MISSION AREA HEALTH ASSOCIATES DBA MISSION NEIGHBORHOOD HEALTH CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MISSION AREA HEALTH ASSOCIATES DBA MISSION NEIGHBORHOOD HEALTH CENTER (EIN 94-2284365)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202423189349305497
- Schema version
- 2023v5.1
- 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 | 2024-11-13T12:27:48-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942284365 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION AREA HEALTH ASSOCIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MISS | BusinessNameControlTxt |
| Phone | 4155521013 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SHOTWELL STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94110 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANNA ROBERT | PersonNm |
| Person Title | OFFICER | PersonTitleTxt |
| Phone | 4155521013 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MISSION NEIGHBORHOOD HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ANNA ROBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SHOTWELL STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94110 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $29,342,218 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MNHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | WE PROVIDE PRIMARY MEDICAL CARE TO LOW INCOME FAMILIES AND INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 276 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,025,524 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,218,294 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $15,437,113 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,523,103 | CYProgramServiceRevenueAmt |
| PY Investment Income | $69,212 | PYInvestmentIncomeAmt |
| CY Investment Income | $431,692 | CYInvestmentIncomeAmt |
| PY Other Revenue | $113,590 | PYOtherRevenueAmt |
| CY Other Revenue | $169,129 | CYOtherRevenueAmt |
| PY Total Revenue | $32,645,439 | PYTotalRevenueAmt |
| CY Total Revenue | $29,342,218 | 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 | $16,585,132 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $17,729,270 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $12,836,512 | PYOtherExpensesAmt |
| CY Other Expenses | $10,980,515 | CYOtherExpensesAmt |
| PY Total Expenses | $29,421,644 | PYTotalExpensesAmt |
| CY Total Expenses | $28,709,785 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,223,795 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $632,433 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $27,487,180 | TotalAssetsBOYAmt |
| Total Assets EOY | $28,926,464 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $4,616,556 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,423,407 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $22,870,624 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $23,503,057 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MISSION NEIGHBORHOOD HEALTH CENTER HONORS OUR LATINO ROOTS WITH A TRADITION OF PROVIDING COMPASSIONATE, PATIENT-CENTERED CARE. WE ADVOCATE FOR HEALTH EQUITY AND DELIVER INNOVATIVE, HIGH-QUALITY SERVICES RESPONSIVE TO THE NEIGHBORHOODS AND DIVERSE COMMUNITIES WE SERVE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $20,062,240 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $16,523,103 | RevenueAmt |
| Desc | PROGRAM B - PRIMARY CARE PROGRAMS: PROGRAM B INCLUDES EXPENSES INCURRED FOR GRANT-FUNDED PRIMARY CARE PROGRAMS SUCH AS SECTION 330 HEALTH CENTER PROGRAM (HHS-HRSA-BUREAU OF PRIMARY HEALTH CARE), HEALTH CARE FOR THE HOMELESS-HCH (SAN FRANCISCO COMMUNITY CLINIC CONSORTIUM-SFCCC), HIV MEDICAL & HEALTH SERVICES (CCSF/DPH-RYAN WHITE PART A/MINORITY AIDS INITIATIVE, SFCCC-RYAN WHITE PART C), AND MEDICAL ASSISTANCE PROGRAM-MAP (CCSF/DPH-GENERAL FUND). PROGRAM B ALSO INCLUDES REIMBURSEMENTS FROM THIRD PARTY PAYORS (MEDI-CAL, MEDICARE, ANTHEM-BLUE CROSS, CHILD HEALTH & DISABILITY PROGRAM-CHDP, FAMILY PACT, BREAST CANCER DETECTION & PREVENTION PROGRAM) AND PATIENT REVENUES (SLIDING FEE SCALE). | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,651,205 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | PROGRAM A - COMMUNITY PROGRAMS: PROGRAM A PRIMARILY INCLUDES EXPENSES INCURRED FOR GRANT FUNDED COMMUNITY PROGRAMS SUCH AS THE YOUTH DEVELOPMENT PROGRAM (CITY COLLEGE OF SAN FRANCISCO ("CCSF") - DEPARTMENT OF CHILDREN, YOUTH, & FAMILIES), HOMELESS SUPPORT SERVICES AT THE RESOURCE CENTER (CCSF-DEPARTMENT OF HOMELESSNESS & SUPPORTIVE HOUSING AND CCSF-MAYOR'S OFFICE OF HOUSING & COMMUNITY DEVELOPMENT), AND HIV PREVENTION PROGRAMS (CCSF-DEPARTMENT OF PUBLIC HEALTH). PROGRAM A ALSO INCLUDES OTHER PRIVATE FOUNDATION GRANTS AND CONTRIBUTIONS THAT SUPPORT MNHC'S COMMUNITY PROGRAMS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $25,713,445 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | 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 | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | 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 | Yes (1) | 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 | 59 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 276 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | 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 | Yes (1) | 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
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MATILDA SALAKO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4155523870 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 SHOTWELL STREET | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94110 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 |
|---|---|---|---|---|---|---|---|
| AMELIA MARTINEZ-BANKHEAD | |||||||
| PRESIDENT | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RITA FRANKLIN | |||||||
| VICE PRESIDENT | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHARLES MOSER MD | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANCISCO GARCIA | |||||||
| SECR. THRU 6/2023 / CONSUMER TRUSTEE | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JOSE RODRIGUEZ MA | |||||||
| SECRETARY START 6/2023 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGE BACH Y RITA MD | |||||||
| COMMUNITY TRUSTEE THROUGH 5/2023 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA CONTRERAS | |||||||
| COMMUNITY TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LUZ DECKER | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA MORA | |||||||
| COMMUNITY TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARYLOU PONCE | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SYLVIA VASQUEZ | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| BRENDA STOREY | |||||||
| CEO THROUGH 7/2023 | 40.00 | Yes (X) | $202,490 | $0 | $8,599 | ||
| ANNA ROBERT RN MSN DRPH | |||||||
| CEO START 7/2023 | 40.00 | Yes (X) | $106,873 | $0 | $10,612 | ||
| JAIME RUIZ MD FAAP | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $263,093 | $0 | $26,107 | ||
| MATILDA SALAKO | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $246,512 | $0 | $0 | ||
| TAMMY ALVAREZ | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $165,300 | $0 | $27,750 | ||
| LOLA TROVAO | |||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | Yes (X) | $153,754 | $0 | $28,568 | ||
| FERNANDO GOMEZ-BENITEZ | |||||||
| DEPUTY DIR & CHIEF COMPLIANCE OFFICER | 40.00 | Yes (X) | $147,470 | $0 | $28,698 | ||
| WILLIE RAMIREZ | |||||||
| CHIEF STRATEGY OFFICER | 40.00 | Yes (X) | $29,495 | $0 | $0 | ||
| YANGCHEN DOLKAR MD | |||||||
| PHYSICIAN | 40.00 | $227,892 | $0 | $41,702 | Yes (X) | ||
| ROBERT WILLIAMS MD | |||||||
| CLINICAL CHIEF | 40.00 | $221,952 | $0 | $41,385 | Yes (X) | ||
| BRENT LEM MD | |||||||
| PEDIATRICIAN | 40.00 | $219,062 | $0 | $19,053 | Yes (X) | ||
| JOHN LAMBERT MD | |||||||
| PEDIATRICIAN | 40.00 | $216,794 | $0 | $9,417 | Yes (X) | ||
| AARTI VALA MD | |||||||
| LEAD PHYSICIAN | 40.00 | $212,586 | $0 | $10,299 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,413,273 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $252,190 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DAS HEALTH VENTURES LLC | |||||
| 1000 N ASHLEY DR STE 300 | TAMPA | FL | 33602 | IT SERVICES & SUPPORT | $745,834 |
| OCHIN INC | |||||
| PO BOX 5426 | PORTLAND | OR | 972285426 | IT SERVICES & SUPPORT | $409,211 |
| HIBSER YAMAUCHI ARCHITECTS INC | |||||
| 300 27TH STREET | OAKLAND | CA | 94612 | CONSTRUCTION / ARCHITECT SERVICES | $233,290 |
| SHINE FACILITY SERVICES | |||||
| 687 20TH AVE | SAN FRANCISCO | CA | 94121 | JANITORIAL SERVICES | $212,263 |
| ADP LLC | |||||
| PO BOX 31001-1874 | PASADENA | CA | 91110 | PAYROLL SERVICES | $126,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $9,549,785 | GovernmentGrantsAmt |
| All Other Contributions | $2,668,509 | AllOtherContributionsAmt |
| Noncash Contributions | $510,117 | NoncashContributionsAmt |
| Total Contributions | $12,218,294 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERV REV | 621400 | $11,078,078 | $11,078,078 |
| PHARMACY REVENUE | 621400 | $3,978,112 | $3,978,112 |
| INCENTIVE REVENUE | 621400 | $1,466,913 | $1,466,913 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,523,103 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $431,692 | TotalRevenueColumnAmt |
| Exclusion | $431,692 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $169,129 | TotalRevenueColumnAmt |
| Exclusion | $169,129 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $169,129 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,342,218 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,523,103 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $600,821 | ExclusionAmt |
| 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 | $1,445,322 | TotalAmt |
| Program Services | $687,914 | ProgramServicesAmt |
| Management And General | $757,408 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,852,364 | TotalAmt |
| Program Services | $12,385,365 | ProgramServicesAmt |
| Management And General | $466,999 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,027 | TotalAmt |
| Program Services | $274,560 | ProgramServicesAmt |
| Management And General | $31,467 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,060,684 | TotalAmt |
| Program Services | $1,869,564 | ProgramServicesAmt |
| Management And General | $191,120 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,064,873 | TotalAmt |
| Program Services | $949,575 | ProgramServicesAmt |
| Management And General | $115,298 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,303 | TotalAmt |
| Management And General | $7,303 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,661 | TotalAmt |
| Program Services | $94,635 | ProgramServicesAmt |
| Management And General | $6,026 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,193,925 | TotalAmt |
| Program Services | $2,812,914 | ProgramServicesAmt |
| Management And General | $381,011 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,293 | TotalAmt |
| Program Services | $220,858 | ProgramServicesAmt |
| Management And General | $194,435 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,079,965 | TotalAmt |
| Program Services | $610,496 | ProgramServicesAmt |
| Management And General | $469,469 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $725,846 | TotalAmt |
| Program Services | $667,170 | ProgramServicesAmt |
| Management And General | $58,676 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,831 | TotalAmt |
| Program Services | $6,904 | ProgramServicesAmt |
| Management And General | $1,927 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,614 | TotalAmt |
| Program Services | $80,229 | ProgramServicesAmt |
| Management And General | $22,385 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $507,999 | TotalAmt |
| Program Services | $463,782 | ProgramServicesAmt |
| Management And General | $44,217 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,649 | TotalAmt |
| Program Services | $145,092 | ProgramServicesAmt |
| Management And General | $9,557 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $2,619,582 | $2,619,582 | |
| REPAIRS & MAINTENANCE | $501,610 | $453,242 | $48,368 |
| MEDICAL/PROG. SUPPLIES | $491,828 | $491,828 | |
| EQUIPMENT RENTAL | $249,284 | $208,909 | $40,375 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $821,125 | TotalAmt |
| Program Services | $670,826 | ProgramServicesAmt |
| Management And General | $150,299 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,709,785 | TotalAmt |
| Program Services | $25,713,445 | ProgramServicesAmt |
| Management And General | $2,996,340 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,484 | BOYAmt |
| EOY | $12,637 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,049,383 | BOYAmt |
| EOY | $19,167,182 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,906,464 | BOYAmt |
| EOY | $3,534,911 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,580,360 | BOYAmt |
| EOY | $1,831,511 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,303 | BOYAmt |
| EOY | $50,358 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $337,260 | BOYAmt |
| EOY | $343,044 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,938,235 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,026,172 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,013,395 | BOYAmt |
| EOY | $2,912,063 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,289 | BOYAmt |
| EOY | $1,172 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,538,242 | BOYAmt |
| EOY | $1,073,586 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,487,180 | BOYAmt |
| EOY | $28,926,464 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,102,757 | BOYAmt |
| EOY | $2,305,932 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,513,799 | BOYAmt |
| EOY | $3,117,475 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,616,556 | BOYAmt |
| EOY | $5,423,407 | 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 | $22,870,624 | BOYAmt |
| EOY | $23,503,057 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,870,624 | BOYAmt |
| EOY | $23,503,057 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,487,180 | BOYAmt |
| EOY | $28,926,464 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $632,433 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | 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) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,435,199 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,406,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,055,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,025,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,218,294 | CurrentTaxYearAmt |
| Total | $67,140,338 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,435,199 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,406,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,055,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $17,025,524 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $12,218,294 | CurrentTaxYearAmt |
| Total | $67,140,338 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $1,444,204 | SubstantialContributorsTotAmt |
| Public Support Total170 | $65,696,134 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $60,640 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $89,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,560 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $69,212 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,692 | CurrentTaxYearAmt |
| Total | $711,185 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $106,361 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $295,238 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $143,046 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $113,590 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $169,129 | CurrentTaxYearAmt |
| Total | $827,364 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $68,678,887 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $76,933,527 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.95660 | PublicSupportCY170Pct |
| Public Support PY170 | 0.98120 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUE - 2019 AMOUNT: $ 106,361. 2020 AMOUNT: $ 295,238. 2021 AMOUNT: $ 143,046. 2022 AMOUNT: $ 113,590. 2023 AMOUNT: $ 169,129. | ExplanationTxt |
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 C IRS990ScheduleC
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $177 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $177 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $28,709,608 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $28,709,785 | FilingOrganizationsTotalAmt |
Lobbying Nontaxable Amount LobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $1,000,000 | FilingOrganizationsTotalAmt |
Grassroots Nontaxable GrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $250,000 | FilingOrganizationsTotalAmt |
Tot Lbbyng Grassroot Mns Non Tx TotLbbyngGrassrootMnsNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Tot Lbby Expend Mns Lbbyng Non Tx TotLbbyExpendMnsLbbyngNonTxGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Avg Lobbying Nontaxable Amount AvgLobbyingNontaxableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $100,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $3,100,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $4,650,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year | $177 | CurrentYearAmt |
| Total | $177 | TotalAmt |
Avg Grassroots Nontaxable AvgGrassrootsNontaxableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $250,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $250,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $250,000 | CurrentYearMinus1Amt |
| Current Year | $250,000 | CurrentYearAmt |
| Total | $1,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $1,500,000 | GrassrootsCeilingAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $158,000 | OtherCostOrOtherBasisAmt |
| Book Value | $158,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,663,844 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,500,320 | DepreciationAmt |
| Book Value | $2,163,524 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,116,391 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,525,852 | DepreciationAmt |
| Book Value | $590,539 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $2,912,063 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICAL - PPS SETTLEMENTS | $2,061,986 |
| OPERATING LEASE LIABILITIES | $1,055,489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,117,475 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $29,623,115 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $280,897 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | $280,897 | RevenueNotReportedAmt |
| Revenue Subtotal | $29,342,218 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $29,342,218 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $28,990,682 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $280,897 | DonatedServicesUseFcltsAmt |
| Expenses Not Reported | $280,897 | ExpensesNotReportedAmt |
| Expenses Subtotal | $28,709,785 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $28,709,785 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MNHC IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAX UNDER SECTION 23701(D) OF THE REVENUE AND TAXATION CODE OF THE STATE OF CALIFORNIA. MNHC HAS EVALUATED ITS CURRENT TAX POSITIONS AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2023 AND 2022, IT DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS FOR WHICH A RESERVE WOULD BE NECESSARY. MNHC FILES BOTH U.S. FEDERAL AND STATE INFORMATION RETURNS. | ExplanationTxt |
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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAIME RUIZ MD FAAP | ||||||||||||||
| CHIEF MEDICAL OFFICER | $261,093 | $0 | $2,000 | $0 | $0 | $0 | $11,410 | $0 | $14,697 | $0 | $289,200 | $0 | $0 | $0 |
| YANGCHEN DOLKAR MD | ||||||||||||||
| PHYSICIAN | $225,892 | $0 | $2,000 | $0 | $0 | $0 | $9,842 | $0 | $31,860 | $0 | $269,594 | $0 | $0 | $0 |
| ROBERT WILLIAMS MD | ||||||||||||||
| CLINICAL CHIEF | $219,952 | $0 | $2,000 | $0 | $0 | $0 | $9,601 | $0 | $31,784 | $0 | $263,337 | $0 | $0 | $0 |
| MATILDA SALAKO | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $246,512 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $246,512 | $0 | $0 | $0 |
| BRENT LEM MD | ||||||||||||||
| PEDIATRICIAN | $217,062 | $0 | $2,000 | $0 | $0 | $0 | $9,459 | $0 | $9,594 | $0 | $238,115 | $0 | $0 | $0 |
| JOHN LAMBERT MD | ||||||||||||||
| PEDIATRICIAN | $214,794 | $0 | $2,000 | $0 | $0 | $0 | $9,412 | $0 | $5 | $0 | $226,211 | $0 | $0 | $0 |
| AARTI VALA MD | ||||||||||||||
| LEAD PHYSICIAN | $199,486 | $0 | $13,100 | $0 | $0 | $0 | $0 | $0 | $10,299 | $0 | $222,885 | $0 | $0 | $0 |
| BRENDA STOREY | ||||||||||||||
| CEO THROUGH 7/2023 | $175,067 | $0 | $1,000 | $0 | $26,423 | $0 | $0 | $0 | $8,599 | $0 | $211,089 | $0 | $0 | $0 |
| TAMMY ALVAREZ | ||||||||||||||
| CHIEF OPERATING OFFICER | $163,300 | $0 | $2,000 | $0 | $0 | $0 | $7,128 | $0 | $20,622 | $0 | $193,050 | $0 | $0 | $0 |
| LOLA TROVAO | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $151,754 | $0 | $2,000 | $0 | $0 | $0 | $4,894 | $0 | $23,674 | $0 | $182,322 | $0 | $0 | $0 |
| FERNANDO GOMEZ-BENITEZ | ||||||||||||||
| DEPUTY DIR & CHIEF COMPLIANCE OFFICE | $145,470 | $0 | $2,000 | $0 | $0 | $0 | $6,363 | $0 | $22,335 | $0 | $176,168 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 30 | ContributionCnt |
| Noncash Contributions Rpt F990 | $502,337 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | GIFT CARDS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $7,780 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, COLUMN (B): | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED (DEFINED AS EACH SEPARATE GIFT) IN SCHEDULE M, PART I, COLUMN (B). | ExplanationTxt |
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 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S CFO. A DRAFT FORM 990 IS THEN REVIEWED BY MANAGEMENT; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN REVIEWED WITH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS, AND THEREAFTER MADE AVAILABLE TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A CONFLICT-OF-INTEREST POLICY WHICH COVERS ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES. UNDER THE POLICY, EACH OF THESE INDIVIDUALS HAS AN ONGOING DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST TO THE CHAIR OF THE BOARD OF DIRECTORS; IN ADDITION, THESE INDIVIDUALS SIGN AN ANNUAL "CONFLICT OF INTEREST POLICY STATEMENT" WHICH AFFIRMS THE INDIVIDUAL HAS: (I) RECEIVED A COPY OF THE MNHC CONFLICT OF INTEREST POLICY; (II) READ AND UNDERSTANDS THE POLICY; (III) AGREED TO COMPLY WITH THE POLICY; (IV) UNDERSTANDS THAT MNHC IS CHARITABLE, AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, IT MUST ENGAGE PRIMARILY ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. SHOULD A POTENTIAL OR ACTUAL CONFLICT OF INTEREST BE IDENTIFIED, THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OF DIRECTORS MEETING, BUT AFTER THE PRESENTATION, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT. THE CHAIR OF THE BOARD OF DIRECTORS SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE BOARD OF DIRECTORS DETERMINES WHETHER MNHC CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE MNHC BOARD OF DIRECTORS SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED MEMBERS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN MNHC'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. THE PROCEEDINGS ARE RECORDED WITHIN THE BOARD MEETING MINUTES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE BOARD OF DIRECTORS IS CHARGED WITH DETERMINING A REASONABLE AND APPROPRIATE COMPENSATION PACKAGE FOR THE CEO; TO ASSIST IN THIS DETERMINATION, THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA PUBLISHED ANNUALLY BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. ALL DELIBERATIONS OF THE BOARD OF DIRECTORS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MEETING MINUTES. THE CEO REVIEWS AND APPROVES COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION; TO ASSIST IN THESE DETERMINATIONS, THE CEO UTILIZES COMPARABILITY DATA TO DETERMINE APPROPRIATE AND REASONABLE COMPENSATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | CONTRACTED SERVICES - MEDICAL: PROGRAM SERVICE EXPENSES 554,158. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 554,158. CONTRACTUAL SERVICES - BEHAVIORAL HEALTH: PROGRAM SERVICE EXPENSES 126,310. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,310. CONTRACTUAL SERVICES - PAYROLL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 126,310. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 126,310. CONTRACTUAL SERVICES - OTHER: PROGRAM SERVICE EXPENSES 1,855,219. MANAGEMENT AND GENERAL EXPENSES 73,933. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,929,152. RECRUITMENT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 180,768. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 180,768. 340B DISPENSING / ADMIN FEES: PROGRAM SERVICE EXPENSES 277,227. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 277,227. |