000
- Total assets, end of year
- $1,691,069
- Total liabilities, end of year
- $134,340
- Net assets or fund balances, end of year
- $1,556,729
- Program services expenses (Part IX)
- $98,899
- Management and general expenses
- $9,232
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $98,899
Program services were 91.5% 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)
$126,740
-
2a · Program service revenue: Rental Income
total $89,455 · related or exempt $89,455
-
2b · Program service revenue: Other Revenue
total $218 · related or exempt $218
-
2f · All other program service revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
3 · Investment income
total $29,282 · excluded $29,282
-
6c · Rental income or loss
real property $0 · personal property $0
-
7c · Gain or loss
securities $0 · other assets $0
-
11a · Other revenue: GAIN ON EXTINGUISHMENT OF DEBT
total $1,000,000 · excluded $1,000,000
-
11d · All other revenue
total $0 · related or exempt $0 · unrelated business $0 · excluded $0
-
11e · Other revenue, total
$1,000,000
Functional expenses
Part IX, the statement of functional expenses.
-
11a · Fees: management
total $7,531 · management and general $7,531
-
11c · Fees: accounting
total $1,576 · management and general $1,576
-
11g · Fees: other
total $30,000 · program services $30,000 · management and general $0 · fundraising $0
-
13 · Office expenses
total $85 · program services $85
-
16 · Occupancy
total $13,833 · program services $13,833
-
22 · Depreciation, depletion and amortization
total $34,911 · program services $34,911
-
23 · Insurance
total $5,757 · program services $5,757
-
24a · Other expenses: Property Taxes
total $13,627 · program services $13,627
-
24b · Other expenses: Minor Equipment
total $686 · program services $686
-
24c · Other expenses: Corp RFD-1
total $125 · management and general $125
-
24e · All other expenses
total $0 · program services $0 · management and general $0 · fundraising $0
Balance sheet
Part X, book values.
-
2 · Savings and temporary cash investments
beginning of year $229,561 · end of year $234,512
-
3 · Pledges and grants receivable
end of year $51,740
-
4 · Accounts receivable
beginning of year $5,139 · end of year $5,586
-
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
-
9 · Prepaid expenses and deferred charges
beginning of year $1,700 · end of year $2,014
-
10a · Land, buildings and equipment: cost or other basis
$1,446,496
-
10b · Land, buildings and equipment: accumulated depreciation
$56,879
-
10c · Land, buildings and equipment, net
beginning of year $1,170,426 · end of year $1,389,617
-
12 · Investments: other securities
beginning of year $0
-
13 · Investments: program-related
beginning of year $0
-
15 · Other assets
beginning of year $6,120 · end of year $7,600
-
17 · Accounts payable and accrued expenses
beginning of year $420 · end of year $126,740
-
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 $975,898
-
25 · Other liabilities
beginning of year $17,463 · end of year $7,600
-
27 · Net assets without donor restrictions
beginning of year $419,165 · end of year $1,556,729
Mission and programs · 2023
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 $98,899 · Revenue $89,673
As filed on the 2023 return.
Listed in Part VII
-
John KennyJOHN KENNY
VICE CHAIR END/CONSUMER MEMBER BEG 09/23
- Total calculated
- $0
- Hours/week
- 0.1 + 4.2 related
-
Kerry FaskingKERRY FASKING
CHAIR
- Total calculated
- $0
- Hours/week
- 0.1 + 4.3 related
-
Margaret BeckMARGARET BECK
SECRETARY
- Total calculated
- $0
- Hours/week
- 0.1 + 4.3 related
-
Robert FoldenROBERT FOLDEN
COMMUNITY MEMBER END/VICE CHAIR BEG 09/23
- Total calculated
- $0
- Hours/week
- 0.1 + 4.2 related
-
Wendy LongwellWENDY LONGWELL
TREASURER
- Total calculated
- $0
- Hours/week
- 0.1 + 4.2 related
-
Amparo BuckAMPARO BUCK
COMMUNITY MEMBER END 02/23
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Casey FatchCASEY FATCH
COMMUNITY MEMBER BEG 10/23
- Total calculated
- $0
- Hours/week
- 0.1 + 3.1 related
-
Christy ColemanCHRISTY COLEMAN
COMMUNITY MEMBER BEG 05/23
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Dot Van CleaveDOT VAN CLEAVE
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Elizabeth OlsonELIZABETH OLSON
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
John Di PerryJOHN DI PERRY
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Lori GoyneLORI GOYNE
EX OFFICIO MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.3 related
-
Mark MitchelsonMARK MITCHELSON
COMMUNITY MEMBER END 04/23
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Mike MangasMIKE MANGAS
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Ray HambyRAY HAMBY
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Samantha BretonSAMANTHA BRETON
CONSUMER MEMBER
- Total calculated
- $0
- Hours/week
- 0.1 + 3.2 related
-
Stephen BellSTEPHEN BELL
CONSUMER MEMBER END 04/23
- Total calculated
- $0
- Hours/week
- 0.1 + 3.3 related
-
C Dean GermanoC DEAN GERMANO
CHIEF EXECUTIVE OFFICER
- Total calculated
- $457,269
- From this org
- $0
- From related orgs
- $384,938
- Other
- $72,331
- Hours/week
- 0.1 + 40.3 related
Schedule J breakdown matched by us
- Base
- $0 + $328,971 related
- Bonus
- $0 + $55,967 related
- Other
- $0
- Deferred
- $0 + $64,099 related
- Nontaxable benefits
- $0 + $8,232 related
- Filer's total
- $0 + $457,269 related
-
Daniel SantiDANIEL SANTI
CHIEF FINANCIAL OFFICER BEG 09/23
- Total calculated
- $174,665
- From this org
- $0
- From related orgs
- $149,709
- Other
- $24,956
- Hours/week
- 0.1 + 40.2 related
Schedule J breakdown matched by us
- Base
- $0 + $139,690 related
- Bonus
- $0 + $10,019 related
- Other
- $0
- Deferred
- $0 + $2,600 related
- Nontaxable benefits
- $0 + $22,356 related
- Filer's total
- $0 + $174,665 related
-
Sherry CaldwellSHERRY CALDWELL
CHIEF FINANCIAL OFFICER END 09/23
- Total calculated
- $281,863
- From this org
- $0
- From related orgs
- $266,059
- Other
- $15,804
- Hours/week
- 0.1 + 40.3 related
Schedule J breakdown matched by us
- Base
- $0 + $220,420 related
- Bonus
- $0 + $45,639 related
- Other
- $0
- Deferred
- $0 + $8,256 related
- Nontaxable benefits
- $0 + $7,548 related
- Filer's total
- $0 + $281,863 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 I, Line 3 Arrangement used to establish the top management official's compensation
- 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 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, A RELATED ORGANIZATION, WHICH WAS FUNDED THIS YEAR BY $50,867.
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
-
501(c)(3) · RE HOLDING · CA
Directly controlled by NA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 8 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202443139349303749
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
The source document this was parsed from is served over the API, which is where bulk and document access live.