efile Public Visual Render
ObjectId: 201600759349300720 - Submission: 2016-03-15
TIN: 94-6050231
Form
990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
Do not enter social security numbers on this form as it may be made public.
Information about Form 990 and its instructions is at
www.IRS.gov/form990
.
OMB No. 1545-0047
20
14
Open to Public Inspection
A
For the 2014 calendar year, or tax year beginning
07-01-2014
, and ending
06-30-2015
B
Check if applicable:
Address change
Name change
Initial return
Final return/terminated
Amended return
Application pending
C
Name of organization
THE HEALTH TRUST
Doing business as
Number and street (or P.O. box if mail is not delivered to street address)
3180 NEWBERRY DRIVE NO 200
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
SAN JOSE
,
CA
95118
D Employer identification number
94-6050231
E Telephone number
(408) 513-8700
G
Gross receipts $
61,045,003
F
Name and address of principal officer:
FREDERICK FERRER
3180 NEWBERRY DRIVE NO 200
SAN JOSE
,
CA
95118
I
Tax-exempt status:
501(c)(3)
501(c)
(
)
(insert no.)
4947(a)(1)
or
527
J
Website:
WWW.HEALTHTRUST.ORG
H(a)
Is this a group return for
subordinates?
Yes
No
H(b)
Are all subordinates
included?
Yes
No
If "No," attach a list. (see instructions)
H(c)
Group exemption number
K
Form of organization:
Corporation
Trust
Association
Other
L
Year of formation:
1996
M
State of legal domicile:
CA
Part I
Summary
1
Briefly describe the organization’s mission or most significant activities:
TO LEAD THE SILICON VALLEY COMMUNITY TO ADVANCE WELLNESS.
2
Check this box
3
Number of voting members of the governing body (Part VI, line 1a)
........
3
12
4
Number of independent voting members of the governing body (Part VI, line 1b)
.....
4
11
5
Total number of individuals employed in calendar year 2014 (Part V, line 2a)
......
5
164
6
Total number of volunteers (estimate if necessary)
.............
6
226
7a
Total unrelated business revenue from Part VIII, column (C), line 12
........
7a
0
b
Net unrelated business taxable income from Form 990-T, line 34
.........
7b
0
Prior Year
Current Year
8
Contributions and grants (Part VIII, line 1h)
.........
8,103,353
9,279,976
9
Program service revenue (Part VIII, line 2g)
.........
833,589
1,155,806
10
Investment income (Part VIII, column (A), lines 3, 4, and 7d )
....
4,954,715
4,572,741
11
Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)
271,769
211,917
12
Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)
14,163,426
15,220,440
13
Grants and similar amounts paid (Part IX, column (A), lines 1–3 )
...
3,250,873
2,696,624
14
Benefits paid to or for members (Part IX, column (A), line 4)
.....
0
0
15
Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)
6,156,110
7,163,029
16a
Professional fundraising fees (Part IX, column (A), line 11e)
.....
0
13,830
b
Total fundraising expenses (Part IX, column (D), line 25)
291,735
17
Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)
....
6,761,609
7,921,883
18
Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)
16,168,592
17,795,366
19
Revenue less expenses. Subtract line 18 from line 12
.......
-2,005,166
-2,574,926
Beginning of Current Year
End of Year
20
Total assets (Part X, line 16)
.............
123,714,751
118,197,297
21
Total liabilities (Part X, line 26)
.............
2,939,482
1,783,470
22
Net assets or fund balances. Subtract line 21 from line 20
.....
120,775,269
116,413,827
Part II
Signature Block
Sign Here
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
2016-03-09
Signature of officer
Date
IRA HOLTZMAN
CHIEF FINANCIAL OFFICER
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
RANDY PETERSON
Preparer's signature
RANDY PETERSON
Date
2016-03-10
Check
if
self-employed
PTIN
P01300203
Firm's name
ARMANINO LLP
Firm's EIN
94-6214841
Firm's address
50 WEST SAN FERNANDO STREET STE 500
SAN JOSE
,
CA
95113
Phone no.
(408) 200-6400
May the IRS discuss this return with the preparer shown above? (see instructions)
..........
Yes
No
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form
990
(2014)
Page 2
Form 990 (2014)
Page
2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III
..............
1
Briefly describe the organization’s mission:
THE MISSION IS TO LEAD THE SILICON VALLEY COMMUNITY TO ADVANCE WELLNESS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ?
....................
Yes
No
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services?
..........................
Yes
No
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a
(Code:
) (Expenses $
8,436,962
including grants of $
580,236
) (Revenue $
959,298
)
HEALTHY LIVING INITIATIVE THE HEALTHY LIVING INITIATIVE PURSUES A VARIETY OF STRATEGIES AIMED AT REDUCING HEALTH DISPARITIES INCLUDING (1) ADDRESSING THE ROOT CAUSES OF HEALTH DISPARITIES, (2) CHRONIC DISEASE PREVENTION AND MANAGEMENT, (3) ORAL HEALTH, AND (4) HEALTH CARE LINKAGES. THE PROGRAM ACCOMPLISHMENTS AND OUTCOMES FOR EACH OF THESE STRATEGIES ARE LISTED ON SCHEDULE O.HEALTHY LIVING INITIATIVE (CONTINUED)ADDRESSING THE ROOT CAUSES OF HEALTH DISPARITIES. THIS STRATEGY INCLUDES RAISING AWARENESS ABOUT THE ROOT CAUSES OF HEALTH DISPARITIES AND PARTNERING IN OUR COMMUNITY TO ADDRESS HEALTH THROUGH A FOCUS ON THE SOCIAL DETERMINANTS OF HEALTH. ONE SPECIFIC WAY WE DO THIS IS BY INCREASING THE DIVERSITY OF HEALTHCARE PROFESSIONALS IN THE LOCAL WORKFORCE THROUGH PIPELINE PROGRAMS THAT EXPOSE STUDENTS TO HEALTH CAREERS. OVER 200 YOUNG PEOPLE FROM DIVERSE BACKGROUNDS WERE EXPOSED TO COMMUNITY HEALTH WORK THROUGH THE OPEN AIR HEALTH FAIR AND THE HEALTH MARKET. SINCE THE HEALTH MARKET'S INCEPTION IN NOVEMBER 2013, WE HAVE PARTNERED WITH THE COUNTY, LOCAL NONPROFITS AND COMMUNITY-BASED ORGANIZATIONS TO PROVIDE HEALTH RESOURCES AND SERVICES TO OVER 5000 INDIVIDUALS. WE ALSO ADDRESS ROOT CAUSES THROUGH THE LEARNING TOGETHER INITIATIVE FUNDED BY SCC FIRST 5. IN PARTNERSHIP WITH CATHOLIC CHARITIES OF SCC AND SAN JUAN BATISTA CHILD DEVELOPMENT CENTERS, WE PROVIDE A VARIETY OF CHILD AND FAMILY DEVELOPMENT SERVICES IN COUNTY SUPERVISORIAL DISTRICTS #4 AND #3 TO OVER 6,000 PARENTS AND CHILDREN FROM LOW INCOME COMMUNITIES. THESE SERVICES ARE FOCUSED ON ENSURING CHILDREN ENTER KINDERGARTEN HEALTHY AND READY TO LEARN AND TO PROMOTE HEALTHY HOUSEHOLDS. THE HEALTH TRUST CONTINUES TO SERVE AS FISCAL SPONSOR OF DESTINATION HOME (DH). THIS PROGRAM'S MISSION IS TO END HOMELESSNESS IN SANTA CLARA COUNTY AND DURING FY 2012, DH LAUNCHED THE "HOUSING 1,000" CAMPAIGN. THE HOUSING 1000 CAMPAIGN HAS NOW BECOME THE CARE COORDINATION PROJECT, WHICH IS RUN BY THE COUNTY'S OFFICE OF SUPPORTIVE HOUSING. DURING FY 2015, OVER 597 INDIVIDUALS WERE PLACED INTO PERMANENT HOUSING. DISRUPTIVE INNOVATION GRANTS PROGRAM. IN FY 2015, THE HEALTH TRUST AWARDED A GRANT TO SOMOS MAYFAIR FOR $26,814 OVER EIGHT MONTHS TO STUDY THE FEASIBILITY OF A PEER EDUCATOR (AKA PROMOTOR) JOB TRAINING AND PLACEMENT MODEL THAT WILL SYSTEMATIZE A NEW WAY OF DOING BUSINESS IN THE NONPROFIT SECTOR WHILE LEVERAGING THE ASSETS OF PEER EDUCATORS (PROMOTORES). COMPONENTS OF THE STUDY WILL FOCUS ON STAKEHOLDER, LEGAL, OPERATIONAL AND PRELIMINARY FINANCIAL ANALYSES. CHRONIC DISEASE PREVENTION AND MANAGEMENT. THIS STRATEGY HAS THREE MAIN COMPONENTS: COMMUNITY-BASED CHRONIC DISEASE PREVENTION, CHRONIC DISEASE SELF-MANAGEMENT (CDSM, ALSO KNOWN AS BETTER CHOICES BETTER HEALTH) CLASSES, AND AIDS SERVICES. DURING FY 2015, OVER 1,500 INDIVIDUALS RECEIVED CHRONIC DISEASE PREVENTION AND OR SELF-MANAGEMENT SERVICES THROUGH HOME- AND COMMUNITY-BASED HEALTH EDUCATION, RESULTING IN INCREASED KNOWLEDGE ABOUT SCREENING FOR AND PREVENTION OF CHRONIC DISEASES. KEY CDSM OUTCOMES INCLUDE AN INCREASE IN BEHAVIORS THAT HELP MANAGE DISEASE SUCH AS PHYSICAL ACTIVITY AND HEALTHY EATING, REDUCTION IN DISEASE SYMPTOMS, INCREASED SELF-EFFICACY FOR DISEASE MANAGEMENT, AND REDUCTION IN HOSPITALIZATIONS. ANOTHER IMPORTANT ASPECT OF THE PREVENTION OF CHRONIC DISEASE INVOLVES TARGETING COMMUNITIES WITH HIGHER RATES OF OBESITY AND CERTAIN CHRONIC CONDITIONS. THE HEALTH TRUST HAS WORKED CLOSELY WITH THE LOCAL MEXICAN CONSULATE FOR OVER FIVE YEARS. A NUMBER OF SERVICES ARE PROVIDED WITH FUNDING THROUGH THE VENTANILLA DE SALUD PROGRAM, MOST FOCUSED ON REDUCING OBESITY. THE HEALTH TRUST, IN PARTNERSHIP WITH SECOND HARVEST FOOD BANK AND THE MEXICAN CONSULATE, PROVIDES FRESH AND HEALTHY PRODUCE TO ELIGIBLE FAMILIES THROUGH A MONTHLY PRODUCE MOBILE. BY BRINGING THE PRODUCE TO TROPICANA SHOPPING CENTER, A HUB LOCATION FOR THE SURROUNDING LOW INCOME COMMUNITY, THE PRODUCE MOBILE INCREASES ACCESS AND AFFORDABILITY OF FRESH FRUITS AND VEGETABLES, AND IN TURN, COMBATS THE OBESITY TREND AND ALL OF THE ASSOCIATED HEALTH RISKS AMONG RESIDENTS OF THE COUNTY. IN FY 2015, OVER 110,000 LBS OF FRESH PRODUCE WAS DISTRIBUTED TO OVER 10,000 INDIVIDUALS.WITHIN THE AIDS SERVICES PROGRAM, THE HEALTH TRUST OFFERS TO OVER 800 INDIVIDUALS SOCIAL WORK CASE MANAGEMENT SERVICES, NURSING CASE MANAGEMENT, NON-MEDICAL CASE MANAGEMENT, TRANSPORTATION ASSISTANCE, SUPPLEMENTAL NUTRITIONAL ASSISTANCE, HOME HEALTH, AND EMERGENCY ASSISTANCE. KEY OUTCOMES OF AIDS SERVICES INCLUDED IMPROVED MEDICATION ADHERENCE, AND UTILIZATION OF ROUTINE MEDICAL CARE. ADDITIONAL OUTCOMES ACHIEVED INCLUDED INCREASED CAPACITY TO REMAIN IN STABLE, AFFORDABLE AND PERMANENT HOUSING AND IMPROVED NUTRITION THROUGH OUR RECENTLY EXPANDED JERRY LARSON FOOD BASKET FACILITY.AIDS SERVICES ALSO UTILIZES RYAN WHITE FUNDS TO OFFER HOUSING ASSISTANCE TO HIV+ CLIENTS IN SANTA CLARA COUNTY IN THE FORM OF SHORT TERM EMERGENCY HOUSING (SUCH AS MOTELS FOR HOMELESS WHO CANNOT STAY IN A SHELTER FOR MEDICAL REASONS), SHORT TERM EMERGENCY RENTAL ASSISTANCE, AND SHORT TERM SUBSIDY ASSISTANCE FOR UP TO TWO YEARS. ONCE AN INDIVIDUAL IS PROVIDED WITH A HOUSING SUBSIDY, SUPPORTIVE SERVICES ARE ALSO PROVIDED IN THE FORM OF HOUSING SPECIALISTS TO ASSIST WITH HOUSING PLACEMENT AND ADVOCACY, AND A SELF-SUFFICIENCY COORDINATOR TO ASSIST CLIENTS IN TRANSITIONING TO MORE PERMANENT HOUSING PLACEMENT.DIABETES SELF-MANAGEMENT PROGRAM THE HEALTH TRUST IS COMMITTED TO PREVENTING AND ALLEVIATING THE BURDENS OF DIABETES THROUGH DIABETES EDUCATION. THE HEALTH TRUST HAS BEEN ACCREDITED FOR A YEAR NOW THROUGH THE AMERICAN ASSOCIATION OF DIABETES EDUCATORS FOR THE DIABETES SELF-MANAGEMENT PROGRAM. BY BEING ACCREDITED, THE HEALTH TRUST HAS INCORPORATED SERVICES SUCH AS MEDICAL NUTRITION THERAPY AND INDIVIDUAL DIABETES EDUCATIONAL SESSIONS WITH A REGISTERED DIETITIAN TO THEIR SUITE OF DIABETES PREVENTION AND MANAGEMENT SERVICES THROUGHOUT SANTA CLARA COUNTY. THIS SUITE OF SERVICES IS ROUNDED OUT BY EVIDENCE BASED PEER LED "HEALTHY EATING" PROGRAMS DEVELOPED BY THE USDA. ALSO, THE HEALTH TRUST IS NOW A CERTIFIED MEDICARE PROVIDER FOR THESE DIABETES EDUCATION SERVICES AND WILL BE ABLE TO SERVE AN EVEN LARGER POPULATION. IN FY 2015, OVER 200 INDIVIDUALS WENT THROUGH THE DIABETES SELF-MANAGEMENT PROGRAM.ORAL HEALTH. THE HEALTHY LIVING INITIATIVE SEEKS TO ENSURE ACCESS TO ORAL HEALTH SERVICES, INCLUDING HOME- AND COMMUNITY-BASED ORAL HEALTH EDUCATION, AS WELL AS CLINICAL SERVICES FOR CHILDREN. DURING FY 2015 THE HEALTH TRUST PROVIDED OVER 37,000 PREVENTIVE AND RESTORATIVE VISITS TO OVER 20,000 LOW-INCOME CHILDREN THROUGH ITS CHILDREN'S DENTAL CENTERS IN SAN JOSE AND SUNNYVALE. ADDITIONALLY, THE HEALTH TRUST ALSO CONTINUED ITS CAMPAIGN TO BRING FLUORIDE TO THE WATER SUPPLY IN SANTA CLARA COUNTY. AN AGREEMENT WAS ENTERED INTO WITH THE SANTA CLARA VALLEY WATER DISTRICT BOARD TO FLUORIDATE THEIR WATER SYSTEM, THE FIRST STAGE OF WHICH IS EXPECTED TO BE COMPLETED IN 2017. NUTRITION EDUCATION THE HEALTH TRUST RECEIVED A 3 YEAR GRANT TOTALING $553,890 FROM THE USDA TO DELIVER THREE NUTRITION CURRICULUM TO UNDERSERVED COMMUNITIES IN SAN JOSE. CURRICULUM INCLUDE MY PLATE, RETHINK YOUR DRINK AND HEALTHY EATING ON A BUDGET. IN FY 2015, OVER 13,000 INDIVIDUALS RECEIVED AT LEAST ONE OF THE THREE NUTRITION CURRICULUM.HEALTH CARE LINKAGES. THE HEALTH TRUST PROVIDES ACCESS TO HEALTH CARE FOR UNINSURED ADULTS AND CHILDREN IN SANTA CLARA COUNTY BY ENROLLING THEM IN AVAILABLE LOW-COST INSURANCE PROGRAMS INCLUDING COVERED CALIFORNIA, MEDI-CAL, SANTA CLARA COUNTY HEALTHY KIDS, KAISER CHILD HEALTH PLAN AND MEDI-CAL ACCESS PROGRAM. CHILDREN ARE ELIGIBLE IF THEY ARE UNDER AGE 19, CURRENTLY UNINSURED, A RESIDENT OF SANTA CLARA COUNTY AND IF THEIR FAMILY INCOME IS EQUAL TO, OR BELOW, 300% OF THE FEDERAL POVERTY LEVEL. PARENTS DO NOT NEED TO HAVE IMMIGRATION DOCUMENTATION IN ORDER TO ENROLL THEIR CHILDREN, AND UNDOCUMENTED CHILDREN ARE ALSO ELIGIBLE FOR SOME PROGRAMS. IN ADDITION TO ENROLLING CHILDREN, HEALTH TRUST STAFF FOLLOWS UP WITH FAMILIES TO ENSURE THAT THEY CHOOSE A MEDICAL AND DENTAL HOME, AND ALSO TO ASSIST WITH RE-ENROLLMENT REQUIREMENTS. FOR PARENTS OF ENROLLED CHILDREN, STAFF SUGGEST RESOURCES AND REFERRALS TO HEALTH EDUCATION OPPORTUNITIES SUCH AS CHRONIC DISEASE SELF MANAGEMENT CLASSES AND FREE OR LOW-COST CLINICS. IN FY 2015, THE HEALTH TRUST ASSISTED IN THE ENROLLMENT OR RE-ENROLLMENT OF OVER 5,000 CHILDREN IN HEALTH INSURANCE PROGRAMS. WE ALSO PROVIDE SERVICES AT THE MEXICAN CONSULATE, WHERE WE ASSIST MEXICAN CITIZENS WITH PRE-REGISTRATION, OR PRE-AFFILIATION, FOR SEGURO POPULAR, THE MEXICAN HEALTH PROGRAM FOR RESIDENTS OF MEXICO.
4b
(Code:
) (Expenses $
2,537,305
including grants of $
168,069
) (Revenue $
193,476
)
HEALTHY AGING INITIATIVETHE HEALTH AGING INITIATIVE WAS LAUNCHED IN JANUARY 2008 AND STRIKES A BALANCE BETWEEN PRIMARY PREVENTION FOR PROMOTING THE HEALTH AND WELLNESS OF OLDER ADULTS AND ADDRESSING THE UNIQUE SERVICE NEEDS OF AN AGING SOCIETY. THIS INITIATIVE PURSUES A VARIETY OF STRATEGIES INCLUDING (1) LEADERSHIP & ADVOCACY AND (2) INTEGRATION OF MEDICAL, SOCIAL AND OTHER LONG TERM SERVICES AND SUPPORT, AND SOCIAL CONNECTION AND NUTRITION. THE PROGRAM ACCOMPLISHMENTS AND OUTCOMES FOR EACH OF THESE STRATEGIES ARE LISTED ON SCHEDULE O.HEALTHY AGING INITIATIVE (CONTINUED)LEADERSHIP & ADVOCACYREGIONAL COALITION. THE HEALTH TRUST SUPPORTS THE AGING SERVICES COLLABORATIVE, A REGIONAL COALITION OF AGING SERVICES PROVIDERS, IN ITS EFFORTS AROUND (1) DEVELOPMENT AND PUBLICATION OF A POLICY AGENDA, (2) DEVELOPMENT AND IMPLEMENTATION OF A COMMUNICATION PLAN, (3) DEVELOPMENT OF A SUSTAINABILITY PLAN, AND (4) INTENSIVE CONSUMER EDUCATION AND ADVOCACY AROUND A FEDERAL/STATE FUNDED PILOT PROJECT ("COORDINATED CARE INITIATIVE OR "CCI") IN SANTA CLARA COUNTY INTEGRATING MEDICAL AND OTHER HEALTH SERVICES WITH LONG TERM SOCIAL SERVICES AND SUPPORTS FOR OLDER ADULTS AND PERSONS WITH DISABILITIES THAT QUALIFY BOTH FOR MEDICARE AND MEDICAL.AGENTS FOR CHANGE. AGENTS FOR CHANGE IS A PROGRAM OF THE HEALTH TRUST COMPRISED OF OLDER ADULT VOLUNTEERS THAT ARE TRAINED BY THE HEALTH TRUST IN ADVOCACY TECHNIQUES. THESE VOLUNTEERS IDENTIFY GAPS IN LOCAL SERVICES AND SUPPORTS FOR OUR COUNTY'S OLDER ADULTS AND USE THEIR ADVOCACY TOOLS TO BRING ABOUT CHANGES TO THOSE SYSTEMS. ONE AREA OF FOCUS WAS PEDESTRIAN SAFETY. THROUGH THE AGENTS FOR CHANGE PROGRAM WORKING WITH OTHER COMMUNITY PARTNERS, THE HEALTH TRUST MADE SIGNIFICANT PROGRESS IN INCREASING SAFETY WHERE OLDER ADULTS TRAVEL AND CONGREGATE.HEALTH CARE REFORM. (1) IN ADDITION TO THE INITIATIVE'S WORK AROUND CCI, THE INITIATIVE INITIALLY FUNDED, AND NOW STAFFS, A SUBCOMMITTEE OF THE COUNTY'S HEALTHCARE REFORM INTEGRATION STAKEHOLDER'S WORKING GROUP. THE GOAL OF THE SUBCOMMITTEE IS OPTIMAL INTEGRATION OF HEALTH AND SOCIAL SERVICES AND SUPPORTS FOR OLDER ADULTS. IN ITS FIRST YEAR, THE SUBCOMMITTEE DEVELOPED A REPORT TO THE COUNTY BOARD OF SUPERVISORS ON TRANSITIONS OF CARE FROM HOSPITALS TO NURSING FACILITIES AND FROM INSTITUTIONS TO THE COMMUNITY. THE REPORT INCLUDED RECOMMENDATIONS FOR CHANGES TO THE COUNTY HEALTH SYSTEM IN SUPPORT OF THE SUBCOMMITTEE'S GOAL. ALL 4 OF THE SUBCOMMITTEE'S RECOMMENDATIONS WERE ADOPTED BY THE BOARD OF SUPERVISORS. (2) THROUGH A GRANT FROM THE HEALTH TRUST TO THE HEALTHCARE FOUNDATION OF NORTHERN AND CENTRAL CALIFORNIA, LOCAL HOSPITALS AND SKILLED NURSING FACILITIES PARTICIPATED IN A PROJECT TO ENHANCE COMMUNICATION IN THE PROCESS OF DISCHARGING CHRONICALLY ILL PATIENTS FROM ACUTE CARE TO SKILLED NURSING. THE HOSPITALS VOLUNTARILY HAVE ADOPTED USE OF STANDARDIZED CHECKLISTS AND ARE COLLECTING DATA ON AREAS SUCH AS HOSPITAL READMISSIONS AND LENGTH OF TIME BEFORE PATIENTS ARE SEEN BY THE SNF PHYSICIAN.INTEGRATION OF SERVICES AND SUPPORTS; NUTRITIONLOCAL INFORMATION AND ASSISTANCE. THROUGH ITS SENIOR PEER ADVOCATES PROGRAM, THE HEALTH TRUST PLACES OLDER ADULT VOLUNTEERS IN COMMUNITY CENTERS AND OTHER NEIGHBORHOOD GATHERING SPOTS FOR THE PURPOSE OF PROVIDING NEEDED INFORMATION TO THEIR PEERS ON SERVICE AVAILABILITY IN THE COMMUNITY. THE VOLUNTEERS RECEIVE ONGOING TRAINING TO KEEP THEIR INFORMATION CURRENT AND MANY ARE BILINGUAL, ALLOWING THE PROGRAM TO REACH LIMITED ENGLISH SPEAKERS IN THEIR OWN LANGUAGES.FOOD ACCESS. THIS YEAR, TWO COMMUNITIES COMPLETED PILOTING NUTRITIOUS FOOD ACCESS MODELS IN OUR COUNTY FUNDED BY THE HEALTH TRUST. THE WEEKLY FARMERS MARKET IN DOWNTOWN GILROY WILL CONTINUE WITHOUT OUR FUNDS. THE PRODUCE CART NEAR A LOW INCOME RESIDENCE IN MORGAN HILL NEEDS ADDITIONAL RESEARCH BEFORE CONTINUING. INTEGRATION OF SERVICES AND SUPPORTS. AS DESCRIBED ABOVE, THE HEALTH TRUST HAS TAKEN A LEADERSHIP ROLE TO ELIMINATE THE FRAGMENTATION OF MEDICAL AND SOCIAL SERVICES THAT PLAGUE OUR OLDER ADULTS AND HAVE A NEGATIVE IMPACT ON THE QUALITY OF THEIR CARE. WE ARE WORKING TO RADICALLY CHANGE THESE SYSTEMS WITH PARTICULAR EMPHASIS ON THE APPROPRIATE AVAILABILITY AND INTEGRATION OF DISCHARGE PLANNING, SUPPORTIVE HOUSING, CASE MANAGEMENT AND CAREGIVER SUPPORT DURING TIMES OF TRANSITION FROM HOSPITAL STAY TO OTHER SETTINGS.SOCIAL CONNECTION AND NUTRITION. THE HEALTH TRUST OPERATES A MEALS ON WHEELS (MOW) PROGRAM THAT PROVES HOME-DELIVERED MEALS TO SENIORS AND PEOPLE WITH DISABILITIES. IN FY 2015, 85,500 MEALS WERE DELIVERED TO A TOTAL OF 574 UNDUPLICATED INDIVIDUALS. 89.4% OF THE MOW RECIPIENTS REPORTED THE MOW SERVICES ARE GOOD OR EXCELLENT. 100% REPORTED THAT THE MOW SERVICES WERE "SOMEWHAT OR EXTREMELY IMPORTANT" IN HELPING THEM TO REMAIN IN THEIR HOMES. 584 DELIVERIES OF GROCERIES WERE PROVIDED TO OUR CLIENTS. THIS INCLUDES 295 GROCERY DELIVERIES TO RYAN WHITE CLIENTS.
4c
(Code:
) (Expenses $
3,279,562
including grants of $
1,948,319
) (Revenue $
3,072
)
HEALTHY EATING INITIATIVETHE HEALTHY EATING INITIATIVE FOCUSES ON FOOD ACCESS IN LOW-INCOME COMMUNITIES SO THAT ALL RESIDENTS HAVE AFFORDABLE, HEALTHY FOOD OPTIONS WITHIN 1/2 MILE OF THEIR HOME AND THAT RESIDENTS MEET THE CDC'S HEALTHY PEOPLE 2020 OBJECTIVE FOR DAILY FRUIT AND VEGETABLE CONSUMPTION. IN THE 2015 FISCAL YEAR, THE HEALTHY EATING INITIATIVE AWARDED 14 GRANTS, TOTALING $1,948,319. THE PROGRAM ACCOMPLISHMENTS AND OUTCOMES FOR EACH OF THESE STRATEGIES ARE LISTED ON SCHEDULE O.HEALTHY EATING INITIATIVE (CONTINUED)HE CONTINUED TO SUPPORT AND EXPAND THE FOLLOWING PROGRAMS FROM JULY 2014 THROUGH JUNE 2015:- FRESH CARTS: THIS PROGRAM RECRUITS, TRAINS, AND EMPOWERS ENTREPRENEURS FROM LOW-INCOME NEIGHBORHOODS TO START THEIR OWN STREET VENDING BUSINESS IN ORDER TO BRING FRESH PRODUCE TO RESIDENTS. TWENTY-FIVE VENDORS WERE TRAINED IN SAN JOSE'S NEW FOOD RULES AND PROVIDED LOANS AND MARKETING MATERIALS TO START THEIR BUSINESSES.- SMALL, CERTIFIED FARMERS' MARKETS: BUILDING UPON SAN JOSE'S NEW FOOD RULES, WHICH ALLOWED MARKETS IN RESIDENTIAL ZONES, THE HEALTH TRUST GRANTEES AND PARTNERS OPENED A "SMALL, CERTIFIED FARMERS' MARKETS" OPERATED BY THE INDIAN HEALTH CENTER AND LINKED THE MARKET TO THE CLINIC'S DIABETES MANAGEMENT PROGRAMS.- HEALTHY CORNERSTORE PROGRAM: THE HEALTH TRUST CONTINUED ITS HEALTHY CORNERSTORE PROGRAM FOR A SECOND YEAR AND CONVERTED 5 STORES, LOCATED IN LOW-INCOME NEIGHBORHOODS, TO CARRY PRODUCE AND/OR HEALTHIER BEVERAGE AND SNACK OPTIONS.- GOOD. TO GO. A CITY-WIDE MARKETING CAMPAIGN WAS EXPANDED TO SUPPORT THE HEALTHY EATING PROGRAMS. BRANDED MARKETING MATERIALS WERE CREATED, PRINTED AND INSTALLED AT FRESH CARTS, HEALTHY CORNERSTORES, AND MARKETS, AND OUTDOOR MEDIA, SUCH AS BUS SHELTER ADS, WERE INSTALLED AND MAINTAINED NEAR THE OUTLETS. THE HEALTH TRUST COMPLETED ITS FINAL YEAR OF A 3-YEAR SILICON VALLEY HEALTH CORPS (SVHC) GRANT, WHICH PLACED 20 AMERICORPS MEMBERS AT 7 COMMUNITY-BASED ORGANIZATIONS THROUGHOUT SANTA CLARA COUNTY IN ORDER TO GROW AND DISTRIBUTE PRODUCE TO LOW-INCOME FAMILIES AND PROVIDE NUTRITION AND COOKING EDUCATION. SVHC DISTRIBUTED 118,226 TOTAL POUNDS OF LOCAL PRODUCE TO LOW-INCOME FAMILIES, EDUCATED 2,232 STUDENTS IN GARDEN-BASED EDUCATION, AND RECRUITED 5,463 VOLUNTEERS. AS THE AMERICORPS PROGRAM WAS ENDING, HE LAUNCHED A 3-YEAR VISTA GRANT, WHICH PLACED 5 VISTA MEMBERS AT 5 PARTNER SITES: SECOND HARVEST FOOD BANK, THE FOOD BASKET, VEGGIELUTION, GARDEN TO TABLE, AND SACRED HEART COMMUNITY SERVICES. THE VISTA GRANT BUILDS UPON THE AMERICORPS GRANT BY FOCUSING ON CAPACITY BUILDING AT PARTNER SITES, WHEREAS THE AMERICORPS GRANT PROVIDED DIRECT, HANDS-ON SERVICES. VISTA MEMBERS SEEK TO CREATE, IMPROVE, AND EXPAND SYSTEMS AND PROCESSES THAT WILL IMPROVE PARTNER SITES EFFICIENCY AND THEREFORE REACH MORE RESIDENTS IN NEED OF SERVICES. IN ADDITION TO COMPLETING THE SECOND YEAR OF ITS USDA COMMUNITY FOOD PROJECT GRANT, THE HEALTH TRUST'S HEALTHY EATING INITIATIVE ALSO COMPLETED THE FIRST YEAR OF ITS 2-YEAR $500,000 GOOGLE IMPACT CHALLENGE GRANT TO DEVELOP A MODEL TO LINK GLEANED AND LOCAL PRODUCE TO THE HEALTHY CORNERSTORES AND FRESH CARTS. ADDITIONAL FUNDING INCLUDED $40,000 UNRESTRICTED FUNDING FROM THE LESLIE FAMILY FOUNDATION AND $50,000 FROM THE CITY OF SAN JOSE FOR THE HEALTHY CORNERSTORE PROGRAM. A G2G MOBILE APPLICATION WAS DEVELOPED AND IS NOW AVAILABLE ON APPLE AND GOOGLE PLAYSTORES. THIS APP SHOWS USERS WHERE ALL G2G OUTLETS ARE LOCATED, THEIR HOURS OF OPERATION, AND IF THEY ACCEPT SNAP OR WIC. THE APP INCLUDES SEVERAL INTERACTIVE FEATURES TO ALLOW USERS TO SEARCH FOR THE OUTLET NEAREST THEM OR FILTER OUTLETS BY TYPE.
4d
Other program services (Describe in Schedule O.)
(Expenses $
including grants of $
) (Revenue $
)
4e
Total program service expenses
14,253,829
Form
990
(2014)
Page 3
Form 990 (2014)
Page
3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)?
If "Yes," complete Schedule A
.....................
1
Yes
2
Is the organization required to complete
Schedule B, Schedule of Contributors
(see instructions)?
...
2
Yes
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office?
If "Yes," complete Schedule C, Part I
.............
3
No
4
Section 501(c)(3) organizations.
Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year?
If "Yes," complete Schedule C, Part II
..............
4
Yes
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19?
If "Yes," complete Schedule C, Part III
.................
5
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts?
If "Yes," complete Schedule D, Part I
..................
6
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures?
If "Yes," complete Schedule D, Part II
...
7
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets?
If "Yes," complete Schedule D, Part III
.............
8
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services?
If "Yes," complete Schedule D, Part IV
..............
9
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments?
If "Yes," complete Schedule D, Part V
......
10
Yes
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.
...................
11a
Yes
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VII
.......
11b
Yes
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part VIII
.......
11c
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16?
If "Yes," complete Schedule D, Part IX
............
11d
No
e
Did the organization report an amount for other liabilities in Part X, line 25?
If "Yes," complete Schedule D, Part X
11e
Yes
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)?
If "Yes," complete Schedule D, Part X
11f
Yes
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII
.................
12a
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year?
If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
Yes
13
Is the organization a school described in section 170(b)(1)(A)(ii)?
If "Yes," complete Schedule E
13
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?
.....
14a
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more?
If "Yes," complete Schedule F, Parts I and IV
.........
14b
Yes
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization?
If “Yes,” complete Schedule F, Parts II and IV
.....
15
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals?
If “Yes,” complete Schedule F, Parts III and IV
...
16
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e?
If "Yes," complete Schedule G, Part I
(see instructions)
....
17
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a?
If "Yes," complete Schedule G, Part II
............
18
Yes
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?
If "Yes," complete Schedule G, Part III
...................
19
No
20a
Did the organization operate one or more hospital facilities?
If "Yes," complete Schedule H
....
20a
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Form
990
(2014)
Page 4
Form 990 (2014)
Page
4
Part IV
Checklist of Required Schedules
(continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1?
If “Yes,” complete Schedule I, Parts I and II
.....
21
Yes
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2?
If “Yes,” complete Schedule I, Parts I and III
........
22
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees?
If "Yes," complete Schedule J
.......................
23
Yes
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002?
If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a
...............
24a
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?
...
24b
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
...............
24c
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?
...
24d
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations.
Did the organization engage in an excess benefit transaction with a disqualified person during the year?
If "Yes," complete Schedule L, Part I
............
25a
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ?
If "Yes," complete Schedule L, Part I
...................
25b
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons?
If "Yes," complete Schedule L, Part II
................
26
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons?
If "Yes," complete Schedule L, Part III
.........
27
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L,
Part IV
........................
28a
No
b
A family member of a current or former officer, director, trustee, or key employee?
If "Yes," complete Schedule L, Part IV
.....................
28b
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner?
If "Yes," complete Schedule L, Part IV
...
28c
Yes
29
Did the organization receive more than $25,000 in non-cash contributions?
If "Yes," complete Schedule M
..
29
Yes
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions?
If "Yes," complete Schedule M
.............
30
No
31
Did the organization liquidate, terminate, or dissolve and cease operations?
If "Yes," complete Schedule N, Part I
.
31
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets?
If "Yes," complete Schedule N, Part II
...........
32
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3?
If "Yes," complete Schedule R, Part I
........
33
No
34
Was the organization related to any tax-exempt or taxable entity?
If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1
.........................
34
Yes
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)?
If "Yes," complete Schedule R, Part V, line 2
...
35b
Yes
36
Section 501(c)(3) organizations.
Did the organization make any transfers to an exempt non-charitable related organization?
If "Yes," complete Schedule R, Part V, line 2
.............
36
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes?
If "Yes," complete Schedule R, Part VI
37
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19?
Note.
All Form 990 filers are required to complete Schedule O.
............
38
Yes
Form
990
(2014)
Page 5
Form 990 (2014)
Page
5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V
...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable
..
1a
191
b
Enter the number of Forms W-2G included in line 1a.
Enter -0-
if not applicable
.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners?
..................
1c
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return
..................
2a
164
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note.
If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?
...
3a
No
b
If “Yes,” has it filed a Form 990-T for this year?
If “No” to line 3b, provide an explanation in Schedule O
...
3b
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?
..
4a
No
b
If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?
..
5a
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T?
............
5c
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?
...
6a
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?
......................
6b
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?
....................
7a
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?
.....
7b
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?
.........................
7c
No
d
If "Yes," indicate the number of Forms 8282 filed during the year
....
7d
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?
..
7f
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?
......................
7g
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?
..........................
7h
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?
.........................
8
9a
Did the sponsoring organization make any taxable distributions under section 4966?
...
9a
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?
...
9b
10
Section 501(c)(7) organizations.
Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12
...
10a
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
11
Section 501(c)(12) organizations.
Enter:
a
Gross income from members or shareholders
.........
11a
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.)
..........
11b
12a
Section 4947(a)(1) non-exempt charitable trusts.
Is the organization filing Form 990 in lieu of Form 1041?
12a
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
See the instructions for additional information the organization must report on Schedule O.
13a
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans
....
13b
c
Enter the amount of reserves on hand
............
13c
14a
Did the organization receive any payments for indoor tanning services during the tax year?
.....
14a
No
b
If "Yes," has it filed a Form 720 to report these payments?
If "No," provide an explanation in Schedule O
..
14b
Form
990
(2014)
Page 6
Form 990 (2014)
Page
6
Part VI
Governance, Management, and Disclosure
For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI
..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
11
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee?
.................
2
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person?
.
3
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
...........................
4
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets?
.
5
No
6
Did the organization have members or stockholders?
................
6
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body?
....................
7a
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body?
...................
7b
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body?
.....................
8a
Yes
b
Each committee with authority to act on behalf of the governing body?
............
8b
Yes
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address?
If "Yes," provide the names and addresses in Schedule O
.......
9
No
Section B. Policies
(
This Section B requests information about policies not required by the Internal Revenue Code.
)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates?
............
10a
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form?
............................
11a
Yes
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990.
.....
12a
Did the organization have a written conflict of interest policy?
If "No," go to line 13
.......
12a
Yes
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts?
..........................
12b
Yes
c
Did the organization regularly and consistently monitor and enforce compliance with the policy?
If "Yes," describe in Schedule O how this was done
...................
12c
Yes
13
Did the organization have a written whistleblower policy?
...............
13
Yes
14
Did the organization have a written document retention and destruction policy?
.........
14
Yes
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official
...........
15a
Yes
b
Other officers or key employees of the organization
................
15b
Yes
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year?
......................
16a
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements?
............
16b
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filed
CA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
Own website
Another's website
Upon request
Other (explain in Schedule O)
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
FINANCIAL ADMINISTRATIVE SUPPORT SERVICES
3180 NEWBERRY DRIVE
SAN JOSE
,
CA
95118
(408) 513-8700
Form
990
(2014)
Page 7
Form 990 (2014)
Page
7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII
..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a
Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
List all of the organization’s
current
officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.
List all of the organization’s
current
key employees, if any. See instructions for definition of "key employee."
List the organization’s five
current
highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.
List all of the organization’s
former
officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.
List all of the organization’s
former directors or trustees
that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.
List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
(1)
CHARLES BULLOCK PHD
......................................................................
BOARD CHAIR
2.00
.................
0.00
X
X
0
0
0
(2)
ROBERTA L ROBINS JD
......................................................................
BOARD VICE CHAIR
2.00
.................
0.00
X
X
0
0
0
(3)
CINDY RUBY
......................................................................
BOARD SECRETARY
2.00
.................
0.00
X
X
0
0
0
(4)
DARREN CDE BACA
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(5)
MICHAEL CELIO
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(6)
CRAIG CAPURSO
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(7)
JIM HEERWAGEN
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(8)
MARIANNE JACKSON
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(9)
DAVID KATZ
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(10)
EMILY LAM
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(11)
DAVID NEIGHBORS
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(12)
JUAN BENITEZ - TO JUNE 2015
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(13)
MONIQUE LAMBERT - TO JUNE 2015
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(14)
KATHY MCCARTHY - TO JUNE 2015
......................................................................
BOARD MEMBER
2.00
.................
0.00
X
0
0
0
(15)
RICHARD TRIOLO - TO JUNE 2015
......................................................................
BOARD MEMBER
2.00
.................
1.00
X
0
0
0
(16)
FREDERICK FERRER
......................................................................
CEO
40.00
.................
1.00
X
X
330,229
0
36,949
(17)
TODD HANSEN
......................................................................
COO
40.00
.................
0.00
X
244,298
0
35,820
Form
990
(2014)
Page 8
Form 990 (2014)
Page
8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
(continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
(18)
IRA HOLTZMAN
........................................................................
CFO
40.00
.......................
1.00
X
255,814
0
27,747
(19)
PAUL HEPFER
........................................................................
V.P. OF PROGRAMS
40.00
.......................
0.00
X
132,807
0
7,952
(20)
JENNIFER LOVING
........................................................................
DH, EXECUTIVE DIRECTOR
40.00
.......................
0.00
X
146,450
0
26,562
(21)
IRENE SEGURA
........................................................................
HR DIRECTOR
40.00
.......................
0.00
X
101,839
0
19,602
1b
Sub-Total
................
c
Total from continuation sheets to Part VII, Section A
....
d
Total (add lines 1b and 1c)
...........
1,211,437
0
154,632
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization
6
Yes
No
3
Did the organization list any
former
officer, director or trustee, key employee, or highest compensated employee on line 1a?
If "Yes," complete Schedule J for such individual
..............
3
No
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000?
If "Yes," complete Schedule J for such
individual
...........................
4
Yes
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization?
If "Yes," complete Schedule J for such person
........
5
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
FINANCIAL ADMINISTRATIVE SUPPORT SERVICE
3180 NEWBERRY DRIVE
SAN JOSE
,
CA
95118
ACCOUNTING SERVICES
371,624
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization
1
Form
990
(2014)
Page 9
Form 990 (2014)
Page
9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII
.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512-514
1a
Federated campaigns
..
1a
4,517
b
Membership dues
..
1b
102,758
c
Fundraising events
..
1c
37,759
d
Related organizations
1d
e
Government grants (contributions)
1e
7,184,951
f
All other contributions, gifts, grants, and similar amounts not included above
1f
1,949,991
g
Noncash contributions included
in lines 1a-1f:$
572,692
h Total.
Add lines 1a-1f
.......
9,279,976
Business Code
2a
HEALTH TRUST PROGRAMS
624100
1,153,056
1,153,056
b
TRAINING
624100
2,750
2,750
c
d
e
f
All other program service revenue.
g Total.
Add lines 2a–2f
.....
1,155,806
3
Investment income (including dividends, interest, and other
similar amounts)
........
1,618,119
1,618,119
4
Income from investment of tax-exempt bond proceeds
5
Royalties
...........
(ii) Personal
(i) Real
6a
Gross rents
361,586
b
Less: rental expenses
149,669
c
Rental income or (loss)
211,917
d
Net rental income or (loss)
......
211,917
211,917
(ii) Other
(i) Securities
7a
Gross amount from sales of assets other than inventory
48,625,145
b
Less: cost or other basis and sales expenses
45,670,523
c
Gain or (loss)
2,954,622
d
Net gain or (loss)
.....
2,954,622
2,954,622
8a
Gross income from fundraising events (not including $
37,759
of contributions reported on line 1c).
See Part IV, line 18
....
a
4,371
b
Less: direct expenses
...
b
4,371
c
Net income or (loss) from fundraising events
..
0
9a
Gross income from gaming activities.
See Part IV, line 19
...
a
b
Less: direct expenses
...
b
c
Net income or (loss) from gaming activities
..
10a
Gross sales of inventory, less
returns and allowances
..
a
b
Less: cost of goods sold
..
b
c
Net income or (loss) from sales of inventory
..
Business Code
Miscellaneous Revenue
11a
b
c
d
All other revenue
....
e
Total.
Add lines 11a–11d
......
12
Total revenue.
See Instructions.
.....
15,220,440
1,155,806
0
4,784,658
Form
990
(2014)
Page 10
Form 990 (2014)
Page
10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).
Check if Schedule O contains a response or note to any line in this Part IX
..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service
expenses
(C)
Management and
general expenses
(D)
Fundraising
expenses
1
Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2,696,624
2,696,624
2
Grants and other assistance to individuals in the United States. See Part IV, line 22
3
Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4
Benefits paid to or for members
5
Compensation of current officers, directors, trustees, and key employees
....
833,871
296,122
504,958
32,791
6
Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B)
....
7
Other salaries and wages
4,411,441
3,954,620
348,017
108,804
8
Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions)
....
134,451
106,906
23,675
3,870
9
Other employee benefits
.......
1,359,297
1,088,795
231,772
38,730
10
Payroll taxes
...........
423,969
352,937
58,939
12,093
11
Fees for services (non-employees):
a
Management
......
b
Legal
.........
108,282
14,808
93,474
c
Accounting
...........
531,140
531,140
d
Lobbying
...........
e
Professional fundraising services.
See Part IV, line 17
13,830
13,830
f
Investment management fees
......
905,937
905,937
g
Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
545,268
544,868
400
12
Advertising and promotion
....
23,227
14,163
5,928
3,136
13
Office expenses
.......
1,105,726
1,034,896
63,254
7,576
14
Information technology
......
15
Royalties
..
16
Occupancy
...........
1,032,347
902,180
110,653
19,514
17
Travel
............
113,740
97,990
14,692
1,058
18
Payments of travel or entertainment expenses for any federal, state, or local public officials
.
19
Conferences, conventions, and meetings
....
26,732
18,761
7,921
50
20
Interest
...........
21
Payments to affiliates
.......
22
Depreciation, depletion, and amortization
..
463,652
349,910
99,989
13,753
23
Insurance
...
101,467
21,643
78,780
1,044
24
Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
PURCHASED SERVICES
2,870,645
2,717,596
139,136
13,913
b
OTHER MISC EXPENSES
55,736
34,503
2,408
18,825
c
DUES AND SUBSCRIPTIONS
37,984
6,507
29,129
2,348
d
e
All other expenses
25
Total functional expenses.
Add lines 1 through 24e
17,795,366
14,253,829
3,249,802
291,735
26
Joint costs.
Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation.
Check here
if following SOP 98-2 (ASC 958-720).
Form
990
(2014)
Page 11
Form 990 (2014)
Page
11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX
..............
(A)
Beginning of year
(B)
End of year
1
Cash–non-interest-bearing
........
1
2
Savings and temporary cash investments
.........
2,638,467
2
2,239,828
3
Pledges and grants receivable, net
......
515,583
3
148,785
4
Accounts receivable, net
.............
1,820,811
4
2,281,950
5
Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
5
6
Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
6
7
Notes and loans receivable, net
....
7
8
Inventories for sale or use
........
8
7,442
9
Prepaid expenses and deferred charges
......
106,355
9
134,593
10a
Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D
10a
16,843,266
b
Less: accumulated depreciation
10b
3,340,462
13,910,357
10c
13,502,804
11
Investments—publicly traded securities
.
83,509,963
11
77,520,279
12
Investments—other securities. See Part IV, line 11
.....
18,214,391
12
22,165,989
13
Investments—program-related. See Part IV, line 11
..
13
43,214
14
Intangible assets
...............
14
15
Other assets. See Part IV, line 11
...........
2,998,824
15
152,413
16
Total assets.
Add lines 1 through 15 (must equal line 34)
...
123,714,751
16
118,197,297
17
Accounts payable and accrued expenses
.....
1,501,147
17
1,609,668
18
Grants payable
...
1,326,012
18
106,691
19
Deferred revenue
.........
19
20
Tax-exempt bond liabilities
.........
20
21
Escrow or custodial account liability.
Complete Part IV of Schedule D
21
22
Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons.
Complete Part II of Schedule L
..
22
23
Secured mortgages and notes payable to unrelated third parties
..
23
24
Unsecured notes and loans payable to unrelated third parties
..
24
25
Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24).
Complete Part X of Schedule D
112,323
25
67,111
26
Total liabilities.
Add lines 17 through 25
..
2,939,482
26
1,783,470
Organizations that follow SFAS 117 (ASC 958),
check here
and complete lines 27 through 29, and lines 33 and 34.
27
Unrestricted net assets
116,775,895
27
113,030,522
28
Temporarily restricted net assets
...........
3,829,394
28
3,212,825
29
Permanently restricted net assets
169,980
29
170,480
Organizations that do not follow SFAS 117 (ASC 958),
check here
and complete lines 30 through 34.
30
Capital stock or trust principal, or current funds
.....
30
31
Paid-in or capital surplus, or land, building or equipment fund
...
31
32
Retained earnings, endowment, accumulated income, or other funds
32
33
Total net assets or fund balances
...........
120,775,269
33
116,413,827
34
Total liabilities and net assets/fund balances
........
123,714,751
34
118,197,297
Form
990
(2014)
Page 12
Form 990 (2014)
Page
12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI
..............
1
Total revenue (must equal Part VIII, column (A), line 12)
............
1
15,220,440
2
Total expenses (must equal Part IX, column (A), line 25)
............
2
17,795,366
3
Revenue less expenses. Subtract line 2 from line 1
..............
3
-2,574,926
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))
..
4
120,775,269
5
Net unrealized gains (losses) on investments
...............
5
-1,786,516
6
Donated services and use of facilities
.................
6
7
Investment expenses
.....................
7
8
Prior period adjustments
.....................
8
9
Other changes in net assets or fund balances (explain in Schedule O)
........
9
0
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
116,413,827
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII
.............
Yes
No
1
Accounting method used to prepare the Form 990:
Cash
Accrual
Other
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
Separate basis
Consolidated basis
Both consolidated and separate basis
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight
of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
b
If "Yes," did the organization undergo the required audit or audits?
If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
Form
990
(2014)
Page 13
Form 990 (2014)
Page
13
Additional Data
Software ID:
Software Version:
Form 990, Special Condition Description:
Special Condition Description