JWCH INSTITUTE INC: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- JWCH INSTITUTE INC (EIN 95-2289916)
- Tax period
- 2019-07-01 to 2020-06-30
- Filed
- 2021-05-17
- IRS object ID
- 202131379349311923
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-05-17T22:43:54-05:00 | ReturnTs |
| Tax Period End | 2020-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330700332 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ & CO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 N CENTRAL AVE STE 1550 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952289916 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JWCH INSTITUTE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | JWCH | BusinessNameControlTxt |
| Phone | 3232014516 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEANNE LAM | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3232014516 | PhoneNum |
| Signature | 2021-05-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LYNN D BOSTER | PreparerPersonNm |
| PTIN | P00440365 | PTIN |
| Phone | 2138731700 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEANNE LAM | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $86,417,679 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.JWCHINSTITUTE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 987 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,670,176 | PYContributionsGrantsAmt |
| CY Contributions Grants | $31,979,833 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $37,145,361 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $53,066,706 | CYProgramServiceRevenueAmt |
| PY Investment Income | $26,882 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,571 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,645,858 | PYOtherRevenueAmt |
| CY Other Revenue | $1,317,221 | CYOtherRevenueAmt |
| PY Total Revenue | $64,488,277 | PYTotalRevenueAmt |
| CY Total Revenue | $86,369,331 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $549,472 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $580,488 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $39,112,859 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,899,934 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,540,478 | PYOtherExpensesAmt |
| CY Other Expenses | $77,156,587 | CYOtherExpensesAmt |
| PY Total Expenses | $60,202,809 | PYTotalExpensesAmt |
| CY Total Expenses | $79,637,009 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,285,468 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,732,322 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $47,268,653 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,047,873 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,961,748 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $21,990,154 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $23,306,905 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $30,057,719 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $79,637,009 | ExpenseAmt |
| Grant | $580,488 | GrantAmt |
| Desc | JWCH WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH - PROVIDED 42,862 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 5,291 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | JWCH - OTHER CLINIC - THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT AND MENTAL HEALTH SERVICES WILL BE PROVIDED IN THE SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 23,227 MEDICAL VISITS TO 4,768 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 256 PATIENTS 1,163 MEDICAL VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BPHC-HEALTH CARE CENTER CLUSTER - THE FEDERAL SECTION 330 GRANT ALLOWS FOR JWCH'S PARTICIPATION AS A FEDERALLY QUALIFIED HEALTH CENTER. THIS PROGRAM PROVIDES A BASE GRANT FOR INDIGENT CARE VISITS TO UNINSURED PERSONS IN JWCH'S HOMELESS AND COMMUNITY HEALTH CENTERS. PROVIDED UNDER THIS PROGRAM ARE PRIMARY CARE, DIAGNOSTICS, REPRODUCTIVE HEALTH SERVICES, PREVENTION AND EDUCATION AND ACCESS TO MEDICAL SPECIALISTS. ALL AGES ARE SERVED WITH THIS FUNDING. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | AIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. JWCH CLINIC AT BELL GARDENS - PROVIDED 20,244 VISITS TO 3,935 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.RECUPERATIVE CARE - PROVIDES 24-HOUR CARE FOR HOMELESS PERSONS WHO ARE RECOVERING FROM AN ILLNESS OR INJURY AND DISCHARGED FROM LOCAL HOSPITALS. A TOTAL OF 186 BEDS ARE AVAILABLE DAILY, INCLUDING THREE MEALS AND ASSISTANCE WITH WOUND CARE, BENEFITS ACCESS AND CASE MANAGEMENT SERVICES. IN TOTAL, 67,890 BED DAYS ARE AVAILABLE FOR HOMELESS PERSONS WHO WOULD OTHERWISE SPEND TIME RECOVERING ON THE STREETS. POST DISCHARGE FROM RECUPERATIVE CARE, THE PROGRAM SEEKS TO FIND MORE PERMANENT SOLUTIONS FOR PATIENTS INCLUDING PLACEMENT IN TRANSITIONAL AND PERMANENT HOUSING LOCATIONS.JWCH LYNWOOD PRIMARY CARE CLINIC - PROVIDED 28,759 VISITS TO 5,769 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.JWCH NORWALK CLINIC - PROVIDED 32,014 VISITS TO 4,795 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.INFORMATION & EDUCATION - TARGETS YOUTH THAT ARE PREGNANT OR PARENTING AND PROVIDES THEM WITH SUPPORT NEEDED TO STAY IN SCHOOL, WHILE TAKING CARE OF THEMSELVES AND THEIR CHILDREN AND AT THE SAME TIME AVOIDING ANY FURTHER UNINTENDED PREGNANCY. THE PROGRAM CONNECTS YOUTH TO REPRODUCTIVE HEALTH CARE AND OTHER MEDICAL SERVICES IN A JWCH CLINIC. YOUTH IN PROBATION AND ALTERNATIVE SCHOOLS ARE THE PRIMARY FOCUS OF THE PROGRAM AS WELL AS ANY OTHER HIGH RISK YOUTH THAT SEEK SERVICES FROM THE INFORMATION & EDUCATION PROGRAM.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT SRO HOUSING TRUST. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.JWCH VERMONT CLINIC - PROVIDED 21,077 VISITS TO 4,114 HOMELESS PATIENTS. THE JWCH VERMONT CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.CHIP-CDC - JWCH'S CHIP PROGRAM OR (COMPREHENSIVE HIV PREVENTION PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. THE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING.JWCH ANTELOPE VALLEY CLINICS CONSISTED OF WESLEY HEALTH CENTERS (LANCASTER), WESLEY HEALTH CENTERS (PALMDALE CENTRAL) AND WESLEY HEALTH CENTERS (PALMDALE EAST). THEY PROVIDED A COMBINED TOTAL OF 76,696 VISITS TO A TOTAL OF 22,419 PATIENTS. THE FOLLOWING SERVICES ARE OFFERED: PRIMARY HEALTH CARE, REPRODUCTIVE HEALTH, DENTAL & ORAL HEALTH, BEHAVIORAL HEALTH, PEDIATRICS, PODIATRY, ENDOCRINOLOGY, DERMATOLOGY, DRUG, ALCOHOL AND OPIOID DETOX SERVICES, LABORATORY SERVICES, AND SPECIALTY REFERRALS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $79,637,009 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | 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 | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 96 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 987 | 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 | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | 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 | Yes (1) | 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 | JEANNE LAM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3232014516 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5650 JILLSON STREET | AddressLine1Txt |
| City | COMMERCE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90040 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| KATHLEEN J HOUSE | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| HERBERT TORRANCE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHEILA EATON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE FERNANDEZ JR | ||||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KEITH TERASAKI MD | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| EDUARDO SAUCEDO | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SILVIA L HERNANDEZ | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARIA PADRON | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TOM GRODE | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOE CASTEL | ||||||||
| BOARD MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| ALVARO BALLESTEROS | ||||||||
| CEO | 40.00 | Yes (X) | $313,224 | $0 | $16,114 | |||
| ANDY IRIE | ||||||||
| SECRETARY | 40.00 | Yes (X) | $191,540 | $0 | $12,505 | |||
| JEANNE LAM | ||||||||
| CFO | 40.00 | Yes (X) | $189,718 | $0 | $10,285 | |||
| PAUL GREGERSON | ||||||||
| CMO | 40.00 | $344,560 | $0 | $16,780 | Yes (X) | |||
| PHILIP LE | ||||||||
| ASSOCIATE MEDICAL DIRECTOR | 40.00 | $263,014 | $0 | $15,960 | Yes (X) | |||
| ANA ORTIZ | ||||||||
| DENTAL DIRECTOR | 40.00 | $206,793 | $0 | $14,787 | Yes (X) | |||
| BENJAMIN MONROE | ||||||||
| MEDICAL DIRECTOR/OB/GYN | 40.00 | $207,940 | $0 | $9,527 | Yes (X) | |||
| MICHAEL JOHNSON | ||||||||
| COO | 40.00 | $183,145 | $0 | $12,276 | Yes (X) | |||
| LUCIEN ALEXANDRE | ||||||||
| PHYSICIAN | 40.00 | $253,658 | $0 | $12,977 | Yes (X) | |||
| PAWEL KASZUBOWSKI | ||||||||
| PHYSICIAN | 40.00 | $229,896 | $0 | $8,438 | Yes (X) | |||
| ROBILA ASHFAQ | ||||||||
| PHYSICIAN | 40.00 | $224,622 | $0 | $14,562 | Yes (X) | |||
| DENNIS BLEAKLEY | ||||||||
| PHYSICIAN | 40.00 | $207,102 | $0 | $14,825 | Yes (X) | |||
| KAREN PATEL | ||||||||
| PHYSICIAN SPECIALIST | 40.00 | $205,091 | $0 | $8,303 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,020,303 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $167,339 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 67 | 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 |
|---|---|---|---|---|---|
| USC SCHOOL OF DENTISTRY | |||||
| 1149 S HILL ST SUITE H550 | LOS ANGELES | CA | 90015 | DENTAL SERVICE | $912,899 |
| TRIOMPH INC | |||||
| 6820 LA TIJERA BLVD SUITE 208B | LOS ANGELES | CA | 90045 | SECURITY SEVICE | $775,451 |
| COY BUILDER | |||||
| 11555 TELEGRAPH ROAD | SANTA FE SPRINGS | CA | 90670 | RENOVATION | $722,177 |
| MORRISON HEALTHCARE | |||||
| PO BOX 102289 | ATLANTA | GA | 30368 | FOOD CATERING SERVICE | $679,122 |
| THE SALVATION ARMY-BELL SHELTER | |||||
| 5600 RICKENBACKER RD BLDG 1-E | BELL | CA | 90201 | LEASING OF BED | $658,263 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $28,823,144 | GovernmentGrantsAmt |
| All Other Contributions | $3,156,689 | AllOtherContributionsAmt |
| Total Contributions | $31,979,833 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PROGRAM SERVICE INCOME | 900099 | $45,381,038 | $45,381,038 |
| PHARMACY REVENUE | 900099 | $7,685,668 | $7,685,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $53,066,706 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,571 | TotalRevenueColumnAmt |
| Exclusion | $5,571 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $183,335 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $48,348 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $134,987 | TotalRevenueColumnAmt |
| Exclusion | $134,987 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $1,182,234 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,182,234 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,182,234 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $86,369,331 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $54,248,940 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $140,558 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,488 | TotalAmt |
| Program Services | $580,488 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,899,934 | TotalAmt |
| Program Services | $1,899,934 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM EXPENSES | Desc |
| Total | $77,156,587 | TotalAmt |
| Program Services | $77,156,587 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,637,009 | TotalAmt |
| Program Services | $79,637,009 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,062,129 | BOYAmt |
| EOY | $5,991,329 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,308,319 | BOYAmt |
| EOY | $52,504 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,439,873 | BOYAmt |
| EOY | $22,489,479 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $70,187 | BOYAmt |
| EOY | $70,187 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $462,573 | BOYAmt |
| EOY | $178,114 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,100,382 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,085,467 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,683,727 | BOYAmt |
| EOY | $17,014,915 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,241,845 | BOYAmt |
| EOY | $6,251,345 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,268,653 | BOYAmt |
| EOY | $52,047,873 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,299,738 | BOYAmt |
| EOY | $2,959,739 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,611 | BOYAmt |
| EOY | $17,361 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,437,909 | BOYAmt |
| EOY | $10,278,042 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,186,490 | BOYAmt |
| EOY | $8,735,012 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,961,748 | BOYAmt |
| EOY | $21,990,154 | 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 | $21,873,038 | BOYAmt |
| EOY | $30,057,719 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,433,867 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,306,905 | BOYAmt |
| EOY | $30,057,719 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,268,653 | BOYAmt |
| EOY | $52,047,873 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $6,732,322 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $18,492 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,717,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,562,724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,700,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,670,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,979,833 | CurrentTaxYearAmt |
| Total | $112,631,016 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $13,717,558 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $19,562,724 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $21,700,725 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,670,176 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,979,833 | CurrentTaxYearAmt |
| Total | $112,631,016 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $112,631,016 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $607 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $615 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,888 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,682 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $5,571 | CurrentTaxYearAmt |
| Total | $35,363 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,605,719 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,731,175 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,306,768 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,646,058 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,317,221 | CurrentTaxYearAmt |
| Total | $10,606,941 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $123,273,320 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $163,036,850 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.91370 | PublicSupportCY170Pct |
| Public Support PY170 | 0.90500 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,422,569 | InvestmentCostOrOtherBasisAmt |
| Book Value | $4,422,569 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $4,095,243 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,459,519 | DepreciationAmt |
| Book Value | $2,635,724 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $7,882,477 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $2,809,265 | DepreciationAmt |
| Book Value | $5,073,212 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $5,097,405 | InvestmentCostOrOtherBasisAmt |
| Depreciation | $1,816,683 | DepreciationAmt |
| Book Value | $3,280,722 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,602,688 | InvestmentCostOrOtherBasisAmt |
| Book Value | $1,602,688 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $17,014,915 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEPOSIT | $177,451 |
| GOODWILL | $6,073,894 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $6,251,345 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PAYROLL & RELATED LIABILITIES | $6,238,005 |
| LINE OF CREDIT | $2,497,007 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $8,735,012 | TotalLiabilityAmt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | WESLEY BENEFIT DINNER | Event1Nm |
| Gross Receipts Event1 | $183,335 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $183,335 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $427 | NonCashPrizesEvent1Amt |
| Food And Beverage Event1 | $38,077 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,900 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $7,944 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $183,335 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $183,335 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $427 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $38,077 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $1,900 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $7,944 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $48,348 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $134,987 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | 0 | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| WEINGART CENTER ASSOCIATION | ||||||||
| 565 S SAN PEDRO STREET | LOS ANGELES | CA | 90013 | 956054617 | 501 (C)(3) | $84,585 | BOOK | SUBSTANCE ABUSE PROGRAM |
| HERMAN OSTROW SCHOOL OF DENTISTRY OF USC | ||||||||
| 1149 S HILL ST STE H550 | LOS ANGELES | CA | 90015 | 951642394 | $274,232 | BOOK | DENTAL SERVICE | |
| BIENESTAR HUMAN SERVICES INC | ||||||||
| 5326 EAST BEVERLY BLVD | LOS ANGELES | CA | 90022 | 954505737 | 501 (C)(3) | $206,671 | BOOK | HIV SERVICES |
| COVENANT HOUSE CALIFORNIA | ||||||||
| 1325 N WESTERN AVENUE | HOLLYWOOD | CA | 90027 | 133391210 | 501 (C)(3) | $15,000 | BOOK | HIV SERVICES |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ALVARO BALLESTEROS | ||||||||||||||
| CEO | $298,824 | $0 | $0 | $0 | $14,400 | $0 | $11,200 | $0 | $4,914 | $0 | $329,338 | $0 | $0 | $0 |
| ANDY IRIE | ||||||||||||||
| SECRETARY | $191,540 | $0 | $0 | $0 | $0 | $0 | $6,925 | $0 | $5,580 | $0 | $204,045 | $0 | $0 | $0 |
| JEANNE LAM | ||||||||||||||
| CFO | $189,718 | $0 | $0 | $0 | $0 | $0 | $7,660 | $0 | $2,625 | $0 | $200,003 | $0 | $0 | $0 |
| PAUL GREGERSON | ||||||||||||||
| CMO | $340,960 | $0 | $0 | $0 | $3,600 | $0 | $11,200 | $0 | $5,580 | $0 | $361,340 | $0 | $0 | $0 |
| PHILIP LE | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR | $263,014 | $0 | $0 | $0 | $0 | $0 | $10,380 | $0 | $5,580 | $0 | $278,974 | $0 | $0 | $0 |
| ANA ORTIZ | ||||||||||||||
| DENTAL DIRECTOR | $206,793 | $0 | $0 | $0 | $0 | $0 | $9,207 | $0 | $5,580 | $0 | $221,580 | $0 | $0 | $0 |
| BENJAMIN MONROE | ||||||||||||||
| MEDICAL DIRECTOR/OB/GYN | $207,940 | $0 | $0 | $0 | $0 | $0 | $3,947 | $0 | $5,580 | $0 | $217,467 | $0 | $0 | $0 |
| MICHAEL JOHNSON | ||||||||||||||
| COO | $183,145 | $0 | $0 | $0 | $0 | $0 | $7,438 | $0 | $4,838 | $0 | $195,421 | $0 | $0 | $0 |
| LUCIEN ALEXANDRE | ||||||||||||||
| PHYSICIAN | $253,658 | $0 | $0 | $0 | $0 | $0 | $7,397 | $0 | $5,580 | $0 | $266,635 | $0 | $0 | $0 |
| PAWEL KASZUBOWSKI | ||||||||||||||
| PHYSICIAN | $229,896 | $0 | $0 | $0 | $0 | $0 | $6,960 | $0 | $1,478 | $0 | $238,334 | $0 | $0 | $0 |
| ROBILA ASHFAQ | ||||||||||||||
| PHYSICIAN | $224,622 | $0 | $0 | $0 | $0 | $0 | $8,982 | $0 | $5,580 | $0 | $239,184 | $0 | $0 | $0 |
| DENNIS BLEAKLEY | ||||||||||||||
| PHYSICIAN | $207,102 | $0 | $0 | $0 | $0 | $0 | $9,245 | $0 | $5,580 | $0 | $221,927 | $0 | $0 | $0 |
| KAREN PATEL | ||||||||||||||
| PHYSICIAN SPECIALIST | $205,091 | $0 | $0 | $0 | $0 | $0 | $3,885 | $0 | $4,418 | $0 | $213,394 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 AND ITS ATTACHMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXTENT OF THE REVIEW INCLUDES A LINE-BY-LINE REVIEW OF THE FORM 990. THE REVIEW IS BASED ON GUIDANCE PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT OF THE ORGANIZATION ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT STAFF SIGNS A CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST POLICY WAS REVIEWED AND HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND IS IMPLEMENTED AT THE BOARD MANAGEMENT LEVEL. TRAINING ON THE POLICY WAS ALSO CONDUCTED. DETERMINATIONS OF POTENTIAL CONFLICT OF INTEREST ARE MADE AT THE BOARD LEVEL AND AT THE EXECUTIVE STAFF LEVEL. IF POTENTIAL CONFLICT IS IDENTIFIED, AGENCY POLICY DICTATES THAT THE SUBJECT INDIVIDUAL SHALL REMOVE THEMSELVES FROM DISCUSSIONS REGARDING THE MATTER AT HAND. ALL CONFLICTS WILL BE DOCUMENTED IN MINUTES OF THE GOVERNING BOARD. ANNUALLY, THE JWCH CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL REVIEW OF POLICIES AND PROCEDURES. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE JWCH BOARD OF DIRECTORS SETS-UP A COMPENSATION COMMITTEE TO EVALUATE THE CEO'S SALARY BASED ON THE FOLLOWING: AND EXTENSIVE ANNUAL PERFORMANCE REVIEW IS UNDERTAKEN BY THE BOARD OF DIRECTORS VIA THIS COMMITTEE, WITH INPUT BY THE WHOLE BOARD. SHOULD A SALARY INCREASE BE WARRANTED, THE PERFORMANCE EVALUATION IS USED TOGETHER WITH SALARY COMPARISONS OF OTHER COMMUNITY HEALTH CENTERS PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND THE LOCAL COMMUNITY CLINIC ACCOSIATION TO REVIEW COMPARATIVE COMPENSATION LEVELS. A DETERMINATION IS THEN MADE BASED ON BOTH AND BROUGHT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION OF ANY SALARY CHANGES. THE BOARD OF DIRECTORS ONLY SETS THE SALARY FOR THE CEO. THE BOARD OF DIRECTORS REVIEW AND APPROVE A SALARY COMPENSATION GRADE SCHEDULE FOR ALL OTHER AGENCY STAFF, INCLUDING CFO. THIS COMPENSATION GRADE SCHEDULE IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS SO THAT SALARIES OF AGENCY STAFF IS CONSISTENT WITH INDUSTRY STANDARDS. THE SETTING OF SALARIES FOR STAFF OTHER THAN THE CEO IS DELEGATED TO THE CEO AND HIS DESIGNEES TOGETHER WITH HUMAN RESOURCES ACCORDING TO THE AFOREMENTIONED SALARY SCHEDULE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |