2024-05-15T13:56:59-05:00 2023-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-07-01 941496052 MOMENTUM FOR HEALTH MOME 4086426056 1922 THE ALAMEDA 300 SAN JOSE CA 95126 DAVID MINETA CEO 4086426056 2024-05-14 1 DAVID MINETA 999009999 0 LESLIE VAN P01294411 4159561500 2024-05-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z DAVID MINETA 1922 THE ALAMEDA 300 SAN JOSE CA 95126 73867455 0 X WWW.MOMENTUMFORHEALTH.ORG X 1997 CA HELPING PEOPLE ACHIEVE MENTAL AND EMOTIONAL HEALTH, DISCOVER THEIR POTENTIAL, AND FULLY PARTICIPATE IN LIFE. 19 18 629 30 -281474 0 46280279 58120741 8653236 6776663 11017692 56487 372887 -905927 66324094 64047964 1409956 1980181 0 0 46933465 54388561 0 0 664566 9054878 12804718 57398299 69173460 8925795 -5125496 55751355 55075538 26695780 30107526 29055575 24968012 HELPING PEOPLE ACHIEVE MENTAL AND EMOTIONAL HEALTH, DISCOVER THEIR POTENTIAL, AND FULLY PARTICIPATE IN LIFE. 0 0 41714163 1960461 3056390 PROVIDE OUTPATIENT BEHAVIORAL, MENTAL, AND SUBSTANCE ADDICTION SERVICES. 13120316 19719 3720273 PROVIDE CRISIS RESIDENTIAL SERVICES. 54834479 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 195 0 1 629 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 19 18 0 1 0 0 0 0 0 1 1 0 0 1 1 1 1 0 1 1 1 0 CA X FINANCE DEPARTMENT 4086426056 1922 THE ALAMEDA STE 300 SAN JOSE CA 95126 DAVID K MINETA CEO/PRESIDENT 40.00 X X 297890 0 12311 MARY ROTUNNO CHAIR (THRU 1/23)/DIRECTOR 2.00 0.00 X X 0 0 0 GEORGINA BACA DIRECTOR (THRU 1/23)/CHAIR 5.00 0.00 X X 0 0 0 DELPHIA EDWARDS VICE CHAIR (THRU 6/23)/DIRECTOR 2.00 0.00 X X 0 0 0 KATHRYN WILLIAMS VICE CHAIR (START 6/23) 5.00 0.00 X X 0 0 0 JOYCE PUOPOLO SECRETARY 5.00 0.00 X X 0 0 0 JIM BERTONIS TREASURER (THRU 6/23)/DIRECTOR 2.00 0.00 X X 0 0 0 JONATHAN MICHAEL TREASURER (START 6/23) 5.00 0.00 X X 0 0 0 FERNANDO HERNANDEZ DIRECTOR 2.00 0.00 X 0 0 0 HAL MAHON DIRECTOR 2.00 0.00 X 0 0 0 JAHMAL WILLIAMS DIRECTOR 2.00 0.00 X 0 0 0 JASON NORIEGA DIRECTOR 2.00 0.00 X 0 0 0 RICHARD LOFTUS DIRECTOR 2.00 0.00 X 0 0 0 JASON REYNOLDS DIRECTOR 2.00 0.00 X 0 0 0 TERI EYRE DIRECTOR (START 5/23) 2.00 0.00 X 0 0 0 LEE THORPE-CRITTEN DIRECTOR 2.00 0.00 X 0 0 0 JAIME CHAVEZ DIRECTOR (START 6/23) 2.00 0.00 X 0 0 0 PATRICK TONDREAU DIRECTOR (START 6/23) 2.00 0.00 X 0 0 0 WILLIAM RIPPE DIRECTOR 2.00 0.00 X 0 0 0 SHEFALI MILLER CHIEF MEDICAL OFFICER 40.00 X 520159 0 25200 KEVIN DEWITT CFO/COO (THRU 10/22) 40.00 X 256102 0 18208 THERESA MATACIA CFO 40.00 0.00 X 0 0 0 JAMES MILLSAP EXECUTIVE DIRECTOR 40.00 X 188998 0 29213 GAIL CAMPANALE CHIEF OFFICER OF OUTPATIENT PROGRAMS 40.00 0.00 X 161537 0 25979 ELEONORE SOSA PACE CHIEF OFFICER OF RES & CRML JUSTICE 40.00 0.00 X 168320 0 11623 PETER TRAN DIR. OF INFORMATION TECHNOLOGY 40.00 0.00 X 183308 0 19431 MAKSIM MARCHENKO PSYCHIATRIST 40.00 X 495339 0 13337 TOMASZ A ROSSE PSYCHIATRIST 40.00 X 420800 0 24712 YEDIDA Z RISSMAN PSYCHIATRIST 40.00 X 414880 0 13000 TYSON S TORRES PSYCHIATRIST 40.00 X 446064 0 25200 MICHAEL V HUYNH PSYCHIATRIST 40.00 X 426300 0 23524 3979697 0 241738 97 0 1 0 TRAN JR CONSTRUCTION CORP 728 DAKOTA DR SAN JOSE CA 95111 CONSTRUCTION SERVICES 702710 JAIME MATURINO GARDENING 1585 N 14TH STREET SAN JOSE CA 95112 GARDENING AND HANDY MAN SERVICES 424581 JACKSON & COKER LOCUMTENENS LLC 2655 NORTHWINDS PARKWAY ALPHARETTA GA 30009 PHYSICIANS PLACEMENT SERVICE 341946 MAGIC CARPET CLEANERS 1585 N 14TH STREET SAN JOSE CA 95112 CARPET CLEANING SERVICES 271436 LITTLER MENDELSON PC 333 BUSH ST 34TH FLOOR SAN FRANCISCO CA 94104 LEGAL SERVICES 184487 7 156616 57124995 839130 58120741 PATIENT SERVICES REVENUE 621400 6776663 6776663 6776663 56462 56462 857479 1694572 -837093 -837093 -281474 -555619 8051143 8051118 25 25 25 0 156616 73801 -73801 -73801 MISCELLANEOUS REVENUE 900099 4967 4967 4967 64047964 6776663 -281474 -567966 1980181 1980181 45101703 38075776 6608605 417322 1438804 1217583 208477 12744 4013607 3337349 630262 45996 3834447 3311378 488130 34939 99091 99091 50000 50000 3039976 537746 2432142 70088 105262 61696 39395 4171 2276239 1626512 612312 37415 98965 57158 41807 2897086 2352742 537405 6939 381578 352927 28626 25 198701 86863 109849 1989 543353 287055 256298 1129507 911925 214611 2971 626124 519291 101782 5051 LEGAL SETTLEMENT 975000 975000 MEMBERSHIP DUES & LICEN 145558 534 144074 950 238278 117763 96549 23966 69173460 54834479 13674415 664566 2272230 5460358 7008660 602644 4423239 6682814 3187418 2156919 473852 1206637 46259792 10459845 35945847 35799947 1689958 0 750151 3166219 55751355 55075538 9051406 9216552 79486 82270 14146849 17143071 0 0 3418039 3665633 26695780 30107526 X 29041965 24912695 13610 55317 29055575 24968012 55751355 55075538 X -5125496 10512 1027421 X 0 1 X 1 0 X 37131259 43740642 52101856 46280279 58120741 237374777 37131259 43740642 52101856 46280279 58120741 237374777 237374777 52549 74058 17611 616066 56462 816746 165010 104664 142876 132024 0 544574 193788 173389 86222 530991 4967 989357 239725454 41303892 0.99020 0.98750 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 193,788. 2019 AMOUNT: $ 173,389. 2020 AMOUNT: $ 86,222. 2021 AMOUNT: $ 530,991. 2022 AMOUNT: $ 4,967. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 13939896 13939896 29866246 9426826 20439420 94336 81320 13016 1361095 390298 970797 998219 561401 436818 35799947 DEPOSITS 733000 ROU ASSETS 2433219 3166219 DEPOSITS HELD 90866 FACILITY LEASES 1041823 LEASE LIABILITIES 2532944 3665633 X 66854269 10512 1768372 1778884 65075385 -1027421 -1027421 64047964 70941832 1768372 1768372 69173460 0 69173460 PART X, LINE 2: THE AGENCY IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUSES BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2023, THE AGENCY HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,694,571. SPECIAL EVENT EXPENSES 73,801. PART XI, LINE 4B - OTHER ADJUSTMENTS: MARKET VALUE ADJUSTMENT -1,027,421. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 1,694,571. SPECIAL EVENT EXPENSES 73,801. SHINING STAR FY 23 156616 156616 73801 156616 156616 73801 73801 -73801 0 FINANCIAL ASSISTANCE 601 1980181 X X X 0 0 0 0 0 0 0 1 0 SHEFALI MILLER CHIEF MEDICAL OFFICER 520159 0 0 0 0 0 12200 0 13000 0 545359 0 0 0 MAKSIM MARCHENKO PSYCHIATRIST 490123 0 5216 0 0 0 12053 0 1284 0 508676 0 0 0 TYSON S TORRES PSYCHIATRIST 442928 0 3136 0 0 0 12200 0 13000 0 471264 0 0 0 MICHAEL V HUYNH PSYCHIATRIST 422156 0 4144 0 0 0 12200 0 11324 0 449824 0 0 0 TOMASZ A ROSSE PSYCHIATRIST 420800 0 0 0 0 0 11712 0 13000 0 445512 0 0 0 YEDIDA Z RISSMAN PSYCHIATRIST 412800 0 2080 0 0 0 0 0 13000 0 427880 0 0 0 DAVID K MINETA CEO/PRESIDENT 297890 0 0 0 0 0 11829 0 482 0 310201 0 0 0 KEVIN DEWITT CFO/COO (THRU 10/22) 256102 0 0 0 0 0 9359 0 8849 0 274310 0 0 0 JAMES MILLSAP EXECUTIVE DIRECTOR 188998 0 0 0 0 0 16977 0 12236 0 218211 0 0 0 PETER TRAN DIR. OF INFORMATION TECHNOLOGY 180632 0 2676 0 0 0 6431 0 13000 0 202739 0 0 0 GAIL CAMPANALE CHIEF OFFICER OF OUTPATIENT PROGRAMS 161537 0 0 0 0 0 14506 0 11473 0 187516 0 0 0 ELEONORE SOSA PACE CHIEF OFFICER OF RES & CRML JUSTICE 168320 0 0 0 0 0 11141 0 482 0 179943 0 0 0 PART I, LINE 7 BONUS PAYMENTS ARE CONSIDERED NON-FIXED PAYMENTS. FOR THOSE THAT ARE ELIGIBLE FOR BONUS PAYMENTS, THEY ARE BASED ON QUARTERLY PERFORMANCE AND CAN RANGE FROM 1%-3% OF THEIR SALARY. FORM 990, PART VI, SECTION A, LINE 3 MOMENTUM FOR HEALTH HIRED THERESA MATACIA AS CFO ON 11/4/2023 THROUGH PLATINUM RESOURCE GROUP, A MANAGEMENT CONSULTING FIRM. AS MOMENTUM FOR HEALTH'S CFO, THERESA REPORTS TO THE CEO AND THE BOARD OF DIRECTORS AND HER RESPONSIBILITIES INCLUDE: OVERSEEING ALL FINANCIAL AND ACCOUNTING FUNCTIONS INCLUDING FINANCIAL CLOSE, FINANCIAL PLANNING & ANALYSIS, CASH MANAGEMENT, FINANCING, TAX AND REGULATORY FINANCIAL COMPLIANCE, PAYROLL AND ACCOUNTS PAYABLE. THE PROFESSIONAL SERVICES EXPENSE TO PLATINUM RESOURCES GROUP IS PAID BY MOMENTUM FOR HEALTH DIRECTLY. THE TOTAL AMOUNT PAID TO PLATINUM RESOURCES GROUP FOR CFO SERVICES IN 2022 WAS 39,267. FORM 990, PART VI, SECTION B, LINE 11B MOSS ADAMS PREPARES THE TAX RETURNS BASED ON THE AUDITED FINANCIAL STATEMENTS. APPLICABLE INFORMATION IS ALSO PROVIDED BY MOMENTUM FINANCE CONTROLLER, REVIEWED BY (INTERIM) CFO, WHO ALSO REVIEWED THE DRAFT TAX RETURNS, DISCUSSED WITH THE TAX TEAM AND APPROVED THE TAX RETURNS. THE (INTERIM) CFO PROVIDED THE TAX RETURNS TO THE EXECUTIVE COMMITTEE, THE AUDIT COMMITTEE, AND THE BOARD FOR THEIR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL REVIEWS ARE CONDUCTED TO MONITOR AND ENSURE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 MOMENTUM FOR HEALTH ENGAGED WITH AN OUTSIDE COMPENSATION CONSULTANT WHO CONDUCTED A MARKET STUDY ON MARKET COMPETITIVE LEVELS FOR TOTAL DIRECT COMPENSATION, TOTAL CASH COMPENSATION, AND BASE SALARY FOR 11 SELECT POSITIONS AT MOMENTUM. THE METHODOLOGY USED BY THIS CONSULTANT WAS TO REQUEST A COMPREHENSIVE SET OF INTERNAL DATA, INTERVIEW THE HR MANAGER TO ALIGN THEIR ANALYSIS, AND UTILIZE 22 DIFFERENT PUBLISHED AND PRIVATE SURVEYS PLUS NUMEROUS OTHER REFERENCE POINTS OF NON-PROFITS IN THE US BY JOB POSITION. THE RESULT OF THIS ANALYSIS WAS A COMPENSATION MATRIX BY POSITION OF MARKET-BASED COMPENSATION LEVELS AT THE 25TH, 50TH, 60TH AND 75TH PERCENTILE. BASED ON THE RESULTS OF THIS STUDY AND FURTHER DISCUSSION, MOMENTUM'S CEO RECOMMENDED, AND THE COMPENSATION COMMITTEE OF THE MOMENTUM BOARD OF DIRECTORS APPROVED AN INCREASE IN THE BASE SALARIES TO THE 60TH PERCENTILE FOR 8 OF THE 11 POSITIONS IN THE STUDY AS OF 1/1/2024. MEETING MINUTES WERE INSCRIBED FOR ALL COMPENSATION COMMITTEE DISCUSSIONS ON THIS MATTER. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: MARKET VALUE ADJUSTMENT 1,027,421. HOMEBASE HOMES INC 104 WHISPERING PINES SUITE 200 SCOTTS VALLEY CA 95066 770155566 LOW INCOME HOUSING CA 501(C)(3) LINE 10 MOMENTUM FOR HEALTH 1 THE FOUNDATION FOR MENTAL HEALTH 438 NORTH WHITE ROAD SAN JOSE CA 95127 770224382 DORMANT CA 501(C)(3) LINE 12A, I MOMENTUM FOR HEALTH 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0