Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
CENTER FOR AIDS RESEARCH EDUCATION AND SERVICES - SACRAMENTO
Employer identification number
68-0162903
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II, or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) A person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the supported organization?
................
11g(i)
(ii)
A family member of a person described in (i) above?
......................
11g(ii)
(iii)
A 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of monetary support
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
3,881,468
3,426,991
4,054,075
3,953,819
4,412,601
19,728,954
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
0
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
0
4
Total. Add lines 1 through 3
3,881,468
3,426,991
4,054,075
3,953,819
4,412,601
19,728,954
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
0
6
Public support. Subtract line 5 from line 4.
19,728,954
Section B. Total Support
Calendar year
(or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
7
Amounts from line 4..
3,881,468
3,426,991
4,054,075
3,953,819
4,412,601
19,728,954
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
319,166
490,317
715,940
508,064
186,968
2,220,455
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
0
10
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)..
0
0
0
0
710,069
710,069
11
Total support (Add lines 7 through 10).
22,659,478
12
Gross receipts from related activities, etc. (see instructions)
..................
12
11,103,346
13
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here........................................
Section C. Computation of Public Support Percentage
14
Public support percentage for 2012 (line 6, column (f) divided by line 11, column (f))
.........
14
87.060 %
15
Public support percentage for 2011 Schedule A, Part II, line 14
...............
15
89.500 %
16a
33 1/3% support test—2012.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
.......................
b
33 1/3% support test—2011.
If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2012.
If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization
.....................................................
b
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization
................................................
18
Private foundation.
If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions
.....................................................
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c
Add lines 7a and 7b..
8
Public support (Subtract line 7c from line 6.)
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2008
(b) 2009
(c) 2010
(d) 2011
(e) 2012
(f) Total
9
Amounts from line 6...
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
..
13
Total support. (Add lines 9, 10c, 11, and 12.)..
14
First five years.
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public support percentage for 2012 (line 8, column (f) divided by line 13, column (f))
.........
15
16
Public support percentage from 2011 Schedule A, Part III, line 15
...............
16
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2012 (line 10c, column (f) divided by line 13, column (f))
......
17
18
Investment income percentage from 2011 Schedule A, Part III, line 17
.............
18
19a
33 1/3% support tests—2012.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
........
b
33 1/3% support tests—2011.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
.....
20
Private foundation.
If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2012
Schedule A (Form 990 or 990-EZ) 2012
Page 4
Part IV
Supplemental Information.
Complete this part to provide the explanations required by Part II, line 10; Part II, line 17a or 17b; and Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
PUBLIC SUPPORT TEST, SCHEDULE A, PART II, THE ORGANIZATION RECLASSED VARIOUS REVENUE ITEMS ON THE FORM 990 THIS YEAR AS COMPARED TO PRIOR YEARS IN ORDER TO MORE ACCURATELY REFLECT THE ACTIVITIES OF THE ORGANIZATION. ALL REVENUES ARE ACCOUNTED FOR AND THE ORGANIZATION PASSES THE PUBLIC SUPPORT TEST. THE RECLASSES MAINLY AFFECT LINE 1 CONTRIBUTIONS RECEIVED AND LINE 12 GROSS RECEIPTS FROM RELATED ACTIVITIES.,
OTHER INCOME, SCHEDULE A, PART II, LINE 10, <OTHERINCOME> <INCOME> <DESCRIPTION> MISCELLANEOUS INC</DESCRIPTION> <COLUMNA /> <COLUMNB /> <COLUMNC /> <COLUMND /> <COLUMNE>260705</COLUMNE> <COLUMNF>260705</COLUMNF> </INCOME> <INCOME> <DESCRIPTION>OUTPATIENT REVENUE</DESCRIPTION> <COLUMNA /> <COLUMNB /> <COLUMNC /> <COLUMND /> <COLUMNE>449364</COLUMNE> <COLUMNF>449364</COLUMNF> </INCOME> </OTHERINCOME>,
OTHER INCOME, SCHEDULE A, PART II, LINE 10, DESCRIPTION - MISCELLANEOUS INC, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 260705, COLUMN F - 260705; DESCRIPTION - OUTPATIENT REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 449364, COLUMN F - 449364;,
Schedule A (Form 990 or 990-EZ) 2012
Additional Data
Software ID:
12000266
Software Version:
v2012.1.0
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
CENTER FOR AIDS RESEARCH EDUCATION AND SERVICES - SACRAMENTO
Employer identification number
68-0162903
Identifier
Return Reference
Explanation
TRANSFER OR MORE THAN 25% OF NET ASSETS
FORM 990, PART IV, LINE 32
CARES CONTRIBUTED A LARGE AMOUNT OF THEIR NET ASSETS TO START-UP THE CARES FOUNDATION DURING THE YEAR. BASED ON THE IRS INSTRUCTIONS, SCHEDULE N IS NOT REQUIRED SINCE THIS GRANT/OTHER ASSISTANCE WAS MADE IN THE" ORDINARY COURSE OF THE ORGANIZATION'S EXEMPT ACTIVITIES TO ACCOMPLISH THE ORGANIZATION'S EXEMPT PURPOSE".
Significant changes to organizational documents
Form 990, Part VI, Section A, Line 4
SIGNIFICANT CHANGES TO THE BYLAWS INCLUDE: - AT LEAST 51% OF THE DIRECTORS SHALL BE PATIENTS OF THE CLINIC OR CLINICS OPERATED BY THE CORPORATION THAT, AS A GROUP, REASONABLY REPRESENT THE DEMOGRAPHICS OF THE INDIVIDUALS SERVED BY THE CLINIC OR CLINICS. - OF THOSE DIRECTORS WHO ARE NOT PATIENTS OF THE CORPORATION'S CLINIC OR CLINICS, ONLY HALF OF THE BOARD MEMBERS MAY DERIVE 10% OR MORE OF THEIR INCOME FROM THE HEALTHCARE INDUSTRY, AS DEFINED IN POLICIES OF THE CORPORATION.
Review of form 990 by governing body
Form 990, Part VI, Section B, Line 11b
THE COMPLETED FORM 990 WAS INITIALLY PROVIDED TO THE AUDIT COMMITTEE, WHOSE MEMBERSHIP INCLUDES TWO INDIVIDUALS OUTSIDE OF THE BOARD OF DIRECTORS, FOR REVIEW AND COMMENT. AFTER AUDIT COMMITTEE REVIEW AND APPROVAL, A COPY OF THE FORM 990 WAS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO FILING WITH THE IRS.
Conflict of interest policy
Form 990, Part VI, Section B, Line 12c
EVERY RESPONSIBLE PERSON HAS A CONTINUING RESPONSIBILITY TO SCRUTINIZE HIS/HER TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS OF INTEREST AND TO MAKE SUCH DISCLOSURES AS DESCRIBED IN THE POLICY. ANNUALLY EACH RESPONSIBLE PERSON COMPLETES A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS, OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT (S)HE BELIEVES COULD CONTRIBUTE TO THE ARISING OF A CONFLICT OF INTEREST. SUCH RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES MIGHT INCLUDE SERVICE AS A DIRECTOR OF OR CONSULTANT TO A NOT-FOR-PROFIT ORGANIZATION, OR OWNERSHIP OF A BUSINESS THAT MIGHT PROVIDE GOODS OR SERVICES TO CARES.
Process used to establish compensation of top management official
Form 990, Part VI, Section B, Line 15a
THE EXECUTIVE DIRECTOR'S SALARY IS DETERMINED AND APPROVED BY THE BOARD OF THE ORGANIZATION. THIS PROCESS WAS LAST PERFORMED IN APRIL 2012. TWO SALARY SURVEYS ARE USED AS REFERENCES TO ESTABLISH THE SALARY ARCHITECTURE FOR CARES EMPLOYEES, THE COMPDATA SURVEY, THAT PROVIDES SALARY INFORMATION ON A STATE AND NATIONAL BASIS, AND THE CENTER FOR NONPROFIT MANAGEMENT (CNM) NORTHERN CALIFORNIA COMPENSATION & BENEFIT SURVEY THAT PROVIDES SALARY AND BENEFITS INFORMATION FOR 345 NON-PROFIT ORGANIZATIONS IN THE NORTHERN CALIFORNIA AREA. CARES JOB DESCRIPTIONS ARE MATCHED TO THE SURVEY JOB DESCRIPTIONS AND THE CARES SALARY RANGES ARE ADJUSTED TO REFLECT DIFFERENCES IN THE SCOPE OF RESPONSIBILITIES WHEN COMPARING THE SURVEY JOB RESPONSIBILITIES TO CARES JOB RESPONSIBILITIES.
PROCESS OF DETERMINING COMPENSATION FOR OTHER OFFICERS
FORM 990, PART VI, LINE 15B
THE CFO'S COMPENSATION IS DETERMINED AND APPROVED BY THE EXECUTIVE DIRECTOR OF THE ORGANIZATION ON AN ANNUAL BASIS. THIS PROCESS WAS LAST PERFORMED IN NOV/DEC 2012. THIS QUESTION HAS BEEN INTENTIONALLY MARKED 'NO' SINCE NO INDEPENDENT APPROVAL IS PERFORMED.
Governing documents, conflict of interest policy and financial statements available to the public
Form 990, Part VI, Section C, Line 19
CARES ANNUAL REPORT IS PLACED ON CARES WEBSITE, WWW.CARESCOMMUNITYHEALTH.ORG. CARES AUDITED FINANCIAL STATEMENTS AND GOVERNING DOCUMENTS ARE AVAILABLE FOR INSPECTION AT CARES OFFICES LOCATED AT 1500 21ST STREET, SACRAMENTO CA 95811.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.