MENDOCINO COMMUNITY HEALTH CLINIC INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MENDOCINO COMMUNITY HEALTH CLINIC INC (EIN 68-0259045)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-14
- IRS object ID
- 201841349349305989
- Schema version
- 2016v3.1
- 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 | 2018-05-14T13:44:03-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | 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) |
|---|---|---|
| In Care Of | % TIMOTHY J DOLAN CFO | InCareOfNm |
| Business Name Control | MEND | BusinessNameControlTxt |
| Phone | 7074724584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 LAWS AVE | AddressLine1Txt |
| City | UKIAH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95482 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CAROLE PRESS | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Signature | 2018-03-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | CAROLE PRESS CEO | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 333 LAWS AVE | AddressLine1Txt |
| City | UKIAH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95482 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $40,163,452 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | THE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES HEALTH CARE AND EDUCATIONAL SERVICES THROUGH CLINICS LOCATED IN UKIAH, WILLITS AND LAKEPORT. SEE SCH O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 429 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,630,544 | PYContributionsGrantsAmt |
| CY Contributions Grants | $6,248,823 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $28,899,478 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $33,697,263 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$8,037 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,792 | CYInvestmentIncomeAmt |
| PY Other Revenue | $14,508 | PYOtherRevenueAmt |
| CY Other Revenue | $50,435 | CYOtherRevenueAmt |
| PY Total Revenue | $34,536,493 | PYTotalRevenueAmt |
| CY Total Revenue | $39,999,313 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $83,504 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $84,757 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $24,227,647 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,676,050 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,028,069 | PYOtherExpensesAmt |
| CY Other Expenses | $10,498,610 | CYOtherExpensesAmt |
| PY Total Expenses | $33,339,220 | PYTotalExpensesAmt |
| CY Total Expenses | $35,259,417 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,197,273 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,739,896 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $21,244,974 | TotalAssetsBOYAmt |
| Total Assets EOY | $24,254,794 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $12,197,598 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,467,522 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $9,047,376 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $13,787,272 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE HIGHEST QUALITY HEALTH CARE FOR EVERYONE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $18,510,006 | ExpenseAmt |
| Grant | $84,757 | GrantAmt |
| Revenue | $23,572,974 | RevenueAmt |
| Desc | MEDICAL CARE: The organization responds to our counties healthcare needs through preventive healthcare strategies and the treatment of illness. We offer care to those with special needs or barriers to care, including the homeless, elderly, those with substance abuse disorders and patients with HIV. We offer specialty care including chiropractic, dermatology, orthopedics and surgery. Our primary care departments include family medicine, internal medicine, pediatrics and OB/GYN care. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 103,456 ENCOUNTERS RELATED TO MEDICAL CARE. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,478,766 | ExpenseAmt |
| Revenue | $6,881,607 | RevenueAmt |
| Desc | DENTAL CARE: The organization offers comprehensive dental services to our patients, including examinations, cleanings 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. Additionally, we refer patients in need of oral surgery to a network of specialists in Northern California. Dental services are offered to patients from age one year onward. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 37,339 ENCOUNTERS RELATED TO DENTAL CARE. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,336,805 | ExpenseAmt |
| Revenue | $3,242,682 | RevenueAmt |
| Desc | MENTAL HEALTH CARE: MENDOCINO PROVIDES MENTAL HEALTH CARE SERVICES, INCLUDING PRIMARY CARE CONSULTATIONS, COUNSELING AND PSYCHOTHERAPY. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 16,824 PATIENT ENCOUNTERS RELATED TO MENTAL HEALTH CARE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $26,325,577 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 66 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 429 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | 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 CFO | 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 (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JERRY CHANEY | |||||||||
| CHAIR | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOHN PAVONI | |||||||||
| SECRETARY/TREASURER | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM MARILL | |||||||||
| VICE CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARLOS FRAUSTO | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BILL MERGENER | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DIANE CLATTY | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TOM JORDAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAQUELINE WILLIAMS | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MAYRA OCHOA | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE MENGER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JANE BERRY | |||||||||
| DIRECTOR ENDING 08/2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLE PRESS | |||||||||
| CEO | 40.0 | 0.0 | Yes (X) | $187,360 | $0 | $0 | |||
| JILL DAMIAN | |||||||||
| COO | 40.0 | 0.0 | Yes (X) | $138,828 | $0 | $0 | |||
| JEFF WIEDENFELD | |||||||||
| CIO | 40.0 | 0.0 | Yes (X) | $172,290 | $0 | $0 | |||
| TIMOTHY DOLAN | |||||||||
| CFO | 40.0 | 0.0 | Yes (X) | $149,892 | $0 | $0 | |||
| JERRY DOUGLAS | |||||||||
| CMO | 40.0 | 0.0 | $317,827 | $0 | $0 | Yes (X) | |||
| DOUG LEWIS | |||||||||
| DENTAL DIRECTOR | 40.0 | 0.0 | $186,375 | $0 | $0 | Yes (X) | |||
| KAREN CRABTREE | |||||||||
| CARE FOR HER DIRECTOR | 40.0 | 0.0 | $367,968 | $0 | $0 | Yes (X) | |||
| STEVEN WIRTH | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $336,237 | $0 | $0 | Yes (X) | |||
| ADWOA CHRISTY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $327,948 | $0 | $0 | Yes (X) | |||
| GUY TERAN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $293,459 | $0 | $0 | Yes (X) | |||
| BEN ANDERSON | |||||||||
| BEHAVIORAL HEALTH DIRECTOR | 40.0 | 0.0 | $114,093 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,592,277 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 49 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JAVIER ARROYO | |||||
| 7990 VINYARD OAK DR | REDWOOD VALLEY | CA | 95470 | CHIROPRACTIC | $137,035 |
| BKD LLP | |||||
| 900 E ST LOUIS STREET | SPRINGFIELD | MO | 65801 | ACCOUNTING/AUDIT/TAX | $135,954 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $6,026,604 | GovernmentGrantsAmt |
| All Other Contributions | $222,219 | AllOtherContributionsAmt |
| Noncash Contributions | $357,463 | NoncashContributionsAmt |
| Total Contributions | $6,248,823 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 624100 | $29,652,067 | $29,652,067 |
| OTHER | 624100 | $3,581,946 | $3,581,946 |
| EHR INCENTIVE REVENUE | 624100 | $463,250 | $463,250 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $33,697,263 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,792 | TotalRevenueColumnAmt |
| Exclusion | $2,792 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $214,574 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $164,139 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $50,435 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $50,435 | TotalRevenueColumnAmt |
| Exclusion | $50,435 | ExclusionAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $39,999,313 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,697,263 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $53,227 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,757 | TotalAmt |
| Program Services | $84,757 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,152,572 | TotalAmt |
| Program Services | $378,152 | ProgramServicesAmt |
| Management And General | $774,420 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,968,756 | TotalAmt |
| Program Services | $14,933,069 | ProgramServicesAmt |
| Management And General | $4,035,687 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $430,024 | TotalAmt |
| Program Services | $323,674 | ProgramServicesAmt |
| Management And General | $106,350 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,691,467 | TotalAmt |
| Program Services | $1,830,886 | ProgramServicesAmt |
| Management And General | $860,581 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,433,231 | TotalAmt |
| Program Services | $1,076,382 | ProgramServicesAmt |
| Management And General | $356,849 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,781 | TotalAmt |
| Management And General | $30,781 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $212,924 | TotalAmt |
| Management And General | $212,924 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,515,251 | TotalAmt |
| Program Services | $1,245,552 | ProgramServicesAmt |
| Management And General | $269,699 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,391 | TotalAmt |
| Program Services | $23,547 | ProgramServicesAmt |
| Management And General | $137,844 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,684,893 | TotalAmt |
| Program Services | $1,231,826 | ProgramServicesAmt |
| Management And General | $453,067 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,393 | TotalAmt |
| Program Services | $159,694 | ProgramServicesAmt |
| Management And General | $520,699 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $692,496 | TotalAmt |
| Program Services | $426,155 | ProgramServicesAmt |
| Management And General | $266,341 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,070 | TotalAmt |
| Program Services | $48,538 | ProgramServicesAmt |
| Management And General | $46,532 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,136 | TotalAmt |
| Program Services | $148,449 | ProgramServicesAmt |
| Management And General | $88,687 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $282,151 | TotalAmt |
| Program Services | $7,799 | ProgramServicesAmt |
| Management And General | $274,352 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867,872 | TotalAmt |
| Program Services | $553,292 | ProgramServicesAmt |
| Management And General | $314,580 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,385 | TotalAmt |
| Program Services | $217,813 | ProgramServicesAmt |
| Management And General | $30,572 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $2,772,972 | $2,772,972 | |
| BAD DEBT | $739,784 | $739,784 | |
| LICENSES, DUES, SUBSCRIPTIONS | $147,309 | $62,807 | $84,502 |
| RECRUITING & RETENTION | $129,802 | $60,429 | $69,373 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,259,417 | TotalAmt |
| Program Services | $26,325,577 | ProgramServicesAmt |
| Management And General | $8,933,840 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,021 | BOYAmt |
| EOY | $216,777 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,602,774 | BOYAmt |
| EOY | $4,338,188 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,021 | BOYAmt |
| EOY | $648,546 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,773,992 | BOYAmt |
| EOY | $2,675,335 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,807 | BOYAmt |
| EOY | $75,022 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $423,396 | BOYAmt |
| EOY | $380,916 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $22,187,453 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $8,641,384 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,006,434 | BOYAmt |
| EOY | $13,546,069 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $591,529 | BOYAmt |
| EOY | $2,373,941 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,244,974 | BOYAmt |
| EOY | $24,254,794 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,551,609 | BOYAmt |
| EOY | $3,556,659 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,195,989 | BOYAmt |
| EOY | $6,910,863 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,450,000 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,197,598 | BOYAmt |
| EOY | $10,467,522 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,027,376 | BOYAmt |
| EOY | $13,755,389 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,000 | BOYAmt |
| EOY | $31,883 | 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 | $9,047,376 | BOYAmt |
| EOY | $13,787,272 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,244,974 | BOYAmt |
| EOY | $24,254,794 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,739,896 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | 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 (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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 | $6,171,536 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,880,287 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,497,087 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,630,544 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $6,248,823 | CurrentTaxYearAmt |
| Total | $27,428,277 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $21,423,195 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $23,564,237 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $26,457,238 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $28,899,478 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $33,697,263 | CurrentTaxYearAmt |
| Total | $134,041,411 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,594,731 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,444,524 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,954,325 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,530,022 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,946,086 | CurrentTaxYearAmt |
| Total | $161,469,688 | 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 | $161,469,688 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,514 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,468 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $162,662 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $217,366 | CurrentTaxYearAmt |
| Total | $385,298 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,514 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,288 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,468 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $162,662 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $217,366 | CurrentTaxYearAmt |
| Total | $385,298 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $27,596,245 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $28,446,812 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $30,955,793 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,692,684 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $40,163,452 | CurrentTaxYearAmt |
| Total | $161,854,986 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99762 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99890 | PublicSupportPY509Pct |
| Investment Income CY | 0.00238 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00110 | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $22,800 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,800 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
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 | $14,039,019 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,829,309 | DepreciationAmt |
| Book Value | $9,209,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,651,723 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,084,121 | DepreciationAmt |
| Book Value | $567,602 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,578,346 | OtherCostOrOtherBasisAmt |
| Depreciation | $727,954 | DepreciationAmt |
| Book Value | $1,850,392 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,546,069 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSITS | $2,200 |
| OTHER RECEIVABLES | $1,974,607 |
| EST AMTS DUE FROM THIRD PARTY | $397,134 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,373,941 | TotalBookValueOtherAssetsAmt |
| Total Rev Etc Audited Fincl Stmt | $39,304,199 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$702,760 | OtherRevenueAmt |
| Revenue Not Reported | -$702,760 | RevenueNotReportedAmt |
| Revenue Subtotal | $40,006,959 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$7,646 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$7,646 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $39,999,313 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $34,683,772 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $164,139 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $164,139 | ExpensesNotReportedAmt |
| Expenses Subtotal | $34,519,633 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $739,784 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $739,784 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $35,259,417 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ACS 740. BASED ON THEIR REVIEW HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIALS STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | OTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (739,784) BAD DEBT EXPENSE 37,024 NET ASSETS RELEASED FROM RESTRICTIONS ----------- $ (702,760) |
| SCHEDULE D, PART XI, LINE 4B | OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (164,139) RENTAL EXPENSES 107,586 CONTRIBUTIONS FOR ACQUISITION OF PROPERTY & EQUIPMENT 48,907 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ ( 7,646) |
| SCHEDULE D, PART XII, LINE 2D | OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 164,139 RENTAL EXPENSES |
| SCHEDULE D, PART XII, LINE 4B | OTHER EXPENSES ON FORM 990, PART XI, LINE 25, BUT NOT ON LINE 1: $ 739,784 BAD DEBT EXPENSE |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | 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 | $84,757 | CashGrantAmt |
| Purpose Of Grant | SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | GRANT MONITORING PROCEDURES: THE GRANT TO MENDOCINO COAST CLINIC IS SPECIFICALLY TO SUPPORT OUTPATIENT EARLY INTERVENTION SERVICES WITH RESPECT TO HIV DISEASE. A MENDOCINO COMMUNITY HEALTH CLINIC EMPLOYEE, WHO IS DIRECTOR OF THE RYAN WHITE PROGRAM, MONITORS THE USE OF GRANT FUNDS TO ENSURE THEY ARE USED FOR THE INTENDED PURPOSE. | 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KAREN CRABTREE | ||||||||||||||
| CARE FOR HER DIRECTOR | $367,968 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $367,968 | $0 | $0 | $0 |
| STEVEN WIRTH | ||||||||||||||
| PHYSICIAN | $290,401 | $0 | $45,836 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $336,237 | $0 | $0 | $0 |
| ADWOA CHRISTY | ||||||||||||||
| PHYSICIAN | $327,948 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $327,948 | $0 | $0 | $0 |
| GUY TERAN | ||||||||||||||
| PHYSICIAN | $203,016 | $0 | $90,443 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $293,459 | $0 | $0 | $0 |
| CAROLE PRESS | ||||||||||||||
| CEO | $187,360 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $187,360 | $0 | $0 | $0 |
| JEFF WIEDENFELD | ||||||||||||||
| CIO | $172,290 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,290 | $0 | $0 | $0 |
| JERRY DOUGLAS | ||||||||||||||
| CMO | $317,827 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $317,827 | $0 | $0 | $0 |
| DOUG LEWIS | ||||||||||||||
| DENTAL DIRECTOR | $186,375 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $186,375 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $357,463 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART II | FormAndLineReferenceDesc |
| Explanation | NUMBER OF CONTRIBUTORS: PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE I | ORGANIZATION'S MISSION: OUR VISION: WE ENSURE THAT THERE ARE NO CLOSED DOORS FOR THOSE SEEKING PRIMARY HEALTH CARE AT MENDOCINO COMMUNITY HEALTH CLINIC ("MCHC") IN LAKE AND MENDOCINO COUNTRIES. EXCELLENCE, ACCESS, COMMUNITY AND COMPASSION ARE THE VALUES OF OUR ORGANIZATION. OUR GOALS: OUR PATIENTS ARE AS HEALTHY AS POSSIBLE: - THEY HAVE ACCESS TO SERVICES REGARDLESS OF THEIR ABILITY TO PAY. - THEY ARE WELL-INFORMED. - THEY HAVE A SIGNIFICANT VOICE IN THEIR HEALTHCARE CHOICES. - THEY RECOGNIZE THEIR ABILITY TO IMPACT THEIR OWN HEALTH. MCHC IS AN EXTRAORDINARILY POSITIVE PLACE TO WORK: - WE ARE COMMITTED TO OUR MISSION AND VISION. - WE PRODUCE EXCEPTIONAL CLINICAL RESULTS THROUGH IMPLEMENTATION OF BEST MEDICAL PRACTICES. - WE ARE HIGHLY PROFESSIONAL AND SEEK CAREER DEVELOPMENT OPPORTUNITIES. - WE DEMONSTRATE OUR CUSTOMER SERVICE PHILOSOPHY WHEN INTERACTING WITH PATIENTS AND EACH OTHER. - WE WORK TOGETHER TO GENERATE SUSTAINABLE FINANCIAL RESULTS. THE COMMUNITY LOOKS TO MCHC FOR HEALTH CARE LEADERSHIP: - MCHC IS RECOGNIZED AND SUPPORTED AS A VALUABLE COMMUNITY RESOURCE. - MCHC COLLABORATES WITH OTHER HEALTH PRACTITIONERS TO IMPROVE THE HEALTH OF OUR COMMUNITY. - MCHC IS CONSULTED REGARDING HEALTH POLICY ISSUES ON A LOCAL, STATE AND NATIONAL LEVEL. - MCHC'S BOARD OF DIRECTORS ARE ACTIVELY INVOLVED IN THEIR COMMUNITIES. OUR CORE OPERATING PRINCIPLES: - WE BELIEVE THAT HEALTH CARE IS A RIGHT AND A RESPONSIBILITY. - WE DELIVER PRIMARY HEALTH CARE IN A SUPPORTIVE, SAFE AND NONJUDGMENTAL MANNER, STRESSING PATIENT INVOLVEMENT. - WE ENSURE THAT LIMITED FUNDS ARE USED EFFECTIVELY. - WE BELIEVE IT IS THE RESPONSIBILITY OF MANAGEMENT TO CREATE A PRODUCTIVE AND POSITIVE WORKING ENVIRONMENT FOR ALL STAFF BY MODELING EFFECTIVE COLLABORATION AND COMMUNICATION AT ALL LEVELS. - WE ACCEPT RESPONSIBILITY FOR OURSELVES. - WE BELIEVE THAT TRUST IS EARNED. - WE EMPHASIZE PROFESSIONAL TRAINING AND DEVELOPMENT OF ALL STAFF. - WE BELIEVE THAT HAPPY PEOPLE TREAT EACH OTHER WELL AND THAT FUN LEADS TO CREATIVITY. |
| FORM 990, PART I, LINE 6 | VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD. |
| FORM 990, PART III, LINE 4A | MEDICAL CARE: Chronic case management is provided using a team-based model of care involving case managers, nurses and medical providers. Case mangers work with the team to provide care plans, specific teams deliver intensive outpatient care management for high utilizers and / or patients with complex medical issues such as diabetes, HIV and substance abuse disorder. Many patients suffer from concomitant mental health issues. Our model includes behavioral health therapy staffed by psychologists, LCSWs and Psychiatrists, who are integrated into the medical model in an effort to reduce barriers to mental healthcare opportunities. Pharmacy services are available to all patients, and since many of those patients have incomes under 200% of federal poverty standards, many take advantage of medications at a reduced cost. We participate in the 340B discounted drug program and utilize several local pharmacies in support of this program. Womens Healthcare provides comprehensive services in a supportive environment, staffed by certified nurse-midwives and family nurse practitioners and supporting medical and educational activities. Health educators, nutritionists, breastfeeding specialists and cancer specialists provide specialty care to patients, and a full range of gynecology services and pregnancy care are available within the program. |
| FORM 990, PART III, LINE 4C | MENTAL HEALTH CARE: IN OUR PRACTICE, MANY OF OUR PATIENTS ARE BESET BY MULTIPLE CONDITIONS. FOR EXAMPLE, A SENIOR STRUGGLING WITH THE EFFECTS OF DIABETES MAY SUFFER FROM CHRONIC DEPRESSION OR A MOTHER SEEKING CARE AT OUR WOMEN'S HEALTH UNITY MAY BE A VICTIM OF ABUSE. AT MCHC, WE SEEK TO TREAT THE WHOLE PERSON. PRIMARY CARE CONSULTATION (PCC) PCC IS AN INTEGRATED PRIMARY CARE/BEHAVIORAL HEALTH PROGRAM DESIGNED TO SERVE PATIENTS WHOSE HEALTH IS AFFECTED BY STRESS, WHO HAVE PROBLEMS MAINTAINING HEALTHY LIFESTYLES AND/OR THOSE AFFECTED BY PSYCHOLOGICAL DISORDERS. THE PCC MODEL ENCOURAGES MEDICAL AND MENTAL HEALTH PROVIDERS TO COLLABORATE AND UNDERSTAND THE PATIENT HOLISTICALLY, AN APPROACH THAT IS BROADLY ADVOCATED WITHIN THE DISCIPLINES OF FAMILY MEDICINE, SOCIAL WORK AND PSYCHIATRY. PSYCHOTHERAPY MCHC'S PSYCHOTHERAPY DEPARTMENT PROVIDES OUTPATIENT PSYCHOTHERAPY AND COUNSELING SERVICES. ELIGIBLE PATIENTS ARE REFERRED TO ONE OF OUR PSYCHIATRISTS, LICENSED PSYCHOLOGISTS OR LICENSED CLINICAL SOCIAL WORKERS WHO PROVIDE SERVICES AT OUR CENTERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO BEING FILED THE FORM 990 IS REVIEWED BY THE CEO AND CFO, THE FULL BOARD WILL RECEIVE A COPY OF THE 990 PRIOR TO IT BEING FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: THE ORGANIZATION HAS A COMPLIANCE OFFICE IN PLACE WHO MONITORS THE ADHERENCE TO THE POLICY RELATED TO CONFLICTS OF INTEREST. THIS POLICY IS INCLUDED IN THE EMPLOYEE HANDBOOK AND COVER ALL EMPLOYEES AND BOARD MEMBERS. IF A CONFLICT OF INTEREST IS IDENTIFIED WITHIN THE BOARD, THE INTERESTED PARTY WOULD RECUSE HIMSELF OR HERSELF FORM ANY MATTER UNDER WHICH THE CONFLICTED OPERATES. TO THE ORGANIZATION'S KNOWLEDGE, THERE ARE NO SUCH CONFLICTS AT THIS TIME. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION REVIEW: THE CEO AND CFO'S COMPENSATION IS REVIEWED BY THE ORGANIZATION'S BOARD OF DIRECTORS ANNUALLY. THE REVIEW INCLUDES AN ANALYSIS BY THE AUDIT COMMITTEE OF THE BOARD, UTILIZING COMPARABILITY DATA FROM MACHC SURVEYS. THE ANALYSIS AND RECOMMENDATION WAS PRESENTED TO THE FULL BOARD AND APPROVED. THE APPROVAL WAS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO BE MAILED UPON REQUEST. |