MENDOCINO COMMUNITY HEALTH CLINIC INC: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MENDOCINO COMMUNITY HEALTH CLINIC INC (EIN 68-0259045)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-10
- IRS object ID
- 201901309349303610
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-10T11:46:29-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10960 WILSHIRE BLVD SUITE 1100 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90024 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 680259045 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENDOCINO COMMUNITY HEALTH CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEND | BusinessNameControlTxt |
| Phone | 7074724584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 LAWS AVENUE | AddressLine1Txt |
| City | UKIAH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY J DOLAN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7074724584 | PhoneNum |
| Signature | 2019-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
| Preparation | 2019-05-01 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 172.90.17.200 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-05-09 | IPDt |
| IP Tm | 16:22:33 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 41F3D51277C721D7E64869098416E4BAA04E310D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 41F3D51277C721D7E64869098416E4BAA04E310D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2020-04-17 16:48:07Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAROLE PRESS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 LAWS AVENUE | AddressLine1Txt |
| City | UKIAH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $41,155,348 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MCHCINC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MENDOCINO COMMUNITY HEALTH CLINIC INC. PROVIDES MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO PATIENTS IN MENDOCINO AND LAKE COUNTIES. OUR MISSION: TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO MEMBERS IN OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 437 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $6,248,823 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,445,998 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $33,697,263 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $34,695,127 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,792 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,202 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,435 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $39,999,313 | PYTotalRevenueAmt |
| CY Total Revenue | $41,150,327 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $84,757 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $79,095 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,676,050 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,353,125 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $10,498,610 | PYOtherExpensesAmt |
| CY Other Expenses | $12,825,957 | CYOtherExpensesAmt |
| PY Total Expenses | $35,259,417 | PYTotalExpensesAmt |
| CY Total Expenses | $39,258,177 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,739,896 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,892,150 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $24,254,794 | TotalAssetsBOYAmt |
| Total Assets EOY | $27,298,849 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $10,467,522 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $11,619,427 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,787,272 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $15,679,422 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE THE HIGHEST QUALITY HEALTHCARE FOR EVERYONE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,067,185 | ExpenseAmt |
| Grant | $79,095 | GrantAmt |
| Revenue | $23,489,540 | RevenueAmt |
| Desc | MEDICAL SEGMENT SERVICES INCLUDE PRIMARY CARE, OBSTETRICAL AND GYNECOLOGICAL SERVICES, PEDIATRICS, INTERNAL MEDICINE AND SPECIALTY SERVICES. WE PROVIDED 107,759 ENCOUNTERS TO PATIENTS AT OUR THREE SERVICE SITES DURING THE FISCAL YEAR ENDED 6-30-18, EMPLOYING 176 FTES. PATIENTS ARE ABLE TO PARTICIPATE IN OUR PROGRAMS REGARDLESS OF ABILITY TO PAY FOR SERVICES. THE COMPANY OFFERS SLIDING SCALE PAYMENT OPTIONS FOR THOSE WHO QUALIFY BASED ON THEIR INCOME. THE COMPANY RESPONDS TO OUR COUNTIES' HEALTHCARE NEEDS THROUGH PREVENTIVE STRATEGIES AND TREATMENT OF ILLNESS. WE OFFER CARE TO PATIENTS WITH SPECIAL NEEDS OR BARRIERS TO CARE, INCLUDING THE HOMELESS, ELDERLY, THOSE WITH SUBSTANCE ABUSE DISORDERS AND PATIENTS WITH HIV. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,671,182 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,606,389 | RevenueAmt |
| Desc | DENTAL CARE: THE COMPANY OFFERS COMPREHENSIVE DENTAL SERVICES TO OUR PATIENTS, INCLUDING EXAMINATIONS, CLEANING AND PERIODONTAL TREATMENT, FILLINGS AND RESTORATIONS, EXTRACTIONS, LIMITED ROOT CANALS AND DENTURES. SPECIALTY PROGRAMS INCLUDE TREATMENT FOR PATIENTS WHO ARE PREGNANT, HIV PATIENTS AND THOSE WITH DEVELOPMENTAL DISABILITIES. WE REFER PATIENTS IN NEED OF ORAL SURGERY TO A NETWORK OF SPECIALISTS IN NORTHERN CALIFORNIA. DENTAL SERVICES ARE OFFERED TO PATIENTS AGES 1 YEAR AND ONWARD. THE COMPANY PROVIDED 32,620 ENCOUNTERS IN THE FISCAL YEAR ENDED 6-30-2018. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,970,484 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,599,198 | RevenueAmt |
| Desc | MENTAL HEALTH CARE: THE COMPANY PROVIDES MENTAL HEALTH CARE SERVICES, INCLUDING PRIMARY CARE CONSULTATIONS, COUNSELING AND PSYCHOTHERAPY. WE PROVIDED 14,395 PATIENT ENCOUNTERS DURING THE FISCAL YEAR ENDED 6-30-2018. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $28,708,851 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 437 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TIMOTHY J DOLAN | PersonNm |
| Phone | 7074724584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 LAWS AVENUE | AddressLine1Txt |
| City | UKIAH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95482 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| JERRY CHANEY | ||||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN PAVONI | ||||||||
| SECRETARY/TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM MARILL | ||||||||
| VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARLOS FRAUSTO | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| BILL MERGENER | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DIANE CLATTY | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM JORDAN | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JACUELINE WILLIAMS | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MAYRA OCHOA | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE MENGER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| KAREN OSLUND | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CORRIGAN GOMMENGINGER | ||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLE PRESS | ||||||||
| CEO | 40.00 | Yes (X) | $185,967 | $0 | $7,284 | |||
| JILL DAMIAN | ||||||||
| COO | 40.00 | Yes (X) | $135,381 | $0 | $3,061 | |||
| JEFF WIEDENFELD | ||||||||
| CIO | 40.00 | Yes (X) | $172,163 | $0 | $3,737 | |||
| TIMOTHY DOLAN | ||||||||
| CFO | 40.00 | Yes (X) | $154,053 | $0 | $3,384 | |||
| JERRY DOUGLAS | ||||||||
| CMO | 40.00 | $318,599 | $0 | $9,125 | Yes (X) | |||
| DOUG LEWIS | ||||||||
| DENTAL DIRECTOR | 40.00 | $189,748 | $0 | $13,567 | Yes (X) | |||
| KAREN CRABTREE | ||||||||
| CARE FOR HER DIRECTOR | 40.00 | $376,201 | $0 | $12,507 | Yes (X) | |||
| ADWOA CHRISTY | ||||||||
| PHYSICIAN | 40.00 | $316,992 | $0 | $15,314 | Yes (X) | |||
| STEVEN WIRTH | ||||||||
| PHYSICIAN | 40.00 | $306,155 | $0 | $15,314 | Yes (X) | |||
| ANNE STOHRER | ||||||||
| PHYSICIAN | 40.00 | $304,789 | $0 | $9,131 | Yes (X) | |||
| GUY TERAN | ||||||||
| PHYSICIAN | 40.00 | $270,056 | $0 | $15,314 | Yes (X) | |||
| JAMES DOTSON | ||||||||
| PHYSICIAN | 40.00 | $241,548 | $0 | $5,252 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,971,652 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $112,990 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 50 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JAVIER ARROYO | |||||
| PO BOX 231 | CALPELLA | CA | 95418 | CHIROPRACTIC | $174,600 |
| BKD LLP | |||||
| 910 E ST LOUIS STREET | SPRINGFIELD | MO | 65801 | ACCOUNTING/AUDIT/TAX | $170,538 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,786,078 | GovernmentGrantsAmt |
| All Other Contributions | $659,920 | AllOtherContributionsAmt |
| Noncash Contributions | $474,442 | NoncashContributionsAmt |
| Total Contributions | $6,445,998 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 624100 | $31,053,908 | $31,053,908 |
| OTHER | 624100 | $3,298,934 | $3,298,934 |
| EHR INCENTIVE REVENUE | 624100 | $212,500 | $212,500 |
| EXEMPT RENTAL INCOME | 900099 | $129,785 | $129,785 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $34,695,127 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,050 | TotalRevenueColumnAmt |
| Exclusion | $3,050 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $11,173 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $5,021 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $6,152 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,152 | TotalRevenueColumnAmt |
| Exclusion | $6,152 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,150,327 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $34,695,127 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $9,202 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,095 | TotalAmt |
| Program Services | $79,095 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,534,240 | TotalAmt |
| Program Services | $664,333 | ProgramServicesAmt |
| Management And General | $869,907 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,774,766 | TotalAmt |
| Program Services | $15,464,530 | ProgramServicesAmt |
| Management And General | $4,310,236 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $650,987 | TotalAmt |
| Program Services | $482,543 | ProgramServicesAmt |
| Management And General | $168,444 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,910,518 | TotalAmt |
| Program Services | $2,130,883 | ProgramServicesAmt |
| Management And General | $779,635 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,482,614 | TotalAmt |
| Program Services | $1,122,901 | ProgramServicesAmt |
| Management And General | $359,713 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,763 | TotalAmt |
| Management And General | $98,763 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,138 | TotalAmt |
| Management And General | $187,138 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339,125 | TotalAmt |
| Program Services | $1,124,851 | ProgramServicesAmt |
| Management And General | $214,274 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $153,357 | TotalAmt |
| Program Services | $19,069 | ProgramServicesAmt |
| Management And General | $134,288 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,041,000 | TotalAmt |
| Program Services | $683,328 | ProgramServicesAmt |
| Management And General | $1,357,672 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $917,097 | TotalAmt |
| Program Services | $260,399 | ProgramServicesAmt |
| Management And General | $656,698 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,076,433 | TotalAmt |
| Program Services | $499,199 | ProgramServicesAmt |
| Management And General | $577,234 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,231 | TotalAmt |
| Program Services | $57,686 | ProgramServicesAmt |
| Management And General | $49,545 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,826 | TotalAmt |
| Program Services | $129,256 | ProgramServicesAmt |
| Management And General | $99,570 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,124 | TotalAmt |
| Program Services | $5,124 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $902,994 | TotalAmt |
| Program Services | $600,637 | ProgramServicesAmt |
| Management And General | $302,357 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,426 | TotalAmt |
| Program Services | $63,252 | ProgramServicesAmt |
| Management And General | $167,174 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUG | $4,700,877 | $4,683,831 | $17,046 |
| BAD DEBT | $536,997 | $536,997 | |
| LICENSES, DUES, & SUBSC | $163,722 | $64,673 | $99,049 |
| RECRUITING & RETENTION | $136,847 | $36,264 | $100,583 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,258,177 | TotalAmt |
| Program Services | $28,708,851 | ProgramServicesAmt |
| Management And General | $10,549,326 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,777 | BOYAmt |
| EOY | $347,778 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,338,188 | BOYAmt |
| EOY | $3,809,610 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $648,546 | BOYAmt |
| EOY | $514,939 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,675,335 | BOYAmt |
| EOY | $3,067,511 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,022 | BOYAmt |
| EOY | $77,061 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $380,916 | BOYAmt |
| EOY | $421,165 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,024,879 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $9,633,549 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,546,069 | BOYAmt |
| EOY | $15,391,330 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,373,941 | BOYAmt |
| EOY | $3,669,455 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,254,794 | BOYAmt |
| EOY | $27,298,849 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,556,659 | BOYAmt |
| EOY | $3,919,944 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,910,863 | BOYAmt |
| EOY | $7,699,483 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,467,522 | BOYAmt |
| EOY | $11,619,427 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,755,389 | BOYAmt |
| EOY | $15,671,922 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,883 | BOYAmt |
| EOY | $7,500 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,787,272 | BOYAmt |
| EOY | $15,679,422 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,254,794 | BOYAmt |
| EOY | $27,298,849 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,892,150 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,880,287 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,497,087 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,630,544 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,248,823 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,445,998 | CurrentTaxYearAmt |
| Total | $27,702,739 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $23,564,237 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $26,457,238 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,899,478 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $33,697,263 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,695,127 | CurrentTaxYearAmt |
| Total | $147,313,343 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,444,524 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,954,325 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,530,022 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $39,946,086 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,141,125 | CurrentTaxYearAmt |
| Total | $175,016,082 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $175,016,082 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,662 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $217,366 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,050 | CurrentTaxYearAmt |
| Total | $386,834 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,288 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $162,662 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $217,366 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,050 | CurrentTaxYearAmt |
| Total | $386,834 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $28,446,812 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $30,955,793 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $34,692,684 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $40,163,452 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $41,144,175 | CurrentTaxYearAmt |
| Total | $175,402,916 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99780 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99760 | PublicSupportPY509Pct |
| Investment Income CY | 0.00220 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00240 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $27,800 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,800 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1(I) | FormAndLineReferenceDesc |
| Explanation | OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC) AND THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA). A PORTION OF THESE DUES MAY BE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,918,365 | OtherCostOrOtherBasisAmt |
| Book Value | $1,918,365 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,919,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,581,001 | DepreciationAmt |
| Book Value | $10,338,288 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,948,830 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,259,543 | DepreciationAmt |
| Book Value | $689,287 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,238,395 | OtherCostOrOtherBasisAmt |
| Depreciation | $793,005 | DepreciationAmt |
| Book Value | $2,445,390 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $15,391,330 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $5,700 |
| OTHER RECEIVABLES | $1,831,184 |
| EST AMTS DUE FROM THIRD PARTY | $1,832,571 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,669,455 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $40,637,713 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$505,114 | OtherRevenueAmt |
| Revenue Not Reported | -$505,114 | RevenueNotReportedAmt |
| Revenue Subtotal | $41,142,827 | RevenueSubtotalAmt |
| Other Revenues Not Included | $7,500 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $7,500 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $41,150,327 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $38,721,180 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $38,721,180 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $536,997 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $536,997 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $39,258,177 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2018 AND 2017, THE ORGANIZATION 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: | BAD DEBT EXPENSE -536,997. NET ASSETS RELEASED FROM RESTRICTIONS 31,883. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | TEMPORARILY RESTRICTED CONTRIBUTIONS 7,500. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | BAD DEBT EXPENSE 536,997. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENDOCINO COAST CLINIC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 205 SOUTH STREET | AddressLine1Txt |
| City | FORT BRAGG | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95437 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 680262003 | RecipientEIN |
| IRC Section | 501(C)(3) | IRCSectionDesc |
| Cash Grant | $79,075 | CashGrantAmt |
| Purpose Of Grant | GENERAL SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MCHC PROVIDES DETAILED RECORDS OF EXPENDITURES RELATED TO ITS GRANTS UNDER LAWS ESTABLISHED BY HRSA FOR USE OF GRANT FUNDS. WE RUN REPORTS IN SUPPORT OF OUR DRAWDOWNS OF GRANT FUNDS TO ENSURE THAT WE HAVE MET OR EXCEEDED THE AMOUNT REQUESTED IN EACH DRAWDOWN PRIOR TO REQUESTING FUNDS FROM HRSA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAROLE PRESS | ||||||||||||||
| CEO | $184,661 | $0 | $254 | $0 | $1,052 | $0 | $4,165 | $0 | $3,119 | $0 | $193,251 | $0 | $0 | $0 |
| JEFF WIEDENFELD | ||||||||||||||
| CIO | $169,430 | $0 | $1,681 | $0 | $1,052 | $0 | $3,737 | $0 | $0 | $0 | $175,900 | $0 | $0 | $0 |
| TIMOTHY DOLAN | ||||||||||||||
| CFO | $151,057 | $0 | $1,254 | $0 | $1,742 | $0 | $3,384 | $0 | $0 | $0 | $157,437 | $0 | $0 | $0 |
| JERRY DOUGLAS | ||||||||||||||
| CMO | $306,729 | $0 | $10,256 | $0 | $1,614 | $0 | $6,006 | $0 | $3,119 | $0 | $327,724 | $0 | $0 | $0 |
| DOUG LEWIS | ||||||||||||||
| DENTAL DIRECTOR | $187,880 | $0 | $254 | $0 | $1,614 | $0 | $4,259 | $0 | $9,308 | $0 | $203,315 | $0 | $0 | $0 |
| KAREN CRABTREE | ||||||||||||||
| CARE FOR HER DIRECTOR | $374,331 | $0 | $256 | $0 | $1,614 | $0 | $6,006 | $0 | $6,501 | $0 | $388,708 | $0 | $0 | $0 |
| ADWOA CHRISTY | ||||||||||||||
| PHYSICIAN | $315,122 | $0 | $256 | $0 | $1,614 | $0 | $6,006 | $0 | $9,308 | $0 | $332,306 | $0 | $0 | $0 |
| STEVEN WIRTH | ||||||||||||||
| PHYSICIAN | $258,473 | $0 | $46,630 | $0 | $1,052 | $0 | $6,006 | $0 | $9,308 | $0 | $321,469 | $0 | $0 | $0 |
| ANNE STOHRER | ||||||||||||||
| PHYSICIAN | $272,919 | $0 | $30,256 | $0 | $1,614 | $0 | $6,006 | $0 | $3,125 | $0 | $313,920 | $0 | $0 | $0 |
| GUY TERAN | ||||||||||||||
| PHYSICIAN | $221,404 | $0 | $46,910 | $0 | $1,742 | $0 | $6,006 | $0 | $9,308 | $0 | $285,370 | $0 | $0 | $0 |
| JAMES DOTSON | ||||||||||||||
| PHYSICIAN | $240,240 | $0 | $256 | $0 | $1,052 | $0 | $5,252 | $0 | $0 | $0 | $246,800 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $474,442 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE RETURN IS REVIEWED WITH THE CFO AND CEO. A FULL COPY OF THE FORM 990 IS AVAILABLE TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS BRIEFED ON ANY TAX RETURN ISSUES THAT ARISE IN THE PREPARATION OF THE RETURN DURING MEETINGS WITH THE FINANCE COMMITTEE OF THE BOARD. THAT COMMITTEE BRINGS A MOTION TO ACCEPT THE TAX RETURN TO THE FULL BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS AND THE OFFICERS AND EMPLOYEES OF THE COMPANY FILE A DOCUMENT THAT EITHER DECLARES A POTENTIAL CONFLICT OR STATES THAT NO SUCH CONFLICT EXISTS. THE IS RENEWED ANNUAL WITHOUT EXCEPTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | CEO AND CFO COMPENSATION IS VOTED ON AND REVIEWED ANNUALLY BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD UTILIZES COMPARABILITY DATA FROM OTHER LOCAL NONPROFITS AS WELL AS THE CPCA COMPENSATION SURVEY. UNDER THE DIRECTION OF THE CEO, ALL EMPLOYEES ARE REVIEWED ANNUALLY FOR PERFORMANCE BY SUPERVISORS UNDER WHOM THEY WORK. COMPENSATION IS REVIEWED ANNUALLY FOR THE COMPANY AS A WHOLE BASED ON AVAILABILITY OF FUNDS. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. |