2022-05-04T15:35:04-05:00 2021-06-30 954557617 Harrington Group CPAs LLP 2698 Mataro Street Pasadena CA 91107 990 2020-07-01 953702136 QueensCare Health Centers QUEE 3236694301 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 Eloisa Perard CEO 3236694301 2022-05-04 1 Eloisa Perard 999009999 Sean E Cain CPA P01612986 6264036801 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Eloisa Perard 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 36049874 0 X www.queenscarehealthcenters.org X 1925 CA 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. 18 18 321 18 0 0 4745144 11134137 22321157 23418853 422649 140107 616003 1356777 28104953 36049874 0 0 0 0 23519869 26210465 0 0 0 8274463 8357716 31794332 34568181 -3689379 1481693 34599930 31564094 5000144 2379320 29599786 29184774 X QueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County. 0 0 27400824 23418853 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. 27400824 1 1 0 0 0 0 0 0 0 0 1 1 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 39 0 1 321 1 0 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X Dennis C Benton 3232867513 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 Jay Guerena Chair 2.00 2.00 X X 0 3300 0 Jeffrey Hermann Vice Chair 2.00 2.00 X X 0 0 0 Yasmin Garcia Secretary 2.00 2.00 X X 0 0 0 Carmen Andreasen Director 2.00 X 0 0 0 Martha Arias Director 2.00 X 0 0 0 William Chim Director 2.00 X 0 0 0 Serina Demirians Director 2.00 X 0 0 0 Zoriy Elterman Director 2.00 X 0 0 0 Aileen Hernandez Director 2.00 X 0 0 0 Jeffrey Hermann Director 2.00 2.00 X 0 0 0 Harry Kram MD Director 2.00 X 0 2000 0 Alexander Lawrence Director 2.00 X 0 0 0 Allan Michelena Director 2.00 X 0 0 0 Ama Neel Director 2.00 X 0 0 0 Jacquelyn P Pantoja Director 2.00 2.00 X 0 0 0 Mary Ramos Director 2.00 2.00 X 0 0 0 Manuel Romero Director 2.00 X 0 0 0 Kayla Sadeeh Director 2.00 X 0 0 0 Barbara B Hines President/CEO (Through 12/20) 20.00 20.00 X 98397 400750 40562 Edward Liao MD Physician/C.M.O. 40.00 X 319637 0 58280 Eloisa Perard CAO/CEO (Transition 1/21) 40.00 X 0 263511 28310 Chad Vargas COO (End 2/21) 40.00 X 168783 0 19918 Dennis Benton VP Accounting & Finance 40.00 X 0 113754 18035 Maria T Lim Heya Physician 40.00 X 282981 0 30344 Craig Golden MD Physician 40.00 X 242044 0 21384 Stephen Pine MD Physician 40.00 X 254956 0 16058 Hla Moe Physician 40.00 X 230846 0 19790 Claudia Ramos-Smulevich MD Physician 40.00 X 247239 0 40503 1844883 783315 293184 56 0 1 0 Cardinal Health PO Box 56412 Los Angeles CA 90074 Pharmaceuticals and medical supplies 1295204 OCHIN Inc PO Box 5426 Portland OR 97228 Electronic medical record system 650953 Beta Healthcare Group 1443 Danville Blvd Alamo CA 94507 Insurance 478749 Henry Schein Inc 1985 Zonal Ave Los Angeles CA 90089 Medical and dental supplies 377800 University of So Cal School of Pharmacy 1985 Zonal Ave PSC 700A Los Angeles CA 90089 Pharmacist services 369103 13 11055669 78468 11134137 Net Patient Revenue 621400 18782561 18782561 Q/QHC Healthcare Partners 621400 4500000 4500000 Medi-Cal 621400 136292 136292 23418853 140107 140107 Other income 621400 1356777 1356777 1356777 36049874 23418853 0 1496884 1086515 1086515 20131152 16594492 3536660 963376 722830 240546 2595808 1912843 682965 1433614 1027582 406032 210099 210099 54055 54055 1846034 1501005 345029 96865 14749 82116 211852 167803 44049 1534014 1476129 57885 1064252 1021693 42559 47086 31868 15218 4641 588 4053 195619 168235 27384 132199 69044 63155 Pharmaceuticals 1258439 1258439 Purchased services 844665 844665 Medical/other supplies 438115 438115 Other 419781 150744 269037 34568181 27400824 7167357 0 4321 0 9064614 3843667 998628 309873 4656774 1609577 10974470 0 109441 113726 304624 253729 8415696 7972320 540125 443376 9361286 12075495 -1414353 12914651 34599930 31564094 1447146 2129320 0 250000 3552998 0 5000144 2379320 X 29599786 29184774 29599786 29184774 34599930 31564094 X 1481693 -1896705 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1627573 1184197 443376 6788123 6788123 0 443376 Corporate Bonds 12075495 C 12075495 Investment in affiliate - QHC Foundation 12693720 Receivable from affiliates 15982 Other receivables 204949 12914651 X Part X, Line 2: 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. X X X X 0 0 0 0 0 0 0 0 0 Barbara B Hines President/CEO (Through 12/20) 98397 393587 0 0 0 7163 4624 18665 0 17273 103021 436688 0 0 Edward Liao MD Physician/C.M.O. 318287 0 0 0 1350 0 29140 0 29140 0 377917 0 0 0 Maria T Lim Heya Physician 281175 0 0 0 1806 0 16870 0 13474 0 313325 0 0 0 Eloisa Perard CAO/CEO (Transition 1/21) 0 262611 0 0 0 900 0 15757 0 12553 0 291821 0 0 Claudia Ramos-Smulevich MD Physician 244467 0 0 0 2772 0 14668 0 25835 0 287742 0 0 0 Stephen Pine MD Physician 254956 0 0 0 0 0 7649 0 8409 0 271014 0 0 0 Craig Golden MD Physician 240238 0 0 0 1806 0 14414 0 6970 0 263428 0 0 0 Hla Moe Physician 230216 0 0 0 630 0 13813 0 5977 0 250636 0 0 0 Chad Vargas COO (End 2/21) 167433 0 0 0 1350 0 8708 0 11210 0 188701 0 0 0 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. 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 QQHC Healthcare Partners 950 S Grand Ave 2nd Fl South Los Angeles CA 90015 260502255 To operate & Manage Healthcare Clinincs CA N/A Related 0 1 0.60000 0 0 1 0 0 0 0 0 0 1 1 1 0 1 1 1 1 0 1 QueensCare C 4500000 Accrual QueensCare O 293885 Accrual QueensCare P 176774 Accrual QueensCare Q 298278 Accrual QueensCare N 2768 Accrual QueensCare Health Centers Foundation K 215002 Accrual QQHC Healthcare Partners J 717359 Accrual QQHC Healthcare Partners L 6750000 Accrual QueensCare Health Centers Foundation S 48553 Accrual