2020-07-06T13:02:41-05:00 2019-06-30 954557617 Harrington Group CPAs LLP 234 East Colorado Blvd Suite M150 Pasadena CA 91101 990 2018-07-01 953702136 QueensCare Health Centers QUEE 3236694305 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 Barbara B Hines President & CEO 3236694305 2020-07-06 1 Sean E Cain CPA P01612986 6264036801 209.133.35.227 2020-07-06 11:02:29 PD P 0B4F3B71C2EC911E577D967EDC65E3E555B204AC 0B4F3B71C2EC911E577D967EDC65E3E555B204AC 2018 2020-09-23 17:36:50Z Barbara B Hines 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 30184845 0 X www.queenscarehealthcenters.org X 1925 CA The Centers directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County, including the uninsured, indigent, elderly and children. 15 15 309 15 0 0 4035160 4102036 26169357 24858537 172215 363300 2401015 860972 32777747 30184845 0 0 0 0 18916584 20537851 0 0 0 9688357 8758253 28604941 29296104 4172806 888741 33605939 34592144 1205515 1302979 32400424 33289165 X QueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County. 0 0 22079340 24840402 The mission of QueensCare Health Centers and affiliated entities is to provide quality primary healthcare to any patient in need in the communities we serve, regardless of ability to pay. We seek to provide universal access to primary healthcare, reducing disparities in care and improving health in the communities we serve.In 1897, the Franciscan Sisters of the Sacred Heart founded an orphanage, the Society of El Hogar Feliz, for abandoned and neglected children in Los Angeles, which later became a clinic known as the Franciscan Clinic. In 1994, the Sisters transferred sponsorship of the Franciscan Clinic to the hospital it had also founded, Queen of Angels-Hollywood Presbyterian Medical Center. At the time of its sale in 1998, the hospital's four other outpatient clinics were merged into Franciscan Clinics and operated under the business name QueensCare Family Clinics. In 2003 QueensCare Family Clinics applied for and became a federally qualified health center (FQHC), requiring it to form a board of directors independent of the other QueensCare entities. As a federally qualified health center, QueensCare Health Centers is partially funded by grants from the U.S. Department of Health & Human Services, Health Resources & Services Administration and has been deemed under the Federal Tort Claims Act. QueensCare Health Centers also contracts with the County of Los Angeles to provide healthcare services to uninsured residents of Los Angeles. QueensCare Health Centers accepts Medi-Cal, Medicare and some private insurance, but treats all patients, regardless of ability to pay.QueensCare Health Centers operates five clinic locations in Los Angeles, California. A wide range of health services are provided to children, adults and elderly patients in underserved populations at these locations, including:- Adult primary care- Pediatric care- Obstetrics- Dental care- Pharmacy- Optometry- Podiatry- Chronic disease management- Care coordination- TelehealthDuring the fiscal year ended June 30, 2019, QueensCare Health Centers provided, medical, dental and vision services to approximately 24,000 patients, which accounted for more than 105,000 visits. 22079340 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 55 0 1 309 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X Dennis C Benton 3232867513 950 South Grand Avenue 2nd Flr S Los Angeles CA 90015 Jay Guerena Chair 2.00 2.00 X X 0 3650 0 Marina Aronoff Vice Chair 2.00 X X 0 0 0 Yasmin Garcia Secretary 2.00 X X 0 0 0 Martha Arias Director 2.00 X 0 0 0 Jorge Blanco Director 2.00 X 0 0 0 William Chim Director 2.00 X 0 0 0 Shirley Daniels Director 2.00 X 0 0 0 Serina Demirians Director 2.00 X 0 0 0 Jeffrey Hermann Director 2.00 2.00 X 0 0 0 Harry Kram MD Director 2.00 X 0 0 0 Allan Michelena Director 2.00 2.00 X 0 2250 0 Jacquelyn P Pantoja Director 2.00 X 0 0 0 Mary Ramos Director 2.00 X 0 0 0 Manuel Romero Director 2.00 X 0 0 0 Matthew Wells Director 2.00 X 0 0 0 Barbara B Hines President & CEO 20.00 20.00 X 189352 188819 38141 John Nguyen MD end 319 Chief Medical Officer 40.00 X 278834 0 36576 Edward Liao MD start 519 Physician/C.M.O. 40.00 X 226537 0 32018 Eloisa Perard CAO 40.00 X 0 209168 12490 Chad Vargas COO 40.00 X 139951 0 15797 Arthur Doi VP Accounting & Finance 40.00 X 0 167251 25247 Maria T Lim Heya Physician 40.00 X 225330 0 30275 Yung Soon Ahn Physician 40.00 X 222446 0 20734 Craig Golden MD Physician 40.00 X 217526 0 13220 Hla Moe Physician 40.00 X 210476 0 11791 Eric Celo Physician 40.00 X 199371 0 11854 1909823 571138 248143 38 0 1 0 Quest Diagnostics Inc PO Box 5068 Los Angeles CA 90074 Medical Laboratories Services 455743 University of So Cal School of Pharmacy 1985 Zonal Ave PSC 700A Los Angeles CA 90089 Pharmacist Services 390883 Ryan K Lee MD 222 West Eulalia Street Suite 211 Glendale CA 91204 Independent Contractor 312386 Progressive Dental Studio 1110 North Orchard Drive Burbank CA 91506 Dental Lab Services 118485 Registered Dietitian Consultants 34162 Capistrano by the Sea Dana Point CA 92629 Independent Contractor 115925 7 3800032 302004 4102036 Net Patient Revenue 621400 20357258 20357258 Q/QHC Healthcare Partners 621400 4501279 4501279 24858537 363300 363300 Other income 621400 860972 860972 860972 30184845 24858537 0 1224272 1112149 1112149 15492547 13031991 2460556 787997 667022 120975 2070340 1668257 402083 1074818 894575 180243 33467 33467 69310 69310 2060541 1854461 206080 65681 4450 61231 369917 260765 109152 1312010 1312010 1380582 925311 455271 62498 24128 38370 114320 7372 106948 435896 366056 69840 89085 39726 49359 Pharmaceuticals 1095367 1095367 Purchased services 493137 493137 Medical/other supplies 470213 470213 Recuitment costs 212801 212801 493428 276509 216919 29296104 22079340 7216764 0 4170 4320 9088021 10364758 354999 328273 6744804 6275399 10974470 10974470 145077 87722 385613 225765 8071229 7508789 857613 562440 5758164 6771399 -706992 -1002402 33605939 34592144 1205515 1302979 1205515 1302979 X 32390701 33279442 9723 9723 32400424 33289165 33605939 34592144 888741 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 9722 9722 9722 9722 9722 9722 69382 59660 9722 219953 150571 69382 1.00000 0 0 1424753 1239029 185724 6646476 6269760 376716 562440 Corporate Bonds 6771399 C 6771399 X Part V, Line 4: QueensCare Health Centers ("the Centers") intends to use its endowment funds to support healthcare related activities. Part X, Line 2: The Centers 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 Centers in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Centers' returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed. X X X X 0 0 0 0 0 0 0 0 0 Barbara B Hines President & CEO 189352 181656 0 0 0 7163 9650 9864 9616 9011 208618 207694 0 0 John Nguyen MD end 319 Chief Medical Officer 277484 0 0 0 1350 0 16847 0 19729 0 315410 0 0 0 Edward Liao MD start 519 Physician/C.M.O. 226117 0 0 0 420 0 13857 0 18161 0 258555 0 0 0 Eloisa Perard CAO 0 208268 0 0 0 900 0 12288 0 202 0 221658 0 0 Chad Vargas COO 138722 0 0 0 1229 0 6457 0 9340 0 155748 0 0 0 Arthur Doi VP Accounting & Finance 0 163381 0 0 0 3870 0 9890 0 15357 0 192498 0 0 Maria T Lim Heya Physician 224364 0 0 0 966 0 13527 0 16748 0 255605 0 0 0 Yung Soon Ahn Physician 219246 0 0 0 3200 0 13254 0 7480 0 243180 0 0 0 Craig Golden MD Physician 216560 0 0 0 966 0 12997 0 223 0 230746 0 0 0 Hla Moe Physician 209846 0 0 0 630 0 11791 0 0 0 222267 0 0 0 Eric Celo Physician 197565 0 0 0 1806 0 11854 0 0 0 211225 0 0 0 Schedule J, Part II: Edward Liao was promoted from Physician to Chief Medical Officer in May 2019. The compensation reported in Part II represents calendar year 2018 W-2 earnings in his capacity as a physician, prior to his promotion. Form 990, Part VI, Section A, line 3 Pursuant to that certain Amended and Restated Partnership Agreement, QueensCare Health Centers and QueensCare formed Q/QHC Healthcare Partners to jointly operate five community health centers located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include supervision of medical treatments, measuring outcomes, providing day-to-day management for the operation of Q/QHC Healthcare Partners and on-site management of the Centers' personnel to include hiring, training, and discharging the Centers' personnel. Form 990, Part VII, Section A, Hours of Officers: Director Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Chairman Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as a director of QueensCare. CEO Barbara B. Hines devoted approximately 8 hours of her time per week serving as QueensCare's CEO. Director Jeffrey Hermann devoted approximately two hours of his time per week to QueensCare, serving as a director of QueensCare. Form 990, Part VI, Section B, line 11b Following preparation of a final draft of the Form 990 by the organization's tax preparers, the organization's CEO and VP Accounting & Finance review, analyze and discuss the final draft to better ensure its accuracy and completeness. After the return is filed, the CEO and VP Accounting & Finance 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 12c The 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 15a A comprehensive study of most if not all positions in the organization is done every 3 to 5 years by an outside compensation consultant hired for this purpose. A Compensation Committee, comprised of independent Board members, reviews and recommends to the Board a wage scale proposed by the consultant from compensation data for similarly situated organizations. The scale includes each position, including the CEO and other top management officials. The Compensation Committee presents its findings and recommendations to the Board, and members are provided the opportunity to ask questions. A Board vote is taken to establish the new wage scale, with which each employee's compensation must comply. The wage scale is then reviewed annually by the Compensation Committee. The CEO's compensation amount is determined by the Board, based on the recommendation of the CEO Evaluation Committee comprised of independent Board members. The CEO Evaluation Committee reviews performance feedback submitted by each Board member annually. The amount of compensation paid to the CEO must comply with the wage scale established by the Compensation Committee. Deliberations of the Compensation Committee, the CEO Evaluation Committee and the Board are recorded in the organization's minute book. The compensation study was last undertaken by the Compensation Committee in April 2017. The CEO Evaluation Committee performs its review and makes its recommendations to the Board annually, typically in September. Form 990, Part VI, Section C, line 19 The 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. QueensCare 950 S Grand Ave 2nd Fl South Los Angeles CA 90015 951644040 Healthcare for the poor CA 501(c)(3) Line 7 St Joseph's Health Support Alliance 0 QueensCare Health Centers Foundation 950 S Grand Ave 2nd Fl South Los Angeles CA 90015 463366321 Support QHC mission CA 501(c)(3) Line 7 QueensCare Health Centers 0 QQHC Healthcare Partners 950 S Grand Ave 2nd Fl South Los Angeles CA 90015 260502255 To operate & Manage Healthcare Clinincs CA N/A Related 0 1 0.60000 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 1 1 0 1 QueensCare C 10467 Accrual QueensCare O 202800 Accrual QueensCare P 612061 Accrual QueensCare Q 335788 Accrual QueensCare Health Centers Foundation K 215000 Accrual QQHC Healthcare Partners B 6750000 Accrual QQHC Healthcare Partners J 4500000 Accrual QQHC Healthcare Partners L 11253197 Accrual QueensCare Health Centers Foundation S 98714 Accrual