2021-05-17T22:43:54-05:00 2020-06-30 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2019-07-01 752986675 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION CENT 3232345000 714 WEST OLYMPIC BLVD NO 801 LOS ANGELES CA 90015 KENNETH ORDUNA CEO 3232345000 2021-05-17 1 LYNN D BOSTER P00440365 2138731700 2019 2022-09-23 18:48:47Z KENNETH ORDUNA 714 WEST OLYMPIC BLVD LOS ANGELES CA 90015 14237920 0 X N/A X 2004 CA ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN THE SOUTHERN CALIFORNIA AREA. 11 11 138 0 0 0 1423487 2558123 8538378 11499527 2783 2967 193479 177303 10158127 14237920 0 0 0 0 6738002 6904794 0 0 0 4399657 5268101 11137659 12172895 -979532 2065025 7153244 10566158 4364234 4629923 2789010 5936235 ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN SOUTHERN CALIFORNIA AREA UNDER SPONSORED COMMUNITY PROGRAMS. 0 0 9211075 PROVIDING MEDICAL CARE TO THE UNDERSERVED IN THE SOUTHERN CALIFORNIA AREA. 9211075 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 1 0 0 0 0 0 0 1 0 0 0 1 32 0 1 138 1 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 1 1 0 0 0 CA X CHUKWUKA A CHIDI CPA 2135365815 714 WEST OLYMPIC BLVD STE 801 LOS ANGELES CA 90015 WANDA THOMPSON BOARD SECRETARY 12.00 X X 0 0 0 TYRONE DEVANCE BOARD MEMBER 12.00 X 0 0 0 RASHID THOMPSON BOARD MEMBER 12.00 X 0 0 0 JAMES MACKEY BOARD CHAIR 12.00 X X 0 0 0 RICHARD MAYER BOARD TREASURER 12.00 X X 0 0 0 VICTOR GARCIA BOARD MEMBER 12.00 X 0 0 0 MARY WINNERS BOARD VICE CHAIR 12.00 X X 0 0 0 OSCAR LOPEZ BOARD MEMBER 12.00 X 0 0 0 CRYSTAL LAUTRUP BOARD MEMBER 12.00 X 0 0 0 FRANK YBARRA BOARD MEMBER 12.00 X 0 0 0 NANCY OCHOA BOARD MEMBER 12.00 X 0 0 0 KENNETH M ORDUNA CEO 40.00 X 272796 0 0 ABDOULAYE DIOP MEDICAL DIRECTOR 40.00 X 249986 0 0 ELEANOR PEREZ CHIEF OPERATING OFFICER 40.00 X 153607 0 0 KEULEYA R BLE CHIEF QUALITY OFFICER 40.00 X 129729 0 0 HUBERT GUTIERREZ DIRECTOR OF HEALTHCARE COM 40.00 X 115731 0 0 MEHRY GHARIB PHYSICIAN 40.00 X 234608 0 0 FREDERICK N THOMAS PHYSICIAN 40.00 X 200644 0 0 FREDERICK WILLIAMS PHYSICIAN 40.00 X 208626 0 0 1565727 0 0 14 0 1 0 MARBASCAL INC 900 W OLYMPIC BLVD STE 38C LOS ANGELES CA 90015 LESSOR 278100 KARISMAAT CORP 2700 W MANCHESTER BLVD INGLEWOOD CA 90305 LESSOR 275796 FOUNTAIN SECURITY SERVICES INC 2930 W IMPERIAL HWY STE 510 INGLEWOOD CA 90303 SECURITY 232238 JORGESEN LAW OFFICE APC 1217 W WHITTIER BLVD MONTEBELLO CA 90640 LEGAL SERVICE 198575 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 COMPUTER SUPPORT 184911 6 1628384 929739 2558123 NET PATIENT SERVICE REVENUE 621110 9270102 9270102 CAPITATION 621110 1551672 1551672 INCENTIVES 621110 677753 677753 11499527 2967 2967 340B INCOME 900099 131420 131420 MISCELLANEOUS INCOME 900099 45883 45883 177303 14237920 11676830 0 2967 5745110 4652820 1092290 711750 547382 164368 447934 362770 85164 913878 476541 437337 38823 38823 150889 107525 43364 1465912 1207817 258095 109729 50971 58758 34677 34677 481602 433316 48286 79149 36588 42561 MEDICAL COST 762506 755215 7291 EQUIPMENT MAINTENANCE & 379617 333891 45726 SETTLEMENT EXPENSES 370000 370000 TELEPHONE EXPENSE 138966 66808 72158 342353 140608 201745 12172895 9211075 2961820 0 602709 1443432 33397 450498 810813 1870872 14057 104596 2217427 949309 931926 1268118 1931804 1655800 2828538 3772842 7153244 10566158 861960 1091303 380873 335473 843020 1265473 2278381 1937674 4364234 4629923 X 2789010 5936235 2789010 5936235 7153244 10566158 X 2065025 1082200 X 0 1 X 1 1 1 X 1776439 2372263 4858039 1423487 3640323 14070551 1776439 2372263 4858039 1423487 3640323 14070551 3813165 10257386 2967 2967 5606 9763 196262 177303 388934 14462452 40329345 0.70920 0.60880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2217427 949309 1268118 1268118 DEPOSIT 49271 INVESTMENT PROPERTY 400000 INTERCOMPANY RECEIVABLE 3323571 3772842 THIRD PARTY SETTLEMENT PAYABLE 1911583 ACCRUED INTEREST 26091 1937674 X 15320120 1082200 1082200 14237920 0 14237920 12172895 0 12172895 0 12172895 PART X, LINE 2: THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2015. PART XI, LINE 2D - OTHER ADJUSTMENTS: PAYROLL PROTECTION PROGRAM LOAN FORGIVENESS 1,082,200. 0 0 0 0 0 0 0 0 0 KENNETH M ORDUNA CEO 272796 0 0 0 0 0 0 0 0 0 272796 0 0 0 ABDOULAYE DIOP MEDICAL DIRECTOR 249986 0 0 0 0 0 0 0 0 0 249986 0 0 0 ELEANOR PEREZ CHIEF OPERATING OFFICER 153607 0 0 0 0 0 0 0 0 0 153607 0 0 0 MEHRY GHARIB PHYSICIAN 234608 0 0 0 0 0 0 0 0 0 234608 0 0 0 FREDERICK N THOMAS PHYSICIAN 200644 0 0 0 0 0 0 0 0 0 200644 0 0 0 FREDERICK WILLIAMS PHYSICIAN 208626 0 0 0 0 0 0 0 0 0 208626 0 0 0 FATIMA JAHANGIR FORMER COO WORKING CAPITAL X 140000 105473 0 1 1 BASSET BROWN FORMER CEO WORKING CAPITAL X 404236 230000 0 1 1 335473 ABDOULAYE DIOP MD MEDICAL DIRECTOR 240092 PROVIDE LEASE OF PREMISES, JANITORIAL SERVICES, SECURITY SERVICES AND LEASE OF FURNITURE & EQUIPMENT. 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990 WITH BOARD DURING SCHEDULED BOARD MEETINGS AND REVIEW BY TREASURER. FORM 990, PART VI, SECTION B, LINE 12C CENTRAL NEIGHBORHOOD HEALTH FOUNDATION(CNHF) REQUIRES ALL EMPLOYEES TO DISCLOSE, AT LEAST ANNUALLY, ALL SOURCES OF INCOME FROM COMPENSATION OR FROM OWNERSHIP OF EVERY OUTSIDE ENTITY THAT (A) SOLD, SUPPLIED OR PROVIDED SERVICES (B) OPERATED A COMPETING ENTERPRISE OR (C) PROVIDED GOODS OR SERVICES TO CNHF IN THE LAST SIX MONTHS. CNHF ALSO REQUIRES ALL DIRECTORS TO ANNUALLY SIGN A STATEMENT AFFIRMING (A) RECEIPT OF CNHF CONFLICT OF INTEREST POLICY (B) UNDERSTANDING OF THE POLICY AND (C) AGREEMENT WITH THE POLICY. CNHF CONFLICT OF INTEREST POLICY DESCRIBES HOW CNHF WILL RESOLVE POSSIBLE CONFLICTS OF INTEREST. 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. FORM 990, PART XI, LINE 9: PAYROLL PROTECTION PROGRAM LOAN FORGIVENESS 1,082,200. H STREET CLINIC 1329 NORTH H STREET SAN BERNARDINO CA 92405 208191393 HEALTH CARE CLINIC CA 501 (C) COMMUNITY TRUST CENTRAL NEIGHBORHOOD HEALTH FOUNDATION 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0