2023-09-11T12:25:49-05:00 2022-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2022-01-01 872892533 SHASTA SUPPORTIVE HOUSING AND SERVICES % SHERRY CALDWELL CFO SHAS 5302465763 1035 PLACER STREET REDDING CA 96001 SHERRY CALDWELL CFO 5302465710 2023-11-15 true SHERRY CALDWELL 999009999 Krystal K Creach P01248198 4178658701 2022 2023-04-26 12:10:37Z C DEAN GERMANO 1035 PLACER STREET REDDING CA 96001 551616 false X WWW.SHASTAHEALTH.ORG X 2021 CA TO PROVIDE AFFORDABLE HOUSING AND SUPPORTIVE SERVICES TO PEOPLE EXPERIENCING HOMELESSNESS, THE FRAIL ELDERLY, AND OTHER VULNERABLE POPULATIONS. 14 14 0 17 0 0 5000 500000 0 51464 0 152 0 0 5000 551616 0 0 0 0 0 0 0 0 0 25423 112028 25423 112028 -20423 439588 5000 1412946 25423 993781 -20423 419165 TO PROVIDE AFFORDABLE HOUSING AND SUPPORTIVE SERVICES TO PEOPLE EXPERIENCING HOMELESSNESS, THE FRAIL ELDERLY, AND OTHER VULNERABLE POPULATIONS. false false 53977 51464 PROVIDE LOW-COST, TEMPORARY HOUSING TO RECUPERATIVE AND TRANSIENT PATIENTS OF THE SHASTA COMMUNITY HEALTH CENTER. 53977 true true false false false false false false false false true false false false true false false true false false false false false false false false false false false true false false false false false false false false false false false false false true false false true 0 0 true 0 false false false false false false false false false false false false X 14 14 false false false false true true true true true false false true true true true false true false false false CA X SHERRY CALDWELL CFO 5302465763 1035 PLACER STREET REDDING CA 96001 C DEAN GERMANO CHEIF EXECUTIVE OFFICER 0.25 40.0 X 0 350336 66606 SHERRY CALDWELL CHIEF FINANCIAL OFFICER 0.25 40.0 X 0 236162 17800 KERRY FASKING CHAIRPERSON 0.1 4.0 X X 0 0 0 JOHN KENNY VICE CHAIRPERSON 0.1 4.0 X X 0 0 0 WENDY LONGWELL TREASURER 0.1 4.0 X X 0 0 0 AMPARO BUCK COMMUNITY MEMBER 0.1 4.0 X 0 0 0 RAY HAMBY CONSUMER MEMBER 0.1 3.0 X 0 0 0 SANDRA HARP CONSUMER MEMBER END 03/22 0.1 3.0 X 0 0 0 DENNIS HARRISON CONSUMER MEMBER END 09/22 0.1 3.0 X 0 0 0 MIKE MANGAS CONSUMER MEMBER BEG 05/22 0.1 3.0 X 0 0 0 JOSPEH MELVIN CONSUMER MEMBER END 07/22 0.1 3.0 X 0 0 0 DOT VAN CLEAVE CONSUMER MEMBER 0.1 3.0 X 0 0 0 MARK MITCHELSON COMMUNITY MEMBER 0.1 3.0 X 0 0 0 MARGARET BECK SECRETARY 0.1 4.0 X X 0 0 0 STEPHEN BELL CONSUMER MEMBER 0.1 3.0 X 0 0 0 ROBERT FOLDEN COMMUNITY MEMBER 0.1 3.0 X 0 0 0 SAMANTHA BRETON CONSUMER MEMBER BEG 10/22 0.1 3.0 X 0 0 0 ELIZABETH OLSON CONSUMER MEMBER BEG 12/22 0.1 3.0 X 0 0 0 JOHN DI PERRY CONSUMER MEMBER BEG 10/22 0.1 3.0 X 0 0 0 0 586498 84406 0 false true false 0 500000 500000 Rental income 532000 51140 51140 OTHER REVENUE 900099 324 324 51464 152 152 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 551616 51464 152 0 0 0 0 0 0 0 0 0 0 0 1915 1915 7087 7087 0 0 0 0 0 1213 1213 0 0 16646 6646 10000 0 0 0 28945 28945 0 21969 21969 3400 3400 PROPERTY TAXES 15005 15005 PROPERTY MANAGEMENT SERVICES 5508 5508 MINOR EQUIPMENT 5282 5282 CORP RFD-1 50 50 5008 1675 3333 112028 53977 58051 0 0 0 5000 229561 0 0 0 5139 0 0 0 0 0 0 0 0 0 1700 1192395 21969 0 1170426 0 0 0 0 0 0 0 0 0 6120 5000 1412946 0 420 0 0 0 0 0 0 0 0 0 0 0 975898 0 0 25423 17463 25423 993781 X -20423 419165 0 0 -20423 419165 5000 1412946 439588 X false true X true false X 0 0 0 5000 500000 505000 0 0 0 0 0 5000 500000 505000 0 505000 0 0 0 0 152 152 0 0 505152 51464 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 286175 286175 906220 21969 884251 1170426 0 ACCRUED INTEREST 11363 TENANT DEPOSITS LIABILITIES 6100 17463 551616 551616 551616 112028 112028 112028 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. false true false false false false false false false C DEAN GERMANO CHEIF EXECUTIVE OFFICER 0 305432 0 44904 0 0 0 54590 0 12016 0 416942 0 0 SHERRY CALDWELL CHIEF FINANCIAL OFFICER 0 216378 0 19784 0 0 0 9100 0 8700 0 253962 0 0 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. FORM 990, PART VI, SECTION A, LINE 6 MEMBERS: SHASTA COMMUNITY HEALTH CENTER IS THE SOLE CORPORATE MEMBER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A GOVERNING BODY DETERMINATION: THE BOARD OF DIRECTORS SHALL BE SELECTED AND APPOINTED BY THE BOARD OF DIRECTORS OF SHASTA COMMUNITY HEALTH CENTER, INC. (SCHC), A RELATED PARTY. FORM 990, PART VI, SECTION A, LINE 7B DECISIONS OF GOVERNING BODY SUBJECT TO APPROVAL OF RELATED PARTY: ANY ALTERATION, AMENDMENT OR REPEAL OF THE ORGANIZATION'S BYLAWS SHALL REQUIRE THE APPROVAL OF THE BOARD OF DIRECTORS OF SCHC TO BE EFFECTIVE. IN ADDITION, THE DISSOLUTION OF THE ORGANIZATION MUST BE APPROVED BY SCHC, EXCEPT WHEN THE DISSOLUTION IS REQUIRED BY LAW. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 BOARD REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE CHIEF FINANCIAL OFFICER AND DIRECTOR OF FINANCE DO AN EXTENSIVE REVIEW OF THE FORM WITH THE CURRENT CPA FIRM. THE BOARD OF DIRECTORS IS PROVIDED A COMPLETE COPY OF THE FORM 990 THROUGH EMAIL DISTRIBUTION. THE DIRECTORS ARE GIVEN A PERIOD OF ONE WEEK TO REVIEW THE FORM 990, TO COMMENT AND TO ASK ANY PERTINENT QUESTIONS. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY COMPLIANCE: SHASTA SUPPORTIVE HOUSING AND SERVICES (SSHS) IS COMMITTED TO STRICT COMPLIANCE OF ITS CONFLICT OF INTEREST POLICY. THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES HAVE THE RESPONSIBILITY OF ADMINISTERING THE AFFAIRS OF SSHS. HONESTLY AND PRUDENTLY, AND OF EXERCISING THEIR BEST CARE, SKILL, AND JUDGMENT FOR THE SOLE BENEFIT OF SSHS. THE INTERESTS OF THE ORGANIZATION MUST BE THE FIRST PRIORITY IN ALL DECISIONS AND ACTIONS. IT IS THE POLICY OF THE ORGANIZATION'S BOARD THAT THE EXISTENCE OF ANY CONFLICTS OF INTEREST BE DISCLOSED BEFORE ANY TRANSACTION IS CONSUMMATED. IT IS THE CONTINUING RESPONSIBILITY OF THE BOARD, OFFICERS, AND MANAGEMENT EMPLOYEES TO SCRUTINIZE ITS TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES. DISCLOSURE IS MADE TO THE CHIEF EXECUTIVE OFFICER (OR IF HE OR SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD CHAIR), WHO BRINGS THE MATTER TO THE ATTENTION OF THE BOARD, OR A DULY CONSTITUTED COMMITTEE THEREOF. DISCLOSURE INVOLVING DIRECTORS IS MADE TO THE BOARD CHAIR, (OR IF HE OR SHE IS THE ONE WITH THE CONFLICT, THEN TO THE BOARD VICE-CHAIR). THE BOARD, OR A DULY CONSTITUTED COMMITTEE THEREOF, DETERMINES WHETHER A CONFLICT EXISTS AND IN THE CASE OF AN EXISTING CONFLICT, WHETHER THE CONTEMPLATED TRANSACTION MAY BE AUTHORIZED AS JUST, FAIR, AND REASONABLE TO SSHS. ANY CONFLICTS OF INTEREST ARE PROMPTLY ADDRESSED AND THE PERSON WITH THE CONFLICT IS EXCLUDED FROM THE DISCUSSION AND APPROVAL OF ANY RELATED TRANSACTIONS. FORM 990, PART VI, SECTION B, LINE 13 WHISTLEBLOWER POLICY: THE ORGANIZATION DOES NOT HAVE A WHISTLEBLOWER POLICY OF ITS OWN AS IT DOES NOT HAVE ANY EMPLOYEES, HOWEVER THE WHISTLEBLOWER POLICY OF THE PARENT ORGANIZATION, SHASTA COMMUNITY HEALTH CENTER, IS EFFECTIVELY APPLIED TO THIS ORGANIZATION AS WELL. FORM 990, PART VI, SECTION B, LINE 15A & 15B COMPENSATION DETERMINATION POLICY: SHASTA COMMUNITY HEALTH CENTER (SCHC), A RELATED ORGANIZATION, DOES AN ANNUAL SALARY SURVEY FOR ALL EMPLOYEES, INCLUDING OFFICERS AND KEY EMPLOYEES. THIS REVIEW IS CONDUCTED BY THE HR MANAGERS WORKING IN CONJUNCTION WITH AN OUTSIDE CONSULTANT. THE REVIEW FOR EACH POSITION CONSISTS OF MARKET SALARY SURVEYS, INCLUDING INDUSTRY SPECIFIC AND REGIONAL DATA. THE RESULTS OF THIS INFORMATION ARE REVIEWED BY SENIOR MANAGEMENT. THIS REVIEW USUALLY IS CONTEMPORANEOUSLY CONDUCTED DURING THE ANNUAL EVALUATION PERIOD. THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS DIRECTLY REVIEWS THE RESULTS OF CHIEF EXECUTIVE OFFICER'S SURVEY RESULTS. ALL CHANGES ARE THEN DOCUMENTED IN THE CEO'S CONTRACT ADDENDUM. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION PROVIDES TO INTERESTED PARTIES FINANCIAL STATEMENTS, IRS FORM 990, AND OTHER DOCUMENTS AND POLICIES UPON REQUEST. SHASTA COMMUNITY HEALTH CENTER 1035 PLACER STREET REDDING CA 96001 680165855 HEALTH CARE CA 501(C)3 7 NA false SCHC PROPERTY CORPORATION 1035 PLACER STREET REDDING CA 96001 463207999 RE HOLDING CA 501(C)3 12A I SHASTA CHC false ANDERSON PROPERTY CORPORATION 2965 EAST STREET ANDERSON CA 96007 815371499 RE HOLDING CA 501(C)3 12A I SHASTA CHC false false false false false false false false false false true false false false true true true true false false