2022-04-07T17:18:05-05:00 2021-06-30 954557617 Harrington Group CPAs LLP 2698 Mataro Street Pasadena CA 91107 990 2020-07-01 953403582 Queen of Angels - QueensCare Foundation QUEE 3236694305 950 SOUTH GRAND AVENUE 2ND FL SOUT LOS ANGELES CA 90015 Barbara B Hines President/CEO 3236694304 2022-04-07 1 Barbara Hines 999009999 Sean E Cain CPA P01612986 6264036801 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z X Barbara B Hines 950 SOUTH GRAND AVENUE 2ND FL SOUTH LOS ANGELES CA 90015 16719 0 X N/A X 1978 CA The organization provides financial support to QueensCare, a California non-profit public benefit corporation, to further QueensCare's mission of providing accessible healthcare for uninsured and low-income working individuals and families. X 3 3 0 1 0 0 0 0 0 0 178631 16719 0 0 178631 16719 70000 7000000 0 0 300 300 0 0 0 17277 127480 87577 7127780 91054 -7111061 6886238 0 70000 0 6816238 0 The organization provides financial support to QueensCare, a California non-profit public benefit corporation, to further QueensCare's mission of providing accessible healthcare for uninsured and low-income working individuals and families. 0 0 7000000 7000000 Support to QueensCare, a California non-profit public benefit corporation, providing accessible healthcare for uninsured and low-income working individuals and families. 7000000 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 3 3 0 1 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X X FAITH LEE 3236694345 950 SOUTH GRAND AVENUE 2ND FL SOUTH LOS ANGELES CA 90015 Ed Avila Chair 1.00 2.00 X X 150 5200 0 Fr Michael Stechmann Secretary 1.00 2.00 X X 150 3450 0 Barbara B Hines Director 1.00 40.00 X 0 392750 27748 300 401400 27748 0 0 1 0 0 16719 16719 16719 0 0 16719 7000000 7000000 300 300 118772 118772 8708 8708 7127780 7000000 127780 0 121278 0 0 0 0 0 0 0 0 0 0 0 47216 0 6717744 0 0 0 0 0 6886238 0 70000 0 70000 0 X 6641241 0 174997 0 6816238 0 6886238 0 -7111061 294823 0 X 0 1 X 1 0 X X 1 QUEENSCARE 951644040 3 1 7000000 0 1 7000000 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 6870516 6870516 6642181 245912 17577 6870516 6254696 403776 16291 6642181 6884759 389574 1000000 19637 6254696 6276372 710753 88323 14043 6884759 0 0 0 X Part V, Line 4: The Foundation intends to use its endowment funds to continue its support of QueensCare, a California non-profit public benefit corporation providing accessible healthcare for uninsured and low income working individuals and families. Part X, Line 2: The Organization is exempt from taxation under Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701d. Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organization's returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed. 1 QueensCare 950 South Grand Ave 2nd Fl South Los Angeles CA 90015 951644040 501(c)3 7000000 Healthcare support 1 Part I, Line 2: The purpose of Queen of Angels - QueensCare Foundation is to provide financial support to QueensCare, a California non-profit public benefit corporation, to further QueensCare's mission of providing accessible healthcare for uninsured and low-income working individuals and families. 0 0 0 0 0 0 0 0 0 Barbara B Hines Director 0 392750 0 0 0 0 0 18665 0 9083 0 420498 0 0 Part I, Line 3 A Compensation Committee comprised of independent Board members formulates a proposed compensation level for the CEO by reviewing recommendation of an independent compensation consultant and general compensation data for similarly situated organizations. Following such a review, the Compensation Committee presents its findings and recommendations to the Board at which Board members are provided with the opportunity to ask questions. Based on the findings and recommendations of the Compensation Committee, a Board vote is taken to establish the new compensation level for the CEO. Deliberations of the Compensation Committee and the Board are recorded in the organization's minute book. The evaluation, review, and recommendation process were last undertaken by the Compensation Committee in May 2021 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in September 2021. Equipment 2021-06-30 47216 Cost 951644040 QueensCare 950 South Grant Avenue 2nd Floor S Los Angeles CA 90015 501(c)(3) Cash and investment portfolio 2021-06-30 6769022 FMV 951644040 QueensCare 950 South Grant Avenue 2nd Floor S Los Angeles CA 90015 501(c)(3) 1 1 0 0 1 1 1 1 0 Part I, Line 2e: Person(s) Involved: Ed AvilaFr. Michael StechmannBarbara Hines Part I, Line 2e: Explanation of Involvement: Ed Avila, Board Chair, is also on the Board of QueensCare. Fr. Michael Stechmann, Board Secretary, is also on the Board of QueensCare.Barbara Hines, Board Member, is also an employee of QueensCare. Form 990, Part VI, Section A, line 3 The organization delegates control over management duties to QueensCare, a California non-profit corporation which is its sole corporate member and which it supports. Form 990, Part VI, Section A, line 4 The Board of Directors voted on the distribution of assets upon dissolution of Queen of Angels - QueensCare Foundation. Form 990, Part VI, Section A, line 6 QueensCare, a California non-profit, public benefit corporation is the organization's sole corporate member. Form 990, Part VI, Section A, line 7a As its sole member, QueensCare has the power and authority to appoint the organization's Board of Directors. Form 990, Part VI, Section A, line 7b In addition to the power to elect its Board of Directors QueensCare has the authority to amend the organization's Bylaws and to oversee and approve other corporate actions. Form 990, Part VI, Section B, line 11b The final draft of the organization's Form 990 is reviewed for accuracy and completeness by the organization's CEO and by the VP of Finance & Accounting of QueensCare, its supported organization. Details of the return are discussed at the organization's next regularly scheduled Board meeting. Form 990, Part VI, Section B, line 12c The organization's Board members and corporate officers are subject to a conflict of interest policy. Pursuant to that policy, each such person is required to identify any transaction with the organization in which the person has (or may have) a financial interest. If a conflict (or potential conflict) is identified, the Board, excluding any involved Board members carefully reviews the terms of the transaction and makes a determination as to whether the transactions is fair and reasonable to the organization under all the facts and circumstances. The organization monitors and enforces compliance with this policy by: (i) discussing such issues at its annual meeting; (ii) requiring all covered persons to annually provide written certification of their compliance with the policy; and (iii) carefully reviewing all material transactions to identify potential or real conflicts. Form 990, Part VI, Section C, line 19 The organization's annual financial report is available upon request. The organization provides copies of its governing documents, its conflict of interest policy, as well as its three most recent Forms 990 to any interested person that makes a request for such documents. The organization's Forms 990 for its three most recent years are also available on a third party's website, guidestar.org. QueensCare 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 951644040 Healthcare for the Poor CA 501(c)(3) Line 3 St Joseph's Health Support Alliance 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 QueensCare P 23084 Accrual QueensCare S 7000000 Accrual