NHAN HOA COMPRENESIVE HEALTH CARE CLINIC INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- NHAN HOA COMPRENESIVE HEALTH CARE CLINIC INC (EIN 33-0477323)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-02-19
- IRS object ID
- 202030509349300508
- Schema version
- 2018v3.1
- 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 | 2020-02-19T11:05:55-06:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390758449 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WIPFLI LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1502 LONDON ROAD SUITE 200 | AddressLine1Txt |
| City | DULUTH | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55812 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 330477323 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NHAN HOA COMPREHENSIVE HEALTH CARE | BusinessNameLine1Txt |
| Business Name Line2 | CLINIC INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NHAN | BusinessNameControlTxt |
| Phone | 7148988888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DUC HONG VUONG | PersonNm |
| Person Title | TREASURER | PersonTitleTxt |
| Phone | 7148988888 | PhoneNum |
| Signature | 2020-01-27 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL J PETERSON CPA | PreparerPersonNm |
| PTIN | P01833529 | PTIN |
| Phone | 2187224705 | PhoneNum |
| Preparation | 2020-01-26 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 216.54.158.12 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-01-27 | IPDt |
| IP Tm | 08:34:31 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 05365E77D662BDC17E2AAA2C6021CC7EC3235B8D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JENNY NGUYEN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $13,813,108 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTP://WWW.NHANHOA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1992 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE PREVENTIVE PRIMARY HEALTH CARE TO THE RESIDENTS OF ORANGE COUNTRY AND THE IMMIGRANT POPULATION WITHIN THE SERVICE AREA. TO PROVIDE ACCESSIBLE MEDICAL SERVICES TO PATIENTS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 103 | TotalEmployeeCnt |
| Total Volunteers | 50 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,574,837 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,983,126 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,997,248 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $11,629,545 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,591 | PYInvestmentIncomeAmt |
| CY Investment Income | $166,455 | CYInvestmentIncomeAmt |
| PY Other Revenue | $152,981 | PYOtherRevenueAmt |
| CY Other Revenue | $33,982 | CYOtherRevenueAmt |
| PY Total Revenue | $16,751,657 | PYTotalRevenueAmt |
| CY Total Revenue | $13,813,108 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,314,766 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,736,410 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,059,910 | PYOtherExpensesAmt |
| CY Other Expenses | $2,355,612 | CYOtherExpensesAmt |
| PY Total Expenses | $7,381,676 | PYTotalExpensesAmt |
| CY Total Expenses | $8,092,022 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,369,981 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,721,086 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $28,122,252 | TotalAssetsBOYAmt |
| Total Assets EOY | $32,941,786 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,241,798 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $340,246 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $26,880,454 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $32,601,540 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE AFFORDABLE AND COMPREHENSIVE FAMILY-BASED HEALTH SERVICES TO THE INDIVIDUALS WHO MAY NOT OTHERWISE HAVE ACCESS TO HEALTH CARE DUE TO FINANCIAL, LANGUAGE, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS, REGARDLESS OF THEIR ABILITY TO PAY. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $6,306,293 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,648,912 | RevenueAmt |
| Desc | THE CLINIC PROVIDED COMPREHENSIVE AND PREVENTIVE CARE THROUGH MEDICAL, DENTAL, VISION, PHARMACEUTICAL, AND BEHAVIORAL HEALTH SERVICES FOR CHILDREN, YOUTH, ADULTS AND SENIORS. THE CLINIC ALSO PROVIDED ENABLING SERVICES SUCH AS BENEFIT ENROLLMENT AND TRANSPORTATION ASSISTANCE. APPROXIMATELY 13,000 PATIENTS CHOSE NHAN HOA CLINIC AS THEIR MEDICAL HOME FOR AN APPROXIMATE TOTAL OF 45,000 ENCOUNTERS DURING THIS REPORTING PERIOD. IN 2018, THE CLINIC IS RANKED IN THE TOP 10 PERCENTILE FOR QUALITY CARE BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $97,660 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | THE HEALTH EDUCATION OUTREACH TEAM PROVIDED CULTURALLY AND LINGUISTICALLY APPROPRIATE EDUCATION ON THE PREVENTION AND MANAGEMENT OF CHRONIC DISEASES BY PLANNING AND EXECUTING MULTIPLE CAMPAIGNS TO RAISE AWARENESS. THESE CAMPAIGNS INCLUDED A BACK-TO-SCHOOL BACKPACK CAMPAIGN TO STRESS THE IMPORTANCE OF ANNUAL WELLNESS PHYSICAL EXAMS FOR CHILDREN AND PROVIDE FREE BACKPACKS AND SUPPLIES TO CHILDREN WHO RECEIVED PHYSICAL, DENTAL OR EYE EXAMS. THE TEAM ALSO HOSTED A HEALTH FAIR EVENT THAT PROVIDED FREE FLU SHOTS AND FREE DENTAL, BONE DENSITY AND EYE CHECK-UPS TO RAISE AWARENESS OF PREVENTIVE CARE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $6,403,953 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| 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 | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 30 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 103 | 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 | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TAM NGUYEN | PersonNm |
| Phone | 7148988888 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7761 GARDEN GROVE BLVD | AddressLine1Txt |
| City | GARDEN GROVE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92841 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| DAT HOANG | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISTINE NGOC HUYNH | |||||||
| MEMBER (THRU 04/2019) | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THANH LE OM DD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NAM NGUYEN MD | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| HIEN TANG | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| THUA VINH MD | |||||||
| CHAIRMAN | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| GIAO NGUYEN MD | |||||||
| VICE CHAIRMAN | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| THANH-TAM NGUYEN MD | |||||||
| VICE CHAIRWOMAN (THRU 11/2018) | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| DUC HONG VUONG | |||||||
| TREASURER | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| LONG C LE | |||||||
| SECRETARY | 4.00 | Yes (X) | $0 | $0 | $0 | ||
| JENNY NGUYEN | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | $71,941 | $0 | $2,091 | Yes (X) | ||
| TAM NGUYEN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | $124,034 | $0 | $4,486 | Yes (X) | ||
| DUC NGUYN DO | |||||||
| CHIEF MEDICAL OFFICER | 40.00 | $268,804 | $0 | $11,319 | Yes (X) | ||
| LINH HA DDS | |||||||
| DENTAL DIRECTOR | 40.00 | $160,266 | $0 | $14,779 | Yes (X) | ||
| BICH-TRANG HOA | |||||||
| PHYSICIAN | 40.00 | $202,591 | $0 | $2,258 | Yes (X) | ||
| TIM LUONG | |||||||
| PHYSICIAN ASSISTANT | 40.00 | $132,118 | $0 | $16,652 | Yes (X) | ||
| MAI-CHI NGUYEN | |||||||
| PHARMACIST IN CHARGE | 40.00 | $156,156 | $0 | $4,601 | Yes (X) | ||
| THOMAS TON MD | |||||||
| PHYSICIAN (CEO THRU SEP) | 40.00 | $231,315 | $0 | $19,927 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,347,225 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $76,113 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MCKESSON CORPORATION | |||||
| PO BOX 634404 | CINCINNATI | OH | 45263 | MEDICATION/MEDICAL SUPPLIES | $293,290 |
| VI TRAN | |||||
| 12160 LEAFWOOD ST | STANTON | CA | 90680 | CONTRACTED PHYSICIAN | $130,675 |
| GREENWAY HEALTH | |||||
| PO BOX 203658 | DALLAS | TX | 75320 | ELECTRONIC MEDICAL RECORDS SYSTEM | $115,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $20 | FederatedCampaignsAmt |
| Government Grants | $1,899,903 | GovernmentGrantsAmt |
| All Other Contributions | $83,203 | AllOtherContributionsAmt |
| Total Contributions | $1,983,126 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FEES MEDICAL SERVICES | 621400 | $10,739,603 | $10,739,603 |
| 340B PROGRAM | 446110 | $889,942 | $889,942 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $11,629,545 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,455 | TotalRevenueColumnAmt |
| Exclusion | $166,455 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MEANINGFUL USE REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $33,982 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $33,982 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $33,982 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,813,108 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,663,527 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $166,455 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $550,382 | TotalAmt |
| Management And General | $550,382 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,289,770 | TotalAmt |
| Program Services | $3,881,670 | ProgramServicesAmt |
| Management And General | $408,100 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,971 | TotalAmt |
| Program Services | $99,548 | ProgramServicesAmt |
| Management And General | $10,423 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $406,573 | TotalAmt |
| Program Services | $346,788 | ProgramServicesAmt |
| Management And General | $59,785 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $379,714 | TotalAmt |
| Program Services | $307,119 | ProgramServicesAmt |
| Management And General | $72,595 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,560 | TotalAmt |
| Management And General | $65,560 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,142 | TotalAmt |
| Management And General | $37,142 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,694 | TotalAmt |
| Management And General | $5,694 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $328,159 | TotalAmt |
| Program Services | $310,645 | ProgramServicesAmt |
| Management And General | $17,514 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,961 | TotalAmt |
| Program Services | $21,909 | ProgramServicesAmt |
| Management And General | $74,052 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,731 | TotalAmt |
| Program Services | $59,494 | ProgramServicesAmt |
| Management And General | $42,237 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,567 | TotalAmt |
| Program Services | $14,199 | ProgramServicesAmt |
| Management And General | $89,368 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $185,013 | TotalAmt |
| Program Services | $169,481 | ProgramServicesAmt |
| Management And General | $15,532 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,577 | TotalAmt |
| Program Services | $9,306 | ProgramServicesAmt |
| Management And General | $4,271 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,570 | TotalAmt |
| Program Services | $1,024 | ProgramServicesAmt |
| Management And General | $19,546 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,145 | TotalAmt |
| Management And General | $20,145 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,269 | TotalAmt |
| Program Services | $336,529 | ProgramServicesAmt |
| Management And General | $21,740 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,912 | TotalAmt |
| Program Services | $51,917 | ProgramServicesAmt |
| Management And General | $13,995 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES MEDICAL AND ED | $642,992 | $642,992 | |
| MAINTENANCE | $149,792 | $31,479 | $118,313 |
| LABORATORY FEES | $109,987 | $109,987 | |
| LICENSE AND FEES | $23,562 | $9,690 | $13,872 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,979 | TotalAmt |
| Program Services | $176 | ProgramServicesAmt |
| Management And General | $27,803 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,092,022 | TotalAmt |
| Program Services | $6,403,953 | ProgramServicesAmt |
| Management And General | $1,688,069 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $557,376 | BOYAmt |
| EOY | $897,529 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,679,461 | BOYAmt |
| EOY | $19,862,148 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $190,116 | BOYAmt |
| EOY | $160,790 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $317,276 | BOYAmt |
| EOY | $384,060 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,980 | BOYAmt |
| EOY | $84,644 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,213 | BOYAmt |
| EOY | $115,375 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $12,566,694 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,681,175 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,990,036 | BOYAmt |
| EOY | $10,885,519 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,794 | BOYAmt |
| EOY | $551,721 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,122,252 | BOYAmt |
| EOY | $32,941,786 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $293,450 | BOYAmt |
| EOY | $340,246 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $948,348 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,241,798 | BOYAmt |
| EOY | $340,246 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,880,454 | BOYAmt |
| EOY | $32,601,540 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,880,454 | BOYAmt |
| EOY | $32,601,540 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,122,252 | BOYAmt |
| EOY | $32,941,786 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,721,086 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,211,257 | OtherCostOrOtherBasisAmt |
| Book Value | $4,211,257 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,160,428 | OtherCostOrOtherBasisAmt |
| Depreciation | $894,849 | DepreciationAmt |
| Book Value | $6,265,579 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $638,308 | OtherCostOrOtherBasisAmt |
| Depreciation | $477,690 | DepreciationAmt |
| Book Value | $160,618 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $556,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $308,636 | DepreciationAmt |
| Book Value | $248,065 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $10,885,519 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $13,813,108 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $13,813,108 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $13,813,108 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $8,092,022 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $8,092,022 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $8,092,022 | TotalExpensesPerForm990Amt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUC NGUYN DO | ||||||||||||||
| CHIEF MEDICAL OFFICER | $253,804 | $0 | $15,000 | $0 | $0 | $0 | $6,161 | $0 | $5,158 | $0 | $280,123 | $0 | $0 | $0 |
| LINH HA DDS | ||||||||||||||
| DENTAL DIRECTOR | $151,074 | $0 | $9,192 | $0 | $0 | $0 | $4,894 | $0 | $9,885 | $0 | $175,045 | $0 | $0 | $0 |
| BICH-TRANG HOA | ||||||||||||||
| PHYSICIAN | $198,253 | $0 | $4,338 | $0 | $0 | $0 | $2,225 | $0 | $33 | $0 | $204,849 | $0 | $0 | $0 |
| MAI-CHI NGUYEN | ||||||||||||||
| PHARMACIST IN CHARGE | $150,156 | $0 | $6,000 | $0 | $0 | $0 | $4,002 | $0 | $599 | $0 | $160,757 | $0 | $0 | $0 |
| THOMAS TON MD | ||||||||||||||
| PHYSICIAN (CEO THRU SEP) | $218,115 | $0 | $13,200 | $0 | $0 | $0 | $6,940 | $0 | $12,987 | $0 | $251,242 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 WAS REVIEWED BY THE CEO AND SIGNED BY THE TREASURER PRIOR TO FILING. THE FORM 990 WAS SUBSEQUENTLY PRESENTED TO THE ENTIRE BOARD MEMBERSHIP DURING THE SUBSEQUENT BOARD MEETINGS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL DIRECTORS AND OFFICERS ARE REQUIRED TO FILE AN ANNUAL CONFLICT OF INTEREST STATEMENT REVIEWED BY THE EXECUTIVE COMMITTEE AND DISCLOSE ANY FINANCIAL INTEREST OR OTHER POTENTIAL CONFLICTS WHICH ARE SPECIFICALLY PROHIBITED BY NHAN HOA'S HR POLICIES AND PROCEDURES. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, THEY ARE TO BRING IT UP TO THE BOARD PRESIDENT TO ASSIST IN DETERMINATION IF A CONFLICT DOES EXIST. A CONFLICT OF INTEREST DOES NOT MEAN THE BOARD MEMBER MUST ABSTAIN FROM DISCUSSION OR VOTING, BUT IT MUST BE DISCLOSED. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF THE CEO AND OTHER TOP MANAGEMENT OFFICIALS IS DETERMINED ANNUALLY BY THE BOARD OF DIRECTORS; BASED ON MERIT AND BASED ON AVAILABLE COMPARABLE COMPENSATION DATA FOR SIMILAR POSITIONS AT SIMILAR ORGANIZATIONS. |
| FORM 990, PART VI, SECTION C, LINE 19 | ALL GOVERNING DOCUMENTS OF THE ENTITY INCLUDING POLICIES AND PROCEDURES ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |