MENDOCINO COMMUNITY HEALTH CLINIC INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MENDOCINO COMMUNITY HEALTH CLINIC INC (EIN 68-0259045)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-11
- IRS object ID
- 201741319349305239
- Schema version
- 2015v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-11T16:32:01-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | 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 | 2015-07-01 | 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 AVENUE | 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 |
| Phone | 7074724584 | PhoneNum |
| Signature | 2017-04-08 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Brian D Todd | PreparerPersonNm |
| PTIN | P00422601 | PTIN |
| Phone | 4178658701 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | 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 | $34,726,248 | 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 EDUCATION SERVICES THROUGH CLINICS LOCATED IN UKIAH, WILLITS, & LAKEPORT, CA. SEE SCH O. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 407 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,497,087 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,630,544 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,457,238 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,899,478 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,468 | PYInvestmentIncomeAmt |
| CY Investment Income | -$8,037 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $14,508 | CYOtherRevenueAmt |
| PY Total Revenue | $30,955,793 | PYTotalRevenueAmt |
| CY Total Revenue | $34,536,493 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $69,090 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $83,504 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $22,288,365 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $24,227,647 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,742,411 | PYOtherExpensesAmt |
| CY Other Expenses | $9,028,069 | CYOtherExpensesAmt |
| PY Total Expenses | $31,099,866 | PYTotalExpensesAmt |
| CY Total Expenses | $33,339,220 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$144,073 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,197,273 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $15,756,982 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,244,974 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,906,879 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,197,598 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $7,850,103 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $9,047,376 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE THE HIGHEST QUALITY HEALTHCARE FOR EVERYONE IN OUR COMMUNITIES. | MissionDesc |
| Significant New Program Srvc | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,479,404 | ExpenseAmt |
| Revenue | $19,086,374 | RevenueAmt |
| Desc | PRIMARY MEDICAL SERVICES: OUR HEALTH CENTERS GRAPPLE WITH THE MOST FUNDAMENTAL HEALTH PROBLEMS BESETTING OUR COMMUNITIES. ALMOST ONE-THIRD OF OUR PATIENTS HAVE SOME FORM OF CHRONIC ILLNESS, AND THE OVERWHELMING NUMBERS OF THESE INDIVIDUALS HAVE MULTIPLE DISORDERS. THE ORGANIZATION IS INVOLVED IN ONGOING STRATEGIC ASSESSMENT OF OUR COUNTIES HEALTH CARE NEEDS AND IT RESPONDS WITH AGILITY BY INSTITUTING INNOVATIVE HEALTH PROGRAMS. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 101,588 PATIENT ENCOUNTERS RELATED TO MEDICAL CARE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,199,022 | ExpenseAmt |
| Revenue | $6,367,446 | RevenueAmt |
| Desc | DENTAL CARE: THE UNINSURED AND UNDERINSURED OF MENDOCINO AND LAKE COUNTIES CONTINUE TO HAVE SERIOUS ACCESS PROBLEMS FOR THEIR ORAL HEALTH NEEDS. OUR DENTAL DEPARTMENT IS ONE OF OUR FASTEST GROWING SERVICES. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 38,442 PATIENT ENCOUNTERS RELATED TO DENTAL CARE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,596,167 | ExpenseAmt |
| Revenue | $3,251,984 | 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 17,617 PATIENT ENCOUNTERS RELATED TO MENTAL HEALTH CARE. SEE SCHEDULE O FOR MORE INFORMATION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $438,128 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $83,504 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $193,674 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $24,712,721 | 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 | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | 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 | false | 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 | 69 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 407 | 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 | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | 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 (23 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 |
|---|---|---|---|---|---|---|---|---|---|
| JOHN PAVONI | |||||||||
| BOARD CHAIR | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM MARILL | |||||||||
| VICE-CHAIR | 1.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GERALD CHANEY | |||||||||
| SECRETARY/TREASURER | 4.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CARLOS FRAUSTO | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BILL MERGENER | |||||||||
| DIRECTOR BEGINNING 5/2016 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| WAYNE MENGER | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TOM JORDAN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DIANE CLATTY | |||||||||
| DIRECTOR BEGINNING 8/2015 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JANE BERRY | |||||||||
| 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 BEGINNING 5/2016 | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CAROLE PRESS | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.0 | 0.0 | Yes (X) | $172,412 | $0 | $0 | |||
| JEFF WIEDENFELD | |||||||||
| CHIEF INFORMATION OFFICER | 40.0 | 0.0 | Yes (X) | $154,994 | $0 | $0 | |||
| TIMOTHY DOLAN | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0.0 | Yes (X) | $142,873 | $0 | $0 | |||
| JILL DAMIAN | |||||||||
| CHIEF OPERATING OFFICER | 40.0 | 0.0 | Yes (X) | $101,529 | $0 | $0 | |||
| KAREN CRABTREE | |||||||||
| CMO BEGINNING 1/2016 | 40.0 | 0.0 | $357,567 | $0 | $0 | Yes (X) | |||
| REBECCA TIMME | |||||||||
| PSYCHIATRIST ENDING 6/2016 | 40.0 | 0.0 | $295,586 | $0 | $0 | Yes (X) | |||
| DOUG LEWIS | |||||||||
| DENTAL DIRECTOR | 40.0 | 0.0 | $184,035 | $0 | $0 | Yes (X) | |||
| ADWOA CHRISTY | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $324,117 | $0 | $0 | Yes (X) | |||
| STEVEN WIRTH | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $285,538 | $0 | $0 | Yes (X) | |||
| GUY TERAN | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $279,594 | $0 | $0 | Yes (X) | |||
| JOANN ROSENFELD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $237,981 | $0 | $0 | Yes (X) | |||
| SAM FERNANDEZ | |||||||||
| BEHAVIORAL SRVC DIRECTOR | 40.0 | 0.0 | $110,774 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,647,000 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $0 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BKD | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | LLP | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 65801 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING/AUDIT/TAX | ServicesDesc |
| Compensation | $181,725 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,376,057 | GovernmentGrantsAmt |
| All Other Contributions | $254,487 | AllOtherContributionsAmt |
| Total Contributions | $5,630,544 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE | 624100 | $26,534,339 | $26,534,339 |
| OTHER REVENUE | 621400 | $2,071,839 | $2,071,839 |
| EHR INCENTIVE REVENUE | 624100 | $195,500 | $195,500 |
| CONTRACTED MEDICAL SERVICES | 624100 | $97,800 | $97,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,899,478 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,220 | TotalRevenueColumnAmt |
| Exclusion | $7,220 | 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 | $155,442 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $140,934 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,508 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,508 | TotalRevenueColumnAmt |
| Exclusion | $14,508 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $33,564 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $48,821 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$15,257 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$15,257 | TotalRevenueColumnAmt |
| Exclusion | -$15,257 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
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 | $34,536,493 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,899,478 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $6,471 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $83,504 | TotalAmt |
| Program Services | $83,504 | 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 | $1,408,997 | TotalAmt |
| Program Services | $701,788 | ProgramServicesAmt |
| Management And General | $707,209 | 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 | $18,328,435 | TotalAmt |
| Program Services | $14,284,480 | ProgramServicesAmt |
| Management And General | $4,043,955 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,000 | TotalAmt |
| Program Services | $303,713 | ProgramServicesAmt |
| Management And General | $96,287 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,664,839 | TotalAmt |
| Program Services | $2,023,363 | ProgramServicesAmt |
| Management And General | $641,476 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,425,376 | TotalAmt |
| Program Services | $1,082,262 | ProgramServicesAmt |
| Management And General | $343,114 | 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 | $50,670 | TotalAmt |
| Management And General | $50,670 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,650 | TotalAmt |
| Management And General | $164,650 | 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 | $1,192,860 | TotalAmt |
| Program Services | $935,658 | ProgramServicesAmt |
| Management And General | $257,202 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,591 | TotalAmt |
| Program Services | $24,755 | ProgramServicesAmt |
| Management And General | $173,836 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,782,560 | TotalAmt |
| Program Services | $1,212,862 | ProgramServicesAmt |
| Management And General | $569,698 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $637,480 | TotalAmt |
| Program Services | $91,646 | ProgramServicesAmt |
| Management And General | $545,834 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $552,670 | TotalAmt |
| Program Services | $391,191 | ProgramServicesAmt |
| Management And General | $161,479 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85,135 | TotalAmt |
| Program Services | $49,365 | ProgramServicesAmt |
| Management And General | $35,770 | 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 | $278,683 | TotalAmt |
| Program Services | $144,934 | ProgramServicesAmt |
| Management And General | $133,749 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $259,212 | TotalAmt |
| Program Services | $22,667 | ProgramServicesAmt |
| Management And General | $236,545 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $838,351 | TotalAmt |
| Program Services | $519,666 | ProgramServicesAmt |
| Management And General | $318,685 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,529 | TotalAmt |
| Program Services | $176,134 | ProgramServicesAmt |
| Management And General | $50,395 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $1,830,508 | $1,830,508 | |
| BAD DEBT | $640,751 | $640,751 | |
| LICENSES, DUES, SUBSCRIPTIONS | $144,726 | $61,479 | $83,247 |
| RECRUITING & RENTENTION | $144,693 | $131,995 | $12,698 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,339,220 | TotalAmt |
| Program Services | $24,712,721 | ProgramServicesAmt |
| Management And General | $8,626,499 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,718 | BOYAmt |
| EOY | $219,021 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,386,862 | BOYAmt |
| EOY | $3,602,774 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,977 | BOYAmt |
| EOY | $569,021 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,448,865 | BOYAmt |
| EOY | $2,773,992 | 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 | $67,384 | BOYAmt |
| EOY | $58,807 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $284,060 | BOYAmt |
| EOY | $423,396 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $20,743,082 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,736,648 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,786,153 | BOYAmt |
| EOY | $13,006,434 | 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 | $723,963 | BOYAmt |
| EOY | $591,529 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,756,982 | BOYAmt |
| EOY | $21,244,974 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,947,155 | BOYAmt |
| EOY | $3,551,609 | 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 | $3,959,724 | BOYAmt |
| EOY | $7,195,989 | 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 | $1,000,000 | BOYAmt |
| EOY | $1,450,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,906,879 | BOYAmt |
| EOY | $12,197,598 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,845,103 | BOYAmt |
| EOY | $9,027,376 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000 | BOYAmt |
| EOY | $20,000 | 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 | $7,850,103 | BOYAmt |
| EOY | $9,047,376 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,756,982 | BOYAmt |
| EOY | $21,244,974 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,197,273 | 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 | $4,748,689 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,171,536 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $4,880,287 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,497,087 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,630,544 | CurrentTaxYearAmt |
| Total | $25,928,143 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $20,363,146 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $21,423,195 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $23,564,237 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,457,238 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $28,899,478 | CurrentTaxYearAmt |
| Total | $120,707,294 | 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 | $25,111,835 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,594,731 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,444,524 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,954,325 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,530,022 | CurrentTaxYearAmt |
| Total | $146,635,437 | 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 | $146,635,437 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $706 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,514 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,288 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $162,662 | CurrentTaxYearAmt |
| Total | $168,638 | 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 | $706 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,514 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,288 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,468 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $162,662 | CurrentTaxYearAmt |
| Total | $168,638 | 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 | $25,112,541 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $27,596,245 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $28,446,812 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $30,955,793 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $34,692,684 | CurrentTaxYearAmt |
| Total | $146,804,075 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99885 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99990 | PublicSupportPY509Pct |
| Investment Income CY | 0.00115 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00010 | 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 | $17,100 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $17,100 | 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 | $1,667,155 | OtherCostOrOtherBasisAmt |
| Book Value | $1,667,155 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,534,108 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,200,381 | DepreciationAmt |
| Book Value | $9,333,727 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,338,249 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,874,441 | DepreciationAmt |
| Book Value | $463,808 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,203,570 | OtherCostOrOtherBasisAmt |
| Depreciation | $661,826 | DepreciationAmt |
| Book Value | $1,541,744 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,006,434 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED AMOUNT DUE TO 3RD PARTIES | Desc |
| Amt | $1,450,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,450,000 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $34,036,933 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | -$635,751 | OtherRevenueAmt |
| Revenue Not Reported | -$635,751 | RevenueNotReportedAmt |
| Revenue Subtotal | $34,672,684 | RevenueSubtotalAmt |
| Other Revenues Not Included | -$136,191 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | -$136,191 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $34,536,493 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $32,854,660 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $156,191 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $156,191 | ExpensesNotReportedAmt |
| Expenses Subtotal | $32,698,469 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $640,751 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $640,751 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $33,339,220 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART X, LINE 2 | MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT 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: $ (640,751) BAD DEBT 5,000 NET ASSETS RELEASED FROM RESTRICTION ----------- $ (635,751) |
| SCHEDULE D, PART XI, LINE 4B | OTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ ( 15,257) LOSS ON SALE OF ASSET 20,000 TEMPORARILY RESTRICTED CONTRIBUTIONS (140,934) RENTAL EXPENSES ----------- $ (136,191) |
| SCHEDULE D, PART XII, LINE 2D | OTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 15,257 LOSS ON SALE OF ASSET 140,934 RENTAL EXPENSES ----------- $ 156,191 |
| SCHEDULE D, PART XII, LINE 4B | OTHER EXPENSES ON FORM 990, PART XI, LINE 25, BUT NOT ON LINE 1: $ 640,751 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 | $83,504 | 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 (9 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 | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $172,412 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,412 | $0 | $0 | $0 |
| JEFF WIEDENFELD | ||||||||||||||
| CHIEF INFORMATION OFFICER | $154,994 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $154,994 | $0 | $0 | $0 |
| KAREN CRABTREE | ||||||||||||||
| CMO BEGINNING 1/2016 | $357,567 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $357,567 | $0 | $0 | $0 |
| ADWOA CHRISTY | ||||||||||||||
| PHYSICIAN | $324,117 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $324,117 | $0 | $0 | $0 |
| STEVEN WIRTH | ||||||||||||||
| PHYSICIAN | $285,538 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $285,538 | $0 | $0 | $0 |
| GUY TERAN | ||||||||||||||
| PHYSICIAN | $279,594 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $279,594 | $0 | $0 | $0 |
| REBECCA TIMME | ||||||||||||||
| PSYCHIATRIST ENDING 6/2016 | $295,586 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $295,586 | $0 | $0 | $0 |
| DOUG LEWIS | ||||||||||||||
| DENTAL DIRECTOR | $184,035 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $184,035 | $0 | $0 | $0 |
| JOANN ROSENFELD | ||||||||||||||
| PHYSICIAN | $237,981 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $237,981 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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 COUNTIES. 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 2 | SIGNIFICANT PROGRAM SERVICES UNDERTAKEN: MCHC ADDED DENTAL HYGIENISTS TO THE DENTAL OPERATION BEGINNING JULY 1, 2015. |
| FORM 990, PART III, LINE 4A | MEDICAL CARE: THE ORGANIZATION IS INVOLVED IN ONGOING STRATEGIC ASSESSMENT OF OUR COUNTIES' HEALTH CARE NEEDS AND IT RESPONDS WITH AGILITY BY INSTITUTING INNOVATIVE HEALTH PROGRAMS. OUR PATIENTS ARE OFFERED COMPREHENSIVE PRIMARY CARE MEDICAL SERVICES, INCLUDING PHYSICAL EXAMS, CHRONIC DISEASE MANAGEMENT SERVICES, HEALTH MAINTENANCE SUPPORT, VACCINES, IMMUNIZATIONS, INCISION/DRAINAGE OF CYSTS, OUTPATIENT HIV TESTING AND CARE, WELL-CHILD CARE, CHILD HEALTH AND DISABILITY PROGRAM EXAMS, ADDICTION MEDICINE, SCREENINGS FOR ANEMIA, LEAD, VISION, HEARING AND TUBERCULOSIS. SERVICES ARE OFFERED IN BOTH ENGLISH AND SPANISH. OTHER SPECIAL CLINICAL INITIATIVES INCLUDE OFFSITE SERVICES TO POPULATIONS WITH SPECIAL BARRIERS TO CARE INCLUDING SENIORS IN SKILLED NURSING FACILITIES AND THE HOMELESS; AN ORGANIZATION-WIDE PURSUIT OF SOLUTIONS TO MANAGEMENT OF DIABETES, HIV AND EARLY CANCER DETECTION; AND THE DEVELOPMENT OF COLLABORATIVE RESPONSES TO WIDE-RANGING HEALTH THREATS SUCH AS MRSA. WE HAVE DEVELOPED STRONG ALLIANCES WITH SPECIALTY CARE PROVIDERS IN ALL OUR COMMUNITIES, GIVING OUR PATIENTS THE ABILITY TO HAVE CARE FOR THEIR UNIQUE HEALTH CHALLENGES. CURRENT SPECIALTIES INCLUDE CHIROPRACTIC, DERMATOLOGY, NUTRITION EDUCATION, GASTROINTESTINAL MEDICINE, ORTHOPEDICS, PEDIATRICS, PODIATRY, PSYCHIATRY AND SURGERY. CHRONIC DISEASE MANAGEMENT DIABETES, CANCER AND HIV/AIDS ARE THE KINDS OF SERIOUS ILLNESSES AFFECTING OUR PATIENTS. IN A VARIETY OF WAYS WE GRAPPLE WITH MEETING SHORT-TERM AND LONG-TERM TREATMENT NEEDS OF THESE MORE FRAGILE PATIENTS. MCHC HAS ACTIVELY PARTICIPATED IN IMPLEMENTING THE HEALTH DISPARITIES COLLABORATIVE MODEL OF CARE. WE CURRENTLY PARTICIPATE IN DIABETES, CANCER SCREENING, AND HIV COLLABORATIVES. THESE PROJECTS USE PATIENT REGISTRIES AND CLINICAL GUIDELINES TO IMPROVE OUR PROVISION OF CARE. ON A DAY-TO-DAY BASIS, WE EXTEND SUPPORT TO OUR PATIENTS THROUGH OUR CASE MANAGERS. CASE MANAGERS WORK WITH THE CLINICAL TEAM TO HELP FORMULATE COST EFFECTIVE CARE PLANS. THESE CARE COORDINATING STAFF MEMBERS ALSO TAKE ON THE TASK OF IDENTIFYING A PATIENT'S UNIQUE NEEDS AND THEN HELP CONNECT THEM TO COMMUNITY SERVICES THAT MAY FILL IMMEDIATE NEEDS FOR NUTRITION, SHELTER AND TRANSPORTATION. MCHC IS PROUD THAT ITS CARE FOR ITS PATIENTS DOES NOT END AT THE DOOR, AND THAT OUR YEARS OF COMMUNITY COLLABORATION HAVE STRENGTHENED THE COMMUNITY'S SAFETY NET SO IT EFFICIENTLY PROTECTS ITS MOST VULNERABLE POPULATIONS. WOMEN'S HEALTH SERVICES CARE FOR HER, AN INNOVATIVE, BY-WOMEN, FOR-WOMEN HEALTH UNIT, WAS ESTABLISHED IN 2002. IT PROVIDES COMPREHENSIVE WOMEN'S HEALTH SERVICES IN A SENSITIVE AND SUPPORTIVE ENVIRONMENT. THE PROGRAM'S STAFFING MODEL RELIES ON CERTIFIED NURSE-MIDWIVES AND FAMILY NURSE-PRACTITIONERS WHO HAVE ACCESS TO A BROAD ARRAY OF SUPPORT STAFF, INCLUDING WOMEN'S HEALTH SPECIALISTS, NURSES, HEALTH EDUCATORS, NUTRITIONISTS, BREASTFEEDING SPECIALISTS, CANCER SPECIALISTS AND LAB TECHNICIANS. CARE FOR HER PROVIDES WOMEN WITH FULL-SCOPE GYNECOLOGY SERVICES, PAP SMEARS, FOLLOW UP FOR ABNORMAL PAPS AND COLPOSCOPIES; INFORMATION AND EDUCATION ABOUT SEXUALLY-TRANSMITTED INFECTIONS, NUTRITION AND SMOKING CESSATION; GENETIC SCREENING AND COUNSELING; BLOOD TESTS, INCLUDING THYROID, DIABETES, CHOLESTEROL AND HORMONAL EVALUATIONS; URINALYSIS; BONE DENSITY/DEXASCAN; MAMMOGRAMS; CANCER SCREENINGS. MCHC IS PROUD OF OUR PREGNANCY CARE PROGRAM. A SEAMLESSLY BILINGUAL STAFF OF PROFESSIONAL WOMEN HAVE CREATED A HOMELIKE ENVIRONMENT WHERE WOMEN MAY COME TO PREPARE FOR THE BIRTH OF THEIR CHILD. PRENATAL EDUCATION CLASSES CREATE A LEARNING ENVIRONMENT THAT ALLOWS FAMILIES TO FURTHER DEVELOP CHILD-REARING SKILLS. CARE FOR HER OFFERS HANDS-ON INDIVIDUALIZED EDUCATION FOR THE PREGNANT MOTHERS ENTERING OUR PRACTICE. IN OUR EXPERIENCE, EXPECTANT MOTHERS WELCOME THE OPPORTUNITY TO IMPROVE THEIR SKILLS. WE KNOW THIS ONE-ON-ONE EDUCATION SUPPORTS THE GROWING FAMILIES IN OUR COMMUNITIES. CLASSES INCLUDE PREGNANCY EDUCATION, PARENTING SKILLS, NUTRITION, FAMILY PLANNING, DIABETES, INFANT CARE, BREAST-FEEDING AND EARLY CHILDHOOD DEVELOPMENT. DEVELOPMENT. DEVELOPMENT. PLANNING, DIABETES, INFANT CARE, BREAST-FEEDING AND EARLY CHILDHOOD DEVELOPMENT. |
| FORM 990, PART III, LINE 4B | DENTAL CARE: AT ALL THREE SITES, MCHC OFFERS COMPREHENSIVE DENTAL SERVICES TO ITS PATIENTS. IN ADDITION TO EXAMS, PATIENTS ARE OFFERED ACCESS TO GUM TREATMENT, SEALANTS, TOOTH-COLORED FILLINGS, DENTURES AND EMERGENCY CARE. SPECIAL PROGRAMS INCLUDE HIV DENTAL CARE, A NURSING FACILITY DENTAL OUTREACH PROGRAM, ORAL HEALTH CARE FOR PREGNANT WOMEN AND A COMMITMENT TO COMMUNITY OUTREACH THAT ALLOWS MCHC TO IMPLEMENT SHORT-TERM, COMMUNITY BASED SERVICE PROJECTS INCLUDING ON-SITE SCREENINGS AT MIGRANT EDUCATION SCHOOLS. WE ARE ONE OF THE FEW HEALTH FACILITIES IN NORTHERN CALIFORNIA THAT SPECIALIZES IN ORAL CARE FOR THE DEVELOPMENTALLY DISABLED. ADDITIONALLY, WE REFER PATIENTS IN NEED OF ORAL SURGERY TO A NETWORK OF SPECIALISTS IN THE NORTHERN CALIFORNIA REGION. WE CONTINUE TO PURSUE, AND RECEIVE, GRANT FUNDING TO FOCUS ON THIS PROBLEM. CONSEQUENTLY, WE ARE ACTIVELY RECRUITING DENTISTS COMMITTED TO SERVICE WHO WISH TO WORK IN A FAST-PACED TEAM ENVIRONMENT. |
| 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 UNIT 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 III, LINE 4D | OTHER PROGRAM SERVICES: PEOPLE IN GREATEST NEED CANNOT CONSISTENTLY ACCESS AFFORDABLE MEDICATIONS. THOSE WHO ARE LOW INCOME, UNINSURED AND/OR HAVE CHRONIC CONDITIONS ARE MOST SEVERELY IMPACTED BY LACK OF ACCESS TO AFFORDABLE MEDICATIONS. BECAUSE OF ITS ORGANIZATIONAL COMMITMENT TO ACCESS, MCHC HAS A FULL-TIME, LICENSED, BILINGUAL PHARMACIST AT HILLSIDE HEALTH CENTER. BY MAINTAINING A FULL-SERVICE PHARMACY, MCHC CAN MAKE LIFE-SAVING MEDICATIONS AVAILABLE TO LOW-INCOME PATIENTS AT REDUCED FEES. MCHC ALSO PARTICIPATES IN THE 340B DISCOUNTED DRUG PROGRAM AND OTHER PROGRAMS THAT PROVIDE FREE MEDICATIONS TO ELIGIBLE USERS. PATIENT FINANCIAL SERVICES (PFS) BECAUSE WE KNOW THAT ACCESSING SUPPORT FOR HEALTH CARE CAN BE DIFFICULT, WE HAVE A STRONG PATIENT FINANCIAL SERVICES STAFF TRAINED TO HELP PATIENTS NAVIGATE PUBLIC INSURANCE PROGRAM APPLICATIONS. THEY ARE KNOWLEDGEABLE ADVOCATES WHO ASSIST OUR PATIENTS IN ACCESSING AFFORDABLE HEALTH CARE. IN ADDITION TO PFS REPRESENTATIVES, MCHC OFFERS ACCESS TO A FAMILY ASSISTANCE REPRESENTATIVE (FAR) FROM COUNTY SOCIAL SERVICES. THIS COLLABORATIVE SERVICE IS AVAILABLE TO OUR PATIENTS AT EACH OF OUR CENTERS, EXPEDITING PROCESSING OF PROGRAM APPLICATIONS AND ENSURING THAT ELIGIBLE PATIENTS MAY OBTAIN HEALTHCARE BENEFITS IN A TIMELY MANNER. CENTERS, EXPEDITING PROCESSING OF PROGRAM APPLICATIONS AND ENSURING THAT ELIGIBLE PATIENTS MAY OBTAIN HEALTHCARE BENEFITS IN A TIMELY MANNER. ADDITIONALLY, THE ORGANIZATION PROVIDES GRANTS AND ASSISTANCE TO OTHER ORGANIZATIONS. |
| FORM 990, PART VI, SECTION A, LINE 4 | SIGNIFICANT CHANGES TO GOVERNING DOCUMENTS: POLICY OF NON-DISCRIMINATION: THERE SHALL BE NO DISCRIMINATION IN MEMBERSHIP, EMPLOYMENT, OR SERVICES WITH RESPECT TO RACE, COLOR, ETHNICITY, SEX, AGE, SEXUAL PREFERENCE, NATIONAL ORIGIN, RELIGION, GENDER, MARITAL STATUS, DISABILITY, OR ANY OTHER CLASS PROTECTED BY STATE OR FEDERAL REGULATION. ELECTION AND TERM OF OFFICE FOR DIRECTORS: A DIRECTOR MAY SUCCEED HIMSELF OR HERSELF IN OFFICE. AT ITS DISCRETION, THROUGH AN AFFIRMATIVE VOTE OF THE BOARD, A BOARD MEMBER MAY SERVE FOR A LONGER PERIOD. COMMITTEES: A MARKETING COMMITTEE HAS BEEN ADDED TO THE BOARD. THE MARKETING COMMITTEE SHALL CONSIST OF A COMMITTEE CHAIR APPOINTED BY THE CHAIR OF THE BOARD AND ONE OR MORE OTHER MEMBERS OF THE BOARD. THIS COMMITTEE SHALL BE RESPONSIBLE FOR CREATING AN ORGANIZATION-WIDE MARKETING PLAN THAT WILL ADDRESS SUCH TOPICS AS ADVERTISING AND PUBLIC STRATEGY. THIS COMMITTEE SHALL MEET QUARTERLY OR AS NEEDED, AND REPORT TO THE BOARD ON ITS ACTIVITIES. THE CEO SHALL KEEP THE BOARD UPDATED ON A REGULAR BASIS THROUGH THE CEO REPORT TO THE BOARD. BOOKS AND RECORDS: THE EXECUTIVE COMMITTEE SHALL MAINTAIN A CONFIDENTIAL MINUTE BOOK OF ACTIONS TAKEN IN CLOSED SESSION. CONFIDENTIAL MINUTES WILL ALSO BE USED FOR BOARD ACTIONS REQUIRING STRICT CONFIDENTIALITY, INCLUDING SUCH THINGS AS PERSONNEL AND LEGAL ISSUES. THIS CONFIDENTIAL MINUTE BOOK SHALL BE KEPT BY THE BOARD CHAIR IN A SECURE LOCATION. |
| 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 OFFICER 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 FROM ANY MATTER UNDER WHICH THE CONFLICT 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. THIS APPROVAL WAS DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: FINANCIALS STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO BE MAILED UPON REQUEST. |