2018-05-14T13:44:03-05:00 2017-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2016-07-01 680259045 MENDOCINO COMMUNITY HEALTH CLINIC INC % TIMOTHY J DOLAN CFO MEND 7074724584 333 LAWS AVE UKIAH CA 95482 CAROLE PRESS CEO 2018-03-30 true Krystal K Creach P01248198 4178658701 2016 2022-09-23 18:48:47Z CAROLE PRESS CEO 333 LAWS AVE UKIAH CA 95482 40163452 false X www.mchcinc.org X 1992 CA 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. 10 10 429 10 0 0 5630544 6248823 28899478 33697263 -8037 2792 14508 50435 34536493 39999313 83504 84757 0 0 24227647 24676050 0 0 0 9028069 10498610 33339220 35259417 1197273 4739896 21244974 24254794 12197598 10467522 9047376 13787272 X TO PROVIDE THE HIGHEST QUALITY HEALTH CARE FOR EVERYONE IN OUR COMMUNITIES. false false 18510006 84757 23572974 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. 5478766 6881607 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. 2336805 3242682 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. 26325577 true true false true false false false false false false true false false true false false true false false false false false false false false false false true false true false false false false false false false false true false false false false false false false false true 66 0 true 429 true false false false false false false false false false false X 10 10 false false false false false false false true true false false true true true true true true true true false CA X TIMOTHY J DOLAN CFO 7074724584 333 LAWS AVENUE UKIAH CA 95482 JERRY CHANEY CHAIR 2.0 0.0 X X 0 0 0 JOHN PAVONI SECRETARY/TREASURER 1.0 0.0 X X 0 0 0 JIM MARILL VICE CHAIR 1.0 0.0 X X 0 0 0 CARLOS FRAUSTO DIRECTOR 2.0 0.0 X 0 0 0 BILL MERGENER DIRECTOR 2.0 0.0 X 0 0 0 DIANE CLATTY DIRECTOR 1.0 0.0 X 0 0 0 TOM JORDAN DIRECTOR 1.0 0.0 X 0 0 0 JAQUELINE WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 MAYRA OCHOA DIRECTOR 1.0 0.0 X 0 0 0 WAYNE MENGER DIRECTOR 1.0 0.0 X 0 0 0 JANE BERRY DIRECTOR ENDING 08/2016 1.0 0.0 X 0 0 0 CAROLE PRESS CEO 40.0 0.0 X 187360 0 0 JILL DAMIAN COO 40.0 0.0 X 138828 0 0 JEFF WIEDENFELD CIO 40.0 0.0 X 172290 0 0 TIMOTHY DOLAN CFO 40.0 0.0 X 149892 0 0 JERRY DOUGLAS CMO 40.0 0.0 X 317827 0 0 DOUG LEWIS DENTAL DIRECTOR 40.0 0.0 X 186375 0 0 KAREN CRABTREE CARE FOR HER DIRECTOR 40.0 0.0 X 367968 0 0 STEVEN WIRTH PHYSICIAN 40.0 0.0 X 336237 0 0 ADWOA CHRISTY PHYSICIAN 40.0 0.0 X 327948 0 0 GUY TERAN PHYSICIAN 40.0 0.0 X 293459 0 0 BEN ANDERSON BEHAVIORAL HEALTH DIRECTOR 40.0 0.0 X 114093 0 0 2592277 0 0 49 false true false JAVIER ARROYO 7990 VINYARD OAK DR REDWOOD VALLEY CA 95470 CHIROPRACTIC 137035 BKD LLP 900 E ST LOUIS STREET SPRINGFIELD MO 65801 ACCOUNTING/AUDIT/TAX 135954 2 6026604 222219 357463 6248823 PATIENT SERVICE 624100 29652067 29652067 OTHER 624100 3581946 3581946 EHR INCENTIVE REVENUE 624100 463250 463250 33697263 2792 2792 0 0 214574 164139 50435 0 50435 50435 0 0 0 0 0 0 0 0 0 0 0 39999313 33697263 53227 84757 84757 0 0 0 1152572 378152 774420 0 18968756 14933069 4035687 430024 323674 106350 2691467 1830886 860581 1433231 1076382 356849 0 30781 30781 212924 212924 0 0 0 1515251 1245552 269699 161391 23547 137844 1684893 1231826 453067 680393 159694 520699 0 692496 426155 266341 95070 48538 46532 0 237136 148449 88687 282151 7799 274352 0 867872 553292 314580 248385 217813 30572 MEDICAL SUPPLIES & DRUGS 2772972 2772972 BAD DEBT 739784 739784 LICENSES, DUES, SUBSCRIPTIONS 147309 62807 84502 RECRUITING & RETENTION 129802 60429 69373 35259417 26325577 8933840 0 219021 216777 3602774 4338188 569021 648546 2773992 2675335 0 0 0 0 0 0 58807 75022 423396 380916 22187453 8641384 13006434 13546069 0 0 0 0 0 0 0 0 591529 2373941 21244974 24254794 3551609 3556659 0 0 0 0 0 0 0 0 0 0 7195989 6910863 0 0 1450000 0 12197598 10467522 X 9027376 13755389 20000 31883 0 0 9047376 13787272 21244974 24254794 4739896 X false true X true true true X 6171536 4880287 4497087 5630544 6248823 27428277 21423195 23564237 26457238 28899478 33697263 134041411 0 0 0 27594731 28444524 30954325 34530022 39946086 161469688 0 0 0 161469688 1514 2288 1468 162662 217366 385298 0 1514 2288 1468 162662 217366 385298 0 0 27596245 28446812 30955793 34692684 40163452 161854986 0.99762 0.99890 0.00238 0.00110 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 22800 22800 false SCHEDULE C, PART II-B, LINE 1(I) 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. 1918365 1918365 14039019 4829309 9209710 3651723 3084121 567602 2578346 727954 1850392 13546069 DEPOSITS 2200 OTHER RECEIVABLES 1974607 EST AMTS DUE FROM THIRD PARTY 397134 2373941 39304199 -702760 -702760 40006959 -7646 -7646 39999313 34683772 164139 164139 34519633 739784 739784 35259417 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 true MENDOCINO COAST CLINIC 205 SOUTH STREET FORT BRAGG CA 95437 680262003 501(C)(3) 84757 SUPPORT 1 SCHEDULE I, PART I, LINE 2 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. X X X X false false false false false false false false false KAREN CRABTREE CARE FOR HER DIRECTOR 367968 0 0 0 0 0 0 0 0 0 367968 0 0 0 STEVEN WIRTH PHYSICIAN 290401 0 45836 0 0 0 0 0 0 0 336237 0 0 0 ADWOA CHRISTY PHYSICIAN 327948 0 0 0 0 0 0 0 0 0 327948 0 0 0 GUY TERAN PHYSICIAN 203016 0 90443 0 0 0 0 0 0 0 293459 0 0 0 CAROLE PRESS CEO 187360 0 0 0 0 0 0 0 0 0 187360 0 0 0 JEFF WIEDENFELD CIO 172290 0 0 0 0 0 0 0 0 0 172290 0 0 0 JERRY DOUGLAS CMO 317827 0 0 0 0 0 0 0 0 0 317827 0 0 0 DOUG LEWIS DENTAL DIRECTOR 186375 0 0 0 0 0 0 0 0 0 186375 0 0 0 X 1 357463 FMV false false false SCHEDULE M, PART II NUMBER OF CONTRIBUTORS: PART I, COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. 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.