Totals
- Total revenue
- $4,594,967
- Total expenses
- $3,868,219
- Contributions and grants received
- $5,927
- Grants paid
- $0
- Program service revenue
- $4,584,630
- Investment income
- $0
- Other revenue
- $4,410
- Total assets, end of year
- $3,906,824
- Total liabilities, end of year
- $4,521,810
- Net assets or fund balances, end of year
- -$614,986
- Program services expenses (Part IX)
- $3,160,617
- Management and general expenses
- $707,602
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $3,160,617
Program services were 81.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Line items
Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.
Revenue
Part VIII, the statement of revenue.
-
1e · Government grants (contributions)
$5,927
-
2a · Program service revenue: PATIENT REVENUE, NET
total $2,425,199 · related or exempt $2,425,199
-
2b · Program service revenue: CAPITATION
total $1,357,438 · related or exempt $1,357,438
-
2c · Program service revenue: INCENTIVES
total $801,993 · related or exempt $801,993
-
11a · Other revenue: OTHER REVENUES
total $4,410 · excluded $4,410
-
11e · Other revenue, total
$4,410
Functional expenses
Part IX, the statement of functional expenses.
-
7 · Other salaries and wages
total $1,739,504 · program services $1,722,374 · management and general $17,130
-
9 · Other employee benefits
total $114,148 · program services $102,740 · management and general $11,408
-
10 · Payroll taxes
total $123,101 · program services $121,889 · management and general $1,212
-
11g · Fees: other
total $121,273 · program services $105,969 · management and general $15,304
-
13 · Office expenses
total $181,413 · program services $104,394 · management and general $77,019
-
14 · Information technology
total $93 · program services $45 · management and general $48
-
16 · Occupancy
total $666,664 · program services $484,785 · management and general $181,879
-
17 · Travel
total $29,466 · program services $16,029 · management and general $13,437
-
19 · Conferences, conventions and meetings
total $2,192 · program services $494 · management and general $1,698
-
20 · Interest
total $16,269 · management and general $16,269
-
22 · Depreciation, depletion and amortization
total $101,758 · program services $66,143 · management and general $35,615
-
23 · Insurance
total $37,846 · program services $27,043 · management and general $10,803
-
24a · Other expenses: BAD DEBTS
total $296,020 · program services $3,673 · management and general $292,347
-
24b · Other expenses: MEDICAL COSTS
total $261,956 · program services $261,956
-
24c · Other expenses: SETTLEMENT EXPENSES
total $150,000 · program services $131,006 · management and general $18,994
-
24d · Other expenses: DUES & SUBSCRIPTIONS
total $13,544 · program services $4,051 · management and general $9,493
-
24e · All other expenses
total $12,972 · program services $8,026 · management and general $4,946
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $109,640 · end of year $439,161
-
2 · Savings and temporary cash investments
beginning of year $6,903
-
4 · Accounts receivable
beginning of year $1,176,921 · end of year $2,383,637
-
9 · Prepaid expenses and deferred charges
beginning of year $4,996 · end of year $5,000
-
10a · Land, buildings and equipment: cost or other basis
$680,316
-
10b · Land, buildings and equipment: accumulated depreciation
$305,829
-
10c · Land, buildings and equipment, net
beginning of year $268,976 · end of year $374,487
-
15 · Other assets
beginning of year $979,591 · end of year $704,539
-
17 · Accounts payable and accrued expenses
beginning of year $221,707 · end of year $157,650
-
25 · Other liabilities
beginning of year $3,667,054 · end of year $4,364,160
-
27 · Net assets without donor restrictions
beginning of year -$1,341,734 · end of year -$614,986
Mission and programs · 2023
Mission
THE ROLE AND MISSION OF H STREET CLINIC, INC. ("CORPORATION") IS TO PROVIDE:A. HIGH-QUALITY, COST-EFFECTIVE, ACCESSIBLE AND EFFICIENT HEALTH CARE SERVICES TO LOCAL AND SURROUNDING MEDICALLY UNDERSERVED POPULATIONS;B. A MEDICAL STAFF AND PERSONNEL CONSISTING OF CULTURALLY SENSITIVE AND MULTI-LINGUAL INDIVIDUALS FOR COMPREHENSIVE PATIENT COMMUNICATION;C. A SETTING WHICH UTILIZES ADVANCED FACILITIES AND MEDICAL TECHNOLOGIES IN PROVIDING OPTIMUM CARE; ANDD. AN ENVIRONMENT WHICH ASPIRES TO ACHIEVE SIGNIFICANT, MEASURABLE IMPROVEMENTS IN THE MORBIDITY AND MORTALITY STATISTICS OF ITS PATIENT POPULATION BY MEANS OF PREVENTIVE CARE SERVICES AND APPROPRIATE HEALTH INTERVENTIONS.
Activities or mission (Part I)
H STREET'S MISSION IS TO ADDRESS THE UNMET HEALTHCARE NEEDS OF UNDERSERVED AND HOMELESS POPULATIONS IN SAN BERNARDINO AND RIVERSIDE COUNTIES THROUGH THE PROVISION OF AFFORDABLE, CULTURALLY APPROPRIATE, HIGH-QUALITY, ANDACCESSIBLE HEALTH CARE SERVICES.
-
THE CLINIC PROVIDED A FULL RANGE OF SERVICES WHICH INCLUDE MEDICAL, DENTAL, VISION, MENTAL HEALTH, WOMEN'S HEALTH, OBSTETRICS AND GYNECOLOGY SERVICES, NUTRITION, HEALTH EDUCATION, SOCIAL SUPPORT, PHARMACY, LABORATORY, AND X-RAY SERVICES. THE CLINIC ADDRESSED THE UNMET HEALTHCARE NEEDS OF UNDERSERVED AND HOMELESS POPULATIONS IN SAN BERNARDINO AND RIVERSIDE COUNTIES AND SERVED APPROXIMATELY 7,899 PATIENTS DURING THE FISCAL YEAR.
Expenses $3,160,617 · Revenue $4,584,630
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Crystal LautrupCRYSTAL LAUTRUP
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Frank YbarraFRANK YBARRA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
James MackeyJAMES MACKEY
BOARD CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Kayretha Hale WillisKAYRETHA HALE WILLIS
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Mary WinnersMARY WINNERS
BOARD VICE CHAIR
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Nancy OchoaNANCY OCHOA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Oscar LopezOSCAR LOPEZ
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Richard MayerRICHARD MAYER
BOARD TREASURER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Victor GarciaVICTOR GARCIA
BOARD MEMBER
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Wanda ThompsonWANDA THOMPSON
BOARD SECRETARY
- Total calculated
- $0
- Hours/week
- 2 + 1 related
-
Chukwuka Chidi ACHUKWUKA CHIDI A
CHIEF FINANCIAL OFFICER
- Total calculated
- $321,612
- From this org
- $0
- From related orgs
- $274,356
- Other
- $47,256
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $222,498 related
- Bonus
- $0 + $46,724 related
- Other
- $0 + $5,134 related
- Deferred
- $0 + $47,256 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $321,612 related
-
Kenneth M OrdunaKENNETH M ORDUNA
CHIEF EXECUTIVE OFFICER
- Total calculated
- $455,936
- From this org
- $0
- From related orgs
- $455,936
- Other
- $0
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $352,598 related
- Bonus
- $0 + $95,201 related
- Other
- $0 + $8,137 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $455,936 related
-
Abdoulaye DiopABDOULAYE DIOP
CHIEF MEDICAL OFFICER
- Total calculated
- $346,755
- From this org
- $0
- From related orgs
- $346,755
- Other
- $0
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $300,000 related
- Bonus
- $0 + $39,832 related
- Other
- $0 + $6,923 related
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $0 + $346,755 related
-
Eleanor PerezELEANOR PEREZ
CHIEF ADMINISTRATIVE OFFICER
- Total calculated
- $327,531
- From this org
- $0
- From related orgs
- $290,400
- Other
- $37,131
- Hours/week
- 2 + 40 related
Schedule J breakdown matched by us
- Base
- $0 + $240,000 related
- Bonus
- $0 + $50,400 related
- Other
- $0
- Deferred
- $0 + $37,131 related
- Nontaxable benefits
- $0
- Filer's total
- $0 + $327,531 related
-
Autumn CobbsAUTUMN COBBS
PHYSICIAN
- Total calculated
- $152,621
- From this org
- $152,621
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $122,546
- Bonus
- $0
- Other
- $30,075
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $152,621
-
Fareeha Asif SialFAREEHA ASIF SIAL
PHYSICIAN
- Total calculated
- $151,335
- From this org
- $151,335
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $133,263
- Bonus
- $0
- Other
- $18,072
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $151,335
-
Ravishankar Nehru KoppadaRAVISHANKAR NEHRU KOPPADA
PHYSICIAN
- Total calculated
- $234,538
- From this org
- $234,538
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $230,000
- Bonus
- $0
- Other
- $4,538
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $234,538
-
Sejad Zaid Al-TahanSEJAD ZAID AL-TAHAN
PHYSICIAN
- Total calculated
- $276,500
- From this org
- $276,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $275,000
- Bonus
- $500
- Other
- $1,000
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $276,500
-
Vanessa Charmein OltonVANESSA CHARMEIN OLTON
PHYSICIAN
- Total calculated
- $254,017
- From this org
- $254,017
- From related orgs
- $0
- Other
- $0
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $246,627
- Bonus
- $0
- Other
- $7,390
- Deferred
- $0
- Nontaxable benefits
- $0
- Filer's total
- $254,017
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 3
- EXECUTIVE COMPENSATION, INCLUDING PERFORMANCE BASED COMPENSATION, IS REVIEWED AND DETERMINED BY THE RELATED ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD, OR THE COMPENSATION SUBCOMMITTEE IN THE CASE OF THE CEO'S COMPENSATION. THE APPLICABLE COMMITTEE USED COMPARABILITY DATA OBTAINED FROM THE CALIFORNIA PRIMARY CARE ASSOCIATION WHICH IS PREPARED BY AN INDEPENDENT THIRD PARTY. THE DATA REPRESENTS WHAT 125 SIMILARLY SITUATED ORGANIZATIONS BASED ON LOCATION, BUDGET AND SIZE, PAY EXECUTIVES FOR FUNCTIONALLY COMPARABLE POSITIONS. THE APPLICABLE COMMITTEE COLLECTS THE COMPARABLE COMPENSATION DATA, DEBATES THE ISSUE, AND USES IT TOGETHER WITH THE ORGANIZATIONS STRATEGY AND THE EXECUTIVES QUALIFICATIONS TO MAKE COMPENSATION RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BY VOTING. THE FINDINGS OF THE APPLICABLE COMMITTEE, TOGETHER WITH THE RELATED ORGANIZATION'S BOARD'S CONSIDERATION AND APPROVAL AND RECORDED IN THE RELATED ORGANIZATION'S MEETING MINUTES. THIS PROCESS IS REPEATED ANNUALLY FOR THE PURPOSE OF MAKING ADJUSTMENTS TO COMPENSATION OR THE AWARD OF PERFORMANCE BASED COMPENSATION.
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
501(C)(3) · MEDICAL SERVICES · CA
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 13 May 2025
- IRS schema version
- 2023v6.0
- Source object
- 202531349349310818
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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