Nonprofit · EIN 68-0427383
MCCLOUD HEALTHCARE CLINIC INC
Tax-exempt (reinstated) · MOUNT SHASTA, CA 96067
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| December 31, 2024 | 990 | $6,322,209 | $6,066,595 | $255,614 | $3,246,285 | $3,963,046 | -$716,761 |
| December 31, 2023 | 990 (amended) | $5,891,940 | $5,791,413 | $100,527 | $1,896,423 | $2,868,798 | -$972,375 |
Financial details: 990 for the year ended December 31, 2024
Revenue
- Contributions, gifts and grants
- $1,859,131
- of which government grants
- $1,533,931
- Program service revenue
- $4,463,078
- Investment income
- $0
- Other revenue
- $0
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $717,735
- Other salaries and wages
- $2,632,439
- Salaries, compensation and benefits (total)
- $4,155,845
- Professional fundraising fees
- $0
- Occupancy
- $254,706
- Travel
- $4,904
- Program services (functional)
- $3,713,345
- Management and general (functional)
- $2,353,250
Balance sheet and other
- Total assets, start of year
- $1,896,423
- Total assets, end of year
- $3,246,285
- Total liabilities, end of year
- $3,963,046
- Net assets, end of year
- -$716,761
- Land, buildings and equipment
- $997,285
- Net assets without donor restrictions
- -$716,761
- Gross receipts
- $6,322,209
- Employees
- 40
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended December 31, 2024, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| DR GRADY FORT | COO Officer | 40 | $215,593 |
| NICHOLAS MANTOVANI | DDS | 40 | $186,063 |
| JEFFREY RIDGE | NP | 40 | $165,139 |
| MICHAEL COLLINS | CFO Officer | 40 | $145,703 |
| CLAUDIA AWAMLEH | NP | 40 | $143,636 |
| KENYON BANFIELD | DDS | 40 | $136,322 |
| CALEB OTT | CEO Officer | 40 | $130,500 |
| ALAN COOPER | DC | 30 | $126,755 |
| DALENE SHOOP | COO Officer | 40 | $121,489 |
| RACHAEL LAMB | COO Officer | 40 | $104,450 |
| LYNDA HILLIARD | President Trustee or director | 2 | $0 |
| MARLENE HINES | Vice President Trustee or director | 1 | $0 |
| ANITA MCFALL | Secretary Trustee or director | 1 | $0 |
| MILTON SHRADER | Treasurer Trustee or director | 1 | $0 |
| JENNIFER ROBERTS | Director Trustee or director | 1 | $0 |
5 more people on this return
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| ROBERT HILLIARD | Director Trustee or director | 1 | $0 |
| KAREN KENNEDY | Director Trustee or director | 1 | $0 |
| MICHAEL QUINN | Director Trustee or director | 1 | $0 |
| BARRY STACY | Director Trustee or director | 1 | $0 |
| NANCY BUCK | Director Trustee or director | 1 | $0 |
990 for the year ended December 31, 2023: 21 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| SAM ROHANI | DENTIST | 40 | $263,022 |
| GRADY FORT | PHYSICIAN | 40 | $210,556 |
| JEFFREY RIDGE | NURSE PRACTITIONER | 40 | $159,365 |
| JAKE SEKERES | NURSE PRACTITIONER | 40 | $137,146 |
| CLAUDIA AWAMLEH | NURSE PRACTITIONER | 40 | $135,624 |
| CALEB OTT | CEO Officer | 40 | $121,089 |
| DALENE SHOOP | COO Officer | 40 | $117,021 |
| MICHAEL COLLINS | CFO Officer | 40 | $115,679 |
| CHARLENE FAIRCHILD | Trustee Trustee or director | 1 | $0 |
| LYNDA HILLIARD | President Trustee or director | 1 | $0 |
| MARLENE HINES | Vice President Trustee or director | 1 | $0 |
| ANITA MCFALL | Secretary Trustee or director | 1 | $0 |
| MILTON SHRADER | Treasurer Trustee or director | 1 | $0 |
| JONI VAN WIEREN | Trustee Trustee or director | 1 | $0 |
| ROBERT HILLIARD | Trustee Trustee or director | 1 | $0 |
| KAREN KENNEDY | Trustee Trustee or director | 1 | $0 |
| MICHAEL QUINN SR | Trustee Trustee or director | 1 | $0 |
| JENNIFER ROBERTS | Trustee Trustee or director | 1 | $0 |
| BARRY STACY | Trustee Trustee or director | 1 | $0 |
| GILBERT HAAS | Trustee Trustee or director | 1 | $0 |
| RODNEY SHARP | Trustee Trustee or director | 1 | $0 |
Address and contacts
- Address (IRS master file)
- 824 PINE ST, MOUNT SHASTA, CA 96067-2137
- In care of
- % CALEB OTT CEO
- Signed the 990
- CALEB OTT, CEO
- Return prepared by
- JDT & Associates
California records
California keeps its own records of charities and corporations. Search them by EIN 68-0427383 or by the name MCCLOUD HEALTHCARE CLINIC INC.
- Attorney General, Registry of Charities and Fundraisers
- Registration status and filed reports (CT-TR-1, RRF-1)
- Secretary of State, bizfile Online
- Corporation status, entity number, agent for service
- Franchise Tax Board
- Entity status letter (state tax exemption, good standing)
Mission
WE OFFER ACCESS TO A FULL SCOPE OF HIGH QUALITY EFFICIENT HEALTHCARE FOR EVERYONE WITHOUT REGARD TO THEIR ABILITY TO PAY.
Program accomplishments
- WE SERVED OVER 5,000 UNIQUE PATIENTS IN 2024 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.Expenses $3,713,345
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in December, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | December 31, 2025 | May 15, 2026 | Not on file |
| 2024 | December 31, 2024 | May 15, 2025 | 990 on file |
| 2023 | December 31, 2023 | May 15, 2024 | 990 on file |
IRS record
- EIN
- 68-0427383
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2023
- Accounting year ends
- December
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Health care (E21)
- Assets (IRS master file)
- $3,246,285
- Income (IRS master file)
- $6,322,209
Revocation and reinstatement
- Exemption revoked
- May 15, 2022
- Posted by the IRS
- August 8, 2022
- Reinstated
- Effective May 15, 2022
From the IRS automatic revocation list: organizations that did not file a required return or e-Postcard for three consecutive years.
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | December 2024 | $6,322,209 | $6,066,595 | $3,246,285 | IRS |
| 990 | December 2023 | $5,891,940 | $5,791,413 | $1,896,423 | XML |
| 990 | December 2018 | – | – | – | IRS |
| 990 | December 2017 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 68-0427383).
Questions about MCCLOUD HEALTHCARE CLINIC INC
- What is the EIN of MCCLOUD HEALTHCARE CLINIC INC?
- The employer identification number (EIN) of MCCLOUD HEALTHCARE CLINIC INC is 68-0427383.
- Is MCCLOUD HEALTHCARE CLINIC INC tax-exempt?
- Yes. The IRS revoked its exemption on May 15, 2022 and reinstated it effective May 15, 2022.
- Are donations to MCCLOUD HEALTHCARE CLINIC INC tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does MCCLOUD HEALTHCARE CLINIC INC file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of MCCLOUD HEALTHCARE CLINIC INC due?
- The return for tax year 2025 (the year ending December 31, 2025) is due May 15, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did MCCLOUD HEALTHCARE CLINIC INC last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended December 2024.
- Who are the officers and directors of MCCLOUD HEALTHCARE CLINIC INC?
- The 990 for the year ended December 31, 2024 lists 20 people; 10 received compensation from the organization, the highest $215,593 (DR GRADY FORT, COO).
- How much revenue does MCCLOUD HEALTHCARE CLINIC INC have?
- On its 990 for the year ended December 31, 2024 it reported revenue of $6,322,209, expenses of $6,066,595 and total assets of $3,246,285 at year end.
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