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Nonprofiteer
← MENDOCINO COMMUNITY HEALTH CLINIC INC

Form 990 for tax year 2022

Filed by MENDOCINO COMMUNITY HEALTH CLINIC INC.

Totals

Total revenue
$49,107,897
Total expenses
$46,958,770
Contributions and grants received
$11,360,893
Grants paid
$83,838
Program service revenue
$34,626,328
Investment income
$498,825
Other revenue
$2,621,851
Total assets, end of year
$49,968,903
Total liabilities, end of year
$11,620,456
Net assets or fund balances, end of year
$38,348,447
Program services expenses (Part IX)
$32,734,224
Management and general expenses
$14,224,546
Fundraising expenses
$0
Program service expenses (Part III)
$32,734,224

Program services were 69.7% 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.

  • 1a · Federated campaigns

    $0

  • 1b · Membership dues

    $0

  • 1c · Fundraising events

    $0

  • 1d · Related organizations

    $0

  • 1e · Government grants (contributions)

    $10,904,892

  • 1f · All other contributions, gifts and grants

    $456,001

  • 1g · Noncash contributions included above

    $478,196

  • 2a · Program service revenue: Net patient service revenue

    total $34,626,328 · related or exempt $34,626,328 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $477,487 · related or exempt $0 · unrelated business $0 · excluded $477,487

  • 4 · Income from investment of tax-exempt bond proceeds

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 5 · Royalties

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $72,182 · personal property $0

  • 6b · Less rental expenses

    real property $0 · personal property $0

  • 6c · Rental income or loss

    real property $72,182 · personal property $0

  • 6d · Net rental income or loss

    total $72,182 · related or exempt $0 · unrelated business $0 · excluded $72,182

  • 7a · Gross sales of assets other than inventory

    securities $6,865,347 · other assets $8,655

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

    securities $6,844,009 · other assets $8,655

  • 7c · Gain or loss

    securities $21,338 · other assets $0

  • 7d · Net gain or loss

    total $21,338 · related or exempt $0 · unrelated business $0 · excluded $21,338

  • 8a · Fundraising events: contributions included on line 1c

    $0

  • 11d · All other revenue

    total $2,549,669 · related or exempt $2,549,669 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $2,549,669

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $83,838 · program services $83,838

  • 5 · Compensation of officers, directors and key employees

    total $1,349,121 · program services $322,990 · management and general $1,026,131

  • 7 · Other salaries and wages

    total $23,967,611 · program services $17,986,750 · management and general $5,980,861

  • 8 · Pension plan contributions

    total $821,990 · program services $623,001 · management and general $198,989

  • 9 · Other employee benefits

    total $2,698,131 · program services $1,877,092 · management and general $821,039

  • 10 · Payroll taxes

    total $1,820,624 · program services $1,281,020 · management and general $539,604

  • 11b · Fees: legal

    total $60,387 · management and general $60,387

  • 11c · Fees: accounting

    total $69,600 · management and general $69,600

  • 11g · Fees: other

    total $2,846,102 · program services $1,922,821 · management and general $923,281

  • 12 · Advertising and promotion

    total $160,129 · program services $7,757 · management and general $152,372

  • 13 · Office expenses

    total $1,367,022 · program services $732,432 · management and general $634,590

  • 14 · Information technology

    total $2,205,781 · program services $381,657 · management and general $1,824,124

  • 16 · Occupancy

    total $1,425,812 · program services $723,912 · management and general $701,900

  • 17 · Travel

    total $123,115 · program services $94,804 · management and general $28,311

  • 19 · Conferences, conventions and meetings

    total $196,624 · program services $126,522 · management and general $70,102

  • 22 · Depreciation, depletion and amortization

    total $1,325,465 · program services $809,583 · management and general $515,882

  • 23 · Insurance

    total $397,281 · program services $76,858 · management and general $320,423

  • 24a · Other expenses: Medical Supplies

    total $5,503,685 · program services $5,490,284 · management and general $13,401 · fundraising $0

  • 24e · All other expenses

    total $536,452 · program services $192,903 · management and general $343,549

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $8,054,990 · end of year $2,386,870

  • 2 · Savings and temporary cash investments

    beginning of year $9,915,088 · end of year $6,603,901

  • 3 · Pledges and grants receivable

    beginning of year $2,417,146 · end of year $2,854,266

  • 4 · Accounts receivable

    beginning of year $3,398,613 · end of year $4,372,419

  • 9 · Prepaid expenses and deferred charges

    beginning of year $605,243 · end of year $887,341

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

    $33,079,937

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

    $13,591,017

  • 10c · Land, buildings and equipment, net

    beginning of year $19,177,977 · end of year $19,488,920

  • 11 · Investments: publicly traded securities

    beginning of year $2,276,948 · end of year $12,886,748

  • 15 · Other assets

    beginning of year $2,011,477 · end of year $488,438

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,568,396 · end of year $4,227,261

  • 19 · Deferred revenue

    beginning of year $1,311,925 · end of year $525,985

  • 23 · Secured mortgages and notes payable

    beginning of year $7,209,687 · end of year $6,867,210

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $35,767,474 · end of year $38,348,447

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

Mission and programs · 2022

Mission

TO PROVIDE THE HIGHEST QUALITY HEALTHCARE FOR EVERYONE IN OUR COMMUNITIES.

Activities or mission (Part I)

MENDOCINO COMMUNITY HEALTH CLINIC INC. PROVIDES MEDICAL, DENTAL AND BEHAVIORAL HEALTH SERVICES TO PATIENTS IN MENDOCINO AND LAKE COUNTIES. OUR MISSION: TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO MEMBERS IN OUR COMMUNITIES.

  • MEDICAL CARE: THE COMPANY PROVIDES A VARIETY OF MEDICAL SERVICES, INCLUDING PRIMARY CARE, OBSTETRICAL AND GYNECOLOGICAL SERVICES, PEDIATRICS, INTERNAL MEDICINE, AND SPECIALTY SERVICES. THE COMPANY PROVIDED 74,358 ENCOUNTERS TO PATIENTS AT OUR THREE SERVICE SITES DURING THE FISCAL YEAR ENDED 6-30-2023 AND EMPLOYED 87 MEDICAL EMPLOYEES. PATIENTS ARE ABLE TO PARTICIPATE IN OUR PROGRAMS REGARDLESS OF ABILITY TO PAY FOR SERVICES. THE COMPANY OFFERS SLIDING SCALE PAYMENT OPTIONS FOR THOSE WHO QUALIFY BASED ON THEIR INCOME. THE COMPANY RESPONDS TO OUR COUNTIES' HEALTHCARE NEEDS THROUGH PREVENTIVE STRATEGIES AND TREATMENT OF ILLNESS. WE OFFER CARE TO PATIENTS WITH SPECIAL NEEDS OR BARRIERS TO CARE, INCLUDING THE HOMELESS, ELDERLY, THOSE WITH SUBSTANCE ABUSE DISORDERS, AND PATIENTS WITH HIV.

    Expenses $24,706,814 · Grants $83,838 · Revenue $27,311,415

  • DENTAL CARE: THE COMPANY OFFERS COMPREHENSIVE DENTAL SERVICES TO OUR PATIENTS, INCLUDING EXAMINATIONS, CLEANING AND PERIODONTAL TREATMENT, FILLINGS AND RESTORATIONS, EXTRACTIONS, LIMITED ROOT CANALS, AND DENTURES. SPECIALTY PROGRAMS INCLUDE: TREATMENT FOR PATIENTS WHO ARE PREGNANT, HIV PATIENTS, AND THOSE WITH DEVELOPMENTAL DISABILITIES. THE COMPANY REFERS PATIENTS IN NEED OF ORAL SURGERY TO A NETWORK OF SPECIALISTS IN NORTHERN CALIFORNIA. DENTAL SERVICES ARE OFFERED TO PATIENTS AGES 1 YEAR AND ONWARD. THE COMPANY PROVIDED 25,175 ENCOUNTERS IN THE FISCAL YEAR ENDED 6-30-2023 AND EMPLOYED 38 DENTAL EMPLOYEES.

    Expenses $5,909,069 · Revenue $6,545,647

  • MENTAL HEALTH CARE: THE COMPANY PROVIDES MENTAL HEALTH CARE SERVICES, INCLUDING PRIMARY CARE CONSULTATIONS, COUNSELING, AND PSYCHOTHERAPY. THE COMPANY PROVIDED 14,287 PATIENT ENCOUNTERS DURING THE FISCAL YEAR ENDED 6-30-2023 AND EMPLOYED 10 BEHAVIORAL HEALTH AND PSYCHIATRY EMPLOYEES.

    Expenses $2,118,341 · Revenue $3,173,569

As filed on the 2022 return.

Listed in Part VII

  • Donna Smith

    Care for Her Provider

    Total calculated
    $508,728
    From this org
    $480,310
    From related orgs
    $0
    Other
    $28,418
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $468,687
    Bonus
    $10,000
    Other
    $1,623
    Deferred
    $12,632
    Nontaxable benefits
    $15,785
    Filer's total
    $508,727

  • Steven Wirth

    Provider

    Total calculated
    $401,320
    From this org
    $375,135
    From related orgs
    $0
    Other
    $26,185
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $339,455
    Bonus
    $10,142
    Other
    $25,538
    Deferred
    $10,400
    Nontaxable benefits
    $15,785
    Filer's total
    $401,320

  • Scott MacFarland

    CEO

    Total calculated
    $350,287
    From this org
    $342,461
    From related orgs
    $0
    Other
    $7,826
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $342,291
    Bonus
    $0
    Other
    $170
    Deferred
    $4,783
    Nontaxable benefits
    $3,043
    Filer's total
    $350,287

  • Stephen Vance

    Provider

    Total calculated
    $330,447
    From this org
    $303,356
    From related orgs
    $0
    Other
    $27,091
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $290,661
    Bonus
    $9,736
    Other
    $2,959
    Deferred
    $11,393
    Nontaxable benefits
    $15,698
    Filer's total
    $330,447

  • Jeff Wiedenfeld

    Chief Information Officer

    Total calculated
    $299,450
    From this org
    $293,662
    From related orgs
    $0
    Other
    $5,788
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $293,027
    Bonus
    $0
    Other
    $635
    Deferred
    $5,316
    Nontaxable benefits
    $473
    Filer's total
    $299,451

  • Rod Grainger

    CEO

    Total calculated
    $279,329
    From this org
    $260,291
    From related orgs
    $0
    Other
    $19,038
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $258,189
    Bonus
    $0
    Other
    $2,102
    Deferred
    $10,506
    Nontaxable benefits
    $8,532
    Filer's total
    $279,329

  • Sarah Alvord

    Provider

    Total calculated
    $273,623
    From this org
    $254,888
    From related orgs
    $0
    Other
    $18,735
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $252,824
    Bonus
    $500
    Other
    $1,564
    Deferred
    $10,203
    Nontaxable benefits
    $8,532
    Filer's total
    $273,623

  • Jerry Douglas

    Chief Medical Officer

    Total calculated
    $267,880
    From this org
    $251,147
    From related orgs
    $0
    Other
    $16,733
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $248,376
    Bonus
    $500
    Other
    $2,270
    Deferred
    $7,555
    Nontaxable benefits
    $9,177
    Filer's total
    $267,878

  • Christina Lasich

    Director of Specialty Services

    Total calculated
    $263,198
    From this org
    $246,799
    From related orgs
    $0
    Other
    $16,399
    Hours/week
    32

    Schedule J breakdown matched by us

    Base
    $237,735
    Bonus
    $8,000
    Other
    $1,064
    Deferred
    $8,247
    Nontaxable benefits
    $8,151
    Filer's total
    $263,197

  • Doug Lewis

    Dental Director

    Total calculated
    $224,649
    From this org
    $200,384
    From related orgs
    $0
    Other
    $24,265
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $188,831
    Bonus
    $8,428
    Other
    $3,125
    Deferred
    $4,321
    Nontaxable benefits
    $19,943
    Filer's total
    $224,648

  • Christie MacVitie

    CFO

    Total calculated
    $27,656
    From this org
    $26,063
    From related orgs
    $0
    Other
    $1,593
    Hours/week
    40

  • Jerry Chaney

    Board Secretary

    Total calculated
    $0
    Hours/week
    2

  • Carlos Frausto

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jackeline Gonzalez

    Director

    Total calculated
    $0
    Hours/week
    1

  • Minerva Flores

    Director

    Total calculated
    $0
    Hours/week
    1

  • Jeff Adair

    Director

    Total calculated
    $0
    Hours/week
    1.4

  • Jacqueline Williams

    Director

    Total calculated
    $0
    Hours/week
    1

  • Carre Brown

    Director

    Total calculated
    $0
    Hours/week
    1

  • Charles Myers

    Director

    Total calculated
    $0
    Hours/week
    1

  • Victoria Kelly

    Board Vice Chair

    Total calculated
    $0
    Hours/week
    1.6

  • John Pavoni

    Board Chair

    Total calculated
    $0
    Hours/week
    2

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 committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment

Answered no

  • 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)

Schedule J, Part I, Line 4
CEO, COO, Chief Strategy Officer and CHRO all received severance pay.

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

Provenance

Return type
form_990
Tax year
2022
Filed
4 January 2024
IRS schema version
2022v5.0
Source object
202431349349309218

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