Civic Intelligence

North County Health Project Inc

EIN 95-2847102 • 501(c)3 • San Marcos, CA

View Organization Page

Profile

TrueCare's mission is to improve the health status of our diverse communities by providing quality health care that is comprehensive, affordable and culturally sensitive. In 2023 TrueCare provided 342,762 visits; 295,138 in person and 47,624 virtual, serving 64,497 patients.

150 Valpreda RoadSan Marcos, CA 92069

www.truecare.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

59th percentile

0.35x

Higher debt load relative to assets than 59% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Liabilities / Revenue

42nd percentile

0.31x

Higher debt load relative to revenue than 42% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Net Margin

59th percentile

7.9%

Higher net margin than 59% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Top Officer Pay

69th percentile

$729,864

Higher top officer pay than 69% of similar nonprofits.

Top officer pay equals 0.6% of source-year revenue.

501(c)3 • $100M-$250M nonprofits • Source year 2024

Asset Growth

85th percentile

19%

Faster asset growth than 85% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Revenue Growth

69th percentile

17%

Faster revenue growth than 69% of similar nonprofits.

501(c)3 • $100M-$250M nonprofits • Annualized from 2023 to 2024

Balance Sheet
Liabilities / Assets59th percentile

Assets

Up

$115,984,241

Up $18,683,800 (+19%) from 2023

Liabilities

Up

$41,159,947

Up $6,467,169 (+19%) from 2023

Net Assets

Up

$74,824,294

Up $12,216,631 (+20%) from 2023

Operations
Liabilities / Revenue42nd percentileNet Margin59th percentile

Revenue

Up

$130,869,472

Up $18,684,538 (+17%) from 2023

Expenses

Up

$120,466,852

Up $7,499,661 (+6.6%) from 2023

Net Income

Up

$10,402,620

Up $11,184,877 (+1430%) from 2023

Trend Graphs

Balance Sheet Trend

Asset Growth85th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$150M$100M$50M$0Assets 2010: $40,643,711Liabilities 2010: $19,308,654Net Assets 2010: $21,335,0572010Assets 2011: $38,178,406Liabilities 2011: $16,579,486Net Assets 2011: $21,598,9202011Assets 2012: $42,772,422Liabilities 2012: $17,637,418Net Assets 2012: $25,135,0042012Assets 2013: $45,661,096Liabilities 2013: $17,731,301Net Assets 2013: $27,929,7952013Assets 2014: $60,259,209Liabilities 2014: $24,449,809Net Assets 2014: $35,809,4002014Assets 2015: $63,607,868Liabilities 2015: $26,737,207Net Assets 2015: $36,870,6612015Assets 2016: $70,127,661Liabilities 2016: $24,189,442Net Assets 2016: $45,938,2192016Assets 2017: $76,528,496Liabilities 2017: $24,985,786Net Assets 2017: $51,542,7102017Assets 2018: $79,776,859Liabilities 2018: $27,372,792Net Assets 2018: $52,404,0672018Assets 2019: $80,898,907Liabilities 2019: $22,714,162Net Assets 2019: $58,184,7452019Assets 2020: $87,141,898Liabilities 2020: $25,851,116Net Assets 2020: $61,290,7822020Assets 2021: $91,069,576Liabilities 2021: $29,424,551Net Assets 2021: $61,645,0252021Assets 2022: $89,693,850Liabilities 2022: $26,303,930Net Assets 2022: $63,389,9202022Assets 2023: $97,300,441Liabilities 2023: $34,692,778Net Assets 2023: $62,607,6632023Assets 2024: $115,984,241Liabilities 2024: $41,159,947Net Assets 2024: $74,824,2942024

Highlighted filing

2024

Assets$115,984,241
Liabilities$41,159,947
Net Assets$74,824,294
Open 2024 Filing

Operations Trend

Revenue Growth69th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$150M$100M$50M$0-$50MExpenses 2010: $39,307,5562010Expenses 2011: $43,725,0952011Expenses 2012: $44,459,9962012Revenue 2013: $48,143,229Expenses 2013: $45,348,438Net Income 2013: $2,794,7912013Revenue 2014: $57,062,003Expenses 2014: $48,356,008Net Income 2014: $8,705,9952014Revenue 2015: $60,232,355Expenses 2015: $59,245,436Net Income 2015: $986,9192015Revenue 2016: $72,075,467Expenses 2016: $64,978,328Net Income 2016: $7,097,1392016Revenue 2017: $77,207,760Expenses 2017: $72,002,791Net Income 2017: $5,204,9692017Revenue 2018: $79,125,813Expenses 2018: $78,141,126Net Income 2018: $984,6872018Revenue 2019: $85,423,501Expenses 2019: $79,642,823Net Income 2019: $5,780,6782019Revenue 2020: $79,527,034Expenses 2020: $76,420,997Net Income 2020: $3,106,0372020Revenue 2021: $82,698,424Expenses 2021: $82,344,181Net Income 2021: $354,2432021Revenue 2022: $97,364,401Expenses 2022: $95,619,506Net Income 2022: $1,744,8952022Revenue 2023: $112,184,934Expenses 2023: $112,967,191Net Income 2023: -$782,2572023Revenue 2024: $130,869,472Expenses 2024: $120,466,852Net Income 2024: $10,402,6202024

Highlighted filing

2024

Revenue$130,869,472
Expenses$120,466,852
Net Income$10,402,620
Open 2024 Filing

Filings

Most recent year

2024 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$115,984,241
Liabilities
$41,159,947
Net assets
$74,824,294
Revenue
$130,869,472
Expenses
$120,466,852
Net income
$10,402,620
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$116$41.2$74.8$131$120$10.4
2023Detailed filing. Detailed filing data is available for this year.$97.3$34.7$62.6$112$113$0.78
2022Detailed filing. Detailed filing data is available for this year.$89.7$26.3$63.4$97.4$95.6$1.74
2021Detailed filing. Detailed filing data is available for this year.$91.1$29.4$61.6$82.7$82.3$0.35
2020Detailed filing. Detailed filing data is available for this year.$87.1$25.9$61.3$79.5$76.4$3.11
2019Detailed filing. Detailed filing data is available for this year.$80.9$22.7$58.2$85.4$79.6$5.78
2018Detailed filing. Detailed filing data is available for this year.$79.8$27.4$52.4$79.1$78.1$0.98
2017Detailed filing. Detailed filing data is available for this year.$76.5$25.0$51.5$77.2$72.0$5.20
2016Detailed filing. Detailed filing data is available for this year.$70.1$24.2$45.9$72.1$65.0$7.10
2015Detailed filing. Detailed filing data is available for this year.$63.6$26.7$36.9$60.2$59.2$0.99
2014Detailed filing. Detailed filing data is available for this year.$60.3$24.4$35.8$57.1$48.4$8.71
2013Detailed filing. Detailed filing data is available for this year.$45.7$17.7$27.9$48.1$45.3$2.79
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$42.8$17.6$25.1$44.5
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$38.2$16.6$21.6$43.7
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$40.6$19.3$21.3$39.3
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
May 7, 2025
Return Version
2024v5.0
Gross Receipts
$130,869,472
Mission and Program Overview

Mission

North County Health Services' (NCHS) mission is to improve the health status of our diverse communities by providing quality health care that is comprehensive, affordable and culturally sensitive. During the year, NCHS provided 263,597 visits to 60,797 patients.

North County Health Services' mission is to improve the health status of our diverse communities by providing quality health care that is comprehensive, affordable and culturally sensitive.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$43,669,662$44,702,392▲ $1,032,730
Savings and Temporary Cash Investments$15,784,138$16,978,792▲ $1,194,654
Cash and Non-Interest-Bearing Accounts$10,667,994$16,227,987▲ $5,559,993
Accounts Receivable$5,979,513$7,901,389▲ $1,921,876
Prepaid Expenses and Deferred Charges$1,952,595$2,317,345▲ $364,750
Pledges and Grants Receivable$1,420,094$1,388,904▼ $31,190
Other Notes and Loans Receivable, Net$3,335,092$1,297,925▼ $2,037,167
Inventories for Sale or Use$620,067$632,378▲ $12,311
Total Assets$97,300,441$115,984,241▲ $18,683,800
Other Assets Total$13,871,286$24,537,129▲ $10,665,843
Liabilities
Mortgage Notes Payable Secured by Investment Property$15,954,030$18,262,106▲ $2,308,076
Accounts Payable and Accrued Expenses$10,195,969$12,251,891▲ $2,055,922
Unsecured Notes Loans Payable$8,495,271$10,607,011▲ $2,111,740
Deferred Revenue$47,508$38,939▼ $8,569
Other Liabilities-$0-
Total Liabilities$34,692,778$41,159,947▲ $6,467,169
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$61,477,407$73,416,383▲ $11,938,976
Net Assets With Donor Restrictions$1,130,256$1,407,911▲ $277,655
Total Net Assets Fund Balance$62,607,663$74,824,294▲ $12,216,631
Total Liabilities and Net Assets / Fund Balance$97,300,441$115,984,241▲ $18,683,800

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$53,548,200$0$53,548,200
Equipment$10,762,919$0$10,762,919
Land$9,394,139-$9,394,139
Other Land Buildings$-29,002,866$32,923,953$3,921,087
Leasehold Improvements$0$0$0
Other Assets Org$24,537,129--
Compensation and Service Providers
Top Officer Pay69th percentile

Employees

NameTitleFull / Part TimeBaseOtherTotal
Michelle GonzalezPresident & CEOFT$514,585$215,279$729,864
Marie RussellCMO & COOFT$436,439$130,381$566,820
Garrick TongClinical Director Behavioral HealthFT$418,850$59,615$478,465
Denise GomezClinical Director Adult MedicineFT$382,353$84,720$467,073
Jorge Otanez CervantesAssociate Chief Medical OfficerFT$372,486$74,418$446,904
Chanelle WaddyClinical Director PediatricsFT$351,380$94,645$446,025
Tracy ElmerChief Innovation OfficerFT$302,480$122,650$425,130
Andrea LewistonChief Human Resources OfficerFT$308,791$106,285$415,076
Samuel PoniachikPhysicianFT$321,882$71,054$392,936
Briana CardozaChief Business Development OfficerFT$285,695$94,073$379,768
Cheryl PetersenCFOFT$309,375$12,550$321,925

Board Members and Trustees

NameTitle
Russell RiehlChair
Andres Ramos MartinVice Chair
Adriana Andres PaulsonBoard Director
Beatriz PalmerBoard Director
Craig JungBoard Director
Dr Phil YphantidesBoard Director
Jay TimacdogBoard Director
Karen PearsonBoard Director
Katie RamosBoard Director
Patricia Prado OlmosBoard Director
Walt SteffenBoard Director
Carmen HuerteroEx Officio
Dulce BenettiSecretary
Desmond YoungTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Sheppard MullinLegal ServicesPO Box 840728, Los Angeles, CA 90084$493,220
Universal Protection ServiceSecurity ServicesPO Box 277469, Atlanta, GA 30384$384,920
Quest DiagnosticsLab servicesPO Box 912411, Pasadena, CA 91110$306,855
Spendmend LLCConsulting2680 Horizon Drive, Grand Rapids, MI 49549$226,784
Palomar HealthProfessional Service120 E Craven Road, San Marcos, CA 92078$209,194
Revenue and Support

Revenue Composition

Contributions and Grants
$18,772,236
Program Service Revenue
$109,281,580
Investment Income
$101,880
Other Revenue
$2,713,776
All Other Contributions
$2,938,831
Change in Net Assets
$10,402,620
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$88,014,852
Other Expenses$32,452,000
Total Fundraising Expense$1,103,894
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$59,932,231$13,753,347$515,490$74,201,068
Other Expenses$6,830,880$15,033$0$6,845,913
Other Employee Benefits$5,928,222$111,768$29,622$6,069,612
Payroll Taxes$4,138,845$864,749$39,150$5,042,744
Occupancy$3,966,701$978,218$6,897$4,951,816
Information Technology$3,748,538$1,102,092$2,177$4,852,807
Depreciation Depletion$2,430,233$652,798$685$3,083,716
Fees for Services Other$3,083,076--$3,083,076
Pension Plan Contributions$2,247,948$441,631$11,849$2,701,428
Fees for Services Management$898,456$1,022,643$74,792$1,995,891
Office Expenses$1,560,508$224,675$5,595$1,790,778
All Other Expenses$709,542$1,010,622$15,863$1,736,027
Fees for Services Legal-$936,725-$936,725
Interest$187,394$641,540$107$829,041
Advertising$24,513$314,893$400,169$739,575
Insurance$378,831$218,177$0$597,008
Travel$476,335$27,320$409$504,064
Fees for Services Accounting-$403,517-$403,517
Conferences and Meetings$37,197$63,760$1,089$102,046
Total Functional Expenses$96,579,450$22,783,508$1,103,894$120,466,852
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
Audit committee
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
Yes
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section B, Line 11B

“A draft of the 990 is distributed to the BOD chair and fiscal committee for review and discussion with other board members. Once reviewed and questions have been addressed, the 990 is filed.”

Form 990, Part VI, Section B, Line 12C

“Employees of the corporate organization sign an acknowledgment of the conflict of interest policy at the time of hire and on an annual basis thereafter. All Directors of the Board for North County Health Project, Inc. are required to complete a Conflict of Interest attestation at the time they are nominated to the Board, and thereafter annually. Board Policy concerning Conflict of Interest has oversight by the Corporate Compliance Officer who participates in discernment of potential or real conflicts that may arise. Directors must not participate in any action in which they have a conflict, and the Board minutes must note the disclosure of the conflict and the recuse of the Directors participation.”

Form 990, Part VI, Section B, Line 15

“The BOD executive committee oversees the executive compensation process and approves salary increases for the President and CEO. Pay increases are based on recommendations of the compensation task force and when necessary outside sources to ensure compensation is based on objective and comparable data.”

Form 990, Part VI, Section C, Line 19

“Available upon request.”

Filing and Contact Details

Filer

Filer Name
North County Health Project Inc
EIN
95-2847102
Phone
7607366700
Address
150 Valpreda Road, San Marcos, CA 92069
Doing Business As
TrueCare

Signing Officer

Name
Michelle Gonzalez
Title
CEO
Phone
7607366700
Signed
2025-05-07
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Nchp
Formed
1973
Legal Domicile
CA
Voting Board Members
14
Independent Board Members
14
Employees
956
Volunteers
0

Preparer

Firm
Chw Llp
Address
7797 N First Street Suite 15, Fresno, CA 93720
Preparer
Jeremy Ware
Phone
5595495400
Supplemental Narrative

Financial Statement Notes

Schedule D, Part X, Line 2

“The Center has been recognized as exempt from income taxes under Section 501(c)(3) of the Internal Revenue Code and Section 23701(d) of the State of California Revenue and taxation Code by the IRS and Franchise Tax Board, respectively. Accordingly, no provision for income taxes is included in the accompanying consolidated financial statements. The Center's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed.”

Raw XML AppendixShowing 400 of 865 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990/Form990PartVIISectionAGrp/PersonNm0Michelle Gonzalez
IRS990/Form990PartVIISectionAGrp/PersonNm1Marie Russell
IRS990/Form990PartVIISectionAGrp/PersonNm2Garrick Tong
IRS990/Form990PartVIISectionAGrp/PersonNm3Denise Gomez
IRS990/Form990PartVIISectionAGrp/PersonNm4Jorge Otanez Cervantes
IRS990/Form990PartVIISectionAGrp/PersonNm5Chanelle Waddy
IRS990/Form990PartVIISectionAGrp/PersonNm6Andrea Lewiston
IRS990/Form990PartVIISectionAGrp/PersonNm7Samuel Poniachik
IRS990/Form990PartVIISectionAGrp/PersonNm8Tracy Elmer
IRS990/Form990PartVIISectionAGrp/PersonNm9Briana Cardoza
IRS990/Form990PartVIISectionAGrp/PersonNm10Cheryl Petersen
IRS990/Form990PartVIISectionAGrp/PersonNm11Russell Riehl
IRS990/Form990PartVIISectionAGrp/PersonNm12Andres Ramos Martin
IRS990/Form990PartVIISectionAGrp/PersonNm13Dulce Benetti
IRS990/Form990PartVIISectionAGrp/PersonNm14Desmond Young
IRS990/Form990PartVIISectionAGrp/PersonNm15Carmen Huertero
IRS990/Form990PartVIISectionAGrp/PersonNm16Adriana Andres Paulson
IRS990/Form990PartVIISectionAGrp/PersonNm17Beatriz Palmer
IRS990/Form990PartVIISectionAGrp/PersonNm18Craig Jung
IRS990/Form990PartVIISectionAGrp/PersonNm19Jay Timacdog
IRS990/Form990PartVIISectionAGrp/PersonNm20Karen Pearson
IRS990/Form990PartVIISectionAGrp/PersonNm21Katie Ramos
IRS990/Form990PartVIISectionAGrp/PersonNm22Patricia Prado Olmos
IRS990/Form990PartVIISectionAGrp/PersonNm23Dr Phil Yphantides
IRS990/Form990PartVIISectionAGrp/PersonNm24Walt Steffen
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IRS990/Form990PartVIISectionAGrp/TitleTxt0President & CEO
IRS990/Form990PartVIISectionAGrp/TitleTxt1CMO & COO
IRS990/Form990PartVIISectionAGrp/TitleTxt2Clinical Director Behavioral Health
IRS990/Form990PartVIISectionAGrp/TitleTxt3Clinical Director Adult Medicine
IRS990/Form990PartVIISectionAGrp/TitleTxt4Associate Chief Medical Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt5Clinical Director Pediatrics
IRS990/Form990PartVIISectionAGrp/TitleTxt6Chief Human Resources Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt7Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt8Chief Innovation Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt9Chief Business Development Officer
IRS990/Form990PartVIISectionAGrp/TitleTxt10CFO
IRS990/Form990PartVIISectionAGrp/TitleTxt11Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt12Vice Chair
IRS990/Form990PartVIISectionAGrp/TitleTxt13Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt14Treasurer
IRS990/Form990PartVIISectionAGrp/TitleTxt15Ex Officio
IRS990/Form990PartVIISectionAGrp/TitleTxt16Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt17Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt18Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt19Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt20Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt21Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt22Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt23Board Director
IRS990/Form990PartVIISectionAGrp/TitleTxt24Board Director
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