2020-07-08T14:55:57-05:00 2019-06-30 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2018-07-01 752986675 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION CENT 3232345000 714 WEST OLYMPIC BLVD NO 801 LOS ANGELES CA 90015 KENNETH ORDUNA CEO 3232345000 2020-07-07 1 LYNN D BOSTER P00440365 2138731700 12.246.196.18 2020-07-07 17:36:51 PD P AEC591779BCAF9C24DC9EC95E94822CE22D23FAE AEC591779BCAF9C24DC9EC95E94822CE22D23FAE 2018 2021-01-29 14:40:06Z KENNETH ORDUNA 714 WEST OLYMPIC BLVD LOS ANGELES CA 90015 10158127 0 X N/A X 2004 CA ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN THE SOUTHERN CALIFORNIA AREA. 11 11 124 0 0 0 4858039 1423487 6849620 8538378 0 2783 9763 193479 11717422 10158127 0 0 0 0 6009034 6738002 0 0 0 4560808 4399657 10569842 11137659 1147580 -979532 7991893 7153244 4223351 4364234 3768542 2789010 ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN SOUTHERN CALIFORNIA AREA UNDER SPONSORED COMMUNITY PROGRAMS. 0 0 7645955 PROVIDING MEDICAL CARE TO THE UNDERSERVED IN THE SOUTHERN CALIFORNIA AREA. 7645955 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 1 124 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 JENNIFER GRIER BOARD SECRETARY 12.00 X X 0 0 0 TYRONE DEVANCE BOARD MEMBER 12.00 X 0 0 0 WANDA 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 SYLVIA MARTIN BOARD MEMBER 12.00 X 0 0 0 KENNETH M ORDUNA CEO 40.00 X 208365 0 0 ABDOULAYE DIOP CMO 40.00 X 224641 0 0 KEULEYA R BLE CHIEF QUALITY OFFICER 40.00 X 105339 0 0 ELEANOR PEREZ CHIEF OPERATING OFFICER 40.00 X 132945 0 0 HUBERT GUTIERREZ DIRECTOR OF HEALTHCARE COMPLIANCE 40.00 X 120000 0 0 MEHRY GHARIB PHYSICIAN 40.00 X 212533 0 0 FREDERICK N THOMAS PHYSICIAN 40.00 X 182408 0 0 BASSET BROWN FORMER CEO 40.00 X 212884 0 0 1399115 0 0 16 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 995152 428335 1423487 NET PATIENT SERVICE REVENUE 621110 5830976 5830976 CAPITATION 621110 1848627 1848627 INCENTIVES 621110 858775 858775 8538378 2783 2783 340B INCOME 900099 181914 181914 MISCELLANEOUS INCOME 900099 11565 11565 193479 10158127 8731857 0 2783 X 1399115 1399115 4370339 2839880 1530459 539257 376867 162390 429291 315413 113878 1216588 272620 943968 22049 22049 183645 120770 62875 1272548 1080563 191985 24381 6101 18280 69127 69127 442812 398945 43867 70094 22834 47260 MEDICAL COST 429437 429437 COMPUTER & INTERNET EXP 258791 252129 6662 PAYROLL PROCESSING FEE 100985 60591 40394 SETTLEMENT EXPENSES 85000 85000 224200 48641 175559 11137659 7645955 3491704 0 656464 602709 453568 33397 808349 810813 10346 14057 1695682 763756 851677 931926 2207641 1931804 3003848 2828538 7991893 7153244 1154457 861960 80000 380873 380873 959742 843020 1648279 2278381 4223351 4364234 X 2774875 2789010 993667 0 3768542 2789010 7991893 7153244 -979532 0 X 0 1 X 1 1 1 X 45241 1776439 2372263 4858039 1423487 10475469 45241 1776439 2372263 4858039 1423487 10475469 3969207 6506262 5606 9763 196262 211631 10687100 34411515 0.60880 0.99830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1695682 763756 931926 931926 DEPOSIT 36855 INVESTMENT PROPERTY 400000 INTERCOMPANY RECEIVABLE 2391683 2828538 THIRD PARTY SETTLEMENT PAYABLE 2179885 ACCRUED INTEREST 98496 2278381 X 10158127 0 10158127 0 10158127 11137659 0 11137659 0 11137659 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 2014. 0 0 0 0 0 0 0 0 0 KENNETH M ORDUNA CEO 208365 0 0 0 0 0 0 0 0 0 208365 0 0 0 ABDOULAYE DIOP CMO 224641 0 0 0 0 0 0 0 0 0 224641 0 0 0 MEHRY GHARIB PHYSICIAN 212533 0 0 0 0 0 0 0 0 0 212533 0 0 0 FREDERICK N THOMAS PHYSICIAN 182408 0 0 0 0 0 0 0 0 0 182408 0 0 0 FATIMA JAHANGIR COO WORKING CAPITAL X 140000 63873 0 1 1 BASSET BROWN CEO WORKING CAPITAL X 404236 317000 0 1 1 380873 BASSET BROWN MD FORMER CEO 90000 LEASE OF PREMISES CENTRAL AVENUE LOCATION 0 ABDOULAYE DIOP MD MEDICAL DIRECTOR 230819 PROVIDE LEASE OF PREMISES, JANITORIAL SERVICES, SECURITY SERVICES AND LEASE OF FURNITURE & EQUIPMENT. 0 MIZRA ALI BROTHER OF THE CLINICAL MANAGER FATIMA JAHANGIR 34598 PROVIDE EMPLOYMENT SERVICES. 0 IAN BROWN KIRK GRANDSON OF THE FORMER CEO BASSET BROWN 66600 PROVIDE IT SERVICES. 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 IX, LINE 11G CONSULTANT: PROGRAM SERVICE EXPENSES 195,938. MANAGEMENT AND GENERAL EXPENSES 383,956. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 579,894. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 76,682. MANAGEMENT AND GENERAL EXPENSES 560,012. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 636,694. 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