2022-10-14T12:32:20-05:00 2021-12-31 946214841 ARMANINO LLP 12657 ALCOSTA BLVD STE 500 SAN RAMON CA 945834600 990 2021-01-01 942284365 MISSION AREA HEALTH ASSOCIATES MISS 4155521013 240 SHOTWELL STREET SAN FRANCISCO CA 94110 BRENDA STOREY CEO 4155521013 2022-10-11 1 BRENDA STOREY 999009999 MATTHEW PETROSKI P00650274 9257902600 2022-10-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z MISSION NEIGHBORHOOD HEALTH CENTER BRENDA STOREY 240 SHOTWELL STREET SAN FRANCISCO CA 94110 32998011 0 X MNHC.ORG X 1974 CA MISSION NEIGHBORHOOD HEALTH CENTER PROVIDES PRIMARY MEDICAL CARE TO LOW INCOME FAMILIES AND INDIVIDUALS. 12 12 269 12 0 0 13406230 16055091 14382342 16739314 48481 21608 325030 170218 28162083 32986231 0 0 0 0 13527543 16405930 0 0 16732 9927345 10618837 23454888 27024767 4707195 5961464 17573450 21695232 3888085 2048403 13685365 19646829 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. 0 0 18988789 16882360 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). 5195706 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. 24184495 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 67 0 1 269 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 0 0 CA X MATILDA SALAKO 4155523870 240 SHOTWELL STREET SAN FRANCISCO CA 94110 AMELIA MARTINEZ BANKHEAD PRESIDENT 8.00 X X 0 0 0 RITA FRANKLIN VICE PRESIDENT 2.00 X X 0 0 0 CHARLES MOSER MD TREASURER 2.00 X X 0 0 0 FRANCISCO GARCIA SECRETARY 2.00 X X 0 0 0 RICHARD DECKER CONSUMER TRUSTEE 2.00 X 0 0 0 RICARDO WOHLER CONSUMER TRUSTEE 2.00 X 0 0 0 MARY LOU PONCE CONSUMER TRUSTEE 2.00 X 0 0 0 MARIA MOLINERO CONSUMER TRUSTEE 2.00 X 0 0 0 SYLVIA VASQUEZ CONSUMER TRUSTEE 2.00 X 0 0 0 GEORGE BACH Y RITA MD COMMUNITY TRUSTEE 2.00 X 0 0 0 SANDRA MORA COMMUNITY TRUSTEE 2.00 X 0 0 0 MARCIA CONTRERAS COMMUNITY TRUSTEE 2.00 X 0 0 0 MATILDA SALAKO CFO 40.00 X 225040 0 0 JAIME RUIZ MD CHIEF MEDICAL OFFICER 40.00 X 260532 0 27380 BRENDA STOREY EXECUTIVE DIRECTOR 40.00 X 232610 0 34009 FERNANDO GOMEZ-BENITEZ DEPUTY DIRECTOR/CAO 40.00 X 138854 0 32087 PATRICIA CAPLAN COO 40.00 X 165559 0 13129 ROBERT WILLIAMS MD CLINICAL CHIEF - EXCELSIOR 36.80 X 228387 0 42998 LIZETTE ESPANA LEAD PHYSICIAN AM/WC 32.00 X 212845 0 24886 BRENT LEM PEDIATRICIAN 40.00 X 205631 0 21042 CHARLES EDWARDS MD LEAD PHYSICIAN PEDIATRICS 31.00 X 196756 0 42065 DONALD WAYNE FIELDS PEDIATRICIAN 40.00 X 196741 0 42236 2062955 0 279832 10 0 1 0 DAS HEALTH VENTURES LLC 1000 N ASHLEY DRIVE STE 300 TAMPA FL 33602 TECHNOLOGICAL MAINTENANCE 868212 CARDINAL HEALTH 110 INC C/O BANK OF AMERICA PO BOX 56412 LOS ANGELES CA 90074 PHARMACEUTICAL SERVICES 790630 CHARLES C NIP DDS INC 2243 VAN NESS AVE SUITE 101 SAN FRANCISCO CA 94109 DENTAL SERVICES 346332 BAY VALLEY SECURTIY 1145 SECOND STREET SUITE A317 BRENTWOOD CA 94513 SECURITY SERVICES 246078 MCKESSON MEDICAL SURGICAL PO BOX 9233207 ATLANTA GA 311933027 PHARM/MEDICAL SUPPLIES 242079 9 14639175 1415916 245115 16055091 PATIENT, 3RD PARTY FEE 621110 11097486 11097486 PHARMACY REVENUE 621110 4646320 4646320 INCENTIVE REVENUE 621110 995508 995508 16739314 21608 21608 38952 11780 27172 27172 27172 MISCELLANEOUS REVENUE 621110 143046 143046 143046 32986231 16882360 0 48780 X 927029 927029 12019348 11214055 789265 16028 306591 305815 737 39 2116105 1997656 118192 257 1036857 935819 100918 120 95692 95692 118960 118960 3552635 2996944 555691 201477 154030 47447 1664363 1555559 108804 79657 62174 17483 4248 4248 420220 379185 41035 124126 116585 7541 PHARMACEUTICAL SUPPLIES 2121338 2121338 SUPPLIES 735140 683713 51427 INSURANCE DENIALS 579327 579327 REPAIRS & MAINTENANCE 568495 525574 42921 353159 337821 15050 288 27024767 24184495 2823540 16732 406431 443292 10919133 13899367 1649596 1929719 1416658 1855439 35563 120410 303875 353285 8142272 5053339 2832472 3088933 2006 1747 7716 3040 17573450 21695232 1546814 1984735 867487 47446 1473784 16222 3888085 2048403 X 13685365 19646829 13685365 19646829 17573450 21695232 5961464 0 X X 0 1 X 1 1 1 X 9286220 9374542 8435199 13406230 16055091 56557282 9286220 9374542 8435199 13406230 16055091 56557282 56557282 50299 46371 60640 89081 60560 306951 1066 36761 143046 180873 57045106 70235454 0.99140 0.99330 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: FUNDRAISING INCOME - 2017 AMOUNT: $ 1,066. 2018 AMOUNT: $ 36,761. 2021 AMOUNT: $ 0. MISCELLANEOUS - 2021 AMOUNT: $ 143,046. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 27024767 27024767 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 1712 1473 3185 250000 250000 250000 250000 1000000 1500000 1712 1473 3185 158000 158000 977545 977545 0 5280368 3047936 2232432 1726359 1027858 698501 3088933 CONTINGENCY RESERVE 13582 LEASE PAYABLE 1040 RENTAL DEPOSITS 1600 16222 X 33246138 248127 11780 259907 32986231 0 32986231 27284674 248127 11780 259907 27024767 0 27024767 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. X X X 0 0 0 0 0 0 0 0 0 JAIME RUIZ MD CHIEF MEDICAL OFFICER 260532 0 0 0 0 0 10571 0 16809 0 287912 0 0 0 ROBERT WILLIAMS MD CLINICAL CHIEF - EXCELSIOR 228387 0 0 0 0 0 9216 0 33782 0 271385 0 0 0 BRENDA STOREY EXECUTIVE DIRECTOR 232610 0 0 0 0 0 9373 0 24636 0 266619 0 0 0 DONALD WAYNE FIELDS PEDIATRICIAN 196741 0 0 0 0 0 5954 0 36282 0 238977 0 0 0 CHARLES EDWARDS MD LEAD PHYSICIAN PEDIATRICS 196756 0 0 0 0 0 3692 0 38373 0 238821 0 0 0 LIZETTE ESPANA LEAD PHYSICIAN AM/WC 212845 0 0 0 0 0 4618 0 20268 0 237731 0 0 0 BRENT LEM PEDIATRICIAN 205631 0 0 0 0 0 8225 0 12817 0 226673 0 0 0 MATILDA SALAKO CFO 225040 0 0 0 0 0 0 0 0 0 225040 0 0 0 PATRICIA CAPLAN COO 165559 0 0 0 0 0 6682 0 6447 0 178688 0 0 0 FERNANDO GOMEZ-BENITEZ DEPUTY DIRECTOR/CAO 138854 0 0 0 0 0 5616 0 26471 0 170941 0 0 0 X 2 231615 FMV X FOOD & VOUCHERS 1 13500 FMV 0 0 1 0 PART I, COLUMN (B): THIS NUMBER REPRESENTS THE NUMBER OF CONTRIBUTIONS MADE AND NOT THE NUMBER OF ITEMS CONTRIBUTED. 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.