GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-04
- IRS object ID
- 202231249349302093
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-04T15:35:04-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 954557617 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrington Group CPAs LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2698 Mataro Street | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91107 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953702136 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QueensCare Health Centers | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | QUEE | BusinessNameControlTxt |
| Phone | 3236694301 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Flr S | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Eloisa Perard | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 3236694301 | PhoneNum |
| Signature | 2022-05-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Eloisa | PersonFirstNm |
| Person Last | Perard | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sean E Cain CPA | PreparerPersonNm |
| PTIN | P01612986 | PTIN |
| Phone | 6264036801 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Eloisa Perard | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Flr S | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $36,049,874 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.queenscarehealthcenters.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | The Centers directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County, including the uninsured, indigent, elderly and children. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 18 | VotingMembersIndependentCnt |
| Total Employee | 321 | TotalEmployeeCnt |
| Total Volunteers | 18 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,745,144 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,134,137 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $22,321,157 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $23,418,853 | CYProgramServiceRevenueAmt |
| PY Investment Income | $422,649 | PYInvestmentIncomeAmt |
| CY Investment Income | $140,107 | CYInvestmentIncomeAmt |
| PY Other Revenue | $616,003 | PYOtherRevenueAmt |
| CY Other Revenue | $1,356,777 | CYOtherRevenueAmt |
| PY Total Revenue | $28,104,953 | PYTotalRevenueAmt |
| CY Total Revenue | $36,049,874 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,519,869 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $26,210,465 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,274,463 | PYOtherExpensesAmt |
| CY Other Expenses | $8,357,716 | CYOtherExpensesAmt |
| PY Total Expenses | $31,794,332 | PYTotalExpensesAmt |
| CY Total Expenses | $34,568,181 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,689,379 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,481,693 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $34,599,930 | TotalAssetsBOYAmt |
| Total Assets EOY | $31,564,094 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $5,000,144 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,379,320 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $29,599,786 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,184,774 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | QueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $27,400,824 | ExpenseAmt |
| Revenue | $23,418,853 | RevenueAmt |
| Desc | The mission of QueensCare Health Centers and affiliated entities is to provide quality primary healthcare to any patient in need in the communities we serve, regardless of ability to pay. We seek to provide universal access to primary healthcare, reducing disparities in care and improving health in the communities we serve.In 1897, the Franciscan Sisters of the Sacred Heart founded an orphanage, the Society of El Hogar Feliz, for abandoned and neglected children in Los Angeles, which later became a clinic known as the Franciscan Clinic. In 1994, the Sisters transferred sponsorship of the Franciscan Clinic to the hospital it had also founded, Queen of Angels-Hollywood Presbyterian Medical Center. At the time of its sale in 1998, the hospital's four other outpatient clinics were merged into Franciscan Clinics and operated under the business name QueensCare Family Clinics. In 2003 QueensCare Family Clinics applied for and became a federally qualified health center (FQHC), requiring it to form a board of directors independent of the other QueensCare entities. As a federally qualified health center, QueensCare Health Centers is partially funded by grants from the U.S. Department of Health & Human Services, Health Resources & Services Administration and has been deemed under the Federal Tort Claims Act. QueensCare Health Centers also contracts with the County of Los Angeles to provide healthcare services to uninsured residents of Los Angeles. QueensCare Health Centers accepts Medi-Cal, Medicare and some private insurance, but treats all patients, regardless of ability to pay.QueensCare Health Centers operates five clinic locations in Los Angeles, California. A wide range of health services are provided to children, adults and elderly patients in underserved populations at these locations, including:" Adult primary care" Pediatric care" Obstetrics" Dental care" Pharmacy" Optometry" Podiatry" Behavioral health" Chronic disease management" Care coordination" TelehealthDuring the fiscal year ended June 30, 2021, QueensCare Health Centers provided, medical, dental and vision services to approximately 22,000 patients, which accounted for approximately 102,000 visits. | Desc |
| Total Program Service Expenses | $27,400,824 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 39 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 321 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 18 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dennis C Benton | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3232867513 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Flr S | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Jay Guerena | ||||||||
| Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $3,300 | $0 | |
| Jeffrey Hermann | ||||||||
| Vice Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Yasmin Garcia | ||||||||
| Secretary | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Carmen Andreasen | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Martha Arias | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William Chim | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Serina Demirians | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Zoriy Elterman | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Aileen Hernandez | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jeffrey Hermann | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Harry Kram MD | ||||||||
| Director | 2.00 | Yes (X) | $0 | $2,000 | $0 | |||
| Alexander Lawrence | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Allan Michelena | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Ama Neel | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Jacquelyn P Pantoja | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Mary Ramos | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| Manuel Romero | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Kayla Sadeeh | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Barbara B Hines | ||||||||
| President/CEO (Through 12/20) | 20.00 | 20.00 | Yes (X) | $98,397 | $400,750 | $40,562 | ||
| Edward Liao MD | ||||||||
| Physician/C.M.O. | 40.00 | Yes (X) | $319,637 | $0 | $58,280 | |||
| Eloisa Perard | ||||||||
| CAO/CEO (Transition 1/21) | 40.00 | Yes (X) | $0 | $263,511 | $28,310 | |||
| Chad Vargas | ||||||||
| COO (End 2/21) | 40.00 | Yes (X) | $168,783 | $0 | $19,918 | |||
| Dennis Benton | ||||||||
| VP Accounting & Finance | 40.00 | Yes (X) | $0 | $113,754 | $18,035 | |||
| Maria T Lim Heya | ||||||||
| Physician | 40.00 | $282,981 | $0 | $30,344 | Yes (X) | |||
| Craig Golden MD | ||||||||
| Physician | 40.00 | $242,044 | $0 | $21,384 | Yes (X) | |||
| Stephen Pine MD | ||||||||
| Physician | 40.00 | $254,956 | $0 | $16,058 | Yes (X) | |||
| Hla Moe | ||||||||
| Physician | 40.00 | $230,846 | $0 | $19,790 | Yes (X) | |||
| Claudia Ramos-Smulevich MD | ||||||||
| Physician | 40.00 | $247,239 | $0 | $40,503 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,844,883 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $783,315 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,184 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Cardinal Health | |||||
| PO Box 56412 | Los Angeles | CA | 90074 | Pharmaceuticals and medical supplies | $1,295,204 |
| OCHIN Inc | |||||
| PO Box 5426 | Portland | OR | 97228 | Electronic medical record system | $650,953 |
| Beta Healthcare Group | |||||
| 1443 Danville Blvd | Alamo | CA | 94507 | Insurance | $478,749 |
| Henry Schein Inc | |||||
| 1985 Zonal Ave | Los Angeles | CA | 90089 | Medical and dental supplies | $377,800 |
| University of So Cal School of Pharmacy | |||||
| 1985 Zonal Ave PSC 700A | Los Angeles | CA | 90089 | Pharmacist services | $369,103 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 13 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $11,055,669 | GovernmentGrantsAmt |
| All Other Contributions | $78,468 | AllOtherContributionsAmt |
| Total Contributions | $11,134,137 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Revenue | 621400 | $18,782,561 | $18,782,561 |
| Q/QHC Healthcare Partners | 621400 | $4,500,000 | $4,500,000 |
| Medi-Cal | 621400 | $136,292 | $136,292 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $23,418,853 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $140,107 | TotalRevenueColumnAmt |
| Exclusion | $140,107 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other income | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,356,777 | TotalRevenueColumnAmt |
| Exclusion | $1,356,777 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,356,777 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $36,049,874 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $23,418,853 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,496,884 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,086,515 | TotalAmt |
| Management And General | $1,086,515 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,131,152 | TotalAmt |
| Program Services | $16,594,492 | ProgramServicesAmt |
| Management And General | $3,536,660 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $963,376 | TotalAmt |
| Program Services | $722,830 | ProgramServicesAmt |
| Management And General | $240,546 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,595,808 | TotalAmt |
| Program Services | $1,912,843 | ProgramServicesAmt |
| Management And General | $682,965 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,433,614 | TotalAmt |
| Program Services | $1,027,582 | ProgramServicesAmt |
| Management And General | $406,032 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $210,099 | TotalAmt |
| Management And General | $210,099 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,055 | TotalAmt |
| Management And General | $54,055 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,846,034 | TotalAmt |
| Program Services | $1,501,005 | ProgramServicesAmt |
| Management And General | $345,029 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,865 | TotalAmt |
| Program Services | $14,749 | ProgramServicesAmt |
| Management And General | $82,116 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,852 | TotalAmt |
| Program Services | $167,803 | ProgramServicesAmt |
| Management And General | $44,049 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,534,014 | TotalAmt |
| Program Services | $1,476,129 | ProgramServicesAmt |
| Management And General | $57,885 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,064,252 | TotalAmt |
| Program Services | $1,021,693 | ProgramServicesAmt |
| Management And General | $42,559 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,086 | TotalAmt |
| Program Services | $31,868 | ProgramServicesAmt |
| Management And General | $15,218 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,641 | TotalAmt |
| Program Services | $588 | ProgramServicesAmt |
| Management And General | $4,053 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $195,619 | TotalAmt |
| Program Services | $168,235 | ProgramServicesAmt |
| Management And General | $27,384 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,199 | TotalAmt |
| Program Services | $69,044 | ProgramServicesAmt |
| Management And General | $63,155 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Pharmaceuticals | $1,258,439 | $1,258,439 | |
| Purchased services | $844,665 | $844,665 | |
| Medical/other supplies | $438,115 | $438,115 | |
| Other | $419,781 | $150,744 | $269,037 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,568,181 | TotalAmt |
| Program Services | $27,400,824 | ProgramServicesAmt |
| Management And General | $7,167,357 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,321 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,064,614 | BOYAmt |
| EOY | $3,843,667 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $998,628 | BOYAmt |
| EOY | $309,873 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,656,774 | BOYAmt |
| EOY | $1,609,577 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,974,470 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,441 | BOYAmt |
| EOY | $113,726 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $304,624 | BOYAmt |
| EOY | $253,729 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,415,696 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,972,320 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $540,125 | BOYAmt |
| EOY | $443,376 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,361,286 | BOYAmt |
| EOY | $12,075,495 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,414,353 | BOYAmt |
| EOY | $12,914,651 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,599,930 | BOYAmt |
| EOY | $31,564,094 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,447,146 | BOYAmt |
| EOY | $2,129,320 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $250,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,552,998 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,000,144 | BOYAmt |
| EOY | $2,379,320 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,599,786 | BOYAmt |
| EOY | $29,184,774 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,599,786 | BOYAmt |
| EOY | $29,184,774 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,599,930 | BOYAmt |
| EOY | $31,564,094 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,481,693 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$1,896,705 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,627,573 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,184,197 | DepreciationAmt |
| Book Value | $443,376 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,788,123 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,788,123 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $443,376 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Corporate Bonds | Desc |
| Book Value | $12,075,495 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $12,075,495 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Investment in affiliate - QHC Foundation | $12,693,720 |
| Receivable from affiliates | $15,982 |
| Other receivables | $204,949 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $12,914,651 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | The Centers 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 Centers in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Centers' returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara B Hines | ||||||||||||||
| President/CEO (Through 12/20) | $98,397 | $393,587 | $0 | $0 | $0 | $7,163 | $4,624 | $18,665 | $0 | $17,273 | $103,021 | $436,688 | $0 | $0 |
| Edward Liao MD | ||||||||||||||
| Physician/C.M.O. | $318,287 | $0 | $0 | $0 | $1,350 | $0 | $29,140 | $0 | $29,140 | $0 | $377,917 | $0 | $0 | $0 |
| Maria T Lim Heya | ||||||||||||||
| Physician | $281,175 | $0 | $0 | $0 | $1,806 | $0 | $16,870 | $0 | $13,474 | $0 | $313,325 | $0 | $0 | $0 |
| Eloisa Perard | ||||||||||||||
| CAO/CEO (Transition 1/21) | $0 | $262,611 | $0 | $0 | $0 | $900 | $0 | $15,757 | $0 | $12,553 | $0 | $291,821 | $0 | $0 |
| Claudia Ramos-Smulevich MD | ||||||||||||||
| Physician | $244,467 | $0 | $0 | $0 | $2,772 | $0 | $14,668 | $0 | $25,835 | $0 | $287,742 | $0 | $0 | $0 |
| Stephen Pine MD | ||||||||||||||
| Physician | $254,956 | $0 | $0 | $0 | $0 | $0 | $7,649 | $0 | $8,409 | $0 | $271,014 | $0 | $0 | $0 |
| Craig Golden MD | ||||||||||||||
| Physician | $240,238 | $0 | $0 | $0 | $1,806 | $0 | $14,414 | $0 | $6,970 | $0 | $263,428 | $0 | $0 | $0 |
| Hla Moe | ||||||||||||||
| Physician | $230,216 | $0 | $0 | $0 | $630 | $0 | $13,813 | $0 | $5,977 | $0 | $250,636 | $0 | $0 | $0 |
| Chad Vargas | ||||||||||||||
| COO (End 2/21) | $167,433 | $0 | $0 | $0 | $1,350 | $0 | $8,708 | $0 | $11,210 | $0 | $188,701 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | Pursuant to that certain Amended and Restated Partnership Agreement, QueensCare Health Centers and QueensCare formed Q/QHC Healthcare Partners to jointly operate five community health centers located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include supervision of medical treatments, measuring outcomes, providing day-to-day management for the operation of Q/QHC Healthcare Partners and on-site management of the Centers' personnel to include hiring, training, and discharging the Centers' personnel. Form 990, Part VII, Section A, Hours of Officers: Director Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Chairman Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as a director of QueensCare. CEO Barbara B. Hines devoted approximately 8 hours of her time per week serving as QueensCare's CEO. Director Jeffrey Hermann devoted approximately two hours of his time per week to QueensCare, serving as a director of QueensCare. |
| Form 990, Part VI, Section B, line 11b | Following preparation of a final draft of the Form 990 by the organization's tax preparers, the organization's CEO and VP Accounting & Finance review, analyze and discuss the final draft to better ensure its accuracy and completeness. After the return is filed, the CEO and VP Accounting & Finance review and discuss material aspects and details of the return at the next regularly scheduled meeting of the Board of Directors. |
| Form 990, Part VI, Section B, line 12c | The organization's Board members, corporate officers, and staff are subject to a written conflicts 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 transaction 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 B, line 15a | A comprehensive study of most if not all positions in the organization is done every 3 to 5 years by an outside compensation consultant hired for this purpose. A Compensation Committee, comprised of independent Board members, reviews and recommends to the Board a wage scale proposed by the consultant from compensation data for similarly situated organizations. The scale includes each position, including the CEO and other top management officials. The Compensation Committee presents its findings and recommendations to the Board, and members are provided the opportunity to ask questions. A Board vote is taken to establish the new wage scale, with which each employee's compensation must comply. The wage scale is then reviewed annually by the Compensation Committee. The CEO's compensation amount is determined by the Board, based on the recommendation of the CEO Evaluation Committee comprised of independent Board members. The CEO Evaluation Committee reviews performance feedback submitted by each Board member annually. The amount of compensation paid to the CEO must comply with the wage scale established by the Compensation Committee. Deliberations of the Compensation Committee, the CEO Evaluation Committee and the Board are recorded in the organization's minute book. The CEO Evaluation Committee performs its review and makes its recommendations to the Board annually, typically in September. |
| Form 990, Part VI, Section C, line 19 | The organization's annual information return (Form 990) is available on a third-party website (GuideStar). 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. |
| Form 990, Part XI, line 9: | Medi-cal reconciliation receivable -1,896,705. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| QueensCare | ||||||||||
| 950 S Grand Ave 2nd Fl South | Los Angeles | CA | 90015 | 951644040 | Healthcare for the poor | CA | 501(c)(3) | Line 7 | St Joseph's Health Support Alliance | 0 |
| QueensCare Health Centers Foundation | ||||||||||
| 950 S Grand Ave 2nd Fl South | Los Angeles | CA | 90015 | 463366321 | Support QHC mission | CA | 501(c)(3) | Line 7 | QueensCare Health Centers | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QQHC Healthcare Partners | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 S Grand Ave 2nd Fl South | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260502255 | EIN |
| Primary Activities | To operate & Manage Healthcare Clinincs | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.60000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| QueensCare | ||
| C | $4,500,000 | Accrual |
| QueensCare | ||
| O | $293,885 | Accrual |
| QueensCare | ||
| P | $176,774 | Accrual |
| QueensCare | ||
| Q | $298,278 | Accrual |
| QueensCare | ||
| N | $2,768 | Accrual |
| QueensCare Health Centers Foundation | ||
| K | $215,002 | Accrual |
| QQHC Healthcare Partners | ||
| J | $717,359 | Accrual |
| QQHC Healthcare Partners | ||
| L | $6,750,000 | Accrual |
| QueensCare Health Centers Foundation | ||
| S | $48,553 | Accrual |