MISSION AREA HEALTH ASSOCIATES DBA MISSION NEIGHBORHOOD HEALTH CENTER: Form 990, tax year 2021
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- Organization
- MISSION AREA HEALTH ASSOCIATES DBA MISSION NEIGHBORHOOD HEALTH CENTER (EIN 94-2284365)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-10-14
- IRS object ID
- 202202879349300840
- Schema version
- 2021v4.2
- 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 | 2022-10-14T12:32:20-05:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 946214841 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARMANINO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12657 ALCOSTA BLVD STE 500 | AddressLine1Txt |
| City | SAN RAMON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 945834600 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | 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 | BRENDA STOREY | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 4155521013 | PhoneNum |
| Signature | 2022-10-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRENDA | PersonFirstNm |
| Person Last | STOREY | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW PETROSKI | PreparerPersonNm |
| PTIN | P00650274 | PTIN |
| Phone | 9257902600 | PhoneNum |
| Preparation | 2022-10-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | 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 | BRENDA STOREY | 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 | $32,998,011 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MNHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1974 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MISSION NEIGHBORHOOD HEALTH CENTER PROVIDES PRIMARY MEDICAL CARE TO LOW INCOME FAMILIES AND INDIVIDUALS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 269 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $13,406,230 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,055,091 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,382,342 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,739,314 | CYProgramServiceRevenueAmt |
| PY Investment Income | $48,481 | PYInvestmentIncomeAmt |
| CY Investment Income | $21,608 | CYInvestmentIncomeAmt |
| PY Other Revenue | $325,030 | PYOtherRevenueAmt |
| CY Other Revenue | $170,218 | CYOtherRevenueAmt |
| PY Total Revenue | $28,162,083 | PYTotalRevenueAmt |
| CY Total Revenue | $32,986,231 | 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 | $13,527,543 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $16,405,930 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $16,732 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $9,927,345 | PYOtherExpensesAmt |
| CY Other Expenses | $10,618,837 | CYOtherExpensesAmt |
| PY Total Expenses | $23,454,888 | PYTotalExpensesAmt |
| CY Total Expenses | $27,024,767 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,707,195 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,961,464 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $17,573,450 | TotalAssetsBOYAmt |
| Total Assets EOY | $21,695,232 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,888,085 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,048,403 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $13,685,365 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $19,646,829 | NetAssetsOrFundBalancesEOYAmt |
| 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $18,988,789 | ExpenseAmt |
| Revenue | $16,882,360 | 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 (DHHS-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), MEDICAL ASSISTANCE PROGRAM-MAP (CCSF DPHGENERAL 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 | $5,195,706 | ExpenseAmt |
| Desc | PROGRAM A - COMMUNITY PROGRAMS: PROGRAM A PRIMARILY INCLUDES EXPENSES INCURRED FOR GRANT-FUNDED COMMUNITY PROGRAMS SUCH AS THE YOUTH DEVELOPMENT PROGRAM (CCSF-DEPARTMENT OF CHILDREN, YOUTH & FAMILIES), HOMELESS SUPPORT SERVICES AT THE RESOURCE CENTER (CCSFDEPARTMENT 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 | $24,184,495 | 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 | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 269 | 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | 0 | 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 (22 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 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| CHARLES MOSER MD | |||||||
| TREASURER | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| FRANCISCO GARCIA | |||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD DECKER | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| RICARDO WOHLER | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARY LOU PONCE | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARIA MOLINERO | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SYLVIA VASQUEZ | |||||||
| CONSUMER TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE BACH Y RITA MD | |||||||
| COMMUNITY TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SANDRA MORA | |||||||
| COMMUNITY TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA CONTRERAS | |||||||
| COMMUNITY TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MATILDA SALAKO | |||||||
| CFO | 40.00 | Yes (X) | $225,040 | $0 | $0 | ||
| JAIME RUIZ MD | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | Yes (X) | $260,532 | $0 | $27,380 | ||
| BRENDA STOREY | |||||||
| EXECUTIVE DIRECTOR | 40.00 | Yes (X) | $232,610 | $0 | $34,009 | ||
| FERNANDO GOMEZ-BENITEZ | |||||||
| DEPUTY DIRECTOR/CAO | 40.00 | Yes (X) | $138,854 | $0 | $32,087 | ||
| PATRICIA CAPLAN | |||||||
| COO | 40.00 | Yes (X) | $165,559 | $0 | $13,129 | ||
| ROBERT WILLIAMS MD | |||||||
| CLINICAL CHIEF - EXCELSIOR | 36.80 | $228,387 | $0 | $42,998 | Yes (X) | ||
| LIZETTE ESPANA | |||||||
| LEAD PHYSICIAN AM/WC | 32.00 | $212,845 | $0 | $24,886 | Yes (X) | ||
| BRENT LEM | |||||||
| PEDIATRICIAN | 40.00 | $205,631 | $0 | $21,042 | Yes (X) | ||
| CHARLES EDWARDS MD | |||||||
| LEAD PHYSICIAN PEDIATRICS | 31.00 | $196,756 | $0 | $42,065 | Yes (X) | ||
| DONALD WAYNE FIELDS | |||||||
| PEDIATRICIAN | 40.00 | $196,741 | $0 | $42,236 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,062,955 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $279,832 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | 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 DRIVE STE 300 | TAMPA | FL | 33602 | TECHNOLOGICAL MAINTENANCE | $868,212 |
| CARDINAL HEALTH 110 INC | |||||
| C/O BANK OF AMERICA PO BOX 56412 | LOS ANGELES | CA | 90074 | PHARMACEUTICAL SERVICES | $790,630 |
| CHARLES C NIP DDS INC | |||||
| 2243 VAN NESS AVE SUITE 101 | SAN FRANCISCO | CA | 94109 | DENTAL SERVICES | $346,332 |
| BAY VALLEY SECURTIY | |||||
| 1145 SECOND STREET SUITE A317 | BRENTWOOD | CA | 94513 | SECURITY SERVICES | $246,078 |
| MCKESSON MEDICAL SURGICAL | |||||
| PO BOX 9233207 | ATLANTA | GA | 311933027 | PHARM/MEDICAL SUPPLIES | $242,079 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 9 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $14,639,175 | GovernmentGrantsAmt |
| All Other Contributions | $1,415,916 | AllOtherContributionsAmt |
| Noncash Contributions | $245,115 | NoncashContributionsAmt |
| Total Contributions | $16,055,091 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT, 3RD PARTY FEE | 621110 | $11,097,486 | $11,097,486 |
| PHARMACY REVENUE | 621110 | $4,646,320 | $4,646,320 |
| INCENTIVE REVENUE | 621110 | $995,508 | $995,508 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,739,314 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,608 | TotalRevenueColumnAmt |
| Exclusion | $21,608 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $38,952 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $11,780 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $27,172 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,172 | TotalRevenueColumnAmt |
| Exclusion | $27,172 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $143,046 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $143,046 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $143,046 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,986,231 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $16,882,360 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $48,780 | 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 | $927,029 | TotalAmt |
| Management And General | $927,029 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,019,348 | TotalAmt |
| Program Services | $11,214,055 | ProgramServicesAmt |
| Management And General | $789,265 | ManagementAndGeneralAmt |
| Fundraising | $16,028 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $306,591 | TotalAmt |
| Program Services | $305,815 | ProgramServicesAmt |
| Management And General | $737 | ManagementAndGeneralAmt |
| Fundraising | $39 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,116,105 | TotalAmt |
| Program Services | $1,997,656 | ProgramServicesAmt |
| Management And General | $118,192 | ManagementAndGeneralAmt |
| Fundraising | $257 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,036,857 | TotalAmt |
| Program Services | $935,819 | ProgramServicesAmt |
| Management And General | $100,918 | ManagementAndGeneralAmt |
| Fundraising | $120 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,692 | TotalAmt |
| Program Services | $95,692 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $118,960 | TotalAmt |
| Program Services | $118,960 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,552,635 | TotalAmt |
| Program Services | $2,996,944 | ProgramServicesAmt |
| Management And General | $555,691 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,477 | TotalAmt |
| Program Services | $154,030 | ProgramServicesAmt |
| Management And General | $47,447 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,664,363 | TotalAmt |
| Program Services | $1,555,559 | ProgramServicesAmt |
| Management And General | $108,804 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,657 | TotalAmt |
| Program Services | $62,174 | ProgramServicesAmt |
| Management And General | $17,483 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,248 | TotalAmt |
| Program Services | $4,248 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,220 | TotalAmt |
| Program Services | $379,185 | ProgramServicesAmt |
| Management And General | $41,035 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $124,126 | TotalAmt |
| Program Services | $116,585 | ProgramServicesAmt |
| Management And General | $7,541 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PHARMACEUTICAL SUPPLIES | $2,121,338 | $2,121,338 | |
| SUPPLIES | $735,140 | $683,713 | $51,427 |
| INSURANCE DENIALS | $579,327 | $579,327 | |
| REPAIRS & MAINTENANCE | $568,495 | $525,574 | $42,921 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,159 | TotalAmt |
| Program Services | $337,821 | ProgramServicesAmt |
| Management And General | $15,050 | ManagementAndGeneralAmt |
| Fundraising | $288 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,024,767 | TotalAmt |
| Program Services | $24,184,495 | ProgramServicesAmt |
| Management And General | $2,823,540 | ManagementAndGeneralAmt |
| Fundraising | $16,732 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,431 | BOYAmt |
| EOY | $443,292 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,919,133 | BOYAmt |
| EOY | $13,899,367 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,649,596 | BOYAmt |
| EOY | $1,929,719 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,416,658 | BOYAmt |
| EOY | $1,855,439 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,563 | BOYAmt |
| EOY | $120,410 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $303,875 | BOYAmt |
| EOY | $353,285 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,142,272 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,053,339 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,832,472 | BOYAmt |
| EOY | $3,088,933 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,006 | BOYAmt |
| EOY | $1,747 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,716 | BOYAmt |
| EOY | $3,040 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,573,450 | BOYAmt |
| EOY | $21,695,232 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,546,814 | BOYAmt |
| EOY | $1,984,735 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $867,487 | BOYAmt |
| EOY | $47,446 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,473,784 | BOYAmt |
| EOY | $16,222 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,888,085 | BOYAmt |
| EOY | $2,048,403 | 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 | $13,685,365 | BOYAmt |
| EOY | $19,646,829 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,685,365 | BOYAmt |
| EOY | $19,646,829 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,573,450 | BOYAmt |
| EOY | $21,695,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,961,464 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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 | $9,286,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,374,542 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,435,199 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,406,230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,055,091 | CurrentTaxYearAmt |
| Total | $56,557,282 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,286,220 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,374,542 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $8,435,199 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,406,230 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $16,055,091 | CurrentTaxYearAmt |
| Total | $56,557,282 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $56,557,282 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $50,299 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $46,371 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $60,640 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $89,081 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $60,560 | CurrentTaxYearAmt |
| Total | $306,951 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,066 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $36,761 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year | $143,046 | CurrentTaxYearAmt |
| Total | $180,873 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $57,045,106 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $70,235,454 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.99140 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99330 | 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 | FUNDRAISING INCOME - 2017 AMOUNT: $ 1,066. 2018 AMOUNT: $ 36,761. 2021 AMOUNT: $ 0. MISCELLANEOUS - 2021 AMOUNT: $ 143,046. | 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 Grassroots Lobbying TotalGrassrootsLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Direct Lobbying TotalDirectLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Total Lobbying Expend TotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $0 | FilingOrganizationsTotalAmt |
Other Exempt Purpose Expend OtherExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $27,024,767 | FilingOrganizationsTotalAmt |
Total Exempt Purpose Expend TotalExemptPurposeExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Total | $27,024,767 | 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 | $1,000,000 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,000,000 | CurrentYearMinus2Amt |
| Current Year Minus1 | $1,000,000 | CurrentYearMinus1Amt |
| Current Year | $1,000,000 | CurrentYearAmt |
| Total | $4,000,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $6,000,000 | LobbyingCeilingAmt |
Avg Total Lobbying Expend AvgTotalLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,712 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,473 | CurrentYearMinus2Amt |
| Total | $3,185 | 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 |
Avg Grassroots Lobbying Expend AvgGrassrootsLobbyingExpendGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus3 | $1,712 | CurrentYearMinus3Amt |
| Current Year Minus2 | $1,473 | CurrentYearMinus2Amt |
| Total | $3,185 | TotalAmt |
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 | $977,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $977,545 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,280,368 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,047,936 | DepreciationAmt |
| Book Value | $2,232,432 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,726,359 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,027,858 | DepreciationAmt |
| Book Value | $698,501 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,088,933 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| CONTINGENCY RESERVE | $13,582 |
| LEASE PAYABLE | $1,040 |
| RENTAL DEPOSITS | $1,600 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,222 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,246,138 | TotalRevEtcAuditedFinclStmtAmt |
| Donated Services And Use Fclts | $248,127 | DonatedServicesAndUseFcltsAmt |
| Other Revenue | $11,780 | OtherRevenueAmt |
| Revenue Not Reported | $259,907 | RevenueNotReportedAmt |
| Revenue Subtotal | $32,986,231 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $32,986,231 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $27,284,674 | TotExpnsEtcAuditedFinclStmtAmt |
| Donated Services Use Fclts | $248,127 | DonatedServicesUseFcltsAmt |
| Other Expenses Included | $11,780 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $259,907 | ExpensesNotReportedAmt |
| Expenses Subtotal | $27,024,767 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $27,024,767 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | 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, 2021, 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. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSESS 11,780. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | RENTAL EXPENSES 11,780. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (10 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 | ||||||||||||||
| CHIEF MEDICAL OFFICER | $260,532 | $0 | $0 | $0 | $0 | $0 | $10,571 | $0 | $16,809 | $0 | $287,912 | $0 | $0 | $0 |
| ROBERT WILLIAMS MD | ||||||||||||||
| CLINICAL CHIEF - EXCELSIOR | $228,387 | $0 | $0 | $0 | $0 | $0 | $9,216 | $0 | $33,782 | $0 | $271,385 | $0 | $0 | $0 |
| BRENDA STOREY | ||||||||||||||
| EXECUTIVE DIRECTOR | $232,610 | $0 | $0 | $0 | $0 | $0 | $9,373 | $0 | $24,636 | $0 | $266,619 | $0 | $0 | $0 |
| DONALD WAYNE FIELDS | ||||||||||||||
| PEDIATRICIAN | $196,741 | $0 | $0 | $0 | $0 | $0 | $5,954 | $0 | $36,282 | $0 | $238,977 | $0 | $0 | $0 |
| CHARLES EDWARDS MD | ||||||||||||||
| LEAD PHYSICIAN PEDIATRICS | $196,756 | $0 | $0 | $0 | $0 | $0 | $3,692 | $0 | $38,373 | $0 | $238,821 | $0 | $0 | $0 |
| LIZETTE ESPANA | ||||||||||||||
| LEAD PHYSICIAN AM/WC | $212,845 | $0 | $0 | $0 | $0 | $0 | $4,618 | $0 | $20,268 | $0 | $237,731 | $0 | $0 | $0 |
| BRENT LEM | ||||||||||||||
| PEDIATRICIAN | $205,631 | $0 | $0 | $0 | $0 | $0 | $8,225 | $0 | $12,817 | $0 | $226,673 | $0 | $0 | $0 |
| MATILDA SALAKO | ||||||||||||||
| CFO | $225,040 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $225,040 | $0 | $0 | $0 |
| PATRICIA CAPLAN | ||||||||||||||
| COO | $165,559 | $0 | $0 | $0 | $0 | $0 | $6,682 | $0 | $6,447 | $0 | $178,688 | $0 | $0 | $0 |
| FERNANDO GOMEZ-BENITEZ | ||||||||||||||
| DEPUTY DIRECTOR/CAO | $138,854 | $0 | $0 | $0 | $0 | $0 | $5,616 | $0 | $26,471 | $0 | $170,941 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 2 | ContributionCnt |
| Noncash Contributions Rpt F990 | $231,615 | 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 | FOOD & VOUCHERS | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $13,500 | 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 | THIS NUMBER REPRESENTS THE NUMBER OF CONTRIBUTIONS MADE AND NOT THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE AUDIT COMMITTEE SHALL HAVE THE RESPONSIBILITY FOR REVIEWING THE ORGANIZATION'S FORM 990 (INCLUDING ALL PERTINENT SCHEDULES) BEFORE IT IS FILED WITH THE INTERNAL REVENUE SERVICE. A DRAFT OF THE FORM 990 SHOULD BE READY FOR REVIEW BY THE AUDIT COMMITTEE NO LATER THAN ONE MONTH PRIOR TO THE FILING DEADLINE. AFTER THE DRAFT OF THE FORM 990 HAS BEEN OBTAINED BY THE AUDIT COMMITTEE, THEY WILL HAVE NO MORE THAN TWO WEEKS TO COMPLETE THEIR REVIEW. IN CONDUCTING THEIR REVIEW OF THE DRAFT OF THE FORM 990, IT IS PREFERRED THAT THE AUDIT COMMITTEE SHALL CONDUCT A TOP-LEVEL OR BIG-PICTURE TYPE OF REVIEW. HOWEVER, IF THE AUDIT COMMITTEE DESIRES OR DEEMS IT NECESSARY TO CONDUCT A MORE DETAILED REVIEW OF THE FORM 990, THEN THEY SHOULD CONTACT THE PREPARER OF THE FORM 990 TO REQUEST COPIES OF THE RELEVANT DETAILED TAX RETURN WORKPAPERS WHICH THEY WOULD LIKE TO SEE. ONCE THE AUDIT COMMITTEE HAS COMPLETED ITS INITIAL REVIEW OF THE FORM 990, A MEETING OR CONFERENCE CALL WILL BE SCHEDULED WITH THE PREPARER OF THE FORM 990, IF NEEDED, TO DISCUSS ANY QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS. IDENTIFIED BY THE AUDIT COMMITTEE THE PREPARER OF THE FORM 990 SHOULD MAKE A REVISION TO THE FORM 990 AS SOON AS FEASIBLY POSSIBLE TO ENSURE THAT THE FORM 990 IS FILED WITH INTERNAL REVENUE SERVICE ON A TIMELY BASIS. ALL QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS SET FORTH BY THE AUDIT COMMITTEE SHOULD BE DOCUMENTED, ALONG WITH ANY RESPONSES FROM THE PREPARER FOR THE FORM 990, IF APPLICABLE. AFTER THE FORM 990 HAS BEEN REVIEWED BY THE AUDIT COMMITTEE, THE AUDIT COMMITTEE WILL MAKE A PRESENTATION AT THE NEXT FULL BOARD OF DIRECTORS MEETING TO UPDATE THE FULL BOARD REGARDING ITS REVIEW OF THE FORM 990. AT THIS MEETING WITH THE FULL BOARD OF DIRECTORS, IT IS NOT REQUIRED FOR THE AUDIT COMMITTEE TO REVIEW ALL THEIR QUESTIONS, COMMENTS, AND SUGGESTED REVISIONS, A SUMMARY OF THEIR MORE IMPORTANT POINTS WILL BE SUFFICIENT. AFTER THE BOARD HAS APPROVED THE FORM 990, IT IS FILED WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE BOARD OF DIRECTORS AND KEY MANAGEMENT STAFF WILL FILL OUT THE "ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE". EVERY NEW EXECUTIVE MANAGEMENT STAFF ALSO SIGNS A CONFLICT OF INTEREST STATEMENT UPON HIRE. THESE QUESTIONNAIRES WILL BE REVIEWED BY THE CHAIR OF THE BOARD OF DIRECTORS WHO WILL DETERMINE APPROPRIATE ACTION IF A CONFLICT OF INTEREST IS IDENTIFIED. THE BOARD CHAIR WILL DETERMINE SPECIFIC ACTION, INCLUDING ASKING THE AFFECTED PARTY TO RESIGN FROM HIS/HER POSITION. |
| FORM 990, PART VI, SECTION B, LINE 15A | THE BOARD OF DIRECTORS UTILIZES COMPARABILITY DATA PUBLISHED ANNUALLY BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND NATIONAL ASSOCIATION HEALTH CENTER FOR THE COMMUNITY CLINICS COMPENSATION AND BENEFIT SURVEY TO ESTABLISH COMPENSATION FOR THE CEO OF THE ORGANIZATION. THE BOARD OF DIRECTORS DETERMINE THE COMPENSATION FOR THE CEO. ALL DELIBERATIONS OF BOARD OF DIRECTORS ARE CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES. THE CEO REVIEWS AND APPROVES OTHER OFFICERS' SALARIES. WE DO USE COMPARABILITY DATE FOR ALL OFFICER SALARIES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 2,172,611. MANAGEMENT AND GENERAL EXPENSES 449,209. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,621,820. DISPENSING: PROGRAM SERVICE EXPENSES 444,974. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 444,974. ADMINISTRATION: PROGRAM SERVICE EXPENSES 360,363. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 360,363. PERSONNEL RECRUITMENT: PROGRAM SERVICE EXPENSES 18,996. MANAGEMENT AND GENERAL EXPENSES 106,482. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 125,478. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. |