2024-11-13T12:27:48-06:00 2023-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-01-01 942284365 MISSION AREA HEALTH ASSOCIATES MISS 4155521013 240 SHOTWELL STREET SAN FRANCISCO CA 94110 ANNA ROBERT OFFICER 4155521013 2024-11-12 1 0 MICHAEL LUMSDEN P01262236 4159561500 2024-11-12 2023 2024-10-15 13:58:12Z MISSION NEIGHBORHOOD HEALTH CENTER ANNA ROBERT 240 SHOTWELL STREET SAN FRANCISCO CA 94110 29342218 0 X WWW.MNHC.ORG X 1974 CA WE PROVIDE PRIMARY MEDICAL CARE TO LOW INCOME FAMILIES AND INDIVIDUALS. 10 10 276 15 0 0 17025524 12218294 15437113 16523103 69212 431692 113590 169129 32645439 29342218 0 0 0 0 16585132 17729270 0 0 0 12836512 10980515 29421644 28709785 3223795 632433 27487180 28926464 4616556 5423407 22870624 23503057 X MISSION NEIGHBORHOOD HEALTH CENTER HONORS OUR LATINO ROOTS WITH A TRADITION OF PROVIDING COMPASSIONATE, PATIENT-CENTERED CARE. WE ADVOCATE FOR HEALTH EQUITY AND DELIVER INNOVATIVE, HIGH-QUALITY SERVICES RESPONSIVE TO THE NEIGHBORHOODS AND DIVERSE COMMUNITIES WE SERVE. 0 0 20062240 0 16523103 PROGRAM B - PRIMARY CARE PROGRAMS: PROGRAM B INCLUDES EXPENSES INCURRED FOR GRANT-FUNDED PRIMARY CARE PROGRAMS SUCH AS SECTION 330 HEALTH CENTER PROGRAM (HHS-HRSA-BUREAU OF PRIMARY HEALTH CARE), HEALTH CARE FOR THE HOMELESS-HCH (SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM-SFCCC), HIV MEDICAL & HEALTH SERVICES (CCSF/DPH-RYAN WHITE PART A/MINORITY AIDS INITIATIVE, SFCCC-RYAN WHITE PART C), AND MEDICAL ASSISTANCE PROGRAM-MAP (CCSF/DPH-GENERAL FUND). PROGRAM B ALSO INCLUDES REIMBURSEMENTS FROM THIRD PARTY PAYORS (MEDI-CAL, MEDICARE, ANTHEM-BLUE CROSS, CHILD HEALTH & DISABILITY PROGRAM-CHDP, FAMILY PACT, BREAST CANCER DETECTION & PREVENTION PROGRAM) AND PATIENT REVENUES (SLIDING FEE SCALE). 5651205 0 0 PROGRAM A - COMMUNITY PROGRAMS: PROGRAM A PRIMARILY INCLUDES EXPENSES INCURRED FOR GRANT FUNDED COMMUNITY PROGRAMS SUCH AS THE YOUTH DEVELOPMENT PROGRAM (CITY COLLEGE OF SAN FRANCISCO ("CCSF") - DEPARTMENT OF CHILDREN, YOUTH, & FAMILIES), HOMELESS SUPPORT SERVICES AT THE RESOURCE CENTER (CCSF-DEPARTMENT OF HOMELESSNESS & SUPPORTIVE HOUSING AND CCSF-MAYOR'S OFFICE OF HOUSING & COMMUNITY DEVELOPMENT), AND HIV PREVENTION PROGRAMS (CCSF-DEPARTMENT OF PUBLIC HEALTH). PROGRAM A ALSO INCLUDES OTHER PRIVATE FOUNDATION GRANTS AND CONTRIBUTIONS THAT SUPPORT MNHC'S COMMUNITY PROGRAMS. 25713445 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 59 0 1 276 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MATILDA SALAKO 4155523870 240 SHOTWELL STREET SAN FRANCISCO CA 94110 AMELIA MARTINEZ-BANKHEAD PRESIDENT 8.00 X X 0 0 0 RITA FRANKLIN VICE PRESIDENT 8.00 X X 0 0 0 CHARLES MOSER MD TREASURER 2.00 X X 0 0 0 FRANCISCO GARCIA SECR. THRU 6/2023 / CONSUMER TRUSTEE 2.00 X X 0 0 0 JOSE RODRIGUEZ MA SECRETARY START 6/2023 2.00 X X 0 0 0 GEORGE BACH Y RITA MD COMMUNITY TRUSTEE THROUGH 5/2023 2.00 X 0 0 0 MARCIA CONTRERAS COMMUNITY TRUSTEE 2.00 X 0 0 0 LUZ DECKER CONSUMER TRUSTEE 2.00 X 0 0 0 SANDRA MORA COMMUNITY TRUSTEE 2.00 X 0 0 0 MARYLOU PONCE CONSUMER TRUSTEE 2.00 X 0 0 0 SYLVIA VASQUEZ CONSUMER TRUSTEE 2.00 X 0 0 0 BRENDA STOREY CEO THROUGH 7/2023 40.00 X 202490 0 8599 ANNA ROBERT RN MSN DRPH CEO START 7/2023 40.00 X 106873 0 10612 JAIME RUIZ MD FAAP CHIEF MEDICAL OFFICER 40.00 X 263093 0 26107 MATILDA SALAKO CHIEF FINANCIAL OFFICER 40.00 X 246512 0 0 TAMMY ALVAREZ CHIEF OPERATING OFFICER 40.00 X 165300 0 27750 LOLA TROVAO CHIEF HUMAN RESOURCES OFFICER 40.00 X 153754 0 28568 FERNANDO GOMEZ-BENITEZ DEPUTY DIR & CHIEF COMPLIANCE OFFICER 40.00 X 147470 0 28698 WILLIE RAMIREZ CHIEF STRATEGY OFFICER 40.00 X 29495 0 0 YANGCHEN DOLKAR MD PHYSICIAN 40.00 X 227892 0 41702 ROBERT WILLIAMS MD CLINICAL CHIEF 40.00 X 221952 0 41385 BRENT LEM MD PEDIATRICIAN 40.00 X 219062 0 19053 JOHN LAMBERT MD PEDIATRICIAN 40.00 X 216794 0 9417 AARTI VALA MD LEAD PHYSICIAN 40.00 X 212586 0 10299 2413273 0 252190 33 0 1 0 DAS HEALTH VENTURES LLC 1000 N ASHLEY DR STE 300 TAMPA FL 33602 IT SERVICES & SUPPORT 745834 OCHIN INC PO BOX 5426 PORTLAND OR 972285426 IT SERVICES & SUPPORT 409211 HIBSER YAMAUCHI ARCHITECTS INC 300 27TH STREET OAKLAND CA 94612 CONSTRUCTION / ARCHITECT SERVICES 233290 SHINE FACILITY SERVICES 687 20TH AVE SAN FRANCISCO CA 94121 JANITORIAL SERVICES 212263 ADP LLC PO BOX 31001-1874 PASADENA CA 91110 PAYROLL SERVICES 126310 5 9549785 2668509 510117 12218294 NET PATIENT SERV REV 621400 11078078 11078078 PHARMACY REVENUE 621400 3978112 3978112 INCENTIVE REVENUE 621400 1466913 1466913 16523103 431692 431692 MISCELLANEOUS REVENUE 621400 169129 169129 169129 29342218 16523103 0 600821 X 1445322 687914 757408 12852364 12385365 466999 306027 274560 31467 2060684 1869564 191120 1064873 949575 115298 7303 7303 100661 94635 6026 3193925 2812914 381011 415293 220858 194435 1079965 610496 469469 725846 667170 58676 8831 6904 1927 102614 80229 22385 507999 463782 44217 154649 145092 9557 PHARMACEUTICAL SUPPLIES 2619582 2619582 REPAIRS & MAINTENANCE 501610 453242 48368 MEDICAL/PROG. SUPPLIES 491828 491828 EQUIPMENT RENTAL 249284 208909 40375 821125 670826 150299 28709785 25713445 2996340 0 28484 12637 17049383 19167182 2906464 3534911 2580360 1831511 32303 50358 337260 343044 8938235 6026172 3013395 2912063 1289 1172 1538242 1073586 27487180 28926464 2102757 2305932 2513799 3117475 4616556 5423407 X 22870624 23503057 22870624 23503057 27487180 28926464 632433 0 X 0 1 X 1 1 1 X 8435199 13406230 16055091 17025524 12218294 67140338 8435199 13406230 16055091 17025524 12218294 67140338 1444204 65696134 60640 89081 60560 69212 431692 711185 106361 295238 143046 113590 169129 827364 68678887 76933527 0.95660 0.98120 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 106,361. 2020 AMOUNT: $ 295,238. 2021 AMOUNT: $ 143,046. 2022 AMOUNT: $ 113,590. 2023 AMOUNT: $ 169,129. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 177 177 28709608 28709785 1000000 250000 0 0 100000 1000000 1000000 1000000 3100000 4650000 177 177 250000 250000 250000 250000 1000000 1500000 158000 158000 6663844 4500320 2163524 2116391 1525852 590539 2912063 DUE TO MEDICAL - PPS SETTLEMENTS 2061986 OPERATING LEASE LIABILITIES 1055489 3117475 X 29623115 280897 280897 29342218 0 29342218 28990682 280897 280897 28709785 0 28709785 PART X, LINE 2: MNHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAX UNDER SECTION 23701(D) OF THE REVENUE AND TAXATION CODE OF THE STATE OF CALIFORNIA. MNHC HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. MNHC FILES BOTH U.S. FEDERAL AND STATE INFORMATION RETURNS. X X 0 0 0 0 0 0 0 0 0 JAIME RUIZ MD FAAP CHIEF MEDICAL OFFICER 261093 0 2000 0 0 0 11410 0 14697 0 289200 0 0 0 YANGCHEN DOLKAR MD PHYSICIAN 225892 0 2000 0 0 0 9842 0 31860 0 269594 0 0 0 ROBERT WILLIAMS MD CLINICAL CHIEF 219952 0 2000 0 0 0 9601 0 31784 0 263337 0 0 0 MATILDA SALAKO CHIEF FINANCIAL OFFICER 246512 0 0 0 0 0 0 0 0 0 246512 0 0 0 BRENT LEM MD PEDIATRICIAN 217062 0 2000 0 0 0 9459 0 9594 0 238115 0 0 0 JOHN LAMBERT MD PEDIATRICIAN 214794 0 2000 0 0 0 9412 0 5 0 226211 0 0 0 AARTI VALA MD LEAD PHYSICIAN 199486 0 13100 0 0 0 0 0 10299 0 222885 0 0 0 BRENDA STOREY CEO THROUGH 7/2023 175067 0 1000 0 26423 0 0 0 8599 0 211089 0 0 0 TAMMY ALVAREZ CHIEF OPERATING OFFICER 163300 0 2000 0 0 0 7128 0 20622 0 193050 0 0 0 LOLA TROVAO CHIEF HUMAN RESOURCES OFFICER 151754 0 2000 0 0 0 4894 0 23674 0 182322 0 0 0 FERNANDO GOMEZ-BENITEZ DEPUTY DIR & CHIEF COMPLIANCE OFFICE 145470 0 2000 0 0 0 6363 0 22335 0 176168 0 0 0 X 30 502337 FMV X GIFT CARDS 1 7780 FMV 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S CFO. A DRAFT FORM 990 IS THEN REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN REVIEWED WITH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS, AND THEREAFTER MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT-OF-INTEREST POLICY WHICH COVERS ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. UNDER THE POLICY, EACH OF THESE INDIVIDUALS HAS AN ONGOING DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO THE CHAIR OF THE BOARD OF DIRECTORS; IN ADDITION, THESE INDIVIDUALS SIGN AN ANNUAL "CONFLICT OF INTEREST POLICY STATEMENT" WHICH AFFIRMS THE INDIVIDUAL HAS: (I) RECEIVED A COPY OF THE MNHC CONFLICT OF INTEREST POLICY; (II) READ AND UNDERSTANDS THE POLICY; (III) AGREED TO COMPLY WITH THE POLICY; (IV) UNDERSTANDS THAT MNHC IS CHARITABLE, AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SHOULD A POTENTIAL OR ACTUAL CONFLICT OF INTEREST BE IDENTIFIED, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OF DIRECTORS MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT. THE CHAIR OF THE BOARD OF DIRECTORS SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OF DIRECTORS DETERMINES WHETHER MNHC CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE MNHC BOARD OF DIRECTORS SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MNHC'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. THE PROCEEDINGS ARE RECORDED WITHIN THE BOARD MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS IS CHARGED WITH DETERMINING A REASONABLE AND APPROPRIATE COMPENSATION PACKAGE FOR THE CEO; TO ASSIST IN THIS DETERMINATION, THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA PUBLISHED ANNUALLY BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. ALL DELIBERATIONS OF THE BOARD OF DIRECTORS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MEETING MINUTES. THE CEO REVIEWS AND APPROVES COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION; TO ASSIST IN THESE DETERMINATIONS, THE CEO UTILIZES COMPARABILITY DATA TO DETERMINE APPROPRIATE AND REASONABLE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACTED SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 554,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 554,158. CONTRACTUAL SERVICES - BEHAVIORAL HEALTH: PROGRAM SERVICE EXPENSES 126,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,310. CONTRACTUAL SERVICES - PAYROLL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 126,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,310. CONTRACTUAL SERVICES - OTHER: PROGRAM SERVICE EXPENSES 1,855,219. MANAGEMENT AND GENERAL EXPENSES 73,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,929,152. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 180,768. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,768. 340B DISPENSING / ADMIN FEES: PROGRAM SERVICE EXPENSES 277,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 277,227.