2016-11-11T16:04:47-06:00 2015-12-31 111986323 MARCUM LLP 101 MONTGOMERY STREET 1900 SAN FRANCISCO CA 94104 990 2015-01-01 942284365 MISSION NEIGHBORHOOD HEALTH CENTER MISS 4155521013 240 SHOTWELL STREET SAN FRANCISCO CA 94110 BRENDA STOREY CEO 4155521013 2016-11-09 1 ANNE BIANCHINI P00875158 4154326200 2015 2017-02-10 21:41:12Z BRENDA STOREY 240 SHOTWELL STREET SAN FRANCISCO CA 94110 16823102 0 X MNHC.ORG X 1974 CA MISSION NEIGHBORHOOD HEALTH CENTER PROVIDES PRIMARY MEDICAL CARE TO LOW INCOME FAMILIES AND INDIVIDUALS. 9 9 243 100 0 0 7885995 8892026 8055117 7783618 2467 338 187003 134486 16130582 16810468 0 0 0 0 11555343 12214847 0 0 58534 4576980 4659132 16132323 16873979 -1741 -63511 7465454 8180909 3506103 4217502 3959351 3963407 MISSION NEIGHBORHOOD HEALTH CENTER HONORS OUR LATINO ROOTS WITH A TRADITION OF PROVIDING COMPASSIONATE, PATIENT-CENTERED CARE. WE ADVOCATE FOR HEALTH EQUITY AND DELIVER INNOVATIVE, HIGH QUALITY SERVICES. 0 0 9056813 7127656 PROGRAM B INCLUDES ALL PRIMARY CARE MEDICAL SERVICES. THIS PROGRAM PROVIDES MEDICAL SERVICES TO ALL AGES. THIS PROGRAM HAD 42,071 ENCOUNTERS. 5092063 1136796 PROGRAM A CONSISTS OF GRANT BASED PREVENTION SERVICES PROGRAMS THAT SERVES SPECIAL POPULATIONS SUCH AS THE HOMELESS, THOSE WITH HIV, AND TEENS. IT INCLUDES HEALTH EDUCATION, CASE MANAGEMENT AND NUTRITION. THIS PROGRAM HAD 5,922 ENCOUNTERS. 492283 365426 PHARMACY - FILLED 19,405 PRESCRIPTIONS. 14641159 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 31 0 1 243 1 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X ANGELA ROBINSON CPA 4155521013 240 SHOTWELL STREET SAN FRANCISCO CA 94110 CHARLES MOSER MD PRESIDENT 8.00 X X 0 0 0 GEORGE BACH Y RITA MD VICE PRESIDENT 2.00 X X 0 0 0 RITA FRANKLIN SECRETARY 2.00 X X 0 0 0 RICARDO WOHLER TREASURER 2.00 X 0 0 0 TRACY BROWN MEMBER 2.00 X 0 0 0 AMELIA MARTINEZ VICE PRESIDENT 2.00 X X 0 0 0 SONDRA MORA MEMBER 2.00 X 0 0 0 MARIA MOLINEO MEMBER 2.00 X 0 0 0 FRANCISCO GARCIA MEMBER 2.00 X 0 0 0 BRENDA STOREY EXECUTIVE OFFICER 40.00 X 196945 0 11102 RICARDO ALVAREZ MD CHIEF MEDICAL DIRECTOR 40.00 X 194624 0 24895 JAIME RUIZ MD ASSOCIATE MEDICAL DIRECTOR 40.00 X 178598 0 9292 ANGELA ROBINSON CPA CFO 40.00 X 146754 0 11872 PATRICIA CAPLAN COO 40.00 X 121886 0 1972 ROBERT WILLIMANS MD CLINICAL CHIEF - EXCELSIOR 38.00 X 156180 0 26507 JOANNA EVELAND MD CLINICAL CHIEF - SPECIAL P 30.00 X 119291 0 10884 MEGHAN TROJNAR CLINICAL CHIEF - VALENCIA 32.00 X 117049 0 1753 SUSAN KORBEL NURSE PRACTITIONER 40.00 X 102590 0 9816 FERNANDO GOMEZ-BENITEZ DEPUTY DIRECTOR 40.00 X 104482 0 10344 1438399 0 118437 10 0 1 0 INSTITUTO FAMILIAR DE LA RAZA INC 2919 MISSION STREET SAN FRANCISCO CA 94110 MENTAL HEALTH SERVICES 271427 OSIS 8790 GOVERNORS HILL DR SUITE 202 CINCINNATI OH 45249 SOFTWARE MAINTENANCE 237593 REGENTS OF THE UNIVERSITY OF CALIFORNIA 1001 POTRERO AVENUE WARD 6D-4 SAN FRANCISCO CA 94110 MEDICAL SERVICES 199707 TRJ NEGRETE INC 350 GLENVIEW DRIVE UNIT 9 SAN FRANCISCO CA 94131 JANITORIAL 146127 4 5257047 3634979 31951 8892026 MEDI-CAL MANAGED CARE 621110 3512247 3512247 MEDI-CAL 621110 2370617 2370617 FAMILY PACT 621110 850963 850963 PHARMACY 621110 365426 365426 MANAGED CARE INCENTIVE 621110 202264 202264 482101 482101 7783618 338 338 45120 12634 32486 32486 32486 MEANINGFUL USE INCENTIVE 621110 102000 102000 102000 16810468 7885618 0 32824 897940 602650 295290 8052425 7314693 708697 29035 53506 50163 3123 220 2491871 2204886 278723 8262 719105 636335 80434 2336 1510714 1070285 440429 560368 495813 46124 18431 529250 439277 89973 636803 582065 54738 79985 43690 36295 5350 5350 343644 295734 47910 128859 114714 14145 PHARMACEUTICAL SUPPLIES 476308 476308 EQUIPMENT RENTAL & MAIN 215942 184016 31926 OTHER EXPENSE 43791 43791 MISCELLANEOUS EXP 42514 16888 25626 85604 69851 15503 250 16873979 14641159 2174286 58534 171242 558174 902094 1565078 1400014 1624920 2577221 2058316 65524 59345 362391 348220 5635507 3851175 1874135 1784332 112833 182524 7465454 8180909 1325312 1510320 1029 0 235020 0 1944742 2707182 3506103 4217502 X 3753552 3755643 205799 207764 3959351 3963407 7465454 8180909 -63511 67566 0 X 0 1 X 1 1 1 X 7064221 7764459 7745463 7885995 8892026 39352164 7064221 7764459 7745463 7885995 8892026 39352164 39352164 303 490 1360 340 338 2831 266527 508198 351547 315653 86082 1528007 40883002 0.96260 0.96010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 11626 11626 17193159 17204785 1000000 250000 0 0 914904 915798 956616 1000000 3787318 5680977 4860 7838 9598 11626 33922 228726 228950 239154 250000 946830 1420245 4860 7838 9598 11626 33922 158000 158000 977545 977545 0 2906970 1835378 1071592 1592992 1038252 554740 1784332 ACCRUED PAYROLL TAXES 46414 CONTINGENCY RESERVE 2643510 OTHER LIABILITIES 17258 2707182 X 17208841 67566 361964 12634 442164 16766677 43791 43791 16810468 17204785 361964 12634 374598 16830187 43791 43791 16873978 PART X, LINE 2: MNHC HAS ADOPTED THE ACCOUNTING GUIDANCE RELATED TO UNCERTAIN TAX POSITIONS, AND HAS EVALUATED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN BY MNHC IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. AS OF DECEMBER 31, 2015, THERE WERE NO LIABILITIES RECORDED FOR UNRECOGNIZED TAX BENEFITS RELATED TO TAX POSITIONS TAKEN IN THE CURRENT YEAR. MNHC'S RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AND FOUR YEARS RESPECTIVELY AFTER THEY ARE FILED. HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR TAX PERIODS IN PROGRESS. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES NETTED IN PART VIII $12,634 12,634. PART XI, LINE 4B - OTHER ADJUSTMENTS: OTHER EXPENSES IN PART VIII $43,791 43,791. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXP NETTED IN PART VIII $12,634 12,634. PART XII, LINE 4B - OTHER ADJUSTMENTS: OTHER EXPENSES IN PART VIII $43,791 43,791. X X X 0 0 0 0 0 0 0 0 0 BRENDA STOREY EXECUTIVE OFFICER 196945 0 0 0 0 0 2461 0 8641 0 208047 0 0 0 RICARDO ALVAREZ MD CHIEF MEDICAL DIRECTOR 188624 0 0 0 6000 0 1150 0 23745 0 219519 0 0 0 JAIME RUIZ MD ASSOCIATE MEDICAL DIRECTOR 168098 0 0 0 10500 0 1866 0 7426 0 187890 0 0 0 ANGELA ROBINSON CPA CFO 146754 0 0 0 0 0 1830 0 10042 0 158626 0 0 0 ROBERT WILLIMANS MD CLINICAL CHIEF - EXCELSIOR 149340 0 0 0 6840 0 2248 0 24259 0 182687 0 0 0 BRENDA STOREY ANNUALLY BRENDA STOREY IS ELECTED AS A MEMBER OF THE CONSORTIUM BOD 745680 MISSION NEIGHBORHOOD HEALTH CENTER (MHNC) IS A FOUNDING MEMBER OF SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM (SFCCC) AND A SUB-RECIPIENT OF SEVERAL GRANTS AWARDED TO SFCCC. MNHC PROVIDES SERVICES WHICH ARE INTEGRAL TO THE GRANT PROGRAMS THE CONSORTIUM ADMINISTERS. DURING THE YEARS 2015 AND 2014, MNHC RECEIVED $745,680 AND $911,487 TOWARD GRANT REVENUES AND THE OUTSTANDING AMOUNT OF $299,711 AND $358,894, RESPECTIVELY, WAS INCLUDED IN THE GRANTS RECEIVABLE. 1 X 1 31951 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE AUDIT COMMITTEE SHALL HAVE THE RESPONSIBILITY FOR REVIEWING THE ORGANIZATION'S FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A DRAFT OF THE FORM 990 SHOULD BE READY FOR REVIEW BY THE AUDIT COMMITTEE NO LATER THAN ONE MONTH PRIOR TO THE FILING DEADLINE. AFTER THE DRAFT OF THE FORM 990 HAS BEEN OBTAINED BY THE AUDIT COMMITTEE, THEY WILL HAVE NO MORE THAN TWO WEEKS TO COMPLETE THEIR REVIEW. IN CONDUCTING THEIR REVIEW OF THE DRAFT OF THE FORM 990, IT IS PREFERRED THAT THE AUDIT COMMITTEE SHALL CONDUCT A TOP-LEVEL OR BIG-PICTURE TYPE OF REVIEW. HOWEVER, IF THE AUDIT COMMITTEE DESIRES OR DEEMS IT NECESSARY TO CONDUCT A MORE DETAILED REVIEW OF THE FORM 990, THEN THEY SHOULD CONTACT THE PREPARER OF THE FORM 990 TO REQUEST COPIES OF THE RELEVANT DETAILED TAX RETURN WORKPAPERS WHICH THEY WOULD LIKE TO SEE. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS INITIAL REVIEW OF THE FORM 990, A MEETING OR CONFERENCE CALL WILL BE SCHEDULED WITH THE PREPARER OF THE FORM 990, IF NEEDED, TO DISCUSS ANY QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS IDENTIFIED BY THE AUDIT COMMITTEE. THE PREPARER OF THE FORM 990 SHOULD MAKE ANY REVISIONS TO THE FORM 990 AS SOON AS FEASIBLY POSSIBLE TO ENSURE THAT THE FORM 990 IS FILED WITH INTERNAL REVENUE SERVICE ON A TIMELY BASIS. ALL QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS SET FORTH BY THE AUDIT COMMITTEE SHOULD BE DOCUMENTED, ALONG WITH ANY RESPONSES FROM THE PREPARER FOR THE FORM 990, IF APPLICABLE. AFTER THE FORM 990 HAS BEEN REVIEWED BY THE AUDIT COMMITTEE, THE AUDIT COMMITTEE WILL MAKE A PRESENTATION AT THE NEXT FULL BOARD OF DIRECTORS MEETING TO UPDATE THE FULL BOARD REGARDING ITS REVIEW OF THE FORM 990. AT THIS MEETING WITH THE FULL BOARD OF DIRECTORS, IT IS NOT REQUIRED FOR THE AUDIT COMMITTEE TO REVIEW ALL OF THEIR QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS, A SUMMARY OF THEIR MORE IMPORTANT POINTS WILL BE SUFFICIENT. AFTER THE BOARD HAS APPROVED THE FORM 990, IT IS FILED WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C BOARD OF DIRECTORS AND KEY MANAGEMENT STAFF WILL FILL OUT THE "ANNUAL CONFLICT DISCLOSURE QUESTIONNAIRE." THESE QUESTIONNAIRES WILL BE REVIEWED BY THE CHAIR OF THE BOARD OF DIRECTORS WHO WILL DETERMINE APPROPRIATE ACTION IF A CONFLICT OF INTEREST IS IDENTIFIED. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA PUBLISHED ANNUALLY BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND NATIONAL ASSOCIATION HEALTH CENTER FOR THE COMMUNITY CLINICS COMPENSATION AND BENEFIT SURVEY TO ESTABLISH COMPENSATION FOR THE CEO. THE BOARD OF DIRECTORS DETERMINE THE COMPENSATION FOR THE CEO. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.