2024-05-13T12:49:11-07:00 2023-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2022-07-01 680259045 MENDOCINO COMMUNITY HEALTH CLINIC INC MEND 7074724511 333 Laws Avenue Ukiah CA 95482 Christie MacVitie CFO 7074724511 2024-01-04 1 Christie MacVitie 999009999 1 Jeremy Ware P00642659 5595495400 2023-12-31 1 11 1 AAL2 2022 2023-04-26 12:10:37Z Rod Grainger 333 Laws Avenue Ukiah CA 95482 55960561 0 X mchcinc.org X 1992 CA 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. 10 10 385 10 0 0 11098449 11360893 35097352 34626328 -1585940 498825 1307012 2621851 45916873 49107897 81507 83838 0 0 26165297 30657477 0 0 0 14117252 16217455 40364056 46958770 5552817 2149127 47857482 49968903 12090008 11620456 35767474 38348447 TO PROVIDE THE HIGHEST QUALITY HEALTHCARE FOR EVERYONE IN OUR COMMUNITIES. 0 0 24706814 83838 27311415 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. 5909069 6545647 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. 2118341 3173569 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. 0 0 0 32734224 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 56 0 1 385 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Lavonna Schrock 7074682219 333 Laws Avenue Ukiah CA 95482 Donna Smith Care for Her Provider 40 0 X 480310 0 28418 Steven Wirth Provider 40 0 X 375135 0 26185 Scott MacFarland CEO 40 0 X 342461 0 7826 Stephen Vance Provider 35 0 X 303356 0 27091 Jeff Wiedenfeld Chief Information Officer 40 0 X 293662 0 5788 Rod Grainger CEO 40 0 X 260291 0 19038 Sarah Alvord Provider 40 0 X 254888 0 18735 Jerry Douglas Chief Medical Officer 40 0 X 251147 0 16733 Christina Lasich Director of Specialty Services 32 0 X 246799 0 16399 Doug Lewis Dental Director 35 0 X 200384 0 24265 Christie MacVitie CFO 40 0 X 26063 0 1593 Jerry Chaney Board Secretary 2 0 X X 0 0 0 Carlos Frausto Director 1 0.0 X 0 0 0 Jackeline Gonzalez Director 1 0 X 0 0 0 Minerva Flores Director 1 0 X 0 0 0 Jeff Adair Director 1.4 0 X 0 0 0 Jacqueline Williams Director 1 0 X 0 0 0 Carre Brown Director 1 0 X 0 0 0 Charles Myers Director 1 0 X 0 0 0 Victoria Kelly Board Vice Chair 1.6 0 X X 0 0 0 John Pavoni Board Chair 2 0 X X 0 0 0 3034496 0 192071 51 1 1 0 Javier Arroyo PO Box 231 Calpella CA 95418 Chiropractic Services 143505 1 0 0 0 0 10904892 456001 478196 11360893 Net patient service revenue 621400 34626328 34626328 0 0 0 0 0 0 34626328 477487 0 0 477487 0 0 0 0 0 0 0 0 72182 0 0 0 72182 0 72182 0 0 72182 6865347 8655 6844009 8655 21338 0 21338 0 0 21338 0 2549669 2549669 0 0 2549669 49107897 37175997 0 571007 83838 83838 1349121 322990 1026131 23967611 17986750 5980861 821990 623001 198989 2698131 1877092 821039 1820624 1281020 539604 60387 60387 69600 69600 2846102 1922821 923281 160129 7757 152372 1367022 732432 634590 2205781 381657 1824124 1425812 723912 701900 123115 94804 28311 196624 126522 70102 1325465 809583 515882 397281 76858 320423 Medical Supplies 5503685 5490284 13401 0 536452 192903 343549 46958770 32734224 14224546 0 8054990 2386870 9915088 6603901 2417146 2854266 3398613 4372419 605243 887341 33079937 13591017 19177977 19488920 2276948 12886748 2011477 488438 47857482 49968903 3568396 4227261 1311925 525985 7209687 6867210 0 0 12090008 11620456 X 35767474 38348447 0 0 35767474 38348447 47857482 49968903 2149127 431846 0 0 0 0 X 0 1 X 1 1 1 X 6708683 7103139 16010931 11098449 11360893 52282095 35447135 32123135 33456856 35097302 34626328 170750756 42155818 39226274 49467787 46195751 45987221 223032851 223032851 2959 38748 28607 188279 477487 736080 2959 38748 28607 188279 477487 736080 42158777 39265022 49496394 46384030 46464708 223768931 0.99671 0.99880 0.00329 0.00120 X 0 1918365 1918365 0 10940097 4729104 6210993 0 13889198 6766813 7122385 0 4182123 1943718 2238405 0 2150154 151382 1998772 19488920 0 X 49539743 431846 0 0 0 431846 49107897 0 0 0 49107897 46958770 0 0 0 0 0 46958770 0 0 0 46958770 Schedule D, Part X, Line 2 The Center has been recognized by the Internal Revenue Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC and California Revenue and Taxation code Sec 23701d. Typically the three preceding tax years remain open and subject to examination by the appropriate government agencies in the United States and California. 1 Mendocino Coast Clinics 205 South Street Fort Bragg CA 95437 680262003 501 c 3 83838 FMV General program support. 1 0 Schedule I, Part I, Line 2 Thru grant monitoring. X X X X 1 0 0 0 0 0 0 0 0 Donna Smith Care for Her Provider 468687 0 10000 0 1623 0 12632 0 15785 0 508727 0 0 0 Steven Wirth Provider 339455 0 10142 0 25538 0 10400 0 15785 0 401320 0 0 0 Stephen Vance Provider 290661 0 9736 0 2959 0 11393 0 15698 0 330447 0 0 0 Jeff Wiedenfeld Chief Information Officer 293027 0 0 0 635 0 5316 0 473 0 299451 0 0 0 Rod Grainger CEO 258189 0 0 0 2102 0 10506 0 8532 0 279329 0 0 0 Sarah Alvord Provider 252824 0 500 0 1564 0 10203 0 8532 0 273623 0 0 0 Christina Lasich Director of Specialty Services 237735 0 8000 0 1064 0 8247 0 8151 0 263197 0 0 0 Doug Lewis Dental Director 188831 0 8428 0 3125 0 4321 0 19943 0 224648 0 0 0 Jerry Douglas Chief Medical Officer 248376 0 500 0 2270 0 7555 0 9177 0 267878 0 0 0 Scott MacFarland CEO 342291 0 0 0 170 0 4783 0 3043 0 350287 0 0 0 Schedule J, Part I, Line 4 CEO, COO, Chief Strategy Officer and CHRO all received severance pay. X 7333 478196 FMV 0 0 1 0 Schedule M, Part I, Line 33 Column B was entered by number of items received. Form 990, Part VI, Section B, Line 11b THE RETURN IS REVIEWED WITH THE CFO AND CEO. A FULL COPY OF THE FORM 990 IS AVAILABLE TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS BRIEFED ON ANY TAX RETURN ISSUES THAT ARISE IN THE PREPARATION OF THE RETURN DURING MEETINGS WITH THE FINANCE COMMITTEE OF THE BOARD. THAT COMMITTEE BRINGS A MOTION TO ACCEPT THE TAX RETURN TO THE FULL BOARD OF DIRECTORS. Form 990, Part VI, Section B, Line 12c ANNUALLY, ALL MEMBERS OF THE BOARD OF DIRECTORS AND THE OFFICERS AND EMPLOYEES OF THE COMPANY FILE A DOCUMENT THAT EITHER DECLARES A POTENTIAL CONFLICT OR STATES THAT NO SUCH CONFLICT EXISTS. THIS IS RENEWED ANNUALLY WITHOUT EXCEPTION. Form 990, Part VI, Section B, Line 15 CEO AND CFO COMPENSATION IS VOTED ON AND REVIEWED ANNUALLY BY THE INDEPENDENT BOARD OF DIRECTORS. THE BOARD UTILIZES COMPARABILITY DATA FROM OTHER LOCAL NONPROFITS AS WELL AS THE CPCA COMPENSATION SURVEY. UNDER THE DIRECTION OF THE CEO, ALL EMPLOYEES ARE REVIEWED ANNUALLY FOR PERFORMANCE BY SUPERVISORS UNDER WHOM THEY WORK. COMPENSATION IS REVIEWED ANNUALLY FOR THE COMPANY AS A WHOLE BASED ON AVAILABILITY OF FUNDS. Form 990, Part VI, Section C, Line 19 Available upon request.