2022-05-16T12:56:46-05:00 2021-06-30 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2020-07-01 752986675 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION CENT 3232345000 714 WEST OLYMPIC BLVD NO 801 LOS ANGELES CA 90015 KENNETH ORDUNA CEO 3232345000 2022-05-13 1 KENNETH ORDUNA 999009999 REGINA PRINCE CPA P00576936 2138731700 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z KENNETH ORDUNA 714 WEST OLYMPIC BLVD LOS ANGELES CA 90015 24201200 0 X N/A X 2004 CA ORGANIZATION'S MISSION IS TO MINIMIZE DISPARITIES IN HEALTH CARE ACCESS AND OUTCOMES BY PROVIDING SUPERIOR-QUALITY, PATIENT-CENTERED HEALTHCARE THROUGH AN INTEGRATED DELIVERY SYSTEM FOR UNDERSERVED AND VULNERABLE MULTI-ETHNIC COMMUNITIES IN OUR SERVICE ARES. 11 11 0 11 0 0 2558123 2740279 11499527 21412162 2967 5502 177303 43257 14237920 24201200 0 0 0 0 6904794 9079340 0 0 0 5268101 8459350 12172895 17538690 2065025 6662510 10566158 17013795 4629923 4415050 5936235 12598745 X THE SPECIFIC PURPOSE OF THIS ORGANIZATION IS TO ADDRESS THE UNMET HEALTH CARE NEEDS IN THE UNDERSERVED POPULATIONS OF SOUTH LOS ANGELES, CALIFORNIA THROUGH THE PROVISION OF AFFORDABLE HEALTH CARE SERVICES. 0 0 13938589 21412162 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION (CNHF) IS ORGANIZED FOR THE PURPOSE OF OPERATING A COMPREHENSIVE COMMUNITY HEALTH CENTER. IT PROVIDES A FULL RANGE OF SERVICES, WHICH INCLUDE MEDICAL, DENTAL, VISION, MENTAL HEALTH, HEALTH EDUCATION, NUTRITION, SOCIAL SUPPORT, PHARMACY, LABORATORY, AND X-RAY. CNHF'S MISSION IS TO ADDRESS THE UNMET HEALTHCARE NEEDS OF THE UNDERSERVED POPULATIONS OF SOUTH LOS ANGELES, INGLEWOOD, FONTANA, AND SAN BERNARDINO, CALIFORNIA THROUGH THE PROVISION OF AFFORDABLE, CULTURALLY APPROPRIATE, HIGH-QUALITY, AND ACCESSIBLE HEALTH CARE SERVICES.LOCATED IN LOS ANGELES COUNTY, CALIFORNIA, CNHF SERVED APPROXIMATELY 16,973 PATIENTS DURING THE FISCAL YEARS ENDED. CNHF OPERATES CLINICS AT FOUR (4) SITES: SOUTH CENTRAL AVENUE, LOS ANGELES, CALIFORNIA; SOUTH GRAND AVENUE, LOS ANGELES, CALIFORNIA; EAST VIA WANDA AVENUE, LONG BEACH CALIFORNIA; AND MANCHESTER, INGLEWOOD, CALIFORNIA. 13938589 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 0 0 1 1 0 CA X CHUKWUKA A CHIDI CPA 2135365815 714 WEST OLYMPIC BLVD STE 801 LOS ANGELES CA 90015 WANDA THOMPSON BOARD SECRETARY 1.00 X X 0 0 0 TYRONE DEVANCE BOARD MEMBER 1.00 X 0 0 0 RASHID THOMPSON BOARD MEMBER 1.00 X 0 0 0 JAMES MACKEY BOARD CHAIR 1.00 X X 0 0 0 RICHARD MAYER BOARD TREASURER 1.00 X X 0 0 0 VICTOR GARCIA BOARD MEMBER 1.00 X 0 0 0 MARY WINNERS BOARD VICE CHAIR 1.00 X X 0 0 0 OSCAR LOPEZ BOARD MEMBER 1.00 X 0 0 0 CRYSTAL LAUTRUP BOARD MEMBER 1.00 X 0 0 0 FRANK YBARRA BOARD MEMBER 1.00 X 0 0 0 NANCY OCHOA BOARD MEMBER 1.00 X 0 0 0 KENNETH M ORDUNA CEO 40.00 X 386749 0 0 CHUDWUKA CHIDI CFO 40.00 X 165421 0 0 ABDOULAYE DIOP CHIEF MEDICAL DIRECTOR 40.00 X 320577 0 328 KEULEYA R BLE CHIEF QUALITY OFFICER 40.00 X 241738 0 3637 ELEANOR PEREZ CHIEF OPERATING OFFICER 40.00 X 240682 0 853 MARIA MEDINA CONTROLLER 40.00 X 191317 0 3178 MEHRY GHARIB PHYSICIAN 40.00 X 239178 0 3486 FREDERICK WILLIAMS PHYSICIAN 40.00 X 220616 0 0 DIAZ-GOMEZ MARIO PHYSICIAN 40.00 X 210700 0 150 FREDERICK N THOMAS PHYSICIAN 40.00 X 204119 0 41 SHAMIM FATEMA PHYSICIAN 40.00 X 188295 0 0 2609392 0 11673 18 0 1 0 JORGESEN LAW OFFICE APC 2328 W WHITTIER BLVD MONTEBELLO CA 90640 LEGAL SERVICE 272282 FOUNTAIN SECURITY SERVICES INC 2930 W IMPERIAL HWY STE 510 INGLEWOOD CA 90303 SECURITY 262746 HEALTH CARE FACILITIES MGMT 5198 PARK CLIFF COURT RIVERSIDE CA 92504 CONSULTING 176641 ESG PERSONNEL LEASING INC 800 N HARBOR BLVD STE B LA HABRA CA 90631 HR CONSULTING 115256 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 EMR 115001 9 2740279 2740279 NET PATIENT SERVICE REVENUE 621110 19383641 19383641 CAPITATION 621110 1560666 1560666 INCENTIVES 621110 306522 306522 340B PHARMACY PROGRAM 621110 161333 161333 21412162 5502 5502 MISCELLANEOUS INCOME 900099 43257 43257 43257 24201200 21412162 0 48759 X 1554479 1227812 326667 5392250 4255259 1136991 1601312 1218784 382528 531299 419372 111927 3369295 2688295 681000 76179 64207 11972 501135 328282 172853 261003 247292 13711 1617390 1278181 339209 116946 45802 71144 24613 2784 21829 54410 54410 659009 587326 71683 111069 70121 40948 MEDICAL COST 1062682 1051385 11297 EQUIPMENT MAINTENANCE & 442655 393176 49479 PAYROLL PROCESSING FEE 56694 56694 DUES & SUBSCRIPTION 41453 7496 33957 64817 53015 11802 17538690 13938589 3600101 0 515757 433682 927675 6305032 450498 310648 1870872 3897406 104596 200132 3181492 1290932 1268118 1890560 400000 400000 1655800 1379880 3372842 2196455 10566158 17013795 1091303 1274394 335473 215473 1265473 352170 1937674 2573013 4629923 4415050 X 5936235 12598745 5936235 12598745 10566158 17013795 6662510 0 X 0 1 X 1 1 1 X 2372263 4858039 1423487 3640323 2740279 15034391 2372263 4858039 1423487 3640323 2740279 15034391 3218930 11815461 2967 5502 8469 5606 9763 196262 177303 43257 432191 15475051 55283564 0.76350 0.70920 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2016 AMOUNT: $ 5,606. 2017 AMOUNT: $ 9,763. 2018 AMOUNT: $ 196,262. 2019 AMOUNT: $ 177,303. 2020 AMOUNT: $ 43,257. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3181492 1290932 1890560 1890560 DEPOSIT 53223 INTERCOMPANY RECEIVABLE 2143232 2196455 THIRD PARTY SETTLEMENT PAYABLE 2573013 2573013 X 28835256 4634056 4634056 24201200 0 24201200 21319520 3780830 3780830 17538690 0 17538690 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. 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. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. IT REQUIRES THAT AN ORGANIZATION RECOGNIZE IN THE FINANCIAL STATEMENTS THE IMPACT OF THE TAX POSITION IF THAT POSITION WILL MORE LIKELY THAN NOT BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME OF RELATED TAX=EXEMPT ENTITY 4,634,056. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF RELATED TAX-EXEMP ENTITY 3,780,830. X X X X 0 0 0 0 0 0 0 0 0 KENNETH M ORDUNA CEO 292299 0 51152 0 43298 0 0 0 0 0 386749 0 0 0 ABDOULAYE DIOP CHIEF MEDICAL DIRECTOR 253125 0 46971 0 20481 0 0 0 328 0 320905 0 0 0 KEULEYA R BLE CHIEF QUALITY OFFICER 152008 0 29596 0 60134 0 0 0 3637 0 245375 0 0 0 MEHRY GHARIB PHYSICIAN 213017 0 11721 0 14440 0 0 0 3486 0 242664 0 0 0 ELEANOR PEREZ CHIEF OPERATING OFFICER 168955 0 69167 0 2560 0 0 0 853 0 241535 0 0 0 FREDERICK WILLIAMS PHYSICIAN 183048 0 7153 0 30415 0 0 0 0 0 220616 0 0 0 DIAZ-GOMEZ MARIO PHYSICIAN 188800 0 3500 0 18400 0 0 0 150 0 210850 0 0 0 FREDERICK N THOMAS PHYSICIAN 163519 0 10360 0 30240 0 0 0 41 0 204160 0 0 0 MARIA MEDINA CONTROLLER 111937 0 13369 0 66011 0 0 0 3178 0 194495 0 0 0 SHAMIM FATEMA PHYSICIAN 178795 0 9500 0 0 0 0 0 0 0 188295 0 0 0 CHUDWUKA CHIDI CFO 76500 0 17751 0 71170 0 0 0 0 0 165421 0 0 0 FATIMA JAHANGIR FORMER COO WORKING CAPITAL X 140000 105473 0 1 1 BASSET BROWN FORMER CEO WORKING CAPITAL X 404236 110000 0 1 1 215473 ABDOULAYE DIOP MD CHIEF MEDICAL DIRECTOR & KEY EMPLOYEE 247294 RENTS. LEASE OF MEDICAL OFFICES. 0 FORM 990, PART VI, SECTION B, LINE 11B CENTRAL NEIGHBORHOOD HEALTH FOUNDATION'S CFO AND CEO REVIEW THE FORM 990. SUBSEQUENTLY THE FORM 990, COMPLETE WITH SCHEDULES, IS PROVIDED TO THE FULL BOARD DURING SCHEDULED BOARD MEETING BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C CENTRAL NEIGHBORHOOD HEALTH FOUNDATION, INC. (CNHF) CONDUCTS ITS BUSINESS WITH THE HIGHEST DEGREE OF ETHICAL STANDARDS. MEMBERS OF THE BOARD OF DIRECTORS (BOARD), CNHF OFFICERS, AND EMPLOYEES ("COVERED PERSONS") ARE EXPECTED TO MODEL ETHICAL BEHAVIOR IN THEIR LEADERSHIP AND BUSINESS TRANSACTIONS ON BEHALF OF CNHF. CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE IS DESIGNED TO ELICIT INFORMATION FROM BOARD MEMBERS, OFFICERS AND EMPLOYEES TO ASSURE THEY ARE ACTING IN THE BEST INTEREST OF CNHF AND TO IDENTIFY ANY CONFLICTS OF INTEREST THEY MAY HAVE. ALL DIRECTORS AND EMPLOYEES MUST ANNUALLY COMPLETE THE QUESTIONNAIRE, AND AGREE TO COMPLY WITH CNHF'S CONFLICT OF INTEREST POLICY. A CONFLICT OF INTEREST MAY OCCUR WHERE VOLUNTEERS OR EMPLOYEES HAVE A FINANCIAL, BUSINESS, OR PERSONAL INTEREST THAT IS IN CONFLICT OR APPEARS TO BE IN CONFLICT WITH THE INTERESTS OF CNHF. IMMEDIATE DISCLOSURE OF CONFLICTS OF INTEREST IS AN ESSENTIAL OBLIGATION. CNHF HAS A STRUCTURED CONFLICT OF INTEREST PROCESS WITH THE FOLLOWING STEPS: (1) BOARD MEMBERS OR MANAGERS MUST IDENTIFY OR RECOGNIZE THE FINANCIAL, BUSINESS, AND PERSONAL INTEREST IN CONFLICT WITH CNHF INTEREST; (2) THEY MUST NEXT DISCLOSE THE CONFLICT TO THE GENERAL COUNSEL, THE CHAIRMAN OF THE BOARD OR PRESIDENT AND CEO, RESPECTIVELY; (3) THE GENERAL COUNSEL WILL ASSESS ANY IMPACT OF THE CONFLICT ON CNHF; (4) THE GENERAL COUNSEL WILL DISCUSS POSSIBLE REMEDIAL ACTIONS WITH THE BOARD MEMBER OR MANAGER; AND (5) IF NECESSARY, THE GENERAL COUNSEL WILL DISCUSS THE CONFLICT AND PROPOSED REMEDIAL ACTION WITH THE CHAIRMAN OF THE BOARD OR PRESIDENT AND CEO. REMEDIAL ACTIONS MAY RANGE FROM FIREWALLS IN THE MANAGER'S WORK, TO RECUSAL FROM A BOARD VOTE, BUSINESS DECISION OR TRANSACTION INVOLVING CNHF OR THE OTHER ORGANIZATION, TO WITHDRAWAL FROM THE OTHER ORGANIZATION'S BUSINESS OR BOARD OF DIRECTORS, TO OTHER ACTIONS THAT ELIMINATE THE CONFLICT OF INTEREST OR APPEARANCE OF A CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION, INCLUDING PERFORMANCE BASED COMPENSATION, IS REVIEWED AND DETERMINED BY THE BOARD'S EXECUTIVE COMMITTEE, OR THE COMPENSATION SUBCOMMITTEE IN THE CASE OF THE CEO'S COMPENSATION. THE APPLICABLE COMMITTEE USED COMPARABILITY DATA OBTAINED FROM THE CALIFORNIA PRIMARY CARE ASSOCIATION WHICH IS PREPARED BY AN INDEPENDENT THIRD PARTY. THE DATA REPRESENTS WHAT 125 SIMILARLY SITUATED ORGANIZATIONS BASED ON LOCATION, BUDGET AND SIZE, PAY EXECUTIVES FOR FUNCTIONALLY COMPARABLE POSITIONS. THE APPLICABLE COMMITTEE COLLECTS THE COMPARABLE COMPENSATION DATA, DEBATES THE ISSUE, AND USES IT TOGETHER WITH THE ORGANIZATIONS STRATEGY AND THE EXECUTIVES QUALIFICATIONS TO MAKE COMPENSATION RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BY VOTING. THE FINDINGS OF THE APPLICABLE COMMITTEE, TOGETHER WITH THE BOARD'S CONSIDERATION AND APPROVAL, ARE RECORDED IN THE ORGANIZATION'S MEETING MINUTES. THIS PROCESS IS REPEATED ANNUALLY FOR THE PURPOSE OF MAKING ADJUSTMENTS TO COMPENSATION OR THE AWARD OF PERFORMANCE BASED COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE AT CORPORATE OFFICE UPON REQUEST DURING NORMAL BUSINESS HOURS. HOWEVER NEW TAX LAW DOES NOT REQUIRE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIALS BE PROVIDED TO THE PUBLIC. FORM 990, PART IX, LINE 11G CONSULTANTS: PROGRAM SERVICE EXPENSES 2,432,934. MANAGEMENT AND GENERAL EXPENSES 518,695. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,951,629. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 255,361. MANAGEMENT AND GENERAL EXPENSES 162,305. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 417,666. FORM 990, PART IX, LINE 24E EDUCATION & AWARENESS: PROGRAM SERVICE EXPENSES 41,022. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 41,022. BUSINESS TAXES & LICENSES: PROGRAM SERVICE EXPENSES 8,862. MANAGEMENT AND GENERAL EXPENSES 3,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,115. BANK SERVICE CHARGE: PROGRAM SERVICE EXPENSES 3,131. MANAGEMENT AND GENERAL EXPENSES 8,549. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,680. H STREET CLINIC INC 1329 NORTH H STREET SAN BERNARDINO CA 92405 208191393 HEALTH CARE CLINIC CA 501 (C) LINE 3 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 H STREET CLINIC INC R 1180339 COST