Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 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 |
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Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 5,463,351 | 3,513,045 | 3,117,825 | 3,602,740 | 6,763,612 | 22,460,573 |
| 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 | 5,463,351 | 3,513,045 | 3,117,825 | 3,602,740 | 6,763,612 | 22,460,573 |
| 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) .. | 1,007,651 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 21,452,922 | |||||
Calendar year
(or fiscal year beginning in)
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(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 5,463,351 | 3,513,045 | 3,117,825 | 3,602,740 | 6,763,612 | 22,460,573 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 6,887 | 20,875 | 23,746 | 1,139 | 950 | 53,597 |
| 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.).. | 50,000 | 78,427 | 128,427 | |||
| 11 | Total support. Add lines 7 through 10 | 22,642,597 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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.) | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2017 | (b) 2018 | (c) 2019 | (d) 2020 | (e) 2021 | (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 on 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.).. | ||||||
| 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) |
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| 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): |
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| 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 0.015 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 0.035 | 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 | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2021 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2021 |
(iii) Distributable Amount for 2021 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2021 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2021 (reasonable cause required-- explain in Part VI). See instructions. |
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| 3 Excess distributions carryover, if any, to 2021: | ||||
| a From 2016....... | ||||
| b From 2017....... | ||||
| c From 2018....... | ||||
| d From 2019....... | ||||
| e From 2020....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2021 distributable amount | ||||
|
i
Carryover from 2016 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2021 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2021 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2021, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2021. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
7 Excess distributions carryover to 2022. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2017..... | ||||
| b Excess from 2018..... | ||||
| c Excess from 2019..... | ||||
| d Excess from 2020..... | ||||
| e Excess from 2021..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|---|
| SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | OTHER INCOME - 2020 AMOUNT: $ 78,427. FRAUD INSURANCE REVENUE - 2019 AMOUNT: $ 50,000. |
| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | DESCRIBE ANY SIGNIFICANT CHANGES MADE TO THE ORGANIZATIONAL DOCUMENTS SINCE THE PRIOR FORM 990 WAS FILED. THE BYLAWS OF REDWOOD COMMUNITY HEALTH COALITION WERE AMENDED TO ADDRESS SEVERAL CHANGES, INCLUDING, BUT NOT LIMITED TO: - CONTRA COSTA AND SOLANO COUNTIES WERE ADDED TO THE CORPORATE SERVICE AREA. - SEPARATE CLASSES OF MEMBERS AND AFFILIATES WERE ELIMINATED. - CLARIFIED THAT THE MEMBER'S CHIEF EXECUTIVE OFFICER ("CEO") HOLDS THAT MEMBER'S VOTING RIGHT UNLESS A PROXY IS SELECTED. - A DESCRIPTION OF THE MEMBERSHIP APPLICATION PROCESS WAS ADDED. THE PROCESS REQUIRES NOMINATION BY A MEMBER IN GOOD STANDING, MEETING BYLAWS REQUIREMENTS FOR MEMBERSHIP, COMPLETION OF A MEMBERSHIP APPLICATION, REVIEW BY THE MEMBERSHIP COMMITTEE, AND APPROVAL BY THE BOARD. - CLARIFIED THE MEANING OF ELECTRONIC TRANSMISSION AND WHERE TO SEND NOTICE TO MEMBERS. - THE OPTION TO ATTEND MEETINGS REMOTELY WAS ADDED PURSUANT TO CALIFORNIA STATUTORY REQUIREMENTS. - THE APPROVAL THRESHOLD FOR MEMBER ACTION WAS CHANGED TO A MAJORITY OF MEMBERS PRESENT WHERE QUORUM EXISTS. - THE LIST OF ACTION RESERVED FOR MEMBERS WAS EXPANDED TO INCLUDE ANY ACTION REQUIRED OF MEMBERS BY LAW. - THE EXECUTIVE DIRECTOR TITLE WAS UPDATED TO CEO. - THE POWER TO APPROVE OR DENY CONTRACTS, GRANTS, OR AGREEMENTS VALUED AT $250,000 OR MORE WAS ADDED TO THE LIST OF THE BOARD'S GENERAL POWERS. - THE ELECTION OF DIRECTORS WAS MOVED TO THE NOVEMBER BOARD MEETING. - THE EXECUTIVE DIRECTOR TITLE WAS UPDATED TO CEO AND THE DESCRIPTION OF THE CEO'S ROLE ON THE BOARD WAS CLARIFIED. - LANGUAGE REFERRING TO MULTIPLE CLASSES OF MEMBERS WAS REMOVED. - THE MEANING OF ELECTRONIC INTERNET TRANSMISSION WAS CLARIFIED. - A DISTINCTION BETWEEN THE OFFICERS OF THE BOARD AS OPPOSED TO THE CEO OF THE CORPORATION WAS CLARIFIED. - THE DUE DATE FOR DIRECTOR NOMINATIONS WAS UPDATED TO SEPTEMBER, IN PREPARATION FOR NOVEMBER ELECTIONS. - CLARIFIED THAT THE BOARD SELECTS THE CEO, AND THE CEO SELECTS ALL OTHER CORPORATE OFFICERS. - CHANGED THE EXECUTIVE DIRECTOR TITLE TO CEO. - THE SCOPE OF CEO'S DUTIES AND POWERS WAS CLARIFIED WITH REFERENCES TO THE CUSTOMARY POWERS AND DUTIES OF CEO, THE DESCRIPTION OF CEO POWERS AND DUTIES IN RCHC'S FINANCIAL POLICIES AND BYLAWS, AND THE CEO'S EMPLOYMENT CONTRACT. - THE AMENDMENT OR ADOPTION OF NEW ARTICLES OF INCORPORATION WAS ADDED TO THE LIST OF POWERS THE EXECUTIVE COMMITTEE MAY NOT EXERCISE. - ADDED A MEMBERSHIP COMMITTEE TO REVIEW MEMBERSHIP APPLICATIONS AND PREPARE RECOMMENDATIONS TO THE BOARD REGARDING POTENTIAL MEMBERS. - THE ORGANIZATION CHANGED ITS NAME TO ALIADOS HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 6 | DESCRIBE THE ORGANIZATIONS MEMBERS OR STOCKHOLDERS. THE CORPORATION SHALL HAVE ONE CLASS OF MEMBERS. EACH MEMBER SHALL HAVE ONE VOTE. THE CHIEF EXECUTIVE OFFICER OF THE MEMBER SHALL EXERCISE THE MEMBER'S VOTE UNLESS A PROXY IS APPOINTED PURSUANT TO SECTION 4.10. MEMBERS SHALL CONSTITUTE LICENSED COMMUNITY, FREE AND TRIBAL CLINICS. EACH MEMBER SHALL HAVE A COMMUNITY-BASED BOARD OF DIRECTORS AND SHALL BE EXEMPT FROM TAXATION UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE. EACH MEMBER SHALL ALSO BE A PRIMARY CARE CLINIC WITH A MISSION TO SERVE LOW-INCOME INDIVIDUALS IN AN AREA LOCATED WITHIN THE CORPORATION'S SERVICE AREA AND TO OFFER SERVICES WITH A SLIDING FEE SCALE AND WITHOUT REGARD FOR A PATIENT'S ABILITY TO PAY. TO BECOME A MEMBER, PROSPECTIVE MEMBERS MUST BE INITIALLY NOMINATED BY A MEMBER IN GOOD STANDING FOR CONSIDERATION BY THE MEMBERSHIP, MUST MEET THE REQUIREMENTS SET FORTH IN THESE BYLAWS, MUST COMPLETE A FORMAL APPLICATION FOR MEMBERSHIP, MUST BE EVALUATED BY THE MEMBERSHIP COMMITTEE, AND MUST BE APPROVED BY THE BOARD. |
| FORM 990, PART VI, SECTION A, LINE 7A | DESCRIBE THE MEMBERS, STOCKHOLDERS, OR OTHER PERSONS WHO HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. MEMBERS HAVE THE POWER TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE GOVERNING BODY. |
| FORM 990, PART VI, SECTION A, LINE 7B | DESCRIBE THE DECISIONS OF THE ORGANIZATION THAT ARE SUBJECT TO APPROVAL BY MEMBERS, STOCKHOLDERS, OR OTHER PERSONS OTHER THAN THE GOVERNING BODY. THE FOLLOWING DECISIONS OF THE GOVERNING BODY ARE SUBJECT TO APPROVAL BY THE ORGANIZATION'S MEMBERS: 1. APPOINTMENT AND REMOVAL OF DIRECTORS; 2. APPOINTMENT AND REMOVAL OF MEMBERS; 3. ADOPTION OF A PLAN OF MERGER, CONSOLIDATION, OR ASSET ACQUISITION INVOLVING THE ORGANIZATION; AND 4. AUTHORIZATION OR REVOCATION OF PROCEEDINGS FOR A VOLUNTARY DISSOLUTION OF THE ORGANIZATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | DESCRIBE THE PROCESS USED TO REVIEW THE FORM 990. THE FORM 990 IS REVIEWED BY THE CEO AND THEN PROVIDED TO THE FINANCE COMMITTEE FOR REVIEW BEFORE FINAL FILING WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | DESCRIBE HOW THE ORGANIZATION MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. TRUSTEES, DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO READ AND UNDERSTAND THIS POLICY AND SELF REPORT. IF AN OFFICER, DIRECTOR, TRUSTEE, OR KEY EMPLOYEE IS INVOLVED IN A CONFLICT OF INTEREST SITUATION, THEY ARE REQUIRED TO BRING IT TO THE ATTENTION OF THE APPROPRIATE PERSON OR GROUP (BOARD CHAIR, THE ENTIRE BOARD OR THE MEMBERS OF THE COMMITTEE CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT THAT RELATES TO THE ACTUAL OR POSSIBLE CONFLICT OF INTEREST) SO THAT THE POTENTIAL CONFLICT CAN BE EVALUATED AND ADDRESSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | DESCRIBE THE PROCESS USED TO DETERMINE COMPENSATION OF THE ORGANIZATION'S OFFICERS, DIRECTORS, AND OTHER EMPLOYEES. COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD PERFORMS AN ANNUAL REVIEW AND DETERMINES ANY SALARY ADJUSTMENTS. COMPENSATION FOR DIRECTORS AND KEY EMPLOYEES IS DETERMINED BY SALARY COMPARISONS AND SURVEYS RELEASED BY SIMILAR COALITIONS AND NETWORKS. |
| FORM 990, PART VI, SECTION C, LINE 19 | DESCRIBE HOW THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. REDWOOD COMMUNITY HEALTH COALITION MAKES ITS DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VIII, LINE 1F: | IN JANUARY 2022, REDWOOD COMMUNITY HEALTH COALITION (RCHC) ENTERED AN AGREEMENT WITH COMMUNITY CLINIC CONSORTIUM WHEREBY THE ASSETS OF CCC WERE COMBINED WITH THOSE OF THE RCHC, CCC WOULD CEASE AS A CORPORATE ENTITY, AND THE RCHC WOULD BE THE SURVIVING ENTITY. BECAUSE RCHC WAS THE SURVIVING ENTITY AND CONTROL OF CCC WAS ACQUIRED BY RCHC, THE TRANSACTION IS TREATED AS AN ACQUISITION FOR FINANCIAL PURPOSES. AS NO CONSIDERATION WAS EXCHANGED, THE EXCESS VALUE OF THE NET ASSETS TRANSFERRED TO RCHC WAS RECOGNIZED AS A CONTRIBUTION. THE REPORTED DONOR-RESTRICTED CONTRIBUTION IN THE STATEMENT OF ACTIVITIES RELATE TO GRANTS WITH PURPOSE RESTRICTIONS, WHOSE RESTRICTIONS WERE MET DURING THE YEAR ENDED JUNE 30, 2022. THE ASSETS AND LIABILITIES TRANSFERRED TO RCHC WERE AS FOLLOWS: CASH AND CASH EQUIVALENTS $1,508,054 GRANTS AND ACCOUNTS RECEIVABLE 190,295 OTHER ASSETS 2,485 ACCOUNTS PAYABLE AND ACCRUED EXPENSES (15,331) DEFERRED REVENUE (225,000) NET $1,460,503 SUBSEQUENT TO THE MERGER, RCHC WAS RENAMED ALIADOS HEALTH. |
| FORM 990, PART IX, LINE 11G | OTHER MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 738,654. MANAGEMENT AND GENERAL EXPENSES 442,698. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,181,352. |
| Software ID: | |
| Software Version: |