2017-05-11T16:32:01-05:00 2016-06-30 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-07-01 680259045 MENDOCINO COMMUNITY HEALTH CLINIC INC % TIMOTHY J DOLAN CFO MEND 7074724584 333 LAWS AVENUE UKIAH CA 95482 CAROLE PRESS CEO 7074724584 2017-04-08 true Brian D Todd P00422601 4178658701 2015 2021-01-29 14:40:06Z CAROLE PRESS CEO 333 LAWS AVE UKIAH CA 95482 34726248 false X WWW.MCHCINC.ORG X 1992 CA 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. 11 11 407 12 0 0 4497087 5630544 26457238 28899478 1468 -8037 0 14508 30955793 34536493 69090 83504 0 0 22288365 24227647 0 0 0 8742411 9028069 31099866 33339220 -144073 1197273 15756982 21244974 7906879 12197598 7850103 9047376 X TO PROVIDE THE HIGHEST QUALITY HEALTHCARE FOR EVERYONE IN OUR COMMUNITIES. true false 16479404 19086374 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. 5199022 6367446 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. 2596167 3251984 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. 438128 83504 193674 24712721 true true false true false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 69 0 true 407 true false false false false false false false false false false X 11 11 false false true 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 JOHN PAVONI BOARD CHAIR 4.0 0.0 X X 0 0 0 JIM MARILL VICE-CHAIR 1.0 0.0 X X 0 0 0 GERALD CHANEY SECRETARY/TREASURER 4.0 0.0 X X 0 0 0 CARLOS FRAUSTO DIRECTOR 2.0 0.0 X 0 0 0 BILL MERGENER DIRECTOR BEGINNING 5/2016 2.0 0.0 X 0 0 0 WAYNE MENGER DIRECTOR 1.0 0.0 X 0 0 0 TOM JORDAN DIRECTOR 1.0 0.0 X 0 0 0 DIANE CLATTY DIRECTOR BEGINNING 8/2015 1.0 0.0 X 0 0 0 JANE BERRY DIRECTOR 1.0 0.0 X 0 0 0 JAQUELINE WILLIAMS DIRECTOR 1.0 0.0 X 0 0 0 MAYRA OCHOA DIRECTOR BEGINNING 5/2016 1.0 0.0 X 0 0 0 CAROLE PRESS CHIEF EXECUTIVE OFFICER 40.0 0.0 X 172412 0 0 JEFF WIEDENFELD CHIEF INFORMATION OFFICER 40.0 0.0 X 154994 0 0 TIMOTHY DOLAN CHIEF FINANCIAL OFFICER 40.0 0.0 X 142873 0 0 JILL DAMIAN CHIEF OPERATING OFFICER 40.0 0.0 X 101529 0 0 KAREN CRABTREE CMO BEGINNING 1/2016 40.0 0.0 X 357567 0 0 REBECCA TIMME PSYCHIATRIST ENDING 6/2016 40.0 0.0 X 295586 0 0 DOUG LEWIS DENTAL DIRECTOR 40.0 0.0 X 184035 0 0 ADWOA CHRISTY PHYSICIAN 40.0 0.0 X 324117 0 0 STEVEN WIRTH PHYSICIAN 40.0 0.0 X 285538 0 0 GUY TERAN PHYSICIAN 40.0 0.0 X 279594 0 0 JOANN ROSENFELD PHYSICIAN 40.0 0.0 X 237981 0 0 SAM FERNANDEZ BEHAVIORAL SRVC DIRECTOR 40.0 0.0 X 110774 0 0 2647000 0 0 29 false true false BKD LLP SPRINGFIELD MO 65801 ACCOUNTING/AUDIT/TAX 181725 1 5376057 254487 5630544 PATIENT SERVICE 624100 26534339 26534339 OTHER REVENUE 621400 2071839 2071839 EHR INCENTIVE REVENUE 624100 195500 195500 CONTRACTED MEDICAL SERVICES 624100 97800 97800 28899478 7220 7220 0 0 155442 140934 14508 0 14508 14508 33564 48821 -15257 -15257 -15257 0 0 0 0 34536493 28899478 6471 83504 83504 0 0 0 1408997 701788 707209 0 18328435 14284480 4043955 400000 303713 96287 2664839 2023363 641476 1425376 1082262 343114 0 50670 50670 164650 164650 0 0 0 1192860 935658 257202 198591 24755 173836 1782560 1212862 569698 637480 91646 545834 0 552670 391191 161479 85135 49365 35770 0 278683 144934 133749 259212 22667 236545 0 838351 519666 318685 226529 176134 50395 MEDICAL SUPPLIES & DRUGS 1830508 1830508 BAD DEBT 640751 640751 LICENSES, DUES, SUBSCRIPTIONS 144726 61479 83247 RECRUITING & RENTENTION 144693 131995 12698 33339220 24712721 8626499 0 42718 219021 2386862 3602774 16977 569021 2448865 2773992 0 0 0 0 0 0 67384 58807 284060 423396 20743082 7736648 9786153 13006434 0 0 0 0 0 0 0 0 723963 591529 15756982 21244974 2947155 3551609 0 0 0 0 0 0 0 0 0 0 3959724 7195989 0 0 1000000 1450000 7906879 12197598 X 7845103 9027376 5000 20000 0 0 7850103 9047376 15756982 21244974 1197273 X false true X true true true X 4748689 6171536 4880287 4497087 5630544 25928143 20363146 21423195 23564237 26457238 28899478 120707294 0 0 0 25111835 27594731 28444524 30954325 34530022 146635437 0 0 0 146635437 706 1514 2288 1468 162662 168638 0 706 1514 2288 1468 162662 168638 0 0 25112541 27596245 28446812 30955793 34692684 146804075 0.99885 0.99990 0.00115 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 17100 17100 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. 1667155 1667155 13534108 4200381 9333727 3338249 2874441 463808 2203570 661826 1541744 13006434 0 ESTIMATED AMOUNT DUE TO 3RD PARTIES 1450000 1450000 34036933 -635751 -635751 34672684 -136191 -136191 34536493 32854660 156191 156191 32698469 640751 640751 33339220 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 true MENDOCINO COAST CLINIC 205 SOUTH STREET FORT BRAGG CA 95437 680262003 501(C)(3) 83504 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 CAROLE PRESS CHIEF EXECUTIVE OFFICER 172412 0 0 0 0 0 0 0 0 0 172412 0 0 0 JEFF WIEDENFELD CHIEF INFORMATION OFFICER 154994 0 0 0 0 0 0 0 0 0 154994 0 0 0 KAREN CRABTREE CMO BEGINNING 1/2016 357567 0 0 0 0 0 0 0 0 0 357567 0 0 0 ADWOA CHRISTY PHYSICIAN 324117 0 0 0 0 0 0 0 0 0 324117 0 0 0 STEVEN WIRTH PHYSICIAN 285538 0 0 0 0 0 0 0 0 0 285538 0 0 0 GUY TERAN PHYSICIAN 279594 0 0 0 0 0 0 0 0 0 279594 0 0 0 REBECCA TIMME PSYCHIATRIST ENDING 6/2016 295586 0 0 0 0 0 0 0 0 0 295586 0 0 0 DOUG LEWIS DENTAL DIRECTOR 184035 0 0 0 0 0 0 0 0 0 184035 0 0 0 JOANN ROSENFELD PHYSICIAN 237981 0 0 0 0 0 0 0 0 0 237981 0 0 0 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.