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Nonprofiteer
← MALIHEH FREE CLINIC

Form 990 for tax year 2022

Filed by MALIHEH FREE CLINIC.

Totals

Total revenue
$1,286,532
Total expenses
$1,291,588
Contributions and grants received
$1,160,736
Grants paid
$0
Program service revenue
$0
Investment income
$124,550
Other revenue
$1,246
Total assets, end of year
$6,709,882
Total liabilities, end of year
$44,453
Net assets or fund balances, end of year
$6,665,429
Program services expenses (Part IX)
$1,120,317
Management and general expenses
$119,572
Fundraising expenses
$51,699
Program service expenses (Part III)
$1,120,317

Program services were 86.7% 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)

    $270,517

  • 1f · All other contributions, gifts and grants

    $890,219

  • 1g · Noncash contributions included above

    $4,000

  • 3 · Investment income

    total $117,815 · excluded $117,815

  • 7a · Gross sales of assets other than inventory

    securities $6,735

  • 7b · Less cost or other basis and sales expenses

    securities $0

  • 7c · Gain or loss

    securities $6,735

  • 7d · Net gain or loss

    total $6,735 · excluded $6,735

  • 11a · Other revenue: Other Revenue

    total $1,246 · related or exempt $1,246

  • 11e · Other revenue, total

    $1,246

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $290,847 · program services $256,045 · management and general $22,943 · fundraising $11,859

  • 7 · Other salaries and wages

    total $469,068 · program services $436,003 · management and general $1,037 · fundraising $32,028

  • 8 · Pension plan contributions

    total $7,527 · program services $6,996 · management and general $17 · fundraising $514

  • 9 · Other employee benefits

    total $17,534 · program services $16,298 · management and general $39 · fundraising $1,197

  • 10 · Payroll taxes

    total $56,508 · program services $52,525 · management and general $125 · fundraising $3,858

  • 11e · Fees: professional fundraising services

    total $1,377 · fundraising $1,377

  • 11g · Fees: other

    total $68,600 · management and general $68,600

  • 13 · Office expenses

    total $43,315 · program services $39,200 · management and general $3,249 · fundraising $866

  • 22 · Depreciation, depletion and amortization

    total $234,581 · program services $216,987 · management and general $17,594

  • 23 · Insurance

    total $7,310 · program services $5,698 · management and general $1,612

  • 24a · Other expenses: Medical Supplies

    total $35,181 · program services $35,181

  • 24b · Other expenses: Utilities

    total $32,493 · program services $30,056 · management and general $2,437

  • 24c · Other expenses: Maintenance

    total $25,588 · program services $23,669 · management and general $1,919

  • 24d · Other expenses: Medicine

    total $1,659 · program services $1,659

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $686,113 · end of year $713,500

  • 2 · Savings and temporary cash investments

    beginning of year $1,014 · end of year $27,259

  • 3 · Pledges and grants receivable

    beginning of year $27,899 · end of year $64,233

  • 4 · Accounts receivable

    end of year $2,401

  • 10a · Land, buildings and equipment: cost or other basis

    $1,288,953

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,087,326

  • 10c · Land, buildings and equipment, net

    beginning of year $409,693 · end of year $201,627

  • 11 · Investments: publicly traded securities

    beginning of year $6,876,132 · end of year $5,700,862

  • 17 · Accounts payable and accrued expenses

    beginning of year $30,718 · end of year $44,453

  • 27 · Net assets without donor restrictions

    beginning of year $861,680 · end of year $712,902

  • 28 · Net assets with donor restrictions

    beginning of year $7,108,453 · end of year $5,952,527

Mission and programs · 2022

Mission

Maliheh Free Clinic seeks to improve the quality of life in the greater Salt Lake City area by providing free, quality medical services for uninsured and low income individuals and families to help reverse the cycle of poverty and suffering created by poor health.

Activities or mission (Part I)

Provide free quality medical services to uninsured and low-income individuals and families.

  • Maliheh Free Clinic provides free, quality medical care to uninsured and low-income individuals and families in the greater Salt Lake City area. Patients are all living below 250% of the federal poverty guidelines and are not eligible for Medicare, Medicaid, CHIP and other programs. In 2022, the clinic had 15,327 appointments with 5,122 individuals in need of medical care in our community. This was accomplished with a small core paid staff and the services of 910 active volunteers who provided over 28,219 volunteer hours of service.

    Expenses $1,120,317

As filed on the 2022 return.

Listed in Part VII

  • Elaine Ellis

    Chairman

    Total calculated
    $0
    Hours/week
    4
  • Ghazaleh Semnani

    Vice Chair

    Total calculated
    $0
    Hours/week
    4
  • Doug White Esq

    Secretary

    Total calculated
    $0
    Hours/week
    2
  • Taymour Semnani

    Director

    Total calculated
    $0
    Hours/week
    2
  • Adan Batar

    Director

    Total calculated
    $0
    Hours/week
    2
  • Khosrow Semnani

    Director

    Total calculated
    $0
    Hours/week
    2
  • Dr David Sundwall

    Director

    Total calculated
    $0
    Hours/week
    2
  • Dr Karen Miller

    Director

    Total calculated
    $0
    Hours/week
    2
  • Lisa Nichols

    Director

    Total calculated
    $0
    Hours/week
    2
  • Mansoor Emam

    Director

    Total calculated
    $0
    Hours/week
    2
  • David Miner

    Medical Director

    Total calculated
    $245,736
    From this org
    $217,616
    From related orgs
    $0
    Other
    $28,120
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $217,616
    Bonus
    $0
    Other
    $0
    Deferred
    $6,618
    Nontaxable benefits
    $21,598
    Filer's total
    $245,832
  • Mary Ann Lucero

    Executive Director - Resigned 2/22

    Total calculated
    $16,442
    From this org
    $14,672
    From related orgs
    $0
    Other
    $1,770
    Hours/week
    40
  • Brenda Spearman

    Executive Director

    Total calculated
    $28,531
    From this org
    $27,700
    From related orgs
    $0
    Other
    $831
    Hours/week
    40
  • Uaisele Panisi

    Physician Assistant

    Total calculated
    $117,014
    From this org
    $101,020
    From related orgs
    $0
    Other
    $15,994
    Hours/week
    40

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

  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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
Compensation is determined looking at nationwide statistics and compares wages with other non-profit organizations, locally and nationally.

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.

Provenance

Return type
form_990
Tax year
2022
Filed
14 November 2023
IRS schema version
2022v5.0
Source object
202333189349317858

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