2023-05-02T13:21:23-05:00 2022-06-30 951777440 GREEN HASSON & JANKS LLP 700 SOUTH FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2021-07-01 237351622 THE CLINIC INC THEC 3237301920 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 CLIFFORD SHIEPE PRESIDENT AND CEO 3237301920 2023-04-28 1 CLIFFORD SHIEPE 999009999 LIZBETH G NEVAREZ P01399868 3108731600 2023-04-28 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z THE HEALTH AND WELLNESS CENTERS INC CLIFFORD SHIEPE 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 18495908 0 X TOHELPEVERYONE.ORG X 1974 CA TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. 10 10 157 13 0 0 7589970 7281126 11902361 11169932 1175 19257 21113 25593 19514619 18495908 0 0 0 0 9129597 9029100 0 0 1015165 6594925 8452582 15724522 17481682 3790097 1014226 14004260 17227869 3735173 5944556 10269087 11283313 X TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED SERVICES TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. 0 0 14017468 0 11169932 T.H.E. CLINIC PROVIDES CULTURALLY SENSITIVE & QUALITY COMPREHENSIVE HEALTH SERVICES AT AFFORDABLE COSTS, AND ENCOURAGES AND EDUCATES PEOPLE TO TAKE A PROACTIVE ROLE IN MAINTAINING THEIR OWN HEALTH SERVICES INCLUDE MEDICAL HEALTH SERVICES FOR MEN, WOMEN, CHILDREN AND TEENS, AS WELL AS PUBLIC HEALTH AND PREVENTATIVE EDUCATION SERVICES, ALL DESIGNED TO TREAT THE "WHOLE" PERSON-BODY, MIND, AND SPIRIT. MEDICAL SERVICES INCLUDE PREVENTATIVE SERVICES, CHRONIC DISEASE SCREENING & TREATMENT, PHYSICAL EXAMS, HEALTH EDUCATION, CASE MANAGEMENT, MENTAL HEALTH SCREENING, FOOD AND NUTRITION COUNSELING, SEXUALLY TRANSMITTED DISEASE TREATMENT, SPECIALTY REFERRALS, ASSISTANCE WITH LOW-COST MEDICATIONS, HIV/AIDS SCREENING & TREATMENT, AIDS DRUG ASSISTANCE PROGRAM, AND RAPID HIV TESTING. WOMEN'S HEALTH SERVICES INCLUDE PREGNANCY TESTING, PRENATAL CARE, SEXUALLY TRANSMITTED DISEASE TREATMENT, MAMMOGRAPHY, PRECONCEPTION COUNSELING, FAMILY PLANNING, COLPOSCOPY CLINIC, PAP SMEARS, AND ANNUAL PHYSICAL EXAMINATIONS. MEN'S HEALTH SERVICES INCLUDE PROSTRATE HEALTH SCREENING, AND PHYSICAL EXAMS. FAMILY PLANNING CHILDREN'S HEALTH SERVICES INCLUDE WELL-CHILD CARE, PHYSICAL EXAMS, SICK VISITS, IMMUNIZATIONS, NUTRITION HEALTH COUNSELING, AND CRISIS INTERVENTION. FAMILY COUNSELING TEEN HEALTH SERVICES INCLUDE HEALTH EDUCATION, SEXUALLY TRANSMITTED DISEASE TREATMENT, PHYSICALS EXAMS, AND ADOLESCENT COUNSELING.MENTAL HEALTH SCREENING SUPPORT SERVICES INCLUDE COUNSELING - INDIVIDUAL, GROUP AND FAMILY, RESOURCE REFERRALS, TRANSPORTATION ASSISTANCE, AND LINGUISTIC SERVICES. EDUCATIONAL SERVICES INCLUDE PUBLIC HEALTH EDUCATION HIV AWARENESS AND PREVENTION, HIV RAPID TESTING, DIABETES PREVENTION, CARE AND MANAGEMENT, WEIGHT MANAGEMENT, NUTRITION EDUCATION, HEALTHY COOKING, HEART HELP PROGRAM, MAMMOGRAPHY SCREENING, PERINATAL AND PRENATAL ED, DIAPER SUPPORT GROUP, YOGA AND PILATES. 14017468 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 37 0 1 157 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X TATYANA KLOCHKO 3237301920 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 DONNA ROBERTSON CHAIR 2.00 0.00 X X 0 0 0 JERMAINE MCMIHELK VICE CHAIR 2.00 0.00 X X 0 0 0 DANIELLE CAMPBELL TREASURER 2.00 0.00 X X 0 0 0 MARY ALEJO SECRETARY 2.00 0.00 X 0 0 0 RICHARD HAMILTON BOARD MEMBER 2.00 0.00 X 0 0 0 JENNIFER BLUM BOARD MEMBER 2.00 0.00 X 0 0 0 ALTHEA BRINSON BOARD MEMBER 2.00 0.00 X 0 0 0 RONALD BRADEN BOARD MEMBER 2.00 0.00 X 0 0 0 DEBORAH MILLER BOARD MEMBER 2.00 0.00 X 0 0 0 AUDREY CARTER BOARD MEMBER 2.00 0.00 X 0 0 0 NAIMA RANDOLPH BOARD MEMBER 2.00 0.00 X 0 0 0 ROSALBA SANCHEZ VELASQUEZ BOARD MEMBER 2.00 0.00 X 0 0 0 HEATHER MCCULLOUGH BOARD MEMBER 2.00 0.00 X 0 0 0 PATRICIA SILLAS BOARD MEMBER (LEFT DEC 2021) 2.00 0.00 X 0 0 0 DAMONE THOMAS BOARD MEMBER (RETIRED DEC 2021) 2.00 0.00 X 0 0 0 CLIFFORD SHIEPE PRESIDENT/CEO 40.00 0.00 X 375238 0 30566 TATYANA KLOCHKO SENIOR VICE PRESIDENT/CFO 40.00 0.00 X 236486 0 26000 DERRICK BUTLER CHIEF MEDICAL OFFICER 40.00 0.00 X 301745 0 19384 STEVEN FEIG PEDIATRICIAN 40.00 0.00 X 205558 0 0 LILIA MARIN HR DIRECTOR 40.00 0.00 X 215018 0 10296 NAUREEN TAREEN PHYSICIAN 40.00 0.00 X 201095 0 7326 CHERYL TRINIDAD CHIEF DEVELOPMENT OFFICER 40.00 0.00 X 182387 0 480 CAROLINE O EGEKEZE PHYSICIAN PEDIATRICS 40.00 0.00 X 162859 0 0 1880386 0 94052 8 0 1 0 COMPHEALTH MEDICAL STAFFING PO BOX 972651 DALLAS DALLAS TX 753972651 COMPHEALTH MEDICAL STAFFING 572223 QUEST DIAGNOSTICS PO BOX 912411 PASADENA CA 911102411 LABORATORY SERVICES 258836 THE MILLER GROUP 1690 PALISADES DRIVE PACIFIC PALISADES CA 90272 MARKETING SERVICES 242790 CHIROPRACTOR 233 E JEANETTE LN SANTA ANA CA 92705 HEALTHCARE SERVICES 206265 MAXIM HEALTHCARE SERVICES INC 12558 COLLECTION CENTER DRIVE CHICAGO IL 60693 HEALTHCARE SERVICES 195898 5 6512961 768165 65055 7281126 PATIENT SERVICE FEES 624100 11169932 11169932 11169932 19257 19257 MISCELLANEOUS INCOME 900099 25593 25593 25593 18495908 11169932 0 44850 X 910734 752415 125054 33265 6881256 5770040 829123 282093 653946 493569 153384 6993 583164 440145 136782 6237 131004 131004 104550 104550 4171335 3781647 389688 154097 3381 2279 148437 158856 13247 87309 58300 553196 244177 296299 12720 1046940 734770 268900 43270 146148 109121 29263 7764 23893 17293 5073 1527 200611 200611 133731 27243 106488 MEDICAL SUPPLIES AND ME 838670 830019 2285 6366 PHARMACEUTICAL & PHARMA 383639 383639 EQUIPMENT PURCHASES, RE 173996 77740 89692 6564 LICENSES, FEES, & DUES 135251 57097 66267 11887 96665 81314 15297 54 17481682 14017468 2449049 1015165 8495021 7104538 1263503 4411942 301255 942834 1303611 1367182 59315 0 6915437 3954066 2105939 2961371 378850 340183 96766 99819 14004260 17227869 1215557 1389315 2519616 4555241 3735173 5944556 X 10269087 11283313 10269087 11283313 14004260 17227869 1014226 0 X 0 1 X 1 1 1 X 5454160 4989099 5756091 7589970 7281126 31070446 5454160 4989099 5756091 7589970 7281126 31070446 31070446 74 346 102 1175 19257 20954 14687 5312 8837 21113 25593 75542 31166942 51579508 0.99690 0.99760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3599168 1602697 1996471 3316269 2351369 964900 2961371 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS 4555241 4555241 X 18495908 0 18495908 0 18495908 17481682 0 17481682 0 17481682 PART X, LINE 2: T.H.E. CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2022, T.H.E. CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT IDENTIFY ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. X X X X X 0 0 0 0 0 0 0 1 0 CLIFFORD SHIEPE PRESIDENT/CEO 375238 0 0 0 0 0 10000 0 20566 0 405804 0 0 0 DERRICK BUTLER CHIEF MEDICAL OFFICER 291745 0 10000 0 0 0 0 0 19384 0 321129 0 0 0 TATYANA KLOCHKO SENIOR VICE PRESIDENT/CFO 236486 0 0 0 0 0 15000 0 11000 0 262486 0 0 0 LILIA MARIN HR DIRECTOR 200018 0 15000 0 0 0 0 0 10296 0 225314 0 0 0 NAUREEN TAREEN PHYSICIAN 201095 0 0 0 0 0 0 0 7326 0 208421 0 0 0 STEVEN FEIG PEDIATRICIAN 205558 0 0 0 0 0 0 0 0 0 205558 0 0 0 CHERYL TRINIDAD CHIEF DEVELOPMENT OFFICER 172387 0 10000 0 0 0 0 0 480 0 182867 0 0 0 CAROLINE O EGEKEZE PHYSICIAN PEDIATRICS 162859 0 0 0 0 0 0 0 0 0 162859 0 0 0 PART I, LINE 7 THE BONUS FOR THE PRESIDENT AND CEO IS BASED ON THE DESCRETION OF THE BOARD. THE PRESIDENT AND CEO DETERMINES BONUS AMOUNTS FOR ALL OTHER EMPLOYEES. X 1 65055 COST OF MEDICATION 0 0 0 PART I, COLUMN (B): NONCASH CONTRIBUTIONS ARE LISTED BY NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE CURRENT OFFICERS. ONLY THE EXECUTIVE COMMITTEE IS AUTHORIZED TO ACT FOR THE BOARD OF DIRECTORS FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS THEN INTERNALLY REVIEWED BY THE TOP MANAGEMENT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION STRICTLY PROHIBITS ANY OUTSIDE EMPLOYMENT OR OTHER ACTIVITIES OR RELATIONSHIPS THAT CREATE ANY ACTUAL, POTENTIAL, OR APPARENT CONFLICT OF INTEREST. ANY VIOLATION OF THIS POLICY MAY RESULT IN DISCIPLINARY ACTION, UP TO AND POSSIBLY INCLUDING IMMEDIATE TERMINATION OF EMPLOYEES. BOARD MEMBERS WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, AND COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE CEO INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. SALARY COMPENSATION SURVEYS AND OTHER INDUSTRY-STANDARD COMPENSATION TOOLS ARE USED IN RECOMMENDING SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,781,647. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 389,688. TOTAL EXPENSES 4,171,335.