Attach to Form 990 or Form 990-EZ.
Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
| (i)Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 9 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
| Total | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) .... | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 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).. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10. | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 3,856,919 | 4,901,800 | 5,881,561 | 6,352,667 | 6,637,595 | 27,630,542 |
| 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...... | 92,069 | 1,161,487 | 3,628,607 | 5,956,105 | 11,120,629 | 21,958,897 |
| 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. | 3,948,988 | 6,063,287 | 9,510,168 | 12,308,772 | 17,758,224 | 49,589,439 |
| 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.) | 49,589,439 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2011 | (b) 2012 | (c) 2013 | (d) 2014 | (e) 2015 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,948,988 | 6,063,287 | 9,510,168 | 12,308,772 | 17,758,224 | 49,589,439 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 144 | 469 | 727 | 1,340 | ||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 144 | 469 | 727 | 1,340 | ||
| 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 VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,949,132 | 6,063,287 | 9,510,637 | 12,309,499 | 17,758,224 | 49,590,779 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by .035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | ||
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
||
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | ||
| 4 Amounts paid to acquire exempt-use assets | ||
| 5 Qualified set-aside amounts (prior IRS approval required) | ||
| 6 Other distributions (describe in Part VI). See instructions | ||
| 7Total annual distributions. Add lines 1 through 6. | ||
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
||
| 9 Distributable amount for 2015 from Section C, line 6 | ||
| 10 Line 8 amount divided by Line 9 amount | ||
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2015 |
(iii) Distributable Amount for 2015 |
|
|---|---|---|---|---|
|
1
Distributable amount for 2015 from Section C, line 6 |
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|
2
Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions) |
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| 3 Excess distributions carryover, if any, to 2015: | ||||
| a | ||||
| b | ||||
| c | ||||
| d From 2013....... | ||||
| e From 2014....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2015 distributable amount | ||||
|
i
Carryover from 2010 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from 3f. | ||||
| 4Distributions for 2015 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2015 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from 4. | ||||
|
5
Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions) |
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|
6
Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions) |
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|
7 Excess distributions carryover to 2016. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a | ||||
| b | ||||
| c Excess from 2013....... | ||||
| d From 2014....... | ||||
| e From 2015....... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Information about Schedule O (Form 990 or 990-EZ) and its instructions is at| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4D | PRIMARY MEDICAL CARE URBAN, RURAL AND MAI / DENTAL CARE / 340 PHARMACY / MEDICAL CASE MANAGEMENT / MEDICAL TRANSPORTATION SINCE 2003, SHF HAS PROVIDED PRIMARY OUTPATIENT MEDICAL CLINIC SERVICES IN COMBINATION WITH ANCILLARY SERVICES FOR LOW INCOME VULNERABLE POPULATIONS INCLUDING PATIENTS LIVING WITH HEART DISEASE, DIABETES, OBESITY, HYPERTENSION, HEPATITIS C, HIV AND MANY OTHER CHRONIC DISEASES. THE HEALTH CENTERS PROVIDE A FULL RAND OF MEDICAL AND BEHAVIORAL HEALTH SERVICES IN A PRIVATE-PRACTICE SETTING ATMOSPHERE AND ADDRESS RECENT TREATMENT STRATEGIES, COMPLEX MEDICAL REGIMENS, AND ADHERENCE ISSUES FOR COMMUNITIES OF COLOR. IN ORDER TO PROPERLY ADDRESS AND TREAT THE ABOVE CONDITIONS, SHF IS ALSO INVOLVED IN CONDUCTING CLINICAL TRIALS FOR HIV, HEPATITIS, HIGH BLOOD PRESSURE, AND DIABETES. IN 2015 MORE THAN 15 CLINICAL RESEARCH PROTOCOLS WERE INITIATED AND REMAINED IN AN ACTIVE STATUS. ADDITIONAL SERVICE LINES INCLUDED BUT ARE NOT LIMITED TO ONSITE FAMILY MEDICINE, INTERNAL MEDICINE, OB/GYN, PSYCHIATRY, HEPATITIS C TREATMENT, HIV SPECIALTY TREATMENT, PHARMACY SERVICES, DENTAL CARE, NUTRITION, MEDICAL CASE MANAGEMENT, CLINICAL CASE MANAGEMENT AND COUNSELING, LINKAGE TO CARE SERVICES NEW ELIGIBLE CLIENTS OR THOSE WHO ARE OUT-OF-CARE , INCLUDING NON-INSURED AND UNDER-INSURED CLIENTS. DURING 2015, THE SERVICES PROVIDED THROUGH THESE FUNDING STREAMS INCLUDING SERVICING 6,346 PRIMARY MEDICAL CARE INDIVIDUALS; 2,301 DENTAL INDIVIDUALS; 706 INDIVIDUALS ACCESSING MEDICAL TRANSPORTATION; 655 INDIVIDUALS RECEIVED CLINICAL CASE MANAGEMENT SERVICES TO ACCESS MAINSTREAM SERVICES; 2,168 RECEIVED PHARMACEUTICAL SERVICES; AND 985 INDIVIDUALS WERE ABLE TO ACCESS VISION SERVICES. 1.) DENTAL CARE PROGRAM PROVIDES A BROAD SPECTRUM OF SERVICES FROM ROUTINE DENTAL CARE TO COMPLEX RESTORATIONS FOR HIV PATIENTS. THE DENTAL TEAM RECOGNIZES THAT UNINSURED POPULATIONS ARE THREE TIMES MORE LIKELY TO HAVE UNTREATED DENTAL AND MEDICAL NEEDS THAN THOSE WITH HEALTH INSURANCE. MOVEROVER, ORAL INFECTIONS, MOUTH ULCERS, AND OTHER SEVERE DENTAL CONDITIONS ASSOCIATED WITH HIV INFECTIONS OFTEN GO UNTREATED. DURING THE CURRENT YEAR 2,301 INDIVIDUALS RECEIVED DENTAL SERVICES. 2.) PSYCHIATRY/BEHAVIORAL HEALTH CLINICAL SERVICES ARE PROVIDED THROUGH A LICENSED BILINGUAL PSYCHIATRIST FOR THE TREATMENT OF MENTAL ILLNESS AND BEHAVIORAL MEDICINE. THIS CENTRAL COMPONENT OF THE HEALTH CENTERS, ASSIST PATIENTS IN FINDING SOLUTIONS TO A RANGE OF SOCIAL PROBLEMS THAT ACCOMPANY ILLNESS AND CREATES RIPPLES COMPLICATING RELATIONSHIPS, JOB SITUATIONS, AND STRAINING QUALITY OF LIFE. DEPENDING UPON THE PATIENTS NEEDS, MEDICAL CASE MANAGERS ARE OFTEN INVOLVED IN ILLNESS EDUCATION AND COUNSELING. 3.) SPECIALTY PHARMACY ESTABLISHED AS 340B PHARMACY OFFERS MEDICATIONS TO PATIENTS AT SIGNIFICANTLY DISCOUNTED PRICES. THE 4 PHARMACIES ARE CO- LOCATED WITHIN THE HEALTH CENTERS TO MAKE HEALTH VISITS EFFICIENT. CLINICAL PHARMACISTS WITH DISEASE MANAGEMENT SPECIALTY FROM DIABETES, HIGH BLOOD PRESSER TO ASTHMAS AND HIV ARE ALSO AVAILABLE FOR ONE-ON-ONE SESSIONS TO PROVIDE MEDICATION COUNSELING, EDUCATION, MANAGEMENT OF SIDE EFFECTS, ASSISTANCE WITH FILLING PRESCRIPTIONS AND MORE. DURING 2015, THROUGH THIS FUNDING SOURCES, 2,168 PATIENTS RECEIVED ASSISTANCE WITH 14,099 PRESCRIPTIONS. 4.) MEDICAL TRANSPORTATION SERVICES ARE PROVIDED THROUGH A FEDERAL GRANT FOR PERSONS LIVING WITH HIV AND WHO HAVE RECEIVED A MEDICAL WAIVER. THE PROGRAM UTILIZES VANS TO TRANSPORT CLIENTS TO MEDICAL AND HEALTH RELATED APPOINTMENTS. ADDITIONALLY, AS A POINT OF ENTRY PROVIDER, SHF PROVIDES ELIGIBLE CLIENTS WITH APPROPRIATE TAXI VOUCHERS. IN 2015, 985 INDIVIDUALS RECEIVED TRANSPORTATION SERVICES AS THE PROGRAM COMPLETED 123,292 ELIGIBLE MILES. 5.) MEDICAL CASE MANAGEMENT SERVICES ARE PROVIDED TO PERSONS LIVING WITH HIV PROVIDING CRITICAL SERVICE LINKAGE TO BOTH MEDICAL SERVICES AND ANCILLARY SUPPORTIVE SERVICES TO ENSURE A CONTINUUM OF CARE TO MEET THE NEEDS OF ALL PATIENTS. THROUGH INTENSE ASSESSMENTS OF THE PATIENTS SOCIAL, EMOTIONAL, INTERPERSONAL AND SOCIOECONOMIC ISSUES, SKILLED CASE MANAGEMENT LINKAGE STAFF WORK IN A PROFESSIONAL PATIENT ADVOCATE ROLE. THEIR GOAL IS TO HELP NAVIGATE THE PATIENT TOWARDS OPTIMAL MEDICAL CARE WHEREBY PATIENTS BECOME ACTIVE PARTICIPANTS IN THEIR OWN CARE. IN 2015, 655 INDIVIDUALS RECEIVED THESE SERVICES. 6.) PREVENTION SERVICES ARE PROVIDED THROUGH VARIOUS FEDERAL, STATE AND LOCAL FUNDING STREAMS. PREVENTION SERVICES ARE PRIMARILY DESIGNED TO OFFER EVIDENCED BASED INTERVENTIONS THAT REDUCE AT-RISK INDIVIDUALS FROM ACQUIRING HIV, HEPATITIS C OR A SEXUALLY TRANSMITTED INFECTION. THE PREVENTION STAFF PERFORM ROUTINE RAPID HIV/HEPATITIS C SCREENS, VENIPUNCTURE BLOOD DRAWS FOR SYPHILIS AND OTHER STIS, SUPPORT GROUPS AND RISK REDUCTION COUNSELING. IN 2015, THE PREVENTION PROGRAM ACHIEVED A 4.2% HIV POSITIVITY RATE AND A 4.7% SYPHILIS POSITIVITY RATE. THE PROGRAM IS STRATEGICALLY ENGAGED IN LINKING PATIENTS TO MEDICAL CARE TO REDUCE THE RISK INFECTION. IN 2015, THE PROGRAM MAINTAINED A 98.1% LINKAGE TO CARE RATE. PREVENTION SERVICES ARE BOTH FIELD BASED AND CLINIC BASED. |
| FORM 990, PAGE 6, PART VI, LINE 11B | A DRAFT OF THE ORGANIZATION FORM 990 IS FIRST REVIEWED IN DETAIL BY TOP MANAGEMENT AND BOARD OF DIRECTORS. ONCE ALL CHANGES ARE MADE A FINAL DRAFT IS SUBMITTED TO THE INTERNAL REVENUE SERVICE. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CONFLICTS OF INTEREST POLICY IS REQUIRED TO BE MONITORED TO BE COMPLETED ANNUALLY BY BOARD OF DIRECTORS AND ALL EMPLOYEES. POTENTIAL CONFLICTS ARE MONITORED ON A CASE BY CASE BASIS AND FULLY DOCUMENTED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | A COMMITTEE OF THE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE REVIEW PROCESS OF THE EXECUTIVE DIRECTOR AND KEY EMPLOYEES. THE PROCESS INCLUDES THE USE OF THE REVIEWS OF NON-PROFIT SALARY SURVEYS FROM LOCAL AND NATIONAL SOURCES. THE COMMITTEE THEN RECOMMENDS THE COMPENSATION PACKAGE TO THE BOARD OF DIRECTORS WHO APPROVES IT. THIS PROCESS IS DOCUMENTED IN THE BOARD OF DIRECTORS MEETING. |
| FORM 990, PAGE 6, PART VI, LINE 19 | ANNUAL AUDITED FINANCIALS STATEMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9 | ROUNDING 1 TOTAL 1 |
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