2025-05-02T16:30:56-05:00 2024-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2023-07-01 942191935 EAST VALLEY COMMUNITY CLINIC INC EAST 4087953600 1691 THE ALAMEDA SAN JOSE CA 95126 STACY CROSS EXECUTIVE DIRECTOR 4082747100 2025-04-28 1 0 MICHAEL LUMSDEN P01262236 4159561500 2025-04-28 2023 2025-03-06 01:10:19Z X MAR MONTE COMMUNITY CLINIC STACY CROSS 1691 THE ALAMEDA SAN JOSE CA 95126 1668281 0 X N/A X 1973 CA TO PROVIDE HEALTH CARE AND EDUCATION TO INDIVIDUALS AND FAMILIES IN EAST SAN JOSE. 4 3 18 4 0 0 46034 5156 627407 1608852 0 0 23447 54273 696888 1668281 0 0 0 0 1533623 956185 0 0 0 1001583 707834 2535206 1664019 -1838318 4262 2208240 1776362 473362 22903 1734878 1753459 TO PROVIDE HEALTH CARE AND EDUCATION TO INDIVIDUALS AND FAMILIES IN EAST SAN JOSE. 0 0 1612235 0 1608852 EVCC PATIENT SERVICES - THE PRIMARY CARE CLINIC AND THE PEDIATRIC CARE CLINIC OFFER DIAGNOSIS AND TREATMENT OF ACUTE AND CHRONIC ILLNESSES, PREVENTIVE HEALTH CARE, AND SCREENINGS FOR MEDICAL CONDITIONS SUCH AS DIABETES, HIGH BLOOD PRESSURE AND RENAL DISEASE. THE SEXUAL AND REPRODUCTIVE HEALTH PROGRAM PROVIDES ANNUAL PREVENTIVE VISITS; CANCER SCREENING & TREATMENTS; BIRTH CONTROL AND REPRODUCTIVE HEALTH CARE; SEXUALLY TRANSMITTED INFECTION TESTING AND TREATMENT; PREGNANCY TESTING AND COUNSELING; HIV TESTING & COUNSELING; MENOPAUSAL SERVICES; GENDER AFFIRMING CARE SERVICES; EMERGENCY CONTRACEPTION; AND MEDICAL ABORTIONS. 1612235 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 4 0 1 18 1 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X JOANNE PARISE 4087953715 1691 THE ALAMEDA SAN JOSE CA 95126 ELIZABETH DAVILA CHAIR 1.00 0.00 X X 0 0 0 JOAN GALLO SECRETARY 1.00 0.00 X X 0 0 0 STACY CROSS BOARD MEMBER / EXECUTIVE DIRECTOR 5.00 40.00 X X 0 644241 64606 TANUJA BAHAL BOARD MEMBER 1.00 0.00 X 0 0 0 THOMAS MOTSIFF CHIEF ADMIN & FINANCIAL OFFICER 5.00 40.00 X 0 466131 30663 ANH PHAM CLINICIAN 40.00 0.00 X 154582 0 16883 TERESA ROBBINS MD SUPERVISING PHYSICIAN THRU 12/2023 32.00 0.00 X 186597 0 7482 CHRISTINE SO CLINICIAN 40.00 0.00 X 139441 0 14686 480620 1110372 134320 3 0 1 0 0 5156 5156 NET PATIENT SERVICE REVENUE 624100 1608852 1608852 1608852 MISCELLANEOUS REVENUE 900099 54273 54273 54273 1668281 1608852 0 54273 X 867640 867640 30168 30168 347 347 58030 58030 37465 37465 175588 161269 14319 106 106 3350 3350 183079 183079 247 247 4358 4358 122 122 10366 10366 21364 21364 MEDICAL SUPPLIES 216118 216118 EQUIP RENTAL & MAINT 18809 18809 SALES TAX 960 960 FOOD & BEVERAGE 412 412 35490 35490 1664019 1612235 51784 0 1342441 1677155 532978 98907 32068 0 8551 0 0 0 45408 0 246794 300 2208240 1776362 267552 22903 205810 0 473362 22903 X 1734878 1753459 1734878 1753459 2208240 1776362 X 4262 14319 X 0 1 X 1 0 X 675625 615092 316625 46034 5156 1658532 675625 615092 316625 46034 5156 1658532 1658532 59563 170488 1005 23447 54273 308776 1967308 9107890 0.84300 0.85510 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2019 AMOUNT: $ 59,563. 2020 AMOUNT: $ 170,488. 2021 AMOUNT: $ 1,005. 2022 AMOUNT: $ 23,447. 2023 AMOUNT: $ 54,273. 0 X 1682600 14319 14319 1668281 0 1668281 1664019 0 1664019 0 1664019 PART X, LINE 2: EVCC IS A NONPROFIT CORPORATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND HAS BEEN GRANTED TAX-EXEMPT STATUS BY THE INTERNAL REVENUE SERVICE AND THE CALIFORNIA REVENUE AND TAXATION CODE. AS OF JUNE 30, 2024 AND 2023, EVCC HAD NO UNRECOGNIZED TAX POSITIONS OR UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THEREFORE, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET GAIN ON TRANSFER OF ASSETS AND LIABILITIES TO AFFILIATE 14,319. 0 0 0 0 0 0 0 0 0 STACY CROSS BOARD MEMBER / EXECUTIVE DIRECTOR 0 600015 0 44226 0 0 0 55500 0 9106 0 708847 0 0 THOMAS MOTSIFF CHIEF ADMIN & FINANCIAL OFFICER 0 459599 0 6532 0 0 0 16500 0 14163 0 496794 0 0 TERESA ROBBINS MD SUPERVISING PHYSICIAN THRU 12/2023 165070 0 398 0 21129 0 7482 0 0 0 194079 0 0 0 ANH PHAM CLINICIAN 154184 0 398 0 0 0 7777 0 9106 0 171465 0 0 0 CHRISTINE SO CLINICIAN 139043 0 398 0 0 0 5580 0 9106 0 154127 0 0 0 PART I, LINE 3 THE ORGANIZATION'S EXECUTIVE DIRECTOR IS COMPENSATED BY PLANNED PARENTHOOD MAR MONTE, INC., A RELATED ORGANIZATION. PLANNED PARENTHOOD MAR MONTE, INC. UTILIZES THE FOLLOWING METHODS TO DETERMINE COMPENSATION OF THE EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE; INDEPENDENT COMPENSATION CONSULTANT; COMPENSATION SURVEY OR STUDY; AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. FORM 990, PART VI, SECTION A, LINE 6 EVCC HAS ONE SOLE CORPORATE MEMBER: PLANNED PARENTHOOD MAR MONTE, INC. FORM 990, PART VI, SECTION A, LINE 7A PLANNED PARENTHOOD MAR MONTE, INC. HAS THE POWER TO APPOINT ALL MEMBERS OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS THEN REVIEWED BY THE EXECUTIVE DIRECTOR, CHIEF ADMINISTRATIVE AND FINANCIAL OFFICER, AND CONTROLLER OF PLANNED PARENTHOOD MAR MONTE, INC.; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY WHICH COVERS ALL BOARD MEMBERS, OFFICERS, AND KEY EMPLOYEES ("INTERESTED PERSONS"). UNDER THE CONFLICT OF INTEREST POLICY, EACH INTERESTED PERSON SHALL ANNUALLY SIGN A STATEMENT THAT: (A) THE PERSON HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTOOD IT, AND HAS AGREED TO COMPLY WITH IT; AND (B) IF REQUIRED, DISCLOSES THE PERSON'S FINANCIAL INTERESTS AND FAMILY RELATIONSHIPS THAT COULD GIVE RISE TO ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. IN ADDITION, AN INTERESTED PERSON HAS AN ONGOING OBLIGATION TO PROMPTLY DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST GIVING RISE TO THE POTENTIAL CONFLICT OF INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE COMPLIANCE, QUALITY, AND RISK MANAGEMENT OVERSIGHT COMMITTEE ("CQRM OVERSIGHT COMMITTEE") OR, IN THE CASE OF A DIRECTOR, TO THE BOARD OF DIRECTORS, WHO WILL ASSESS THE POTENTIAL FOR CONFLICTS OF INTEREST ON BEHALF OF PPMM. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE DISINTERESTED MEMBERS OF THE BOARD OR CQRM OVERSIGHT COMMITTEE SHALL DECIDE: (I) WHETHER A CONFLICT OF INTEREST EXISTS AND, IF SO, (II) WHETHER TO ENTER INTO THE TRANSACTION. THE INTERESTED PERSONS SHALL NOT BE PRESENT DURING THE BOARD OR CQRM OVERSIGHT COMMITTEE'S FINAL DELIBERATIONS AND SHALL NOT VOTE ON ANY DECISIONS REGARDING THE MATTER. THE PROCEEDINGS ARE RECORDED WITHIN THE BOARD OR CQRM OVERSIGHT COMMITTEE MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE DIRECTOR AND CHIEF ADMINISTRATIVE AND FINANCIAL OFFICER ARE BOTH COMPENSATED BY PLANNED PARENTHOOD MAR MONTE, INC., A RELATED ORGANIZATION. ACCORDINGLY, FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAVE BEEN ANSWERED "NO" IN ACCORDANCE WITH THE FORM 990 INSTRUCTIONS. PLEASE REFER TO THE PLANNED PARENTHOOD MAR MONTE, INC. FORM 990 FOR A DISCUSSION ON HOW COMPENSATION IS DETERMINED FOR THESE INDIVIDUALS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 103,069. MANAGEMENT AND GENERAL EXPENSES 14,319. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 117,388. OUTSIDE LAB FEES: PROGRAM SERVICE EXPENSES 58,200. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 58,200. FORM 990, PART XI, LINE 9: NET GAIN ON TRANSFER OF ASSETS AND LIABILITIES TO AFFILIATE 14,319. PLANNED PARENTHOOD MAR MONTE INC 1691 THE ALAMEDA SAN JOSE CA 95126 941583439 TO PROVIDE HEALTH CARE AND EDUCATION, AND EXPAND RIGHTS AND ACCESS FOR ALL CA 501(C)(3) LINE 7 N/A 0 PLANNED PARENTHOOD ADVOCATES MAR MONTE INC 1691 THE ALAMEDA SAN JOSE CA 95126 770261817 ADVOCACY, EDUCATION, AND POLITICAL SUPPORT FOR REPRODUCTIVE HEALTH CARE CA 501(C)(4) PLANNED PARENTHOOD MAR MONTE INC 0 WE VOTE - NOSOTROS VOTAMOS POLITICAL ACTION COMMITTEE 1691 THE ALAMEDA SAN JOSE CA 95126 460772665 TO ELECT OFFICIALS ADVOCATING FOR ACCESS TO QUALITY REPRODUCTIVE HEALTH CARE CA 527 PPAMM 0 0 0 0 1 1 0 0 0 1 0 0 1 1 0 1 1 1 1 0