2024-10-24T04:10:09-07:00 2023-12-31 472718509 JWT & Associates LLP 1111 East Herndon Avenue Suite 211 Fresno CA 93720 990 2023-01-01 571195947 Harmony Health Medical Clinic and Family Resource Center HARM 5307436888 1908 North Beale Road Ste E Marysville CA 95901 Rachel Farrell PA CEO 2024-10-24 true true Inger Sullenger CPA P01464277 5413636707 X 2023 2024-10-15 13:58:12Z Rachel Farrell 1908 North Beale Road Ste E Marysville CA 95901 9393960 false X www.myharmonyhealth.org X 2004 CA To serve as a community centered provider of services to improve health, education, and economic opportunities for individuals and families. 9 9 92 9 0 2037790 3414592 5372111 5760789 2436 164353 45659 54226 7457996 9393960 10215 8636 0 5136707 5993753 0 0 2007291 2593062 7154213 8595451 303783 798509 7138358 7969240 1620137 1652510 5518221 6316730 To serve as a community centered provider of services to improve health, education, and economic opportunities for individuals and families. false false 4528082 8636 5815015 Our accomplishments in 2023 exceeded expectations. We implemented Epic, our new electronic health records platform. Due to the steep learning curve, patient visits were reduced but we now expect to ramp them back up. Per our UDS in 2023 we had 3,774 unique patients and a total of 22,348 patient visits, while increasing staff from 59 to 92 employees. We served 118 Medication Assisted Treatment patients, partnering with Adventist/Rideout Hospitals Bridge Program and created an MOU with Sutter Yuba Behavioral Health for them to refer patients with Alcohol Use Disorder to us to administer Vivitrol. We opened a satellite clinic in August after we were approached by members of the Wheatland Community to open a satellite site to provide primary and behavioral health services. We remodeled the laundromat into an administrative space with cubicles, new flooring, paint and lighting. We developed partnerships with Yuba College, Wheatland High School and Camptonville Community Partnership. We entered into a contract with UC Davis FNP/PA residency program, where we pay a portion of the salary for a provider who lacks confidence to begin work by assisting them in learning the skills required to eventually follow a full panel of patients. Our first resident just completed the program and accepted a position with us. We developed infrastructure, promoting strong potential leaders as site supervisors for each clinic, adding a level of oversight to front and back-office leads. We then began to assist them to develop leadership skills with trainings sponsored by our consortium. We held a very successful board retreat and added a new board member. Our CEO continued to serve as International Chair of Marysville Rotary Club (past Chair), as well as a board member of our consortium (Central Valley Health Network) and continued to serve on CVHNs Financial Committee. 4528082 true true false false false false false false false false true false false true false false true false false false false false false false false false false false false true false false false true false false false false false false false false false false false false false true 29 0 true 92 true false false false false false false false 0 false false false false false false false X 9 9 true false false false false false false true true false false true true true true true true true true false CA X Jennifer Hunter 5307436888 1908 North Beale Road Ste E Marysville CA 95901 X Rachel Farrell CEO 32.00 0.00 X 247734 0 18884 Craig Rhoades CMO/PA 40.00 0.00 X 224238 0 9501 Nick Sigala COO 40.00 0.00 X 191171 0 7665 Jennifer Hunter CFO 40.00 0.00 X 169654 0 16746 Veronica Moffitt Physician Asst 40.00 0.00 156697 0 9491 Travis Graham Acupuncturist 40.00 0.00 149309 0 8825 Ramanjot Purewal PA-C 32.00 0.00 133757 0 12999 Fonda Shaw Nurse Midwife 32.00 0.00 130782 0 5249 Kristopher Van Oeveren Chiropractor 30.00 0.00 122023 0 2301 Jing Zhao CMO Prt Yr/Phys 40.00 0.00 X 111842 0 8077 Erika Parra Director 2.00 0.00 X 0 0 0 Michelle Costello Treasurer 2.00 0.00 X 0 0 0 Wendell Peters Chair 2.00 0.00 X 0 0 0 Rinki Rasi Director 2.00 0.00 X 0 0 0 William Callahan Vice Chair 2.00 0.00 X 0 0 0 Jeremy Brown Secretary 2.00 0.00 X 0 0 0 Sandy Ross Director 2.00 0.00 X 0 0 0 Michelle Gracier Director 2.00 0.00 X 0 0 0 John Vodonick Director 2.00 0.00 X 0 0 0 1637207 99738 12 false true false Boles Cleaning Services 703 Evergreen Dr A Wheatland CA 95692 Janitorial 150137 1 X 3169253 245339 3414592 Patient Service Revenue 621400 5760789 5760789 5760789 164353 164353 0 0 1563 1563 1563 1563 0 0 0 0 Other Operating 621400 52663 52663 52663 9393960 5815015 164353 X 6136 6136 2500 2500 0 0 1005512 529704 475808 0 4988241 2627804 2360437 0 0 0 61845 32580 29265 0 25802 13592 12210 0 0 0 277861 146376 131485 0 53468 28167 25301 261479 137747 123732 0 339546 178873 160673 0 0 0 47289 24912 22377 0 246546 129880 116666 119089 62736 56353 Supplies 646073 340351 305722 Purch Svcs & Maintenance 219141 115443 103698 Professional Develop & Travel 100741 53070 47671 Bank Fees and Misc Expense 99478 48321 51157 94704 49890 44814 8595451 4528082 4067369 0 375595 348969 2630856 2765715 154105 36999 320212 418470 0 0 0 24935 26735 32072 62363 4178821 785190 2800428 3393631 0 0 0 0 800155 916358 7138358 7969240 480103 561236 40000 20000 1100034 1071274 1620137 1652510 X 5518221 6316730 5518221 6316730 7138358 7969240 798509 X false true X true true true X 1325217 1701498 2602729 2037790 3414592 11081826 0 0 1325217 1701498 2602729 2037790 3414592 11081826 0 11081826 0 0 -4474 -4474 11077352 28399156 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 657352 657352 1192921 140722 1052199 1135586 114438 1021148 1166817 519353 647464 26145 10677 15468 3393631 Construction in Progress 76061 Estimated Third Party Payor Receivable 670247 Other receivables 170050 916358 9393960 9393960 9393960 8595451 8595451 8595451 true X X false false false false false false false false false Craig Rhoades CMO/PA 204646 19592 9501 233739 Jennifer Hunter CFO 142889 26765 7255 9491 186400 5870 Nick Sigala COO 165451 25720 7647 18 198836 6164 Rachel Farrell CEO 187034 40700 20000 9157 9727 266618 7558 Travis Graham Acupuncturist 149309 8825 158134 Veronica Moffitt Physician Asst 144422 12275 9491 166188 Part III, Additional Information The Board of directors has final approval and determination of the reasonableness of compensation based on the consideration of compensation received at comparable sized organizations. The organization does follow a written policy for payment, provision, and reimbursement. Rachel Farrell CEO Officer Purchase of PA Corp X 200000 20000 false true true 20000 Schedule L, Part V Supplemental Information Loan: In September 2014, Harmony Health Medical Clinic (the Clinic) merged with Harmony Health Family Resource Center and the two entities began operating as Harmony Health Medical Clinic and Family Resource Center (the Center). Rachel Farrell, owner of the management company who managed the Clinic (the Clinic was owned by Roger Hicks, MD), was hired as the Chief Executive Officer (CEO) of the Center. As a part of this merger, the Center agreed to pay the CEO $200,000 plus assume much of the minor debt borrowings (now repaid). In exchange, the Center gained the right to the various healthcare and social services previously performed by the Clinic. The balance on this note as of year end, is $20,000, with $20,000 due annually until paid in full.Business transactions: The Center formerly leased all of their facility space from Farrell Social Enterprise (FSE), owned by the CEO of the Center. This former lease agreement expired on 12/31/21. Effective April, 2021, the Center purchased the leased building and adjacent properties from FSE for $1,515,800. Form 990, Part VI, Section A, Line 1a The Board has delegated authority to the Finance and Audit committee to: 1) Oversee that adequate and correct financial records are maintained of corporate accounts, properties and transactions; 2) Review the financial statements prepared by the Chief Financial Officer; 3) Approve the annual financial audit; 4) Set policies relating to the management of funds; 5) Provide oversight to the functions of the Chief Financial Officer; 6) Report to the Board of Directors any matter of significance relating to profitability, financial condition or maintenance of the financial records of the corporation; 7) Human resources oversight (a) Employee benefits/insurance coverage; and 8)Recommend selection of auditors to the Board of Directors. Form 990, Part VI, Section A, Line 2 Loan: In September 2014, Harmony Health Medical Clinic (the Clinic) merged with Harmony Health Family Resource Center and the two entities began operating as Harmony Health Medical Clinic and Family Resource Center (the Center). Rachel Farrell, who owned the managment company who managed the Clinic (the Clinic was owned by Roger Hicks, MD), was hired as the Chief Executive Officer (CEO) of the Center. As a part of this merger, the Center agreed to pay the CEO $200,000 plus assume much of the minor debt borrowings. In exchange, the Center gained the right to the various healthcare and social services previously performed by the Clinic. The balance on this note as of year end is $40,000,with $20,000 due in 2023 and $20,000 due in 2024. In the past, the Center had leased all their facility space from Farrell Social Enterprise (FSE) which was owned by the CEO. The Center had a lease agreement in place with FSE which expired on December 31, 2021. Effective April, 2021, the Centerpurchased this building for approximately $1.25 million. In addition, the Center purchased another CEO-owned property for $295,800 during the 2021 year. Due to the Center's purchase of the buidling in 2021, there is no lease expense for 2022. Form 990, Part VI, Section B, Line 11b The 990 is routinely reviewed by the CEO and CFO, however it may not occur before filing in every instance. Form 990, Part VI, Section B, Line 12c The officers and directors are to disclose any possible conflict of interest at Board Meetings, excuse themselves from the converstation, and refrain from voting on conflict issues. Conflicts are reviewed and documented annually during a board meeting. Form 990, Part VI, Section B, Line 15a The CPCA releases industy wages for FQHC clinics based on: size, employees and patients served and a salary range is given for the BOD to approve. These CPCA surveys are used for compensation guidelines. Form 990, Part VI, Section B, Line 15b The CPCA releases industy wages for FQHC clinics based on: size, employees and patients served and a salary range is given for the BOD to approve. These CPCA surveys are used for compensation guidelines. Form 990, Part VI, Section C, Line 19 Disclosure of governing documents, and other financial statements and policies are made upon request. Form 990, Part IX, Column D The organization did not categorize any expense as "Fundraising" during the year as it did not and doesn't typically conduct significant traditional fundraising in the form of special events, etc; Special events are minor and immaterial and not always carried on. Grants that the center receives are considered to be Program in nature, and are used for program activities which generate Program expenses. Grant writing services have been used in the past, but were not utilized in this calendar year. Form 990, Part IX, Line 1 The Center gave small donations to many charitable and community organizations to support community food banks, education, and other general support of community causes. During the year, the aggregate amount given to all such organizations totaled $6,136. Form 990, Part IX, Line 2 Harmony Health Medical Clinic and Family Resource Center (Harmony Health) will offer an Employee Tuition Assistance Program (ETAP). The funds may be used for continuing education through an accredited registered nurse (RN), licensed vocational nurse (LVN), medical assistant(MA), or certified nurse assistant (CNA) program that either offers growth in an area related to his or her current position or supports the professional growth of the employee and the needs ofthe organization. During the year, 2 recipients met the qualifications and received a collective total of $2500 in assistance. Form 990, Part VIII, Line 1e Government grants received were a combination of Employee Retention Credits of $1,534,719, American Rescue Plan Act $110,323, County of Placer grant $3753, and HHS Stimulus/CARES Act Relief Grants of $1,520,458.