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QUEENSCARE: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
QUEENSCARE (EIN 95-1644040)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-20
IRS object ID
202101109349301420
Schema version
2019v5.2
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

FieldValueIRS element (for citing)
Return2021-04-20T11:23:27-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954557617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Harrington Group CPAs LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1234 East Colorado Blvd Suite M150AddressLine1Txt
CityPasadenaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951644040EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QueensCareBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUEEBusinessNameControlTxt
Phone3236694305PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Fl SouAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBarbara B HinesPersonNm
Person TitlePresident/CEOPersonTitleTxt
Phone3236694305PhoneNum
Signature2021-04-20SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSean E Cain CPAPreparerPersonNm
PTINP01612986PTIN
Phone6264036801PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBarbara B HinesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$17,116,254GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.queenscare.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1936FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionQueensCare provides a continuum of high quality medical and hospital care to the medically underserved (indigent, uninsured, underinsured) residents of Los Angeles County.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee67TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$328,496PYContributionsGrantsAmt
CY Contributions Grants$462,337CYContributionsGrantsAmt
PY Program Service Revenue$196,929PYProgramServiceRevenueAmt
CY Program Service Revenue$184,224CYProgramServiceRevenueAmt
PY Investment Income$7,442,060PYInvestmentIncomeAmt
CY Investment Income$6,213,369CYInvestmentIncomeAmt
PY Other Revenue$4,393,158PYOtherRevenueAmt
CY Other Revenue$4,829,023CYOtherRevenueAmt
PY Total Revenue$12,360,643PYTotalRevenueAmt
CY Total Revenue$11,688,953CYTotalRevenueAmt
PY Grants And Similar Paid$9,846,567PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$9,084,573CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,186,864PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$3,318,464CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,932,569PYOtherExpensesAmt
CY Other Expenses$6,778,970CYOtherExpensesAmt
PY Total Expenses$19,966,000PYTotalExpensesAmt
CY Total Expenses$19,182,007CYTotalExpensesAmt
PY Revenues Less Expenses-$7,605,357PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$7,493,054CYRevenuesLessExpensesAmt
Total Assets BOY$415,731,432TotalAssetsBOYAmt
Total Assets EOY$414,197,762TotalAssetsEOYAmt
Total Liabilities BOY$13,025,947TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,730,000TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$402,705,485NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$398,467,762NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionQueensCare provides a continuum of high quality medical and hospital care to the medically underserved (indigent, uninsured, underinsured) residents of Los Angeles County.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,500,000ExpenseAmt
DescQueensCare operates jointly with QueensCare Health Centers to provide a network of 5 freestanding family healthcare centers in areas of Los Angeles County that are medically underserved. The health centers provide services to all patients without regard to ability to pay. Each health center is an approved medicaid and medicare provider. The clinics provide free medical care for those who do not have the financial resources or coverage by health plans, insurance or government programs. The clinics provide preventive, diagnostic, and follow-up medical and dental care to the residents of low-income communities. During 2019-2020, the health centers served approximately 23,000 patients which accounted for 93,000 visits.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,653,534ExpenseAmt
Grant$4,504,280GrantAmt
DescTo support the operation of QueensCare Health Centers and to further the organization's exempt purpose of providing medical care to the underprivileged and indigent residents of Los Angeles County, QueensCare provides medical care support services in coordination with the services provided by the health centers, including inpatient, outpatient, nursing, outreach and mental healthcare services.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,956,672ExpenseAmt
Grant$4,580,293GrantAmt
Revenue$184,224RevenueAmt
DescQueensCare operates 4 divisions: 1) The Pastoral Care Division provides spiritual care to inpatients and staff at Hollywood Presbyterian Medical Center. During FY 2020, the chaplains visited over 25,000 patients. Over 615 patients received the anointing of the sick; Counseled 305 patients on advance healthcare directives, completing 29 such directives; Mass is offered Monday through Friday in chapel at Hollywood Presbyterian Medical Center (HPMC), program staff began tracking Mass attendance at HPMC this year, counting 2,025 attendees;2) QueensCare Health and Faith Partnership (QHFP) is the largest parish nurse program in California. There are 6 parish nurses and 5 community health workers. Together they provide immunizations, health screening, CPR training, and parenting classes at the various partner sites including, churches, food pantries, synagogues, senior nutrition sites, the Braille Institute and schools. During FY 2020, QHFP partnered with an average of nearly 19 sites provided direct services to 5,156 patients, in addition to screenings and education 3,809 patients during outreach events; 3) Direct Healthcare Division, comprised of the following: a) The Mobile Dental Program - QueensCare together with USC School of Dentistry provides mobile dental clinic services at LAUSD's elementary schools. In FY 2020, QueensCare provided services at 8 schools, served 989 patients, and completed approximately 3,184 appointments. Total procedures of 9,701 was completed, which would have cost families/insurance a total of $429,589; b) Mobile Vision Program - QueensCare provides mobile vision services to low-income communities through LAUSD. The mobile vision program served 28 schools during FY 2020. Total of 1,873 prescriptions were written by QueensCare's optometrist and 1,509 glasses were provided the students at no cost; c) Mental Health Program - QueensCare provided $182,195 in mental health services to 35 children and their families under a contract with Children's Hospital Los Angeles. The children are referred by QueensCare Health Centers, LAUSD, and QHFP because of trauma experienced, as well as other issues; d) Inpatient Program - QueensCare contracts with local non-profit acute care hospitals to provide inpatient care to medically indigent patients; e) Q-QHC Healthcare Partners - A partnership, described previously with QueensCare Health Centers to provide ambulatory care to low income, underserved patients in LA County; and 4) Charitable Division - The Charitable Board met three times during FY 2020 to review the large volume of grant applications and approved 40 grants amounting to $2.7 million. In addition, the Charitable Board also approved 29 scholarships and funded 13 area hospitals with Emergency Medical Services grants amounting to another $2 million.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$17,110,206TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document98IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee67EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Faith Lee Vice PresidentBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3236694345PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Bettie J Woods
Chair10.00Yes (X)Yes (X)$5,900$0$0
Steven Aronoff
Vice Chair2.00Yes (X)Yes (X)$1,900$0$0
Alan Cushman
Secretary10.00Yes (X)Yes (X)$2,700$0$0
Allan Michelena
Director2.00Yes (X)$2,250$750$0
Denise Partamian Forgette
Director2.00Yes (X)$6,800$750$0
Edward Avila
Director2.00Yes (X)$4,200$0$0
Fr Michael Stechmann
Director2.00Yes (X)$2,450$0$0
Frances Inman
Director2.00Yes (X)$2,300$0$0
Gene A Nuziard
Director2.00Yes (X)$3,000$500$0
Javier Guerena
Director2.00Yes (X)$3,600$1,750$0
Jeff Hermann
Director2.00Yes (X)$0$0$0
Joseph Bui
Director2.00Yes (X)$0$0$0
Lois Saffian
Director2.00Yes (X)$3,050$0$0
Rev Michael Mata
Director4.00Yes (X)$2,050$0$0
Barbara B Hines
CEO40.00Yes (X)$211,008$211,134$29,521
Eloisa Perard
CAO40.00Yes (X)$235,705$0$15,487
Faith Lee
VP-Finance & Accounting(Q)40.00Yes (X)$161,523$0$15,674
Alan G De Jong
Director Risk Management40.00$131,959$0$14,163Yes (X)
Arthur V Doi
VP-Finance & Accounting(QHC)40.00$171,650$0$21,820Yes (X)
Maryam Sesay
Director of Operations40.00$111,473$0$13,164Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,063,518TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$214,884TotReportableCompRltdOrgAmt
Total Other Compensation$109,829TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Goldman Sachs & Co LLC
2121 Avenue of the Stars Suite 260Los AngelesCA90067Investment Mgmt.$1,038,255
USC School of Dentistry
1149 S Hill Street Ste H550Los AngelesCA90015Pediatric Dentistry$549,096
Alliant Insurance Services Inc
1301 Dove Street Ste 200Newport BeachCA92660Insurance$170,442
BJ's Maintenance & Painting
21500 Lassen Street No 141ChatsworthCA91311Janetorial Services$144,604
Affinity Nonprofits
2001 K Street NW Ste 625 NorthWashingtonDC20006Insurance$141,059
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$331,860RelatedOrganizationsAmt
All Other Contributions$130,477AllOtherContributionsAmt
Total Contributions$462,337TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Mental Health Project124100$182,195$182,195
QHFP Health Screening900099$2,029$2,029
FieldValueIRS element (for citing)
Total Program Service Revenue$184,224TotalProgramServiceRevenueAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,804,670RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,940,670RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,864,000RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,864,000TotalRevenueColumnAmt
Exclusion$3,864,000ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$8,700,000SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,486,631SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,213,369SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,213,369TotalRevenueColumnAmt
Exclusion$6,213,369ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Retained real estate900099$733,000$733,000
Other income900099$232,023$232,023
FieldValueIRS element (for citing)
Other Revenue Total$965,023OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,688,953TotalRevenueColumnAmt
Related Or Exempt Func Income$184,224RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$11,042,392ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,580,293TotalAmt
Program Services$4,580,293ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$4,504,280TotalAmt
Program Services$4,504,280ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$605,858TotalAmt
Program Services$165,315ProgramServicesAmt
Management And General$440,543ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,862,684TotalAmt
Program Services$1,585,444ProgramServicesAmt
Management And General$277,240ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$86,937TotalAmt
Program Services$79,205ProgramServicesAmt
Management And General$7,732ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$586,726TotalAmt
Program Services$465,837ProgramServicesAmt
Management And General$120,889ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$176,259TotalAmt
Program Services$132,384ProgramServicesAmt
Management And General$43,875ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$185,550TotalAmt
Program Services$60,200ProgramServicesAmt
Management And General$125,350ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$239,821TotalAmt
Management And General$239,821ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,500TotalAmt
Management And General$46,500ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$694,156TotalAmt
Program Services$528,243ProgramServicesAmt
Management And General$165,913ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$110,283TotalAmt
Program Services$62,643ProgramServicesAmt
Management And General$47,640ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,418TotalAmt
Program Services$14,056ProgramServicesAmt
Management And General$5,362ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$114,959TotalAmt
Program Services$15,721ProgramServicesAmt
Management And General$99,238ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$302,356TotalAmt
Program Services$221,334ProgramServicesAmt
Management And General$81,022ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$11,908TotalAmt
Program Services$9,614ProgramServicesAmt
Management And General$2,294ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,752TotalAmt
Program Services$23,405ProgramServicesAmt
Management And General$20,347ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$90,683TotalAmt
Program Services$73,648ProgramServicesAmt
Management And General$17,035ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$156,853TotalAmt
Program Services$6,631ProgramServicesAmt
Management And General$150,222ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
K-1 Expenses - Q/QHC He$4,500,000$4,500,000
Covid-19 expenses$139,979$139,979
Other expense$122,752$81,953$40,799

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$19,182,007TotalAmt
Program Services$17,110,206ProgramServicesAmt
Management And General$2,071,801ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,522,027BOYAmt
EOY$7,864,723EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$98,177,000LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$20,710,000LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$79,585,000BOYAmt
EOY$77,467,000EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$300,191,760BOYAmt
EOY$328,136,256EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,159,742BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$272,903BOYAmt
EOY$729,783EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$415,731,432BOYAmt
EOY$414,197,762EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,830,132BOYAmt
EOY$10,632,000EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$3,345,234BOYAmt
EOY$2,843,000EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$731,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$850,581BOYAmt
EOY$1,524,000EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,025,947BOYAmt
EOY$15,730,000EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$402,048,998BOYAmt
EOY$397,784,759EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$656,487BOYAmt
EOY$683,003EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$402,705,485BOYAmt
EOY$398,467,762EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$415,731,432BOYAmt
EOY$414,197,762EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$7,493,054ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,255,719NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments-$388PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$683,003BeginningYearBalanceAmt
End Year Balance$683,003EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$683,003BeginningYearBalanceAmt
End Year Balance$683,003EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$657,194BeginningYearBalanceAmt
Investment Earnings Or Losses$25,809InvestmentEarningsOrLossesAmt
End Year Balance$683,003EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$656,487BeginningYearBalanceAmt
Investment Earnings Or Losses$707InvestmentEarningsOrLossesAmt
End Year Balance$657,194EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$655,000BeginningYearBalanceAmt
Investment Earnings Or Losses$1,487InvestmentEarningsOrLossesAmt
End Year Balance$656,487EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$20,703,000OtherCostOrOtherBasisAmt
Book Value$20,703,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$74,179,000OtherCostOrOtherBasisAmt
Depreciation$18,358,166DepreciationAmt
Book Value$55,820,834BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,121,000OtherCostOrOtherBasisAmt
Depreciation$288,355DepreciationAmt
Book Value$832,645BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,174,000OtherCostOrOtherBasisAmt
Depreciation$2,063,479DepreciationAmt
Book Value$110,521BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,467,000TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescWorkers compensation liabilityDesc
Amt$1,524,000Amt
FieldValueIRS element (for citing)
Total Liability$1,524,000TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:QueensCare intends to use its endowment funds for healthcare related activities.
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 returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (51 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
American Red Cross Los Angeles Region
1450 S Central AvenueLos AngelesCA90021530196605501(c)3$80,000To provide funding for health related materials/services provided by organization.
Asian Pacific AIDS Intervention Team (Special Services for Groups)
3055 Wilshire Blvd Ste 300Los AngelesCA90034951716914501(c)3$35,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Beverly Hospital
309 W Beverly BlvdLos AngelesCA90640237429685501(c)3$6,413To fund emergency room services provided to uninsured patients residing in Los Angeles.
Bienestar Human Services
5326 E Beverly BlvdLos AngelesCA90022954505737501(c)3$30,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Blind Childrens Center
4120 Marathon StreetLos AngelesCA90029951656369501(c)3$65,000To fund outpatient healthcare services.
California State University-Los Angeles Auxiliary Services Inc
5151 State University DriveLos AngelesCA900328502954016653501(c)3$50,000To provide funding for health related materials/services provided by organization.
Cancer Support Community Los Angeles
1990 South Bundy Dr Ste 100Los AngelesCA90025330287070501(c)3$25,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Care Harbor
18436 Hawthorne Blvd Ste 204TorranceCA90504272984870501(c)3$25,000To fund outpatient healthcare services.
ChapCare
455 W Montana StreetPasadenaCA91103954536824501(c)3$150,000To fund outpatient healthcare services.
Children's Hospital Los Angeles
4650 Sunset BlvdLos AngelesCA90027951690977501(c)3$376,935To fund emergency room services provided to uninsured patients residing in Los Angeles.
City of Hope
1500 East Duarte RoadDuarteCA91010953435919501(c)3$150,000To fund outpatient healthcare services.
Covenant House California
1325 N Western AvenueLos AngelesCA90027133391210501(c)3$50,000To fund outpatient healthcare services.
El Centro de Amistad
566 S Brand BlvdSan FernandoCA91340953498639501(c)3$25,000To fund outpatient healthcare services.
Five Acres
760 W Mountain View StreetAltadenaCA91001951647810501(c)3$35,000To fund outpatient healthcare services.
Glendale Memorial Hospital and Health Center
1420 South Central AvenueGlendaleCA91204941196203501(c)3$56,004To fund emergency room services provided to uninsured patients residing in Los Angeles.
Good Samaritan Hospital
1225 Wilshire BlvdLos AngelesCA90017951656366501(c)3$521,554To fund emergency room services provided to uninsured patients residing in Los Angeles.
Hollywood Community Housing Corporation
5020 Santa Monica BlvdLos AngelesCA90029954198215501(c)3$30,000To fund health related services provided AIDS patients.
Hollywood Presbyterian Medical Center
1300 N Vermont AvenueLos AngelesCA90027300284087$301,396To fund emergency room services provided to uninsured patients residing in Los Angeles.
Hunger Action Los Angeles
961 S Mariposa Ave Ste 205Los AngelesCA90006205142259501(c)3$10,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Huntington Memorial Hospital
100 West California BlvdPasadenaCA91109951644036501(c)3$10,260To fund emergency room services provided to uninsured patients residing in Los Angeles.
Jewish Free Loan Association
6505 Wilshire Blvd Ste 715Los AngelesCA90048951691014501(c)3$60,000To provide funding for health related materials/services provided by organization.
LA's BEST
200 N Spring St Ste M-120Los AngelesCA90012954311058501(c)3$35,000To provide health related education or outreach to underserved populations residing in Los Angeles.
LACUSC Medical Center
1200 N State StreetLos AngelesCA90033956000927501(c)3$41,469To fund emergency room services provided to uninsured patients residing in Los Angeles.
Los Angeles Christian Health Centers
202 W 1st Street Ste 4-0435Los AngelesCA90012954315734501(c)3$150,000To fund outpatient healthcare services.
Los Angeles LGBT Center
1118 N McCadden PlaceLos AngelesCA90038953567895501(c)3$150,000To fund outpatient healthcare services.
Monterey Park Hospital
900 S Atlantic BlvdMonterey ParkCA91754510519163$855To fund emergency room services provided to uninsured patients residing in Los Angeles.
My Friend's Place
PO Box 3867HollywoodCA90078954834034501(c)3$50,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Olympia Medical Center
5900 W Olympica BlvdLos AngelesCA90036421643090$86,785To fund emergency room services provided to uninsured patients residing in Los Angeles.
Partners in Care Foundation
732 Mott Street Ste 150San FernandoCA91340953954057501(c)3$125,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Peer Health Exchange
3055 Wilshire Blvd Ste 300Los AngelesCA90010562374305501(c)3$10,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Pepperdine University
24255 Pacific Coast HighwayMalibuCA902634151951644037501(c)3$50,000To fund outpatient healthcare services.
Program for Torture Victims
3550 Wilshire Blvd Ste 1906Los AngelesCA90010954492477501(c)3$75,000To fund outpatient healthcare services.
Providence St Joseph Medical Center
501 S Buena Vista StreetBurbankCA91505953544872501(c)3$34,628To fund emergency room services provided to uninsured patients residing in Los Angeles.
Saban Community Clinic
8405 Beverly BlvdLos AngelesCA90048952359105501(c)3$100,000To fund outpatient healthcare services.
Sherman Oaks Hospital
4929 Van Nuys BlvdLos AngelesCA91403202546649501(c)3$20,948To fund emergency room services provided to uninsured patients residing in Los Angeles.
Southern California Counseling Center
5615 W Pico BlvdLos AngelesCA90019952430665501(c)3$70,000To fund outpatient healthcare services.
St Anne's
155 N Occidental BlvdLos AngelesCA90026951691306501(c)3$80,000To fund vehicle purchased to transport patirens to/from residence and hospitals/doctors' offices.
St John of God Retirement & Care Ctr
2468 S St Andrews PlaceLos AngelesCA90018954067758501(c)3$19,500To provide funding for health related materials/services provided by organization.
St Vincent Medcial Center
2131 West Third StreetLos AngelesCA90057912154438501(c)3$519,854To fund emergency room services provided to uninsured patients residing in Los Angeles.
Teen Line
PO Box 48750Los AngelesCA90048953760982501(c)3$16,000To provide health related education or outreach to underserved populations residing in Los Angeles.
The Salvation Army
2737 Sunset BlvdLos AngelesCA90026951656360501(c)3$66,000To fund health related services provided AIDS patients.
Tierra del Sol Foundation
9919 Sunland BlvdSunlandCA91040952671260501(c)3$50,000To provide funding for health related materials/services provided by organization.
Venice Family Clinic
604 Rose AvenueVeniceCA90291952769432501(c)3$150,000To fund outpatient healthcare services.
ViaCare Community Health Center
501 South Atlantic BlvdEast Los AngelesCA90022800699156501(c)3$125,000To fund outpatient healthcare services.
Vista del Mar Child & Family Services
3200 Motor AvenueLos AngelesCA90034951647832501(c)3$150,000To fund outpatient healthcare services.
Wayfinder Family Services
5300 Angeles Vista BlvdLos AngelesCA90043951977659501(c)3$75,000To fund outpatient healthcare services.
White Memorial Medical Center
1720 Ceasar E Chavez AvenueLos AngelesCA90033953760201501(c)3$66,692To fund emergency room services provided to uninsured patients residing in Los Angeles.
Women's Shelter of Long Beach
PO Box 32107Long BeachCA90832951644058501(c)3$40,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Worksite Wellness LA
5955 S Western AvenueLos AngelesCA90047550802354501(c)3$50,000To provide health related education or outreach to underserved populations residing in Los Angeles.
Young & Healthy
136 West Peoria StreetPasadenaCA91103954527969501(c)3$70,000To fund outpatient healthcare services.
Youth Mentoring Connection
4103 W Adams BlvdLos AngelesCA90018954845105501(c)3$10,000To fund outpatient healthcare services.
FieldValueIRS element (for citing)
Total501c3 Org48Total501c3OrgCnt
Total Other Org3TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceDesc
Nuziard Scholarships29$273,500N/A
Inpatient Care Assistance154$4,230,780N/A

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationQueensCare monitors the use of grants it makes by requiring each grantee to supply QueensCare with regular reports that describe how such grantee is using QueensCare's grant funds. In addition, QueensCare often visits a grantee's premises to ensure that the grantee is conducting programs that further QueensCare's charitable mission. QueensCare also requires each grantee to provide QueensCare with a copy of their annual financial reports.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Barbara B Hines
CEO$211,008$211,134$0$0$0$0$17,785$0$11,736$0$240,529$211,134$0$0
Eloisa Perard
CAO$235,705$0$0$0$0$0$15,487$0$0$0$251,192$0$0$0
Faith Lee
VP-Finance & Accounting(Q)$161,523$0$0$0$0$0$9,516$0$6,158$0$177,197$0$0$0
Arthur V Doi
VP-Finance & Accounting(QHC)$171,650$0$0$0$0$0$10,084$0$11,736$0$193,470$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6St. Joseph's Health Support Alliance, a California non-profit, nonstock, public benefit corporation described in Section 501(c)(3) of the Internal Revenue Code, is the sole corporate member of QueensCare.
Form 990, Part VI, Section A, line 7aIn its capacity as QueensCare's sole corporate member, St. Joseph's Health Support Alliance has the authority to appoint, remove, and replace each of the members of QueensCare's Board of Directors.
Form 990, Part VI, Section A, line 7bSt. Joseph's Health Support Alliance, as QueensCare's sole corporate member, has the right to approve certain fundamental transactions, such as amendments to by-laws, QueensCare's Articles of Incorporation or resolutions to dissolve QueensCare's corporate existence.
Form 990, Part VI, Section B, line 11bFollowing preparation of a final draft of the Form 990 by the organization's tax preparers, the organization's CEO and CFO review, analyze and discuss the final draft to better ensure its accuracy and completeness. After the return is filed, the CEO and VP of Finance & Accounting 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 12cThe 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 15aA 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 2020 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in September 2020. Director Jay Guerena devoted approximately two hours of his time per week to related organizations; QueensCare Health Centers (QHC) and St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for QHC and SJHSA. Director Allan Michelena devoted approximately 2 hours of his time per week to related organizations; QueensCare Health Centers (QHC) and St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for QHC and SJHSA. Director Denise Partamian Forgette devoted approximately two hours of her time per week to related organizations, St. Joseph's Health Support Alliance (SJHSA) in her capacity as Director for SJHSA. CEO Barbara Hines devoted approximately 20 hours of her time per week to QHC in her capacity as QHC's CEO. Director Gene Nuziard devoted approximately 2 hours of his time per week to a related organization, St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for SJHSA.
Form 990, Part VI, Section C, line 19The 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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Bridge Street
1525 Bridge StreetYubaCA95993951644040Rental Real EstateCA$581,713$9,813,367QueensCare
Airway Diego LLC
10132 Airway RoadSan DiegoCA92154951644040Rental Real EstateCA$1,810,585$19,926,547QueensCare
QLV - HD LLC
855 Dorrell LaneLas VegasNV89086951644040Rental Real EstateNV$712,810$14,900,816QueensCare
QLV - INO LLC
6880 North 5th StreetLas VegasNV89084951644040Rental Real EstateNV$154,259$4,108,809QueensCare
QLV - HDR LLC
861 South Rainbow BlvdLas VegasNV89145951644040Rental Real EstateNV$925,462$21,889,991QueensCare
QOR - FXG LLC
20750 Brinson BlvdBendOR97701951644040Rental Real EstateOR$483,600$11,987,998QueensCare

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
St Joseph's Health Support Alliance
950 South Grand Ave 2nd Fl SouthLos AngelesCA90015940831115to support QueensCareCA501(c)(3)Line 12d, III-O0
QueensCare Health Centers
950 South Grand Ave 2nd Fl SouthLos AngelesCA90015953702136provide medical service to the indigentCA501(c)(3)Line 30
Queen of Angels Hollywood Presbyterian Foundation
950 South Grand Ave 2nd Fl SouthLos AngelesCA90015953403582to support QueensCareCA501(c)(3)Line 12b, IIYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1QQHC Healthcare PartnersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Ave 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
EIN260502255EIN
Primary ActivitiesTo operate and manage Healthcare ClinicsPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$4,500,000ShareOfTotalIncomeAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.40000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
QQHC HEALTHCARE PARTNERS
B$4,500,000ACCRUAL
ST JOSEPH'S HEALTH SUPPORT ALLIANCE
C$240,000ACCRUAL
ST JOSEPH'S HEALTH SUPPORT ALLIANCE
Q$21,070ACCRUAL
QUEENSCARE HEALTH CENTER
O$240,000ACCRUAL
QUEENSCARE HEALTH CENTER
P$494,095ACCRUAL
QUEENSCARE HEALTH CENTER
Q$547,415ACCRUAL
QUEEN OF ANGELS QUEENSCARE FOUNDATION
Q$47,986ACCRUAL
QUEENSCARE HEALTH CENTER
C$20,000ACCRUAL