Helping one community at a time

aka The Roberto Clemente Santa Ana Health Clinic Inc   |   Baltimore, MD   |
GuideStar Charity Check


EIN: 71-0926873


The Roberto Clemente Health Clinic provides affordable access to high-quality health care and wellness programs in the Tola coastal communities of Nicaragua.

Our #1 Goal: To expand our non-profit health center to provide a full spectrum of primary care, pediatric care, urgent care, and holistic wellness education and services.

Ruling year info


Principal Officer

Dr. Jose Mosquera

Main address

105 W Monument Street

Baltimore, MD 21201 USA

Show more contact info



Subject area info

Health care clinics


Population served info

Children and youth


NTEE code info

Ambulatory Health Center, Community Clinic (E32)

Pediatrics (G98)

What we aim to solve

SOURCE: Self-reported by organization

The Roberto Clemente Health Clinic provides affordable access to high-quality health care and wellness programs in the Tola coastal communities of Nicaragua. Our #1 Goal: To expand our non-profit health center to provide a full spectrum of primary care, pediatric care, urgent care, and holistic wellness education and services.

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?

The Padrino Program for Health and Education

Many children in this Nicaraguan community are unable to attend school or make the most of their school experience because they cannot afford the necessary supplies including school uniforms, books, and supplies. Still more suffer from a lack of adequate nutrition and medical care. With the detrimental effects of hunger on children’s physical and intellectual development now well established, we know that poor students in Limon and the surrounding communities are at a distinct disadvantage in school. Through our Padrino Program, you can easily become “Un Padrino” (a Godparent) to one or several children in southwest Nicaragua and help a whole community to rise above poverty.

Through one-on-one sponsorships, our Padrino Program creates meaningful connections and lasting relationships. The resulting friendships turn human compassion into real-world solutions, giving supporters like you a glimpse into the joy your gifts make possible.

When you begin your sponsorship, you'll see the tangible effects of your generosity in a child's daily life. You will celebrate his or her progress and share in the share in the struggles and triumphs of childhood.

For more information about The Roberto Clemente Health Clinic, visit our website at, or call Lorena Cernadas at 410-777-8626.

Population(s) Served
Infants and toddlers

Whether youre looking for a change of pace (or scenery!) from your current medical/healthcare career or are looking for an exciting way to fulfill your internship responsibilities, The Roberto Clemente Clinic in Nicaragua presents an invaluable volunteer opportunity. It offers the chance to combine the adventure of travel with the benevolent act of giving back to those in need.

Because access to medical services in Limon 1, Nicaragua is often limited, healthcare volunteers from abroad assist us in providing care to our patients.

Volunteering at the Roberto Clemente Clinic can even give you the unmatchable experience of working side-by-side with our doctors and nurses to help save lives or help create new healthcare programs for the clinic and possibly, the entire community.

While the needs and the working conditions are very basic, your hands-on contribution will be life changing.

Population(s) Served

Have you ever had to worry about getting sick from drinking water? Do you think about what bacteria might be in it before you take a drink? Are you afraid to bathe your children for fear they could catch a deadly disease? Have you ever had to miss work because you were sick from the water you drank?

These are common concerns for the citizens of the 2nd poorest country in the Western Hemisphere.

Access to clean water is a major problem for the majority of rural Nicaraguans.

Many impoverished families drink unclean water from rivers and wells that are polluted with disease-causing pathogens. Drinking and bathing in contaminated water can cause severe illnesses like diarrhea, birth defects, cancer, typhoid fever, cholera and sometimes even death. In addition to the bacteria, tainted water contains high levels of calcium, which may be connected to the increased incidence of kidney stones among this population.

Lack of clean drinking water leads to increased consumption of soda. Wouldn’t you, too, choose a “safe” drink over one with known bacteria? Unfortunately, soda can cause numerous health concerns: high sugar intake, dehydration, fatigue, and tooth decay are just a few. One of the most prevalent diseases in rural Nicaragua is diabetes – a direct result of increased sugar intake.

We believe that EVERYONE deserves access to clean water.

At the Roberto Clemente Health Clinic, we have set out to develop a reliable water source, treat the water for known health concerns, and provide a distribution system for the clinic, the community, and local schools. The goal of the project design is to alleviate the high concentration of calcium by utilizing water softening techniques, as well as chlorinating and using a UV filtration system that will be implemented in our plant.

Once the plant is installed, our team will be able to fill 5 gallon containers of water to sell at a discounted rate to the members of our community. People will be able to bring their plastic containers to refill.

The residents of the surrounding community have pledged to spread the word and support the expansion of this project.

Through recent studies, we have estimated that a typical family in Limon, will use 5 gallons of water over 2-3 days translating to 75 gallons per family over the course of 1 month. Our pilot program will benefit 300 families bringing them 22,500 gallons of clean water per month.

For more information about The Roberto Clemente Health Clinic, visit our website at, or call Lorena Cernadas at 410-777-8626.

Population(s) Served
Infants and toddlers

We started a Healthy Eating Initiative to battle the local high incidence of diabetes, high blood pressure, tooth decay, weight gain and anemia. We work as a teaching community, where locals come to learn our natural techniques. We provide classes in basic gardening, soil enhancement, nutrition and natural pest control.

These classes are invaluable to our community members. The reality is that while many Nicaraguans have access to land, they do not possess the tools or knowledge necessary to yield crops for their families. Thus, land is often left unused and undeveloped.

Without our continued efforts to support programs like our organic garden, families in Nicaragua would continue in the cycle of poor health and a lack of access to resources.

In 2023, with the help of a donor and advisory council member, we purchased land with the intention of providing individual families with their own organic garden plots.

Population(s) Served

In recent years, our patient volume has quadrupled. We have added many new services including laboratory testing, dentistry, ultrasound, diabetic and pediatric services. We are very proud of our growth, but we know we will soon reach a standstill unless we expand our facilities to allow further growth. We desperately need more space to accommodate new and existing patients, and to provide all of our patients with the high level of care they have come to expect.

This Expansion Project would double our current space and greatly enhance the services we offer to the community. We would be able to invite surgical teams to perform much-needed surgeries at the Clinic, provide increased gynecological services with greater privacy for local women, provide more training for our staff in the new open classroom, and invite thousands more patients to benefit from our services. With your generous donation, we can continue to grow and serve the children and families of Limón 1 and the surrounding communities. A donation of any amount will go a long way toward making this project possible.

We have obtained a generous grant from the
Ford Family Foundation to match each dollar we raise up to $75,000 for the cost of construction. This is an exciting start and an excellent way to motivate other donors to reach our goal sooner. Currently we have raised $14,500 dollars for our Expansion Project, meaning that we must raise another $120,500 dollars to bring this project to life.

We thank you very much for your consideration in helping us with this important project.

For more information about The Roberto Clemente Health Clinic, visit our website at, or call Lorena Cermadas at 410-777-8626.

Population(s) Served
Infants and toddlers

Could you imagine being sick, caught in an emergency situation, or in need of medication with no way to access medical professionals? This is the reality for many Nicaraguans living in remote and hard-to-reach areas surrounding the Clinic. Our team realized the need for healthcare on-the-go, which is why we developed our Community Outreach Program.

Program Objective: Provide preventative education and health promotions, comprehensive medical care, complete and free treatment to families in vulnerable and difficult-to-reach communities

Community Outreach is about getting outside the Clinic facility to directly help those in highly vulnerable situations. It not only makes the Clinic team stronger but also brings the community together.

The Clinic has focused these outreach medical brigades on providing healthcare including diabetes preventive education, much-needed medicines, clean water and nutritional food to those who cannot access the Clinic.

Population(s) Served
Infants and toddlers
Infants and toddlers
Economically disadvantaged people

Where we work

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.

Increase the healthcare coverage for underserve communities in the south east of Nicaragua. Specifically the State of Rivas.
Currently we see approximately 25,000. We would like to increase it to 35,000 in the next 5 years.

To partner with many foundations and current local organizations to get the funds to hire more doctors and nurses and buy more medicines to treat patients in this area.
Get grants to support this expansion.

We believe responsiveness is highly important.

We develop/build solid relationships with everyone. From our sponsors and supporters to other foundations and local organizations.

We provide quality. We develop and deliver service that always meets or exceeds expectations.

We promote leadership at all levels in our organization.

Over the last year, the Clinic team attended more than 25,000 patients. We serviced everything from emergency treatment to respiratory illnesses to prenatal care. We reached out to patients in remote areas, at the local schools, in their homes and at our Diabetes Club meetings in local community centers.

In total, we had more than 59,000 medical and wellness attentions in 2019. Right now, we have more than 177 locals in our Diabetes Club. We have 133 children from 49 families receiving regular nutrition packs and nutritional support. We have 62 children directly supported each month for health and education, including four special needs children. And we are providing clean water to four local schools. We've also created 102 community organic gardens to help promote healthier eating in the region.

The Clinic ambulance continues to be the only one available to be on-call 24/7 and go into remote regions. The Clinic is still the only medical facility available in the region open 24/7. We are currently upgrading and expanding the Clinic facility you helped open in 2004.

Revenue vs. expenses:  breakdown

SOURCE: IRS Form 990 info
Note: When component data are not available, the graph displays the total Revenue and/or Expense values.

Liquidity in 2022 info

SOURCE: IRS Form 990


Average of 5.52 over 10 years

Months of cash in 2022 info

SOURCE: IRS Form 990


Average of 5.4 over 10 years

Fringe rate in 2022 info

SOURCE: IRS Form 990


Average of 1% over 10 years

Funding sources info

Source: IRS Form 990

Assets & liabilities info

Source: IRS Form 990

Financial data

SOURCE: IRS Form 990


Revenue & expenses

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

Fiscal year ending: cloud_download Download Data


Balance sheet

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

The balance sheet gives a snapshot of the financial health of an organization at a particular point in time. An organization's total assets should generally exceed its total liabilities, or it cannot survive long, but the types of assets and liabilities must also be considered. For instance, an organization's current assets (cash, receivables, securities, etc.) should be sufficient to cover its current liabilities (payables, deferred revenue, current year loan, and note payments). Otherwise, the organization may face solvency problems. On the other hand, an organization whose cash and equivalents greatly exceed its current liabilities might not be putting its money to best use.

Fiscal year ending: cloud_download Download Data


Financial trends analysis Glossary & formula definitions

Fiscal Year: Jan 01 - Dec 31

SOURCE: IRS Form 990 info

This snapshot of ROBERTO CLEMENTE-SANTA ANA HEALTH CLINIC INC’s financial trends applies Nonprofit Finance Fund® analysis to data hosted by GuideStar. While it highlights the data that matter most, remember that context is key – numbers only tell part of any story.

Created in partnership with

Business model indicators

Profitability info 2018 2019 2020 2021 2022
Unrestricted surplus (deficit) before depreciation -$45,427 $81,268 $145,296 $257,080 -$13,789
As % of expenses -6.4% 17.1% 36.8% 53.2% -2.8%
Unrestricted surplus (deficit) after depreciation -$78,806 $52,275 $122,041 $236,783 -$42,909
As % of expenses -10.6% 10.4% 29.2% 47.1% -8.2%
Revenue composition info
Total revenue (unrestricted & restricted) $667,039 $568,070 $526,828 $739,915 $505,610
Total revenue, % change over prior year -13.5% -14.8% -7.3% 40.4% -31.7%
Program services revenue 16.5% 0.0% 0.0% 0.0% 0.0%
Membership dues 0.0% 0.0% 0.0% 0.0% 0.0%
Investment income 0.0% 0.0% 0.1% 0.0% 0.3%
Government grants 0.0% 0.0% 0.0% 0.0% 0.0%
All other grants and contributions 83.5% 100.0% 99.9% 100.0% 98.5%
Other revenue 0.0% 0.0% 0.0% 0.0% 1.2%
Expense composition info
Total expenses before depreciation $713,506 $475,171 $395,243 $482,835 $494,888
Total expenses, % change over prior year 0.8% -33.4% -16.8% 22.2% 2.5%
Personnel 33.5% 33.7% 43.2% 36.3% 37.5%
Professional fees 14.1% 20.5% 8.6% 18.7% 15.3%
Occupancy 0.0% 0.0% 0.0% 0.0% 0.0%
Interest 0.0% 0.3% 0.2% 1.6% 0.0%
Pass-through 0.0% 0.0% 0.0% 0.0% 0.0%
All other expenses 52.3% 45.5% 48.1% 43.4% 47.2%
Full cost components (estimated) info 2018 2019 2020 2021 2022
Total expenses (after depreciation) $746,885 $504,164 $418,498 $503,132 $524,008
One month of savings $59,459 $39,598 $32,937 $40,236 $41,241
Debt principal payment $4,950 $7,693 $7,117 $0 $3,389
Fixed asset additions $0 $0 $0 $47,401 $32,914
Total full costs (estimated) $811,294 $551,455 $458,552 $590,769 $601,552

Capital structure indicators

Liquidity info 2018 2019 2020 2021 2022
Months of cash 0.7 3.0 5.9 11.2 9.6
Months of cash and investments 0.7 3.0 5.9 11.2 9.6
Months of estimated liquid unrestricted net assets -0.3 1.1 5.1 9.5 8.0
Balance sheet composition info 2018 2019 2020 2021 2022
Cash $41,805 $117,991 $194,837 $449,545 $394,955
Investments $0 $0 $0 $0 $0
Receivables $1,725 $2,956 $40,569 $1,493 $38,884
Gross land, buildings, equipment (LBE) $368,747 $379,758 $392,593 $439,994 $469,089
Accumulated depreciation (as a % of LBE) 46.6% 52.9% 57.1% 55.6% 57.5%
Liabilities (as a % of assets) 22.4% 16.6% 11.0% 7.6% 8.1%
Unrestricted net assets $161,367 $213,642 $335,683 $572,466 $529,557
Temporarily restricted net assets $30,299 N/A N/A N/A N/A
Permanently restricted net assets $0 N/A N/A N/A N/A
Total restricted net assets $30,299 $41,930 $28,219 $28,219 $52,730
Total net assets $191,666 $255,572 $363,902 $600,685 $582,287

Key data checks

Key data checks info 2018 2019 2020 2021 2022
Material data errors No No No No No


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

Form 1023/1024 is not available for this organization

Principal Officer

Dr. Jose Mosquera

Dr. José E. Mosquera is a highly experienced director of large-scale health initiatives around the world. We are very excited to have someone of his caliber join our team. Dr. Mosquera has more than 30 years of experience in medicine and general surgery in both the for-profit and nonprofit sectors. Before moving to the United States 14 years ago for his family and to be closer to the National Institutes of Health for diabetes research, Dr. Mosquera was a monumental force in his home country of Ecuador. He set up the two largest nonprofit networks in the country, one for the research and treatment of diabetes, and the other to treat parasites, particularly in children. In addition to having his own private practice as a surgeon in Ecuador, Dr. Mosquera was and continues to be a huge advocate for connecting community leaders with local medical teams to solve their biggest health challenges. Dr. Mosquera has also headed relief campaigns in crisis regions around the world.

Number of employees

Source: IRS Form 990


Officers, directors, trustees, and key employees

SOURCE: IRS Form 990

Show data for fiscal year
Compensation data
Download up to 5 most recent years of officer and director compensation data for this organization

There are no highest paid employees recorded for this organization.


Board of directors
as of 03/27/2024
SOURCE: Self-reported by organization
Board of directors data
Download the most recent year of board of directors data for this organization
Board chair

Julia Guth

no affiliation

Term: 2011 - 2025

Antonio Granados

no affiliation

Alan Vilchez

no affiliation

Donald Ramirez

no affiliation

Lou Basenese

no affiliation

Lorena Cernadas

no affiliation

Jose Mosquera

no affiliation

Chip Duncan

no affiliation

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? Not applicable

Organizational demographics

SOURCE: Self-reported; last updated 1/13/2021

Who works and leads organizations that serve our diverse communities? Candid partnered with CHANGE Philanthropy on this demographic section.


The organization's leader identifies as:

Race & ethnicity
Gender identity
Disability status
Person without a disability

Race & ethnicity

No data

Gender identity

No data

Transgender Identity

No data

Sexual orientation

No data


No data

Equity strategies

Last updated: 01/13/2021

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

  • We have long-term strategic plans and measurable goals for creating a culture such that one’s race identity has no influence on how they fare within the organization.
Policies and processes
  • We engage everyone, from the board to staff levels of the organization, in race equity work and ensure that individuals understand their roles in creating culture such that one’s race identity has no influence on how they fare within the organization.