2023-10-16T19:51:07-05:00 2022-06-30 330700332 VASQUEZ & COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2021-07-01 952289916 INSTITUTE INC INST 3232014516 5650 JILLSON STREET COMMERCE CA 90040 JEANNE LAM CFO 3232014516 2023-10-16 1 JEANNE LAM 999009999 REGINA L PRINCE CPA P00576936 2138731700 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z JEANNE LAM 5650 JILLSON STREET COMMERCE CA 90040 112812840 0 X WWW.JWCHINSTITUTE.ORG X 1960 CA TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH. 11 11 1082 34 0 0 43043545 41054849 64788491 71672812 14938 37534 68449 47645 107915423 112812840 194879 112010 0 0 56237382 63862718 0 0 15167 35467919 35909944 91900180 99884672 16015243 12928168 72067957 88322196 26351267 29777555 45716690 58544641 X THE SPECIFIC PURPOSES OF THIS ORGANIZATION ARE:(A) TO PROVIDE OUTPATIENT PRIMARY HEALTH SERVICE IN UNDERSERVED AREAS AND/OR FOR MEDICALLY UNDERSERVED POPULATIONS AS A COMMUNITY CLINIC. (B) TO DEVELOP, PROMOTE, AND MANAGE HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS WITH AN EMPHASIS ON COMPREHENSIVE HEALTH CARE, PREVENTATIVE MEDICINE, AND HEALTH MAINTENANCE. (C) TO EDUCATE THE PUBLIC ON THE PRINCIPLES OF HEALTH PROTECTION AND PROMOTE OTHER PROJECTS IN THE INTEREST OF THE PUBLIC'S HEALTH. (D) TO ENGAGE IN ANCILLARY MEDICAL, REHABILITATION, AND RESIDENTIAL TREATMENT PROGRAMS FOR UNDERSERVED POPULATIONS.(E) TO PROMOTE MUTUALLY ACCEPTABLE AND SATISFYING RELATIONSHIPS BETWEEN THE ORGANIZATION AND OTHER PROVIDERS OF HEALTH CARE TO DEVELOP AN EFFICIENT AND EFFECTIVE DELIVERY OF HEALTH CARE. (F) TO PARTICIPATE IN AND COOPERATE WITH ANY GOVERNMENTAL AGENCY OR OTHER ORGANIZATION ENGAGED IN SIMILAR OR LIKE ACTIVITIES. (G) TO ENGAGE IN SUCH OTHER ACTIVITIES AS DIRECTED BY THE BOARD. 0 0 98674703 112010 71672812 JWCH WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH - PROVIDED 44,063 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 5,850 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES. JWCH - OTHER CLINIC - THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT, MENTAL HEALTH, AND OPTOMETRY SERVICES WILL BE PROVIDED ON SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 31,434 MEDICAL VISITS TO 5,744 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 245 PATIENTS 796 MEDICAL VISITS. THE DOWNEY CLINIC PROVIDED 22,295 MEDICAL VISITS TO 5,215 PATIENTS. SERVICES PROVIDED AT THE DOWNEY CLINIC INCLUDED PRIMARY CARE, FAMILY PLANNING SERVICES & PROCEDURES, BEHAVIORAL HEALTH SERVICES, COMPREHENSIVE PRENATAL SERVICES, OB/GYN SERVICES, PODIATRY, HIV/STD TESTING & TREATMENT, AND GERIATRIC PRIMARY CARE SERVICES. THE WESLEY HEALTH CENTERS-HACIENDA HEIGHTS PROVIDED 8,342 VISITS TO 1,870 PATIENTS. SERVICES OFFERED AT THE HACIENDA HEIGHTS CLINIC INCLUDED PRIMARY CARE, FAMILY & PEDIATRIC MEDICINE, CHIROPRACTIC SERVICES, REPRODUCTIVE HEALTH, OB/GYN, BEHAVIORAL HEALTH, SUBSTANCE ABUSE SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, AND LABORATORY SERVICES. THE WESLEY HEALTH CENTERS-LYNWOOD (NEW) PROVIDED 31,087 MEDICAL VISITS TO 7,166 PATIENTS. SERVICES OFFERED AT THE NEW LYNWOOD CLINIC INCLUDED PRIMARY CARE, FAMILY MEDICINE, DENTAL/ORAL HEALTH, BEHAVIORAL HEALTH, CHIROPRACTIC SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, PODIARY, AND LABORATORY. BPHC-HEALTH CARE CENTER CLUSTER - THE FEDERAL SECTION 330 GRANT ALLOWS FOR JWCH'S PARTICIPATION AS A FEDERALLY QUALIFIED HEALTH CENTER. THIS PROGRAM PROVIDES A BASE GRANT FOR INDIGENT CARE VISITS TO UNINSURED PERSONS IN JWCH'S HOMELESS AND COMMUNITY HEALTH CENTERS. PROVIDED UNDER THIS PROGRAM ARE PRIMARY CARE, DIAGNOSTICS, REPRODUCTIVE HEALTH SERVICES, PREVENTION AND EDUCATION AND ACCESS TO MEDICAL SPECIALISTS. ALL AGES ARE SERVED WITH THIS FUNDING. AIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. JWCH CLINIC AT BELL GARDENS - PROVIDED 25,437 VISITS TO 4,732 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.RECUPERATIVE CARE - PROVIDES 24-HOUR CARE FOR HOMELESS PERSONS WHO ARE RECOVERING FROM AN ILLNESS OR INJURY AND DISCHARGED FROM LOCAL HOSPITALS. A TOTAL OF 286 BEDS ARE AVAILABLE DAILY, INCLUDING THREE MEALS AND ASSISTANCE WITH WOUND CARE, BENEFITS ACCESS AND CASE MANAGEMENT SERVICES. IN TOTAL, 104,390 BED DAYS ARE AVAILABLE FOR HOMELESS PERSONS WHO WOULD OTHERWISE SPEND TIME RECOVERING ON THE STREETS. POST DISCHARGE FROM RECUPERATIVE CARE, THE PROGRAM SEEKS TO FIND MORE PERMANENT SOLUTIONS FOR PATIENTS INCLUDING PLACEMENT IN TRANSITIONAL AND PERMANENT HOUSING LOCATIONS.JWCH LYNWOOD PRIMARY CARE CLINIC - PROVIDED 10,277 VISITS TO 3,413 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.JWCH NORWALK CLINIC - PROVIDED 45,246 VISITS TO 6,878 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.INFORMATION & EDUCATION - TARGETS YOUTH THAT ARE PREGNANT OR PARENTING AND PROVIDES THEM WITH SUPPORT NEEDED TO STAY IN SCHOOL, WHILE TAKING CARE OF THEMSELVES AND THEIR CHILDREN AND AT THE SAME TIME AVOIDING ANY FURTHER UNINTENDED PREGNANCY. THE PROGRAM CONNECTS YOUTH TO REPRODUCTIVE HEALTH CARE AND OTHER MEDICAL SERVICES IN A JWCH CLINIC. YOUTH IN PROBATION AND ALTERNATIVE SCHOOLS ARE THE PRIMARY FOCUS OF THE PROGRAM AS WELL AS ANY OTHER HIGH RISK YOUTH THAT SEEK SERVICES FROM THE INFORMATION & EDUCATION PROGRAM.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT SRO HOUSING TRUST. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.JWCH VERMONT CLINIC - PROVIDED 45,436 VISITS TO 7,730 HOMELESS PATIENTS. THE JWCH VERMONT CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.CHIP-CDC - JWCH'S CHIP PROGRAM OR (COMPREHENSIVE HIV PREVENTION PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. THE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING.JWCH ANTELOPE VALLEY CLINICS CONSISTED OF WESLEY HEALTH CENTERS (LANCASTER), WESLEY HEALTH CENTERS (PALMDALE CENTRAL) AND WESLEY HEALTH CENTERS (PALMDALE EAST). THEY PROVIDED A COMBINED TOTAL OF 112,093 VISITS TO A TOTAL OF 28,271 PATIENTS. THE FOLLOWING SERVICES ARE OFFERED: PRIMARY HEALTH CARE, REPRODUCTIVE HEALTH, DENTAL & ORAL HEALTH, BEHAVIORAL HEALTH, PEDIATRICS, PODIATRY, ENDOCRINOLOGY, DERMATOLOGY, DRUG, ALCOHOL AND OPIOID DETOX SERVICES, LABORATORY SERVICES, AND SPECIALTY REFERRALS. 98674703 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 94 0 1 1082 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JEANNE LAM 3232014516 5650 JILLSON STREET COMMERCE CA 90040 KEITH TERASAKI MD CHAIRPERSON 2.00 X X 0 0 0 KATHLEEN J HOUSE VICE CHAIRPERSON 2.00 X X 0 0 0 SHEILA SHIMA EATON TREASURER 2.00 X X 0 0 0 JOE CASTEL SECRETARY 1.00 X X 0 0 0 LAWRENCE FERNANDEZ JR BOARD MEMBER 1.00 X 0 0 0 MARIA PADRON BOARD MEMBER 1.00 X 0 0 0 SILVIA L HERNANDEZ BOARD MEMBER 1.00 X 0 0 0 TOM GRODE BOARD MEMBER 1.00 X 0 0 0 EDUARDO SAUCEDO BOARD MEMBER 1.00 X 0 0 0 HERBERT TORRANCE BOARD MEMBER 1.00 X 0 0 0 ANNETTE SULLIVAN BOARD MEMBER 1.00 X 0 0 0 ALVARO BALLESTEROS CEO 40.00 X 354355 0 17954 JEANNE LAM CFO 40.00 X 230131 0 11486 ANDY IRIE SECRETARY 40.00 X 194456 0 14820 BRENDA VELASQUEZ COO 40.00 X 194495 0 14137 PAUL GREGERSON CMO 40.00 X 411646 0 18237 PHILIP LE ASSOCIATE MEDICAL DIRECTOR 40.00 X 285588 0 18237 HAROLD GLEN SAN AGUSTIN ASSO. MEDICAL DIRECTOR-HIV 40.00 X 254832 0 17439 ANA ORTIZ DENTAL DIRECTOR 40.00 X 225787 0 15931 PAUL ROUND ASSO. MEDICAL DIRECTOR 40.00 X 244434 0 17436 BENJAMIN MONROE MEDICAL DIRECTOR/OB/GYN 40.00 X 207746 0 12747 TIEN DANG CIO 40.00 X 206318 0 14688 REBECCA CHOHLAS-WOOD PHYSICIAN SPECIALIST 40.00 X 247860 0 15707 PAWEL KASZUBOWSKI PHYSICIAN 40.00 X 247139 0 8815 LUCIEN ALEXANDRE PHYSICIAN 40.00 X 243899 0 17425 NICOLE CERVANTES PHYSICIAN 40.00 X 237530 0 15065 LENA AROUS PHYSICIAN SPECIALIST 40.00 X 235596 0 12022 4021812 0 242146 16 0 1 0 RUIZ BROTHERS CONSTRUCTION CO INC 2181 S ATLANTIC BLVD STE 101 COMMERCE CA 90040 RENOVATION 4180285 KAISER FOUNDATION HEALTH PLAN FILE NUMBER 54803 LOS ANGELES CA 900744803 HEALTH BENEFITS 1631499 AMERICAN EXPRESS CPC REMITTANCE PROCESSING 20500 BEL CARSON CA 907463506 CREDIT CARD PAYMENT TO VARIOUS VENDORS 1198618 CORPORATE PAYMENT SYSTEMS 830 N 11TH STREET SAINT LOUIS MO 63101 CREDIT CARD PAYMENT TO VARIOUS VENDORS 1119898 CORNERSTONE SERVICE CORPS INC 14460 FALLS OF NEUSE RD SUITE 149 RALEIGH NC 27614 CHIROPRACTIC SERVICES 1080810 11 38398992 2655857 41054849 PATIENT SERVICES, NET 621400 62291373 62291373 PHARMACY REVENUES 621400 8024500 8024500 IPA REVENUES 621400 1356939 1356939 71672812 37534 37534 47645 0 47645 47645 47645 112812840 71672812 0 85179 X 112010 112010 2982624 2957092 25532 49336160 48951982 384178 1462218 1431318 30900 6125998 5996542 129456 3955718 3872125 83593 313737 311119 2259 359 119350 118354 859 137 11277650 11182593 82019 13038 41729 39448 2281 2197448 2159148 38300 388284 381517 6767 1255256 1230149 25107 200611 196545 4066 606606 573451 33155 1008500 815142 193358 577130 521260 55870 MEDICAL AND LABORATORY 10582142 10581047 1095 LEASE 1949242 1944068 5174 SMALL TOOLS AND SUPPLIE 1533555 1528923 4632 PATIENT WELFARE 1294598 1294148 450 2564106 2476722 85751 1633 99884672 98674703 1194802 15167 9760336 14067378 6025417 7454013 7455225 10573067 19530633 18882238 261059 140592 334592 162384 35693801 8120183 21440876 27573618 6061731 6061731 1198088 3407175 72067957 88322196 4556884 3831343 402151 1189114 13192791 16068703 8199441 8688395 26351267 29777555 X 45003752 56454730 712938 2089911 45716690 58544641 72067957 88322196 12928168 -100217 0 X 0 0 1 1 1 X 21700725 25670176 32041442 43043545 41098844 163554732 21700725 25670176 32041442 43043545 41098844 163554732 163554732 1888 26682 5572 14938 85179 134259 2306768 1646058 119500 4072326 167761317 185681291 0.97490 0.94760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10140569 10140569 17297218 3343525 13953693 5882202 4776658 1105544 2373812 2373812 27573618 PAYROLL & RELATED LIABILITIES 6754919 ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYERS 1933476 8688395 X 112712623 -100217 -100217 112812840 0 112812840 99884672 0 99884672 0 99884672 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THE CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D AND IS GENERALLY NOT SUBJECT TO FEDERAL OR STATE INCOME TAXES. HOWEVER, THE ORGANIZATION IS SUBJECT TO INCOME TAXES ON ANY NET INCOME THAT IS DERIVED FROM A TRADE OR BUSINESS, REGULARLY CARRIED ON, AND NOT IN FURTHERANCE OF THE PURPOSES FOR WHICH IT WAS GRANTED EXEMPTION. NO INCOME TAX PROVISION HAS BEEN RECORDED AS THE NET INCOME, IF ANY, FROM ANY UNRELATED TRADE OR BUSINESS, IN THE OPINION OF MANAGEMENT, IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. U.S. GAAP REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF A TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. AS OF AND FOR THE YEARS ENDED JUNE 30, 2022 AND 2021, THE ORGANIZATION HAD NO MATERIAL UNRECOGNIZED TAX BENEFITS, TAX PENALTIES OR INTEREST. AS OF JUNE 30, 2022, INFORMATION RETURNS SUBSEQUENT TO 2018 FILED BY THE ORGANIZATION ARE SUBJECT TO EXAMINATION BY THE AUTHORITIES. 1 WEINGART CENTER ASSOCIATION 566 S SAN PEDRO STREET LOS ANGELES CA 90013 956054617 501(C)(3) 112010 0 BOOK TO SUPPORT SUBSTANCE ABUSE PROGRAM PART I, LINE 2: THE ORGANIZATION ENTERS INTO WRITTEN AGREEMENTS WITH THE GRANTEES SPECIFYING HOW THE GRANT MONIES ARE TO BE SPENT. THE GRANTEES ARE REQUIRED TO SUBMIT BUDGETS FOR THE GRANTS AND REPORTS ARE OBTAINED QUARTERLY OR SEMI-ANNUALLY TO ENSURE THAT MONIES ARE BEING CONSISTENT WITH THE GRANT TERMS AND THE BUDGET. X X X 0 0 0 0 0 0 0 0 0 PAUL GREGERSON CMO 407546 0 500 0 3600 0 11600 0 6637 0 429883 0 0 0 ALVARO BALLESTEROS CEO 329455 0 10500 0 14400 0 11600 0 6354 0 372309 0 0 0 PHILIP LE ASSOCIATE MEDICAL DIRECTOR 285088 0 500 0 0 0 11600 0 6637 0 303825 0 0 0 HAROLD GLEN SAN AGUSTIN ASSO. MEDICAL DIRECTOR-HIV 254332 0 500 0 0 0 11031 0 6408 0 272271 0 0 0 REBECCA CHOHLAS-WOOD PHYSICIAN SPECIALIST 247360 0 500 0 0 0 9710 0 5997 0 263567 0 0 0 PAUL ROUND ASSO. MEDICAL DIRECTOR 243934 0 500 0 0 0 10441 0 6995 0 261870 0 0 0 LUCIEN ALEXANDRE PHYSICIAN 243399 0 500 0 0 0 10460 0 6965 0 261324 0 0 0 PAWEL KASZUBOWSKI PHYSICIAN 246639 0 500 0 0 0 7325 0 1490 0 255954 0 0 0 NICOLE CERVANTES PHYSICIAN 237030 0 500 0 0 0 8673 0 6392 0 252595 0 0 0 LENA AROUS PHYSICIAN SPECIALIST 235596 0 0 0 0 0 7562 0 4460 0 247618 0 0 0 ANA ORTIZ DENTAL DIRECTOR 225287 0 500 0 0 0 9323 0 6608 0 241718 0 0 0 JEANNE LAM CFO 229631 0 500 0 0 0 8871 0 2615 0 241617 0 0 0 TIEN DANG CIO 205818 0 500 0 0 0 8327 0 6361 0 221006 0 0 0 BENJAMIN MONROE MEDICAL DIRECTOR/OB/GYN 207246 0 500 0 0 0 6386 0 6361 0 220493 0 0 0 ANDY IRIE SECRETARY 193956 0 500 0 0 0 8458 0 6362 0 209276 0 0 0 BRENDA VELASQUEZ COO 193995 0 500 0 0 0 7745 0 6392 0 208632 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ITS ATTACHMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXTENT OF THE REVIEW INCLUDES A LINE-BY-LINE REVIEW OF THE FORM 990. THE REVIEW IS BASED ON GUIDANCE PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT OF THE ORGANIZATION ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT STAFF SIGNS AN ANNUAL CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST POLICY WAS REVIEWED AND HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND IS IMPLEMENTED AT THE BOARD MANAGEMENT LEVEL. TRAINING ON THE POLICY WAS ALSO CONDUCTED. DETERMINATIONS OF POTENTIAL CONFLICT OF INTEREST ARE MADE AT THE BOARD LEVEL AND AT THE EXECUTIVE STAFF LEVEL. IF A POTENTIAL CONFLICT IS IDENTIFIED, AGENCY POLICY DICTATES THAT THE SUBJECT INDIVIDUAL SHALL REMOVE THEMSELVES FROM DISCUSSIONS REGARDING THE MATTER AT HAND. ALL CONFLICTS WILL BE DOCUMENTED IN MINUTES OF THE GOVERNING BOARD. ANNUALLY, THE JWCH CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL REVIEW OF POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 THE JWCH BOARD OF DIRECTORS SETS-UP A COMPENSATION COMMITTEE TO EVALUATE THE CEO'S SALARY BASED ON THE FOLLOWING: AN EXTENSIVE ANNUAL PERFORMANCE REVIEW IS UNDERTAKEN BY THE BOARD OF DIRECTORS VIA THIS COMMITTEE, WITH INPUT BY THE WHOLE BOARD. SHOULD A SALARY INCREASE BE WARRANTED, THE PERFORMANCE EVALUATION IS USED TOGETHER WITH SALARY COMPARISONS OF OTHER COMMUNITY HEALTH CENTERS PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND THE LOCAL COMMUNITY CLINIC ACCOSIATION TO REVIEW COMPARATIVE COMPENSATION LEVELS. A DETERMINATION IS THEN MADE BASED ON BOTH AND BROUGHT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION OF ANY SALARY CHANGES. THE BOARD OF DIRECTORS ONLY SETS THE SALARY FOR THE CEO. THE BOARD OF DIRECTORS REVIEW AND APPROVE A SALARY COMPENSATION GRADE SCHEDULE FOR ALL OTHER AGENCY STAFF, INCLUDING THE CFO. THIS COMPENSATION GRADE SCHEDULE IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS SO THAT SALARIES OF AGENCY STAFF IS CONSISTENT WITH INDUSTRY STANDARDS. THE SETTING OF SALARIES FOR STAFF OTHER THAN THE CEO IS DELEGATED TO THE CEO AND HIS DESIGNEES TOGETHER WITH HUMAN RESOURCES ACCORDING TO THE AFOREMENTIONED SALARY SCHEDULE. THE DELIBERATION AND DECISION ON EACH OF THE COMPENSATION PACKAGES WAS PROPERLY SUBSTANTIATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 7,057,334. MANAGEMENT AND GENERAL EXPENSES 51,249. FUNDRAISING EXPENSES 8,146. TOTAL EXPENSES 7,116,729. TRANSPORTATION: PROGRAM SERVICE EXPENSES 253,612. MANAGEMENT AND GENERAL EXPENSES 1,842. FUNDRAISING EXPENSES 293. TOTAL EXPENSES 255,747. PAYROLL SERVICES : PROGRAM SERVICE EXPENSES 211,129. MANAGEMENT AND GENERAL EXPENSES 1,533. FUNDRAISING EXPENSES 244. TOTAL EXPENSES 212,906. OUTSIDE SERVICES SECURITY: PROGRAM SERVICE EXPENSES 442,346. MANAGEMENT AND GENERAL EXPENSES 3,212. FUNDRAISING EXPENSES 511. TOTAL EXPENSES 446,069. OUTSIDE SERVICES TRANSLATION: PROGRAM SERVICE EXPENSES 73,478. MANAGEMENT AND GENERAL EXPENSES 534. FUNDRAISING EXPENSES 85. TOTAL EXPENSES 74,097. SUBCONTRACTOR: PROGRAM SERVICE EXPENSES 745,213. MANAGEMENT AND GENERAL EXPENSES 6,225. FUNDRAISING EXPENSES 989. TOTAL EXPENSES 752,427. OTHER PROFESSIONAL SERVICES : PROGRAM SERVICE EXPENSES 2,399,481. MANAGEMENT AND GENERAL EXPENSES 17,424. FUNDRAISING EXPENSES 2,770. TOTAL EXPENSES 2,419,675. FORM 990, PART IX, LINE 24E FEES: PROGRAM SERVICE EXPENSES 842,941. MANAGEMENT AND GENERAL EXPENSES 23,879. FUNDRAISING EXPENSES 1,345. TOTAL EXPENSES 868,165. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 706,696. MANAGEMENT AND GENERAL EXPENSES 18,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 724,747. RECRUITMENT: PROGRAM SERVICE EXPENSES 264,147. MANAGEMENT AND GENERAL EXPENSES 15,272. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,419. PROPERTY & SALES TAX: PROGRAM SERVICE EXPENSES 179,501. MANAGEMENT AND GENERAL EXPENSES 5,085. FUNDRAISING EXPENSES 286. TOTAL EXPENSES 184,872. TRAINING & MEETINGS: PROGRAM SERVICE EXPENSES 124,802. MANAGEMENT AND GENERAL EXPENSES 2,773. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,575. LAUNDRY: PROGRAM SERVICE EXPENSES 90,147. MANAGEMENT AND GENERAL EXPENSES 5,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,359. MEMBERSHIPS & SUBSCRIPTIONS: PROGRAM SERVICE EXPENSES 86,961. MANAGEMENT AND GENERAL EXPENSES 5,028. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 91,989. UNIFORMS: PROGRAM SERVICE EXPENSES 84,673. MANAGEMENT AND GENERAL EXPENSES 4,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 89,568. EMPLOYEE ACKNOWLEDGEMENTS: PROGRAM SERVICE EXPENSES 59,046. MANAGEMENT AND GENERAL EXPENSES 3,414. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,460. OTHER EXPENSES: PROGRAM SERVICE EXPENSES 36,292. MANAGEMENT AND GENERAL EXPENSES 2,099. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 38,391. FEDERAL EXCISE TAX: PROGRAM SERVICE EXPENSES 1,516. MANAGEMENT AND GENERAL EXPENSES 43. FUNDRAISING EXPENSES 2. TOTAL EXPENSES 1,561.