Clinica Verde

Health + Hope

Angwin, CA   |  www.clinicaverde.org

Mission

Clínica Verde is a new model of care for families in need. We take a preventive approach to the well-being of our cherished patients, providing compassionate clinical care, along with nutrition and health education in an environment that supports and improves health outcomes.

Notes from the nonprofit

We are privileged and grateful to do the work we do.

Ruling year info

2007

Principal Officer

Susan Dix Lyons

Main address

512 Pine Hill Road

Angwin, CA 94508 USA

Show more contact info

EIN

26-0275981

NTEE code info

Community Health Systems (E21)

Energy Resources Conservation and Development (C35)

Family Planning Centers (E42)

IRS filing requirement

This organization is required to file an IRS Form 990 or 990-EZ.

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Communication

Programs and results

What we aim to solve

SOURCE: Self-reported by organization

With 30% of the country living in poverty, Nicaragua is the second poorest country in Latin America. 17% of children under the age of five suffer from chronic malnutrition, with that rate even higher in rural communities. The country has been experiencing total economic and social crisis, with the COVID-19 pandemic only adding to the challenges facing families, particularly vulnerable populations. What Clínica Verde offers is unique among health centers for the underserved in this region: a local staff guided by compassion and dignity for the poor; a clinic grounded in principles of sustainable, human-centered design; and the provision of nutrition and health education to enhance self-efficacy and preventative health. Our multi-faceted approach includes clinical outpatient care to all ages, from infants to the elderly. This is especially challenging in the rural impoverished environments we serve.

Our programs

SOURCE: Self-reported by organization

What are the organization's current programs, how do they measure success, and who do the programs serve?

Maternal and child health services

Women’s Health: Pregnancy and prenatal care; risk pregnancy care; postpartum care; family planning; PAP Tests; obstetric/gynecologic ultrasound; gynecological disease care; hospital referrals; nutritional counseling.

Children’s Health: Exams for growth and development for children under five years; illness care; hospital referrals; immunizations; nebulization; nutritional counseling.

Population(s) Served
Families
Children and youth

Our clinic has 1 full-time MD's, 2 part-time MD's, a general manager, 2 program directors and auxiliary medical staff for a total of 19. We provide over 20,000 health services per year.

Population(s) Served
People with diseases and illnesses
Pregnant people
Women and girls
LGBTQ people
Economically disadvantaged people

Nicaragua has the highest adolescent fertility rate outside of Africa. Approximately half of Nicaraguan women give birth before age 20. The consequences of early childbearing can include higher risks of pregnancy complications and maternal mortality and increased rates of infant mortality and malnutrition.

To address the need for teen knowledge on sexuality and healthy decision-making and the Nicaraguan Ministry of Health (MINSA) goals of improving maternal health and reducing the mortality rate among children under 5 years, Clínica Verde launched a partnership with TeenSmart International in 2014. Our program trains peer counselors and provides adolescents with the knowledge and skills needed to make responsible and safe decisions about their sexuality and postpone sexual activity to reduce the prevalence of early pregnancy.

Population(s) Served

Nicaragua has pressing pre- and antenatal health needs. Nicaragua has a high maternal mortality rate, with a recent average of more than 100 deaths per year.

Clínica Verde’s Prenatal Nutrition Project was launched in 2015 to address these needs at a community level. Using interactive lessons to deliver a 10-week socio-behavioral change curriculum, we teach pregnant mothers about the stages of fetal development, ways to care for their child in the womb, and nutrition during the antenatal and postnatal periods and during the first five years of their children’s lives, while providing support and space to build a community of new mothers who support each other. All mothers enrolled in the program and their babies are followed after conception with regular check-ups and training provided both in-community and at Clínica Verde.

Population(s) Served
Women and girls

Where we work

Awards

Top-Rated Nonprofit 2021

Great Nonprofits

Unsung Hero 2014

Unsung Heroes of Compassion with His Holiness the Dalai Lama

d.school Fellow 2015

Stanford Univesity

Our results

SOURCE: Self-reported by organization

How does this organization measure their results? It's a hard question but an important one.

Number of patient consultations

This metric is no longer tracked.
Totals By Year
Population(s) Served

Economically disadvantaged people

Related Program

Clinic Operations

Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Context Notes

We provide more than 20,000 patient consults annually through both in-clinic visits and rural health outreach.

Number of health education trainings conducted

This metric is no longer tracked.
Totals By Year
Population(s) Served

Economically disadvantaged people

Related Program

Clinic Operations

Type of Metric

Output - describing our activities and reach

Direction of Success

Increasing

Context Notes

A cornerstone of Clinica Verde's population health approach is education. We regularly provide educational talks on matters of health and nutrition at our clinic as well as in schools and communities.

Number of sexually active females receiving reproductive health services

This metric is no longer tracked.
Totals By Year
Population(s) Served

Adolescents

Related Program

Teen Sexual Reproductive Health

Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Context Notes

We provide sexual health and reproductive services and education to families and adolescents. In 2019 we provided fewer services because of the civil unrest in Nicaragua, which affected all sectors.

Number of people who received clinical mental health care

This metric is no longer tracked.
Totals By Year
Population(s) Served

LGBTQ people, Adolescents

Related Program

Teen Sexual Reproductive Health

Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Context Notes

Number of mental health consults provided at our clinic.

Number of children who have access to healthcare

This metric is no longer tracked.
Totals By Year
Population(s) Served

Infants and toddlers

Related Program

Clinic Operations

Type of Metric

Output - describing our activities and reach

Direction of Success

Holding steady

Context Notes

Number of children who we provided growth and development consults.

Goals & Strategy

SOURCE: Self-reported by organization

Learn about the organization's key goals, strategies, capabilities, and progress.

Charting impact

Four powerful questions that require reflection about what really matters - results.

Clinica Verde is a new model of care for families in need. We take an integral approach to health and wellbeing, beginning from the ground-up with sustainable design and extending to health and nutrition education. Our goal is to create thoughtfully designed medical spaces that promote and reinforce the dignity and self-worth of our impoverished patients while focusing on preventative care for women and children. As a maternal-infant clinic, we seek to improve the mortality and morbidity of our patients, with particular focus on early reproductive health, prevention and management of chronic illnesses, and nutrition education. Through this approach, we expect to directly reduce the incidence of disease by improving immunity through nutrition, and delay the age of first pregnancy for mothers. We seek to transform the health of the communities we serve by empowering patients to make healthy decisions for their long-term well-being.

We offer a comprehensive suite of services:

Women’s Health: Prenatal and postpartum care; risk pregnancy care; family planning (progestin oral, injectables, condoms and IUDs); pregnancy tests; PAP Tests; visual inspection with acetic acid (VIA); obstetric and gynecologic ultrasound; care and attention for gynecological diseases; referrals for hospital care; surgery for patients referred to hospital; and nutritional counseling.

Children’s Health: Exams for growth and development for children under five years; illness care; referrals for hospital care; immunizations; nebulization; nutritional counseling; and symptom awareness.

Adolescent Health: Adolescent disease care; education on adolescent sexual and reproductive health; immunizations; nutritional counseling and symptom education; anti-conception (progestin oral, injectables, condoms and IUDs); mental health support.
Care for Adults: Emergency care, care for chronic noncommunicable diseases (heart disease, hypertension, diabetes, and its complications, etc.), infectious diseases, special tests (electrocardiogram, Doppler, ultrasound), nebulization, blood sugar testing, counseling on healthy lifestyles.

Visual Health Program: Screenings and lenses for free in communities and schools.

Dental Care (volunteer dentists and nurses): Oral hygiene education; fluoride treatment for children.

Biointensive Garden: Community farming and nutrition education; food production for staff
Pharmacy and Laboratory Services: Affordable services for the communities we serve.

Educational Talks: Informational talks on public health, wellness, and disease prevention.

We collaborate regularly with the local government and Ministries, including the Ministry of Health, Ministry of Education and the Ministry of Home Economy, in addition to local schools and universities. We work with organizations doing complementary projects, including our 2018 partnership with Plan International in which 300 teens, family members, and government leaders received sexual reproductive health education; and our collaboration with Fundación Para el Cuido del Ojo that provides optometry services.

Clinica Verde is a registered 501(c)(3) in the United States and a registered NGO in Nicaragua. We are governed by an international Board of Directors that includes professionals in the areas of Finance, Architecture, Development, Medicine, and Media & Communications. Our Board members reside in the U.S. and Nicaragua. Founding Board members include former Minister of Health of Nicaragua Margarita Gurdian, Cristiana Chamorro (founder and director of the Violeta Chamorro Foundation), and physicians in both the U.S. and Nicaragua. Clinica Verde is led by a Nicaraguan physician with administrative and clinical experience in both public and private healthcare. Our clinic staff is comprised of local Nicaraguans, including an OB/gyn, internal medicine physician, and nursing and support staff who believe deeply in our mission and are motivated to succeed. In the 13 years since our organization was founded we have developed strong relationships in Nicaragua with the American Nicaraguan Foundation, the local public hospital, the Ministry of Health, the Ministry of Education, the Ministry of Home Economics, and various community health representatives.

Clínica Verde has provided over 10,000 health care services annually since we opened our doors in 2012. In 2015, we began community health outreach through rural site visits and now serve more patients in their rural environments than in the clinic. We've successfully partnered with the Ministry of Health of Nicaragua to replicate our model through the design and build of 2 additional rural health posts, community gardens, and training in compassionate care to public health workers. We've also partnered with the Fundacion del Cuido del Ojos and the Ministry of Health to provide eye exam and screenings for all schools in 2 departments (states) in the country. Our model is recognized, respected, and effective.

How we listen

SOURCE: Self-reported by organization

Seeking feedback from people served makes programs more responsive and effective. Here’s how this organization is listening.

done We shared information about our current feedback practices.
  • Who are the people you serve with your mission?

    The rural poor of Nicaragua. We frequently interview patients on their experience and perceived impact of our programs.

  • How is your organization collecting feedback from the people you serve?

    Paper surveys, Focus groups or interviews (by phone or in person),

  • How is your organization using feedback from the people you serve?

    To identify and remedy poor client service experiences, To identify bright spots and enhance positive service experiences, To make fundamental changes to our programs and/or operations, To inform the development of new programs/projects, To strengthen relationships with the people we serve, To understand people's needs and how we can help them achieve their goals,

  • What significant change resulted from feedback?

    There was widespread disinformation and fear surrounding Covid-19 and we stepped up our education, both in-person and virtual, while also providing personal protection equipment and food.

  • With whom is the organization sharing feedback?

    Our staff, Our board, Our funders,

  • Which of the following feedback practices does your organization routinely carry out?

    We collect feedback from the people we serve at least annually, We take steps to get feedback from marginalized or under-represented people, We aim to collect feedback from as many people we serve as possible, We take steps to ensure people feel comfortable being honest with us, We look for patterns in feedback based on demographics (e.g., race, age, gender, etc.), We engage the people who provide feedback in looking for ways we can improve in response, We act on the feedback we receive,

  • What challenges does the organization face when collecting feedback?

    We don't have any major challenges to collecting feedback,

Financials

Clinica Verde
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Operations

The people, governance practices, and partners that make the organization tick.

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Connect with nonprofit leaders

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Connect with nonprofit leaders

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  • Analyze a variety of pre-calculated financial metrics
  • Access beautifully interactive analysis and comparison tools
  • Compare nonprofit financials to similar organizations

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Clinica Verde

Board of directors
as of 02/24/2022
SOURCE: Self-reported by organization
Board co-chair

Susan Dix Lyons

Verday Health

Term: 2018 - 2023


Board co-chair

Jan Nissen

Merck Pharmaceuticals

Term: 2019 - 2025

Nikhil Bumb

FSG

David Davidovic

pathForward Strategic Consulting

Susan Dix Lyons

Clinica Verde/Stanford d.school

Kimberly Hamilton

Avenue West

Doug Wilson, MD

Queen of the Valley Hospital

Majd Zayzafoon, PhD, MD

University of Alabama

Paige Preston

Silicon Valley Bank

Alicia Hardy

OLE Health

Board leadership practices

SOURCE: Self-reported by organization

GuideStar worked with BoardSource, the national leader in nonprofit board leadership and governance, to create this section.

  • Board orientation and education
    Does the board conduct a formal orientation for new board members and require all board members to sign a written agreement regarding their roles, responsibilities, and expectations? Yes
  • CEO oversight
    Has the board conducted a formal, written assessment of the chief executive within the past year ? Not applicable
  • Ethics and transparency
    Have the board and senior staff reviewed the conflict-of-interest policy and completed and signed disclosure statements in the past year? Yes
  • Board composition
    Does the board ensure an inclusive board member recruitment process that results in diversity of thought and leadership? Yes
  • Board performance
    Has the board conducted a formal, written self-assessment of its performance within the past three years? Yes

Organizational demographics

SOURCE: Self-reported; last updated 2/24/2022

Who works and leads organizations that serve our diverse communities? GuideStar partnered on this section with CHANGE Philanthropy and Equity in the Center.

Leadership

The organization's leader identifies as:

Race & ethnicity
White/Caucasian/European
Gender identity
Female, Not transgender (cisgender)
Sexual orientation
Heterosexual or Straight
Disability status
Person without a disability

Race & ethnicity

Gender identity

 

Sexual orientation

Disability

Equity strategies

Last updated: 02/18/2022

GuideStar partnered with Equity in the Center - an organization that works to shift mindsets, practices, and systems to increase racial equity - to create this section. Learn more

Data
  • We ask team members to identify racial disparities in their programs and / or portfolios.
  • We employ non-traditional ways of gathering feedback on programs and trainings, which may include interviews, roundtables, and external reviews with/by community stakeholders.
Policies and processes
  • We seek individuals from various race backgrounds for board and executive director/CEO positions within our organization.