Civic Intelligence

Health Mobile

990 • Fiscal year 2021 • EIN 31-1658149

Jul 01, 2020 to Jun 30, 2021 • Filed on Mar 22, 2023

Organization ProfileWWW.TOOTHMOBILE.ORG

Refreshing map…

1659 Scott Blvd Ste 4Santa Clara, CA 95050

(408) 390-5893

Siviq Scores

Scores are not available for this record yet.

Balance Sheet

Assets

Up

$1,245,572

Up $342,676 (+38%) from 2020

Net Assets

Down

$369,705

Down $289,932 (-44%) from 2020

Liabilities

Up

$875,867

Up $632,608 (+260%) from 2020

Revenue And Expenses

Revenue

Down

$487,387

Down $77,793 (-14%) from 2020

Expenses

Up

$777,319

Up $179,803 (+30%) from 2020

Net Income

Down

-$289,932

Down $257,596 (-797%) from 2020

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$1.5M$1.0M$500K$0Assets 2015: $749,605Liabilities 2015: $173,604Net Assets 2015: $576,0012015Assets 2016: $742,688Liabilities 2016: $132,068Net Assets 2016: $610,6202016Assets 2019: $691,973Liabilities 2019: $0Net Assets 2019: $691,9732019Assets 2020: $902,896Liabilities 2020: $243,259Net Assets 2020: $659,6372020Assets 2021: $1,245,572Liabilities 2021: $223,926Net Assets 2021: $1,021,6462021Assets 2021: $1,245,572Liabilities 2021: $875,867Net Assets 2021: $369,7052021Assets 2025: $282,070Liabilities 2025: $273,183Net Assets 2025: $8,8872025

Highlighted filing

2021

Assets$1,245,572
Liabilities$875,867
Net Assets$369,705
Open 2021 Filing

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.5M$1.0M$500K$0-$500KRevenue 2015: $839,425Expenses 2015: $675,036Net Income 2015: $164,3892015Revenue 2016: $556,952Expenses 2016: $522,333Net Income 2016: $34,6192016Revenue 2019: $511,028Expenses 2019: $548,439Net Income 2019: -$37,4112019Revenue 2020: $565,180Expenses 2020: $597,516Net Income 2020: -$32,3362020Revenue 2021: $1,139,329Expenses 2021: $777,320Net Income 2021: $362,0092021Revenue 2021: $487,387Expenses 2021: $777,319Net Income 2021: -$289,9322021Revenue 2025: $343,009Expenses 2025: $363,688Net Income 2025: -$20,6792025

Highlighted filing

2021

Revenue$487,387
Expenses$777,319
Net Income-$289,932
Open 2021 Filing
Jump To
Filing Snapshot
Filing Period
Jul 1, 2020 to Jun 30, 2021
Signed
Mar 22, 2023
Return Version
2020v4.1
Gross Receipts
$487,387
Mission and Program Overview

Mission

Health mobile is a mobile medical and dental care provider for low-income children and families and provides coprehensive medical and dental care at school sites and community centers

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$441,181$749,487▲ $308,306
Land, Buildings, and Equipment, Net$394,317$476,687▲ $82,370
Accounts Receivable$65,500$17,500▼ $48,000
Prepaid Expenses and Deferred Charges$1,898$1,898→ $0
Total Assets$902,896$1,245,572▲ $342,676
Liabilities
Unsecured Notes Loans Payable$243,259$875,867▲ $632,608
Total Liabilities$243,259$875,867▲ $632,608
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$659,637$369,705▼ $289,932
Total Net Assets Fund Balance$659,637$369,705▼ $289,932
Total Liabilities and Net Assets / Fund Balance$902,896$1,245,572▲ $342,676

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$380,930$1,358,532-
Equipment$95,757$50,516-
Compensation and Service Providers

Board Members and Trustees

NameTitle
3ali MehranfarChairman
4dr Ardy SalemBoard Member
5 Ahmad Delshad-nikBoard Member
6reza DamabehBoard Member
7mehrdad ElieBorad Member
1alireza ParhizkariChief Executive Officer
2mike RezaChief Operating Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$376,459
Program Service Revenue
$110,928
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-289,932
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$532,228
Salaries, Compensation, and Employee Benefits$245,091
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Fees for Services Other$322,661--$322,661
Current Officers, Directors, Trustees, and Key Employees$135,800--$135,800
Comp Disqual Persons$91,268--$91,268
Insurance$52,799--$52,799
Depreciation Depletion$50,516--$50,516
Occupancy$40,000--$40,000
Payroll Taxes$18,023--$18,023
Office Expenses$13,371--$13,371
Interest$3,395--$3,395
Other Expenses$3,068--$3,068
Fees for Services Accounting$1,550--$1,550
Travel$910--$910
All Other Expenses$74--$74
Total Functional Expenses$777,319$0$0$777,319
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990 governing body review Part VI line 11

“As a tradition, a copy of the tax returns is provided to the governing body for review”

Conflict of interest policy compliance Part VI line 12C

“The governing boday reviews all potential confilicts of interest at least annually. All personnel and board members are required to disclose potential confilicts and any related party affiliations. Loans between the organization and members of the management and the board are strictly prohibited. The organization seeks full transparancy on all relationships.”

CEO executive director top management comp Part VI line 15A

“The board of directors reviews the compensation of all level personnel annually in accordance with the irs regulations. Every effort is made to ensure that the process is thorough and transparant in accordance with irs guidlines and the organizations policies and procedures”

Other officer or key employee compensation Part VI line 15B

“The board of directors reviews the compensation of all level personnel annually in accordance with the irs regulations. Every effort is made to ensure that the process is thorough and transparant in accordance with irs guidlines and the organizations policies and procedures”

Governing documents etc available to public Part VI line 19

“All of the organizations governing documents, financial statements and other legal filings are maitained in secure environment and held available for inspection by tax authorities and general public in santa clara, california”

Filing and Contact Details

Filer

Filer Name
Health Mobile
EIN
31-1658149
Address
1659 SCOTT BLVD STE 4, Santa Clara, CA 95050

Signing Officer

Name
Michael Reza
Title
COO
Phone
4083905893
Signed
2023-03-22
Discuss with paid preparer
Yes

Organization Details

Formed
2004
Legal Domicile
CA
Voting Board Members
5
Independent Board Members
5
Employees
5

Preparer

Firm
Mehdi Djamshidi Ea
Address
5434 ZELZAH AVE STE 217, Encino, CA 91316
Preparer
Mehdi Djamshidi
Phone
3105673526
Supplemental Narrative

Additional Explanations

Amended return information

“There has been some prepayment received which affected the balance sheet and statement of activities”

List of other fees for services expenses Part IX line 11G

“Outside service providers:program service expenses 287,869management and general expenses 31,985total 319,854payroll services: 2,526management and general expenses 281total 2,807g.total 322,661”

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1AS A TRADITION, A COPY OF THE TAX RETURNS IS PROVIDED TO THE GOVERNING BODY FOR REVIEW
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2THE GOVERNING BODAY REVIEWS ALL POTENTIAL CONFILICTS OF INTEREST AT LEAST ANNUALLY. ALL PERSONNEL AND BOARD MEMBERS ARE REQUIRED TO DISCLOSE POTENTIAL CONFILICTS AND ANY RELATED PARTY AFFILIATIONS. LOANS BETWEEN THE ORGANIZATION AND MEMBERS OF THE MANAGEMENT AND THE BOARD ARE STRICTLY PROHIBITED. THE ORGANIZATION SEEKS FULL TRANSPARANCY ON ALL RELATIONSHIPS.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF ALL LEVEL PERSONNEL ANNUALLY IN ACCORDANCE WITH THE IRS REGULATIONS. EVERY EFFORT IS MADE TO ENSURE THAT THE PROCESS IS THOROUGH AND TRANSPARANT IN ACCORDANCE WITH IRS GUIDLINES AND THE ORGANIZATIONS POLICIES AND PROCEDURES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4THE BOARD OF DIRECTORS REVIEWS THE COMPENSATION OF ALL LEVEL PERSONNEL ANNUALLY IN ACCORDANCE WITH THE IRS REGULATIONS. EVERY EFFORT IS MADE TO ENSURE THAT THE PROCESS IS THOROUGH AND TRANSPARANT IN ACCORDANCE WITH IRS GUIDLINES AND THE ORGANIZATIONS POLICIES AND PROCEDURES
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5ALL OF THE ORGANIZATIONS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND OTHER LEGAL FILINGS ARE MAITAINED IN SECURE ENVIRONMENT AND HELD AVAILABLE FOR INSPECTION BY TAX AUTHORITIES AND GENERAL PUBLIC IN SANTA CLARA, CALIFORNIA
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6OUTSIDE SERVICE PROVIDERS:PROGRAM SERVICE EXPENSES 287,869MANAGEMENT AND GENERAL EXPENSES 31,985TOTAL 319,854PAYROLL SERVICES: 2,526MANAGEMENT AND GENERAL EXPENSES 281TOTAL 2,807G.TOTAL 322,661
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Amended return information
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990 governing body review Part VI line 11
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Conflict of interest policy compliance Part VI line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3CEO executive director top management comp Part VI line 15a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Other officer or key employee compensation Part VI line 15b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Governing documents etc available to public Part VI line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6List of other fees for services expenses Part IX line 11g
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ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
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ReturnHeader/BuildTS02023-04-26 12:10:37Z
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ReturnHeader/BusinessOfficerGrp/PersonNm0MICHAEL REZA
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0COO
ReturnHeader/BusinessOfficerGrp/PhoneNum04083905893
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-03-22
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0HEALTH MOBILE
ReturnHeader/Filer/BusinessNameControlTxt0HEAL
ReturnHeader/Filer/EIN0311658149
ReturnHeader/Filer/USAddress/AddressLine1Txt01659 SCOTT BLVD STE 4
ReturnHeader/Filer/USAddress/CityNm0Santa Clara
ReturnHeader/Filer/USAddress/StateAbbreviationCd0CA
ReturnHeader/Filer/USAddress/ZIPCd095050
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine1Txt0MEHDI DJAMSHIDI EA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine1Txt05434 ZELZAH AVE STE 217
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/CityNm0Encino
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/StateAbbreviationCd0CA
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCd091316
ReturnHeader/PreparerPersonGrp/PhoneNum03105673526
ReturnHeader/PreparerPersonGrp/PreparationDt02023-05-04
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0MEHDI DJAMSHIDI
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ReturnHeader/ReturnTs02023-05-04T12:31:40-04:00
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ReturnHeader/SigningOfficerGrp/PersonFullName/PersonFirstNm0MICHAEL
ReturnHeader/SigningOfficerGrp/PersonFullName/PersonLastNm0REZA
ReturnHeader/TaxPeriodBeginDt02020-07-01
ReturnHeader/TaxPeriodEndDt02021-06-30
ReturnHeader/TaxYr02020

Document Assets

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Filings

Displayed year

2021 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$1,245,572
Liabilities
$875,867
Net assets
$369,705
Revenue
$487,387
Expenses
$777,319
Net income
-$289,932
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2025Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.28$0.27$0.01$0.34$0.36$0.02
2021Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.25$0.22$1.02$1.14$0.78$0.36
2021Detailed filing. Detailed filing data is available for this year.$1.25$0.88$0.37$0.49$0.78$0.29
2020XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.90$0.24$0.66$0.57$0.60$0.03
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.69$0.00$0.69$0.51$0.55$0.04
2016XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$0.74$0.13$0.61$0.56$0.52$0.03
2015Detailed filing. Detailed filing data is available for this year.$0.75$0.17$0.58$0.84$0.68$0.16