FURP.ORG / PUBLIC DATA EXPLORER

MENDOCINO COMMUNITY HEALTH CLINIC INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MENDOCINO COMMUNITY HEALTH CLINIC INC (EIN 68-0259045)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-15
IRS object ID
201521359349307152
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-05-15T15:20:28-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1910 E ST LOUIS 200/PO BOX 1190AddressLine1
CitySPRINGFIELDCity
StateMOState
ZIP Code658062523ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN680259045EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MENDOCINO COMMUNITY HEALTH CLINIC INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% TIMOTHY J DOLAN CFOInCareOfNm
Business Name ControlMENDBusinessNameControlTxt
Phone7074681010PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 LAWS AVENUEAddressLine1
Address Line2SuiteAddressLine2
CityUKIAHCity
StateCAState
ZIP Code95482ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLINNEA HUNTERPersonNm
Person TitleCEOPersonTitleTxt
Phone7074681010PhoneNum
Signature2015-05-12SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBrian D ToddPreparerPersonNm
PTINP00422601PTIN
Phone7074681010PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLINNEA HUNTER CEOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 LAWS AVEAddressLine1
CityUKIAHCity
StateCAState
ZIP Code95482ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$28,449,212GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mchcinc.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1992FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE ORGANIZATION IS A FEDERALLY QUALIFIED HEALTH CENTER THAT PROVIDES HEALTH CARE AND EDUCATION SERVICES THROUGH CLINICS LOCATED IN UKIAH, WILLITS, AND LAKEPORT, CA. SEE SCHEDULE O FOR MORE INFORMATION.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee344TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,171,536PYContributionsGrantsAmt
CY Contributions Grants$4,880,287CYContributionsGrantsAmt
PY Program Service Revenue$21,423,195PYProgramServiceRevenueAmt
CY Program Service Revenue$23,564,237CYProgramServiceRevenueAmt
PY Investment Income$16,714PYInvestmentIncomeAmt
CY Investment Income-$68,393CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$27,611,445PYTotalRevenueAmt
CY Total Revenue$28,376,131CYTotalRevenueAmt
PY Grants And Similar Paid$5,585PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$65,353CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$18,810,669PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,741,724CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,803,861PYOtherExpensesAmt
CY Other Expenses$7,609,425CYOtherExpensesAmt
PY Total Expenses$25,620,115PYTotalExpensesAmt
CY Total Expenses$27,416,502CYTotalExpensesAmt
PY Revenues Less Expenses$1,991,330PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$959,629CYRevenuesLessExpensesAmt
Total Assets BOY$14,017,600TotalAssetsBOYAmt
Total Assets EOY$14,456,201TotalAssetsEOYAmt
Total Liabilities BOY$6,983,053TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,462,025TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,034,547NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$7,994,176NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE ACCESS TO EXCELLENT HEALTHCARE SERVICES FOR THE MOST VULNERABLE PEOPLE IN OUR COMMUNITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$12,583,893ExpenseAmt
Revenue$14,949,155RevenueAmt
DescPRIMARY 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 102,884 PATIENT ENCOUNTERS RELATED TO MEDICAL CARE. SEE SCHEDULE O FOR MORE INFORMATION.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,394,218ExpenseAmt
Revenue$5,220,153RevenueAmt
DescDENTAL 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 33,547 PATIENT ENCOUNTERS RELATED TO DENTAL CARE. SEE SCHEDULE O FOR MORE INFORMATION.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,186,493ExpenseAmt
Revenue$2,597,465RevenueAmt
DescMENTAL HEALTH CARE MENDOCINO PROVIDES MENTAL HEALTH CARE SERVICES, INCLUDING PRIMARY CARE CONSULTATIONS, COUNSELING AND PSYCHOTHERAPY. DURING THE FISCAL YEAR, THE ORGANIZATION HAD 10,997 PATIENT ENCOUNTERS RELATED TO MENTAL HEALTH CARE. SEE SCHEDULE O FOR MORE INFORMATION.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$671,289TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$65,353TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$797,464TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$19,835,893TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document63IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee344EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTIMOTHY J DOLAN CFOPersonNm
Phone7074724584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1333 LAWS AVENUEAddressLine1
CityUKIAHCity
StateCAState
ZIP Code95482ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN PAVONI
CHAIR4.00.0Yes (X)Yes (X)$0$0$0
GERALD CHANEY
DIRECTOR4.00.0Yes (X)$0$0
BARBARA NEWELL
SECRETARY/TREASURER1.00.0Yes (X)Yes (X)$0$0
CARLOS FRAUSTO
DIRECTOR1.00.0Yes (X)$0$0
BILL MERGENER
DIRECTOR1.00.0Yes (X)$0$0
ANNE CAVIGLIA
DIRECTOR ENDING 2/20141.00.0Yes (X)
JIM MARILL
VICE CHAIR1.00.0Yes (X)Yes (X)$0$0
JACQUELINE WILLIAMS
DIRECTOR1.0Yes (X)$0$0
JANE BERRY
DIRECTOR1.00.0Yes (X)$0$0
WAYNE MENGER
DIRECTOR1.00.0Yes (X)$0$0
LINNEA HUNTER
CEO40.00.0Yes (X)$188,790$0$8,590
TIMOTHY J DOLAN
CFO40.00.0Yes (X)$113,242$0$8,541
JEFF WIEDENFELD
CIO40.00.0Yes (X)$150,930$0$4,108
CAROLE PRESS
COO40.00.0Yes (X)$126,491$0$8,541
KAREN CRABTREE
OB DIRECTOR40.00.0$345,955$0$8,541Yes (X)
DOUG LEWIS
DENTAL DIRECTOR40.00.0$159,098$0$12,241Yes (X)
MARLENE QUILALA
PHYSICIAN40.00.0$230,505$0$0Yes (X)
STEVEN WORTH
PHYSICIAN40.00.0$253,329$0$12,241Yes (X)
ADWOA CHRISTY
PHYSICIAN40.00.0$297,626$0$12,241Yes (X)
GUY TERAN
PHYSICIAN40.00.0$274,013$0$12,241Yes (X)
JOANN ROSENFELD
PHYSICIAN40.00.0$230,709$0$8,527Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,370,688TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$95,812TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

ServicesServicesDescCompensationCompensationAmt
R C CONSTRUCTION
CONSTRUCTION$520,543
UKIAH CONSTRUCTION
CONSTRUCTION$161,732
BKD LLP
AUDIT/TAX/CONSULTING$222,104
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Government Grants$4,669,087GovernmentGrantsAmt
All Other Contributions$211,200AllOtherContributionsAmt
Noncash Contributions$14,460NoncashContributionsAmt
Total Contributions$4,880,287TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE624100$22,936,531$22,936,531
EHR INCENTIVE REVENUE624100$148,750$148,750
CONTRACTED MEDICAL SERVICES624100$78,621$78,621
MEDICAL RECORDS900099$1,862$1,862
OTHER624100$398,473$398,473
FieldValueIRS element (for citing)
Total Program Service Revenue$23,564,237TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,288TotalRevenueColumnAmt
Exclusion$2,288ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$2,400OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$73,081OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$70,681OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$70,681TotalRevenueColumnAmt
Exclusion-$70,681ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,376,131TotalRevenueColumnAmt
Related Or Exempt Func Income$23,564,237RelatedOrExemptFuncIncomeAmt
Exclusion-$68,393ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$65,353TotalAmt
Program Services$65,353ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,135,068TotalAmt
Program Services$525,835ProgramServicesAmt
Management And General$609,233ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$15,044,519TotalAmt
Program Services$11,857,847ProgramServicesAmt
Management And General$3,186,672ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,367,606TotalAmt
Program Services$1,832,744ProgramServicesAmt
Management And General$534,862ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,194,531TotalAmt
Program Services$915,608ProgramServicesAmt
Management And General$278,923ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$11,971TotalAmt
Management And General$11,971ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$133,423TotalAmt
Management And General$133,423ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,112,110TotalAmt
Program Services$826,881ProgramServicesAmt
Management And General$285,229ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$175,881TotalAmt
Management And General$175,881ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,540,806TotalAmt
Program Services$1,037,028ProgramServicesAmt
Management And General$503,778ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$761,824TotalAmt
Management And General$761,824ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$487,748TotalAmt
Program Services$367,113ProgramServicesAmt
Management And General$120,635ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$145,182TotalAmt
Program Services$18,662ProgramServicesAmt
Management And General$126,520ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$320,689TotalAmt
Management And General$320,689ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$197,052TotalAmt
Program Services$183,175ProgramServicesAmt
Management And General$13,877ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$956,441TotalAmt
Program Services$690,618ProgramServicesAmt
Management And General$265,823ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$159,732TotalAmt
Program Services$57,417ProgramServicesAmt
Management And General$102,315ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES & DRUGS$1,093,723$1,093,723
BAD DEBT$255,000$255,000
LICENSES, DUES, SUBSCRIPTIONS$124,017$22,564$101,453
RECRUITING & RETENTION$113,932$86,325$27,607

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$19,894TotalAmt
Management And General$19,894ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$27,416,502TotalAmt
Program Services$19,835,893ProgramServicesAmt
Management And General$7,580,609ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$12,354BOYAmt
EOY$5,295EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,449,246BOYAmt
EOY$1,179,707EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$168,264BOYAmt
EOY$243,037EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,987,760BOYAmt
EOY$2,537,431EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$48,193BOYAmt
EOY$53,836EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$169,879BOYAmt
EOY$310,650EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,998,265LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,978,641LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,723,727BOYAmt
EOY$10,019,624EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$458,177BOYAmt
EOY$106,621EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$14,017,600BOYAmt
EOY$14,456,201EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,254,713BOYAmt
EOY$2,266,113EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,728,340BOYAmt
EOY$4,195,912EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,983,053BOYAmt
EOY$6,462,025EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,034,195BOYAmt
EOY$7,919,176EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$352BOYAmt
EOY$75,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,034,547BOYAmt
EOY$7,994,176EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,017,600BOYAmt
EOY$14,456,201EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$959,629ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,929,295CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,414,703CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$4,748,689CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,171,536CurrentTaxYearMinus1YearAmt
Current Tax Year$4,880,287CurrentTaxYearAmt
Total$25,144,510TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$15,692,472CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$18,316,988CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$20,363,146CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$21,423,195CurrentTaxYearMinus1YearAmt
Current Tax Year$23,564,237CurrentTaxYearAmt
Total$99,360,038TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,621,767CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,731,691CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,111,835CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,594,731CurrentTaxYearMinus1YearAmt
Current Tax Year$28,444,524CurrentTaxYearAmt
Total$124,504,548TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$124,504,548PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,111CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,514CurrentTaxYearMinus1YearAmt
Current Tax Year$2,288CurrentTaxYearAmt
Total$9,828TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,209CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,111CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$706CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,514CurrentTaxYearMinus1YearAmt
Current Tax Year$2,288CurrentTaxYearAmt
Total$9,828TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$19,625,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,732,802CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$25,112,541CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$27,596,245CurrentTaxYearMinus1YearAmt
Current Tax Year$28,446,812CurrentTaxYearAmt
Total$124,514,376TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99992PublicSupportCY509Pct
Public Support PY5090.99985PublicSupportPY509Pct
Investment Income CY0.00008InvestmentIncomeCYPct
Investment Income PY0.00015InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1(I)FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$792,155OtherCostOrOtherBasisAmt
Book Value$792,155BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,987,160OtherCostOrOtherBasisAmt
Depreciation$3,120,995DepreciationAmt
Book Value$7,866,165BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,022,673OtherCostOrOtherBasisAmt
Depreciation$2,297,438DepreciationAmt
Book Value$725,235BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,196,277OtherCostOrOtherBasisAmt
Depreciation$560,208DepreciationAmt
Book Value$636,069BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,019,624TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$28,117,164TotalRevEtcAuditedFinclStmtAmt
Other Revenue-$186,148OtherRevenueAmt
Revenue Not Reported-$186,148RevenueNotReportedAmt
Revenue Subtotal$28,303,312RevenueSubtotalAmt
Other Revenues Not Included$72,819OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$72,819RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$28,376,131TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$27,232,183TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$70,681OtherExpensesIncludedAmt
Expenses Not Reported$70,681ExpensesNotReportedAmt
Expenses Subtotal$27,161,502ExpensesSubtotalAmt
Other Expenses Not Included$255,000OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$255,000ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$27,416,502TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART X, LINE 2MANAGEMENT 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 FINANCIAL STATEMENTS.
SCHEDULE D, PART XI, LINE 2DOTHER REVENUE ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $(255,000) BAD DEBT $ 68,852 NET ASSETS RELEASED FROM RESTRICTION ----------- $(186,148)
SCHEDULE D, PART XI, LINE 4BOTHER REVENUE ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ (70,681) LOSS ON SALE OF FIXED ASSETS $ 143,500 TEMPORARILY RESTRICTED CONTRIBUTIONS ----------- $ 72,819
SCHEDULE D, PART XII, LINE 2DOTHER EXPENSES ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 70,681 LOSS ON SALE OF FIXED ASSETS
SCHEDULE D, PART XII, LINE 4BOTHER EXPENSES ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 255,000 BAD DEBT EXPENSE

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MENDOCINO COAST CLINICBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1205 SOUTH STREETAddressLine1
CityFORT BRAGGCity
StateCAState
ZIP Code95437ZIPCode
FieldValueIRS element (for citing)
Recipient EIN680262003RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$65,353CashGrantAmt
Purpose Of GrantSUPPORTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationGRANT 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LINNEA HUNTER
CEO$188,790$0$0$0$0$0$0$0$8,590$0$197,380$0$0$0
JEFF WIEDENFELD
CIO$150,930$0$0$0$0$0$0$0$4,108$0$155,038$0$0$0
KAREN CRABTREE
OB DIRECTOR$345,955$0$0$0$0$0$0$0$8,541$0$354,496$0$0$0
DOUG LEWIS
DENTAL DIRECTOR$159,098$0$0$0$0$0$0$0$12,241$0$171,339$0$0$0
MARLENE QUILALA
PHYSICIAN$146,599$0$83,906$0$0$0$0$0$0$0$230,505$0$0$0
STEVEN WORTH
PHYSICIAN$168,188$0$85,141$0$0$0$0$0$12,241$0$265,570$0$0$0
ADWOA CHRISTY
PHYSICIAN$297,626$0$0$0$0$0$0$0$12,241$0$309,867$0$0$0
GUY TERAN
PHYSICIAN$131,072$0$142,941$0$0$0$0$0$12,241$0$286,254$0$0$0
JOANN ROSENFELD
PHYSICIAN$146,803$0$83,906$0$0$0$0$0$8,527$0$239,236$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART II, COLUMN BFormAndLineReferenceDesc
ExplanationBONUSES: ALL BONUSES REPORTED ON SCHEDULE J ARE INCENTIVE BONUSES BASED ON THE PROVIDER'S PRODUCTIVITY. BONUSES ARE CALCULATED BASED ON FIXED FORMULAS SPECIFIED IN THE PROVIDERS' CONTRACTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1ORGANIZATION'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 6VOLUNTEERS: THE ORGANIZATION'S BOARD OF DIRECTORS IS A VOLUNTEER BOARD.
FORM 990, PART III, LINE 4AMEDICAL 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, OPHTHALMOLOGY, 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. DR. BILL FISHER TAKES AN ACTIVE ROLE IN OUR CANCER COLLABORATIVE WORK AS A PHYSICIAN CHAMPION. 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.
FORM 990, PART III, LINE 4BDENTAL 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 4CMENTAL 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 4DOTHER PROGRAM SERVICES: PHARMACY/OTHER 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. 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. 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 B, LINE 11BPROCESS 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 12CMONITORING 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 EMPLOYEE HANDBOOK AND COVERS 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, LINES 15A & 15BCOMPENSATION REVIEW: THE CEO AND CFO'S COMPENSATION ARE 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 NACHC 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 19DOCUMENT DISCLOSURE: FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO BE MAILED UPON REQUEST.