2025-06-19T12:39:05-07:00 2023-12-31 862066657 JDT & Associates 212 E Crossroads Blvd Ste 179 SARATOGA SPRINGS UT 84045 990 2023-01-01 680427383 MCCLOUD HEALTHCARE CLINIC INC MCCL 5309642389 PO BOX 1143 MCCLOUD CA 96057 CALEB OTT CEO 2025-06-19 true true Nathan Doty P01935377 8013882664 2023 2025-03-06 01:10:19Z X CALEB OTT PO BOX 1143 MCCLOUD CA 96057 5891940 false X N/A X 1999 CA WE OFFER ACCESS TO A FULL SCOPE OF HIGH QUALITY EFFIIENT HEALTHCARE FOR EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. 13 13 61 12 0 2142715 2554384 3881338 3337556 0 0 6024053 5891940 0 0 4499068 4047010 0 0 1971901 1744403 6470969 5791413 -446916 100527 1638857 1896423 2711759 2868798 -1072902 -972375 WE ARE A COMPREHENSIVE PRIMARY HEALTHCARE PRACTICE DEDICATED TO BUILDING A HEALTHY COMMUNITY AND IMPROVING THE INDIVIDUAL HEALTH, WELL-BEING, AND QUALIFTY OF LIFE FOR EVERYONE. false false 3554534 WE SERVED OVER 5,000 UNIQUE PATIENTS IN 2022 AND PROVIDED HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF ABILITY TO PAY. THE MCCLOUD CLINIC SERVES A COMMUNITY POPULATION OF 1,850 AND IS CLASSIFIED AS A FRONTIER MEDICAL PROVIDER. WE PROVIDE HIGH QUALITY HEALTHCARE TO EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY. WE PROVIDE BOTH SCHEDULED VISITS AND WALK IN CARE. WE ARE A PREFERRED PROVIDER FOR MEDICAL, MADICARE ADN BLUE CROSS. WE ACCEPT ALL INSURANCE AND PRIVATE PAY PATIENTS. WE OFFER A SLIDING SCALE FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER-INSURED. ON JUNE 6, 2012, THE CLINIC WAS AWARDED THE NEW ACCESS POINT GRANT AND BECAME A 330 FUNDED FEDERALLY QUALIFIED HEALTH CENTER. WE WERE GRANTED FEDERALLY QUALIFIED HEALTH CENTER LOOK ALIKE STATUS IN OCTOBER 2008. IN 2014 WE OPENED THE MCCLOUD DENTAL CENTER MDC, WHICH PROVIDES A WIDE RANGE OF DENTAL SERVICES VIS SCHEDULED AND WALK IN VISITS. THE MDC PROVIDES SLIDING SCALE DENTAL SERVICES FOR INDIVIDUALS WHO ARE UNINSURED OR UNDER-INSURED, AND ACCEPTS DENTI-CAL, AMONG OTHER INSURANCES, AND PRIVATE PAY PATIENTS. 3554534 true true false false false false false false false false true false false true true true true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 15 0 true 61 true false false false false false false false 0 false false false false false false false X 13 13 false false false false false false false true true false false true true true true true true false false false CA X CALEB OTT 5309642389 PO BOX 1143 MCCLOUD CA 96057 SAM ROHANI DENTIST 40.00 0.00 263022 0 0 GRADY FORT PHYSICIAN 40.00 0.00 210556 0 0 JEFFREY RIDGE NURSE PRACTITIONER 40.00 0.00 159365 0 0 JAKE SEKERES NURSE PRACTITIONER 40.00 0.00 137146 0 0 CLAUDIA AWAMLEH NURSE PRACTITIONER 40.00 0.00 135624 0 0 CALEB OTT CEO 40.00 0.00 X 121089 0 0 DALENE SHOOP COO 40.00 0.00 X 117021 0 0 MICHAEL COLLINS CFO 40.00 0.00 X 115679 0 0 CHARLENE FAIRCHILD Trustee 1.00 0.00 X 0 0 0 LYNDA HILLIARD President 1.00 0.00 X 0 0 0 MARLENE HINES Vice President 1.00 0.00 X 0 0 0 ANITA MCFALL Secretary 1.00 0.00 X 0 0 0 MILTON SHRADER Treasurer 1.00 0.00 X 0 0 0 JONI VAN WIEREN Trustee 1.00 0.00 X 0 0 0 ROBERT HILLIARD Trustee 1.00 0.00 X 0 0 0 KAREN KENNEDY Trustee 1.00 0.00 X 0 0 0 MICHAEL QUINN SR Trustee 1.00 0.00 X 0 0 0 JENNIFER ROBERTS Trustee 1.00 0.00 X 0 0 0 BARRY STACY Trustee 1.00 0.00 X 0 0 0 GILBERT HAAS Trustee 1.00 0.00 X 0 0 0 RODNEY SHARP Trustee 1.00 0.00 X 0 0 0 1259502 8 false true false 0 2500344 54040 2554384 OTHER REVENUE 624100 192607 192607 PATIENT SERCIVE REVENUE 624100 3144949 3144949 3337556 0 0 0 0 0 0 0 0 0 5891940 3337556 0 0 0 0 1259502 871864 387638 0 1960010 1356775 603235 0 827498 567995 259503 0 0 0 0 0 0 0 241688 100929 140759 0 2408 1006 1402 0 0 324398 135469 188929 16968 7086 9882 0 0 32819 20048 12771 0 0 21724 9072 12652 PURCHASED SERVICES 557363 232755 324608 SUPPLIES 289624 120947 168677 DEPRECIATION 83501 57962 25539 RECRUITING 66196 27644 38552 107714 44982 62732 5791413 3554534 2236879 0 138732 153280 0 5000 367444 289056 0 0 0 0 0 1895380 622223 912769 1273157 0 0 0 0 219912 175930 1638857 1896423 957410 973076 273229 359935 1481120 1535787 2711759 2868798 X -1072902 -972375 -1072902 -972375 1638857 1896423 100527 X false true X false true true X 1383640 2330979 1707473 2142715 2554384 10119191 0 0 1383640 2330979 1707473 2142715 2554384 10119191 0 10119191 0 0 0 10119191 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1895380 622223 1273157 1273157 RIGHT OF USE ASSET 175930 175930 ESTIMATED THIRD PARTY SETTLEMENTS 1351239 LEASE LIABILITY 184548 1535787 X 5891940 5891940 5891940 5791413 5791413 5791413 Part X : FIN48 Footnote The Organization is exempt from federal and state income taxes under the provisions of Internal Revenue Code Section 501c3 and California Revenue and Taxation Code Section 23701d respectively. The Organization is considered a publicly supported organization. The Financial Accounting Standards Board FASB interpretation No. 48, Accounting for Uncertainty in Income Taxes, subsequently included in the FASB codification as ASC 740 prescribes a recognition threshold and a measurement attribute for financial statement recognition of tax positions taken or expected to be taken on a tax return. Management has considered its tax position and believes that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organization's returns are subject to examination by federal and state taxing authorities, generally for three and four years respectively after they are filed. X X false false false false false false false false false GRADY FORT PHYSICIAN 210556 210556 JEFFREY RIDGE NURSE PRACTITIONER 159365 159365 SAM ROHANI DENTIST 263022 263022 Form 990, Part VI, Section B, Line 11b THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. FORM 990 IS REVIEWED BY FINANCE DEPARTMENT STAFF AND CEO PRIOR TO BOARD PRESENTATION. THE FORM 990 IS FURNISHED TO THE BOARD PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ANNUAL CONFILCT OF INTEREST DISCLOSURE DOCUMENTS ARE REVIEWED BY THE CEO AND COO. TRANSACTIONS WITH RELATED PARTIES WHERE A POTENTIAL CONFLICT OF INTEREST EXISTS OR MAY APPEAR TO EXIST MUST BE CAREFULLY HANDLED. SUCH TRANSACTIONS REQUIRE ANNUAL SELF-DISCLOSURE, AND ARE CONSTANTLY MONITORED BY THE STAFF AND BOARD OF DIRECTORS. ANY DIRECTOR HAVING A CONFLICT OF INTEREST IS NOT ENTITLED TO VOTE ON THE DECISION TO ENTER INTO SUCH TRANSACTION THAT MIGHT PRESENT A CONFLICT OF INTEREST OR RISK TO THE ORGANIZATION. Form 990, Part VI, Section C, Line 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.