MENDONOMA HEALTH ALLIANCE: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- MENDONOMA HEALTH ALLIANCE (EIN 82-1813874)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-05-14
- IRS object ID
- 202621349349309467
- Schema version
- 2024v5.0
- 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 | 2026-05-14T15:56:45-04:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 270630496 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHAVAN & ASSOCIATES LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16450 MONTEREY RD STE 5 | AddressLine1Txt |
| City | MORGAN HILL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95037 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 821813874 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MENDONOMA HEALTH ALLIANCE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEND | BusinessNameControlTxt |
| Phone | 7074123176 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1196 | AddressLine1Txt |
| City | GUALALA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95445 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHELINE WHITE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 7074123176 | PhoneNum |
| Signature | 2026-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | false | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | SHELDON CHAVAN | PreparerPersonNm |
| PTIN | P01001593 | PTIN |
| Phone | 4082178749 | PhoneNum |
| Preparation | 2026-05-14 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHELINE WHITE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1196 | AddressLine1Txt |
| City | GUALALA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95445 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,116,388 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MENDONOMAHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE LOCAL ACCESS TO WELLNESS EDUCATION, PREVENTION SERVICES AND QUALITY HEALTHCARE THROUGH CREATIVE SOLUTIONS I COLLABORATION WITH OUR COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 12 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,096,327 | PYContributionsGrantsAmt |
| CY Contributions Grants | $604,033 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $501,960 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$536 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,395 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $1,095,791 | PYTotalRevenueAmt |
| CY Total Revenue | $1,116,388 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $659,565 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $862,914 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $279,013 | PYOtherExpensesAmt |
| CY Other Expenses | $495,953 | CYOtherExpensesAmt |
| PY Total Expenses | $938,578 | PYTotalExpensesAmt |
| CY Total Expenses | $1,358,867 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $157,213 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$242,479 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $732,009 | TotalAssetsBOYAmt |
| Total Assets EOY | $854,502 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $45,397 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $178,739 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $686,612 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $675,763 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE LOCAL ACCESS TO WELLNESS EDUCATION, PREVENTION SERVICES AND QUALITY HEALTHCARE THROUGH CREATIVE SOLUTIONS I COLLABORATION WITH OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $978,087 | ExpenseAmt |
| Revenue | $501,960 | RevenueAmt |
| Desc | THE ORGANIZATION PROVIDES HEALTH AND WELLNESS SERVICES TO THE COASTAL COMMUNITIES OF NORTHERN SONOMA AND SOUTHERN MENDOCINO COUNTIES. PROGRAMS PROMOTE COLLABORATIVE EFFORTS TO IMPROVE ACCES TO WELLNESS EDUCATION, PREVENTION SERVICES, AND HEALTHCARE. CARE TRANSITIONS: CARE TRANSITIONS IS AN EVIDENCE-BASED PROGRAM INTENDED TO HELP INDIVIDUALS EXPERIENCE A SMOOTH TRANSITION BACK HOME AFTER BEING DISCHARGED FROM THE HOSPITAL. OUR EXPERIENCED COMMUNITY HEALTH WORKERS (CHWS) ARE LINKED TO A VARIETY OF RESOURCES AND SERVICES THAT ENSURE THAT EACH CLIENT HAS WHAT THEY NEED IN ORDER TO ADHERE TO THE DIRECTIONS OF THEIR MEDICAL TEAM. CARE COORDINATION: THE CARE COORDINATION PROGRAM OFFERS SUPPORT TO INDIVIDUALS THAT HAVE BEEN REFERRED TO THE PROGRAM BY THEIR HEALTH CARE PROVIDER(S) OR FOR THOSE WHO SELF-REFER FOR RESOURCE COORDINATION RELATING TO HEALTH CARE NEEDS AND SOCIAL DETERMINANTS OF HEALTH. THE PURPOSE OF THIS PROGRAM IS TO DELIVER THE APPROPRIATE LEVEL OF RESOURCES TO HELP CLIENTS ADHERE TO THE CARE PLANS PROVIDED BY THEIR MEDICAL TEAM, WITH A GOAL OF ACHIEVING IMPROVED HEALTH OUTCOMES. MOBILE HEALTH CLINIC: THE MOBILE HEALTH CLINIC BRINGS QUALITY HEALTH CARE DIRECTLY TO OUR LOCAL COASTAL COMMUNITIES. OUR MOBILE TEAM OFFERS CHECKUPS, HEALTH SCREENINGS, WOMENS HEALTH, HELP MANAGING ONGOING HEALTH CONDITIONS, ADDICTION TREATMENT, AND REFERRALS TO SPECIALISTS. HEALTHY LIVING COURSE: MENDONOMA HEALTH ALLIANCE HAS BROUGHT THE POWER AND KNOWLEDGE OF LEADING HEALTH EDUCATION RIGHT TO THE MENDONOMA COMMUNITY THROUGH OUR EVIDENCE- BASED HEALTHY LIVING COURSES. THE SIX-WEEK COURSES WERE DESIGNED BY STANFORD UNIVERSITYS SELF-MANAGEMENT RESOURCE CENTER. THROUGHOUT EACH COURSE, PARTICIPANTS LEARN SKILLS THAT BUILD CONFIDENCE AND SUCCESS FOR LONG-TERM MANAGEMENT OF HEALTH AND MEDICAL CONDITIONS. HEALTH SCREENINGS: MENDONOMA HEALTH ALLIANCE OFFERS THE FOLLOWING FREE HEALTH SCREENINGS: BLOOD PRESSURE, CHOLESTEROL, GLUCOSE/A1C, HIV AND HEPATITIS C. SCREENINGS HELP ALERT PEOPLE WHEN THEY ARE AT-RISK FOR CHRONIC HEALTH CONDITIONS AND IF THEY SHOULD CONTACT A MEDICAL PROVIDER FOR FOLLOW-UP CARE COMMUNITY OUTREACH: MENDONOMA HEALTH ALLIANCE LAUNCHES ASSESSMENTS AND SURVEYS THROUGHOUT THE YEAR TO GATHER INSIGHT ABOUT THE NEEDS, PERSPECTIVES AND EXPERIENCES OF LOCAL INDIVIDUALS AND FAMILIES. SUBSTANCE USE PREVENTION: IN RESPONSE TO FINDINGS IN MENDONOMA HEALTH ALLIANCES 2019 OPIOID/SUBSTANCE USE NEEDS ASSESSMENT, MENDONOMA HEALTH PROVIDES A VARIETY OF PREVENTION-BASED SERVICES THAT ARE ALL FREE TO THE COMMUNITY. MATTER OF BALANCE: A MATTER OF BALANCE IS A PROGRAM DESIGNED TO REDUCE THE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS AMONG OLDER ADULTS. THIS IS AN 8-WEEK CLASS FOR RESIDENTS OVER THE AGE OF 60. EACH CLASS IS TWO HOURS AND IS DESIGNED TO ACCOMMODATE 8-12 PARTICIPANTS. THE CLASS IS TAUGHT BY MENDONOMA HEALTH ALLIANCE STAFF AND VOLUNTEERS WHO HAVE ALL BEEN TRAINED TO FACILITATE THE PROGRAM | Desc |
| Total Program Service Expenses | $978,087 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | 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 |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| 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 | false | 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 | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | 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 With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| 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 | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 12 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 | MICHELINE WHITE | PersonNm |
| Phone | 7074123176 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1196 | AddressLine1Txt |
| City | GUALALA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95445 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|
| MICHELINE WHITE | ||||||
| EXECUTIVE DI | 40.00 | Yes (X) | $113,139 | $0 | $0 | |
| GEOFF BEATY | ||||||
| TREASURER | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| DANA CODRON | ||||||
| BOARD MEMBER | 5.00 | $0 | $0 | $0 | Yes (X) | |
| JANIS DOLPHIN | ||||||
| BOARD MEMBER | 5.00 | $0 | $0 | $0 | Yes (X) | |
| SCOTT FOSTER | ||||||
| CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| JANET LOXLEY | ||||||
| BOARD MEMBER | 5.00 | $0 | $0 | $0 | Yes (X) | |
| STACIE MILLER | ||||||
| BOARD MEMBER | 5.00 | $0 | $0 | $0 | Yes (X) | |
| ANDREA POLK | ||||||
| SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| LESLIE TITTLE | ||||||
| VICE CHAIR | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) |
| KEN WESTON | ||||||
| BOARD MEMBER | 5.00 | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $113,139 | TotalReportableCompFromOrgAmt |
| Indiv Rcvd Greater Than100 K | 1 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
| Government Grants | $466,449 | GovernmentGrantsAmt |
| All Other Contributions | $137,584 | AllOtherContributionsAmt |
| Total Contributions | $604,033 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CALAIM | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $501,960 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $501,960 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $501,960 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,395 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $10,395 | RelatedOrExemptFuncIncomeAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,116,388 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $512,355 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,139 | TotalAmt |
| Program Services | $77,226 | ProgramServicesAmt |
| Management And General | $35,913 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,476 | TotalAmt |
| Program Services | $385,978 | ProgramServicesAmt |
| Management And General | $179,498 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $129,961 | TotalAmt |
| Program Services | $88,708 | ProgramServicesAmt |
| Management And General | $41,253 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,338 | TotalAmt |
| Program Services | $37,090 | ProgramServicesAmt |
| Management And General | $17,248 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,659 | TotalAmt |
| Program Services | $1,290 | ProgramServicesAmt |
| Management And General | $369 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,022 | TotalAmt |
| Program Services | $19,458 | ProgramServicesAmt |
| Management And General | $5,564 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $140,811 | TotalAmt |
| Program Services | $109,501 | ProgramServicesAmt |
| Management And General | $31,310 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644 | TotalAmt |
| Program Services | $501 | ProgramServicesAmt |
| Management And General | $143 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,108 | TotalAmt |
| Program Services | $51,409 | ProgramServicesAmt |
| Management And General | $14,699 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,188 | TotalAmt |
| Program Services | $14,921 | ProgramServicesAmt |
| Management And General | $4,267 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35 | TotalAmt |
| Program Services | $27 | ProgramServicesAmt |
| Management And General | $8 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,452 | TotalAmt |
| Program Services | $41,088 | ProgramServicesAmt |
| Management And General | $7,364 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,206 | TotalAmt |
| Program Services | $18,046 | ProgramServicesAmt |
| Management And General | $5,160 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $105,835 | $82,302 | $23,533 |
| MARKETING | $18,171 | $14,131 | $4,040 |
| DUES AND SUBSCRIPTIONS | $15,871 | $12,342 | $3,529 |
| PROFESSIONAL DEVELOPMENT | $9,692 | $7,537 | $2,155 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,259 | TotalAmt |
| Program Services | $16,532 | ProgramServicesAmt |
| Management And General | $4,727 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,358,867 | TotalAmt |
| Program Services | $978,087 | ProgramServicesAmt |
| Management And General | $380,780 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $341,485 | BOYAmt |
| EOY | $266,415 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,854 | BOYAmt |
| EOY | $12,610 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $226,239 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,160 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $4,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $306,685 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $15,334 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,685 | BOYAmt |
| EOY | $291,351 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $52,438 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,985 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $732,009 | BOYAmt |
| EOY | $854,502 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,397 | BOYAmt |
| EOY | $44,069 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $75,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $59,670 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,397 | BOYAmt |
| EOY | $178,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $420,288 | BOYAmt |
| EOY | $382,397 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,324 | BOYAmt |
| EOY | $293,366 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $686,612 | BOYAmt |
| EOY | $675,763 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $732,009 | BOYAmt |
| EOY | $854,502 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$242,479 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $231,630 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $576,568 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $862,878 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,352,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,096,327 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $604,033 | CurrentTaxYearAmt |
| Total | $4,492,577 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $576,568 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $862,878 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,352,771 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,096,327 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $604,033 | CurrentTaxYearAmt |
| Total | $4,492,577 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $4,492,577 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $19 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,792 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,141 | CurrentTaxYearMinus1YearAmt |
| Total | $11,952 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $4,504,529 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $512,355 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99730 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99740 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule D IRS990ScheduleD
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $306,685 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,334 | DepreciationAmt |
| Book Value | $291,351 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $291,351 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | LEASE LIABILITY | Desc |
| Amt | $59,670 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $59,670 | TotalLiabilityAmt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | THE ORGANIZATION PROVIDES HEALTH AND WELLNESS SERVICES TO THE COASTAL COMMUNITIES OF NORTHERN SONOMA AND SOUTHERN MENDOCINO COUNTIES. PROGRAMS PROMOTE COLLABORATIVE EFFORTS TO IMPROVE ACCES TO WELLNESS EDUCATION, PREVENTION SERVICES, AND HEALTHCARE. CARE TRANSITIONS: CARE TRANSITIONS IS AN EVIDENCE-BASED PROGRAM INTENDED TO HELP INDIVIDUALS EXPERIENCE A SMOOTH TRANSITION BACK HOME AFTER BEING DISCHARGED FROM THE HOSPITAL. OUR EXPERIENCED COMMUNITY HEALTH WORKERS (CHWS) ARE LINKED TO A VARIETY OF RESOURCES AND SERVICES THAT ENSURE THAT EACH CLIENT HAS WHAT THEY NEED IN ORDER TO ADHERE TO THE DIRECTIONS OF THEIR MEDICAL TEAM. CARE COORDINATION: THE CARE COORDINATION PROGRAM OFFERS SUPPORT TO INDIVIDUALS THAT HAVE BEEN REFERRED TO THE PROGRAM BY THEIR HEALTH CARE PROVIDER(S) OR FOR THOSE WHO SELF-REFER FOR RESOURCE COORDINATION RELATING TO HEALTH CARE NEEDS AND SOCIAL DETERMINANTS OF HEALTH. THE PURPOSE OF THIS PROGRAM IS TO DELIVER THE APPROPRIATE LEVEL OF RESOURCES TO HELP CLIENTS ADHERE TO THE CARE PLANS PROVIDED BY THEIR MEDICAL TEAM, WITH A GOAL OF ACHIEVING IMPROVED HEALTH OUTCOMES. MOBILE HEALTH CLINIC: THE MOBILE HEALTH CLINIC BRINGS QUALITY HEALTH CARE DIRECTLY TO OUR LOCAL COASTAL COMMUNITIES. OUR MOBILE TEAM OFFERS CHECKUPS, HEALTH SCREENINGS, WOMENS HEALTH, HELP MANAGING ONGOING HEALTH CONDITIONS, ADDICTION TREATMENT, AND REFERRALS TO SPECIALISTS. HEALTHY LIVING COURSE: MENDONOMA HEALTH ALLIANCE HAS BROUGHT THE POWER AND KNOWLEDGE OF LEADING HEALTH EDUCATION RIGHT TO THE MENDONOMA COMMUNITY THROUGH OUR EVIDENCE- BASED HEALTHY LIVING COURSES. THE SIX-WEEK COURSES WERE DESIGNED BY STANFORD UNIVERSITYS SELF-MANAGEMENT RESOURCE CENTER. THROUGHOUT EACH COURSE, PARTICIPANTS LEARN SKILLS THAT BUILD CONFIDENCE AND SUCCESS FOR LONG-TERM MANAGEMENT OF HEALTH AND MEDICAL CONDITIONS. HEALTH SCREENINGS: MENDONOMA HEALTH ALLIANCE OFFERS THE FOLLOWING FREE HEALTH SCREENINGS: BLOOD PRESSURE, CHOLESTEROL, GLUCOSE/A1C, HIV AND HEPATITIS C. SCREENINGS HELP ALERT PEOPLE WHEN THEY ARE AT-RISK FOR CHRONIC HEALTH CONDITIONS AND IF THEY SHOULD CONTACT A MEDICAL PROVIDER FOR FOLLOW-UP CARE COMMUNITY OUTREACH: MENDONOMA HEALTH ALLIANCE LAUNCHES ASSESSMENTS AND SURVEYS THROUGHOUT THE YEAR TO GATHER INSIGHT ABOUT THE NEEDS, PERSPECTIVES AND EXPERIENCES OF LOCAL INDIVIDUALS AND FAMILIES. SUBSTANCE USE PREVENTION: IN RESPONSE TO FINDINGS IN MENDONOMA HEALTH ALLIANCES 2019 OPIOID/SUBSTANCE USE NEEDS ASSESSMENT, MENDONOMA HEALTH PROVIDES A VARIETY OF PREVENTION-BASED SERVICES THAT ARE ALL FREE TO THE COMMUNITY. MATTER OF BALANCE: A MATTER OF BALANCE IS A PROGRAM DESIGNED TO REDUCE THE FEAR OF FALLING AND INCREASE ACTIVITY LEVELS AMONG OLDER ADULTS. THIS IS AN 8-WEEK CLASS FOR RESIDENTS OVER THE AGE OF 60. EACH CLASS IS TWO HOURS AND IS DESIGNED TO ACCOMMODATE 8-12 PARTICIPANTS. THE CLASS IS TAUGHT BY MENDONOMA HEALTH ALLIANCE STAFF AND VOLUNTEERS WHO HAVE ALL BEEN TRAINED TO FACILITATE THE PROGRAM |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE RETURN WILL BE REVIEWED BY THE FINANCE COMMITTEE, WHICH WILL RECOMMEND APPROVAL TO THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL OFFICERS AND BOARD MEMBERS OF MHA WILL ANNUALLY COMPLETE AND SIGN THE DIRECTOR AND OFFICER ANNUAL CONFLICT INTEREST STATEMENT, WHICH WILL BE FILED IN THE BOARD MEETING MINUTES FOR THE MONTH AND YEAR IN WHICH IT WAS COMPLETED. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD REVIEWS RELEVANT COMPARABLE SALARIES FOR DIRECTORS, OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE BOARD REVIEWS RELEVANT COMPARABLE SALARIES FOR DIRECTORS, OFFICERS AND KEY EMPLOYEES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | RECORDS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL SERVICES 109,501 31,310 0 |
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