NHAN HOA COMPRENESIVE HEALTH CARE CLINIC INC: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- NHAN HOA COMPRENESIVE HEALTH CARE CLINIC INC (EIN 33-0477323)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-03-05
- IRS object ID
- 202410659349300106
- Schema version
- 2022v5.0
- 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 | 2024-03-05T08:01:55-06:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330477323 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NHAN HOA COMPREHENSIVE HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | CLINIC INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NHAN | BusinessNameControlTxt |
| Phone | 7148988888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DUC HONG VUONG | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7148988888 | PhoneNum |
| Signature | 2024-02-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DUC | PersonFirstNm |
| Person Last | HONG VUONG | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2024-02-26 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNY NGUYEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $17,088,453 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.NHANHOA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE PREVENTIVE PRIMARY HEALTH CARE TO THE RESIDENTS OF ORANGE COUNTRY AND THE IMMIGRANT POPULATION WITHIN THE SERVICE AREA. TO PROVIDE ACCESSIBLE MEDICAL SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 11 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 98 | TotalEmployeeCnt |
| Total Volunteers | 14 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,018,573 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,315,985 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $10,949,489 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $12,715,713 | CYProgramServiceRevenueAmt |
| PY Investment Income | $62,075 | PYInvestmentIncomeAmt |
| CY Investment Income | $815,050 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,682 | PYOtherRevenueAmt |
| CY Other Revenue | $5,322 | CYOtherRevenueAmt |
| PY Total Revenue | $15,034,819 | PYTotalRevenueAmt |
| CY Total Revenue | $16,852,070 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,878,142 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,524,705 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $3,710,687 | PYOtherExpensesAmt |
| CY Other Expenses | $3,756,723 | CYOtherExpensesAmt |
| PY Total Expenses | $9,588,829 | PYTotalExpensesAmt |
| CY Total Expenses | $10,281,428 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,445,990 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,570,642 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,000,057 | TotalAssetsBOYAmt |
| Total Assets EOY | $56,503,454 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,706,298 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,724,053 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $48,293,759 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,779,401 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE AFFORDABLE AND COMPREHENSIVE FAMILY-BASED HEALTH SERVICES TO THE INDIVIDUALS WHO MAY NOT OTHERWISE HAVE ACCESS TO HEALTH CARE DUE TO FINANCIAL, LANGUAGE, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,886,051 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $12,721,035 | RevenueAmt |
| Desc | THE CLINIC PROVIDED COMPREHENSIVE AND PREVENTIVE CARE THROUGH MEDICAL, DENTAL, VISION, PHARMACEUTICAL, AND BEHAVIORAL HEALTH SERVICES FOR CHILDREN, YOUTH, ADULTS AND SENIORS. THE CLINIC ALSO PROVIDED ENABLING SERVICES SUCH AS BENEFIT ENROLLMENT AND TRANSPORTATION ASSISTANCE. APPROXIMATELY 13,000 PATIENTS CHOSE NHAN HOA CLINIC AS THEIR MEDICAL HOME FOR AN APPROXIMATE TOTAL OF 47,500 ENCOUNTERS IN FISCAL YEAR 2023. WE ARE ALSO RANKED AS THE TOP 10% (GOLD LEVEL) IN QUALITY WITH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA). WE CONTINUE OUR OUTREACH EFFORTS TO FURTHER INCREASE THE NUMBER OF COVID-19 VACCINATIONS IN ORDER TO CURB THE PANDEMIC. | Desc |
| Total Program Service Expenses | $8,886,051 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 98 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 11 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | 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 | TAM NGUYEN | PersonNm |
| Phone | 7148988888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| NAM NGUYEN MD | |||||||
| CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| TUAN NGUYEN | |||||||
| VICE CHAIRMAN | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DUC HONG VUONG | |||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STACY LE | |||||||
| SECRETARY | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAT HOANG | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THANH LE OM DD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HIEN TANG | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KHANG BAO | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DUC NGUYEN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| KIM-PHUONG NGUYEN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BRYAN GIU TRAN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TINH TRAN MD | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $292,451 | $0 | $23,204 | ||
| JENNY NGUYEN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $161,868 | $0 | $12,607 | ||
| TAM NGUYEN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $133,808 | $0 | $11,915 | ||
| HENRY NGUYEN MD | |||||||
| PEDIATRICIAN | 40.00 | $213,088 | $0 | $10,867 | Yes (X) | ||
| DOUGLAS PHAN | |||||||
| PSYCHIATRIST | 40.00 | $243,245 | $0 | $5,026 | Yes (X) | ||
| LINH HA DDS | |||||||
| DENTAL DIRECTOR | 40.00 | $164,555 | $0 | $6,814 | Yes (X) | ||
| VI TRAN | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $159,225 | $0 | $4,803 | Yes (X) | ||
| MAI-CHI NGUYEN | |||||||
| PHARMACIST IN CHARGE | 40.00 | $154,545 | $0 | $18,106 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,522,785 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $93,342 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 18 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (2 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GREENWAY HEALTH | |||||
| PO BOX 203658 | DALLAS | TX | 75320 | ELECTRONIC MEDICAL RECORD SYSTEM | $223,285 |
| TRANG LAM | |||||
| 400 N MARGUERITA AVE D | ALHAMBRA | CA | 91801 | CONTRACTED PHYSICIAN | $115,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 2 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,969,085 | GovernmentGrantsAmt |
| All Other Contributions | $346,900 | AllOtherContributionsAmt |
| Total Contributions | $3,315,985 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES MEDICAL SERVICES | 621400 | $9,605,346 | $9,605,346 |
| 340B PROGRAM | 456110 | $3,110,367 | $3,110,367 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $12,715,713 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,051,433 | TotalRevenueColumnAmt |
| Exclusion | $1,051,433 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $236,383 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$236,383 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$236,383 | TotalRevenueColumnAmt |
| Exclusion | -$236,383 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEANINGFUL USE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $5,322 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,322 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,322 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $16,852,070 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $12,721,035 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $815,050 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $617,260 | TotalAmt |
| Management And General | $617,260 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,115,295 | TotalAmt |
| Program Services | $4,787,823 | ProgramServicesAmt |
| Management And General | $327,472 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,574 | TotalAmt |
| Program Services | $123,667 | ProgramServicesAmt |
| Management And General | $10,907 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $226,183 | TotalAmt |
| Program Services | $226,183 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $431,393 | TotalAmt |
| Program Services | $360,437 | ProgramServicesAmt |
| Management And General | $70,956 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,099 | TotalAmt |
| Management And General | $20,099 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,548 | TotalAmt |
| Management And General | $99,548 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,207 | TotalAmt |
| Management And General | $13,207 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $399,862 | TotalAmt |
| Program Services | $356,899 | ProgramServicesAmt |
| Management And General | $42,963 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,914 | TotalAmt |
| Program Services | $28,661 | ProgramServicesAmt |
| Management And General | $28,253 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,439 | TotalAmt |
| Program Services | $93,302 | ProgramServicesAmt |
| Management And General | $50,137 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,038 | TotalAmt |
| Program Services | $166,038 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,514 | TotalAmt |
| Program Services | $191,774 | ProgramServicesAmt |
| Management And General | $2,740 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,128 | TotalAmt |
| Program Services | $3,491 | ProgramServicesAmt |
| Management And General | $637 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,516 | TotalAmt |
| Management And General | $16,516 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,857 | TotalAmt |
| Program Services | $357,748 | ProgramServicesAmt |
| Management And General | $5,109 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,262 | TotalAmt |
| Program Services | $79,553 | ProgramServicesAmt |
| Management And General | $13,709 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES MEDICAL AND ED | $1,916,322 | $1,916,322 | |
| LABORATORY FEES | $119,252 | $119,252 | |
| MAINTENANCE | $60,939 | $57,741 | $3,198 |
| LICENSE AND FEES | $49,663 | $17,160 | $32,503 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,163 | TotalAmt |
| Management And General | $40,163 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,281,428 | TotalAmt |
| Program Services | $8,886,051 | ProgramServicesAmt |
| Management And General | $1,395,377 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,198,737 | BOYAmt |
| EOY | $2,463,118 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,967,077 | BOYAmt |
| EOY | $29,218,131 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,343 | BOYAmt |
| EOY | $268,843 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,169 | BOYAmt |
| EOY | $552,874 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $157,554 | BOYAmt |
| EOY | $238,269 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,897 | BOYAmt |
| EOY | $165,047 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,468,037 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,645,883 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,315,280 | BOYAmt |
| EOY | $9,822,154 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $360,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $13,415,018 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,000,057 | BOYAmt |
| EOY | $56,503,454 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,554 | BOYAmt |
| EOY | $601,628 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,782,744 | BOYAmt |
| EOY | $2,122,425 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,706,298 | BOYAmt |
| EOY | $2,724,053 | 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 | $48,293,759 | BOYAmt |
| EOY | $53,779,401 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,293,759 | BOYAmt |
| EOY | $53,779,401 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,000,057 | BOYAmt |
| EOY | $56,503,454 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,570,642 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,085,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,220,289 | OtherCostOrOtherBasisAmt |
| Book Value | $4,220,289 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,228,321 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,857,400 | DepreciationAmt |
| Book Value | $5,370,921 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $953,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $782,310 | DepreciationAmt |
| Book Value | $170,813 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,304 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,173 | DepreciationAmt |
| Book Value | $60,131 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,822,154 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CASH SURRENDER VALUE OF LIFE INSURANCE | Desc |
| Book Value | $13,415,018 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $13,415,018 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MANAGED CARE PAYABLES | Desc |
| Amt | $2,122,425 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $2,122,425 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $16,852,070 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $16,852,070 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $16,852,070 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $10,281,428 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $10,281,428 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $10,281,428 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| TINH TRAN MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $275,651 | $0 | $16,800 | $0 | $0 | $0 | $8,939 | $0 | $14,265 | $0 | $315,655 | $0 | $0 | $0 |
| DOUGLAS PHAN | ||||||||||||||
| PSYCHIATRIST | $240,632 | $0 | $2,613 | $0 | $0 | $0 | $0 | $0 | $5,026 | $0 | $248,271 | $0 | $0 | $0 |
| HENRY NGUYEN MD | ||||||||||||||
| PEDIATRICIAN | $205,790 | $0 | $7,298 | $0 | $0 | $0 | $5,082 | $0 | $5,785 | $0 | $223,955 | $0 | $0 | $0 |
| JENNY NGUYEN | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $147,445 | $0 | $14,423 | $0 | $0 | $0 | $5,081 | $0 | $7,526 | $0 | $174,475 | $0 | $0 | $0 |
| MAI-CHI NGUYEN | ||||||||||||||
| PHARMACIST IN CHARGE | $147,712 | $0 | $6,833 | $0 | $0 | $0 | $4,910 | $0 | $13,196 | $0 | $172,651 | $0 | $0 | $0 |
| LINH HA DDS | ||||||||||||||
| DENTAL DIRECTOR | $157,611 | $0 | $6,944 | $0 | $0 | $0 | $4,991 | $0 | $1,823 | $0 | $171,369 | $0 | $0 | $0 |
| VI TRAN | ||||||||||||||
| PHYSICIAN ASSISTANT | $148,237 | $0 | $10,988 | $0 | $0 | $0 | $4,777 | $0 | $26 | $0 | $164,028 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY THE CEO AND SIGNED BY THE TREASURER PRIOR TO FILING. THE FORM 990 WAS SUBSEQUENTLY PRESENTED TO THE ENTIRE BOARD MEMBERSHIP DURING THE SUBSEQUENT BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND OFFICERS ARE REQUIRED TO FILE AN ANNUAL CONFLICT OF INTEREST STATEMENT, DISCLOSING ANY FINANCIAL INTEREST OR OTHER POTENTIAL CONFLICTS WHICH ARE SPECIFICALLY PROHIBITED BY NHAN HOA'S HR POLICIES AND PROCEDURES. THESE STATEMENTS ARE REVIEWED BY THE EXECUTIVE COMMITTEE. IF A BOARD MEMBER OR OFFICER HAS A CONFLICT OF INTEREST, THEY ARE TO BRING IT UP TO THE BOARD PRESIDENT TO ASSIST IN DETERMINING IF A CONFLICT DOES EXIST. A CONFLICT OF INTEREST DOES NOT MEAN THE BOARD MEMBER MUST ABSTAIN FROM DISCUSSION OR VOTING, BUT IT MUST BE DISCLOSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS; BASED ON MERIT AND BASED ON AVAILABLE COMPARABLE COMPENSATION DATA FOR SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS OF THE ENTITY INCLUDING POLICIES AND PROCEDURES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | CHANGE IN CASH SURRENDER VALUE OF LIFE INSURANCE -1,085,000. |