QUEENSCARE: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- QUEENSCARE (EIN 95-1644040)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-04-30
- IRS object ID
- 201901209349301910
- Schema version
- 2017v2.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-04-30T19:21:59-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 954557617 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Harrington Group CPAs LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 234 East Colorado Blvd Suite M150 | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644040 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QueensCare | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | QUEE | BusinessNameControlTxt |
| Phone | 3236694305 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Fl South | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Barbara B Hines | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 3236694305 | PhoneNum |
| Signature | 2019-04-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Sean E Cain CPA | PreparerPersonNm |
| PTIN | P01612986 | PTIN |
| Phone | 6264036801 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 209.133.35.227 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-04-30 | IPDt |
| IP Tm | 17:21:48 | IPTm |
| IP Timezone | PD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | C2C22B4F1B9AA0772E09E87A4EA864779F63AD2A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0B4F3B71C2EC911E577D967EDC65E3E555B204AC | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Barbara B Hines | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Fl South | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $23,958,983 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.queenscare.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1936 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | QueensCare provides a continuum of high quality medical and hospital care to the medically underserved (indigent, unisured, underinsured) residents of Los Angeles County. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 57 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $388,000 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,245,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $121,755 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $194,368 | CYProgramServiceRevenueAmt |
| PY Investment Income | $29,401,512 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,936,372 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,590,945 | PYOtherRevenueAmt |
| CY Other Revenue | $4,278,786 | CYOtherRevenueAmt |
| PY Total Revenue | $33,502,212 | PYTotalRevenueAmt |
| CY Total Revenue | $11,654,526 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $8,690,254 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,695,094 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,376,595 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,231,042 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,702,785 | PYOtherExpensesAmt |
| CY Other Expenses | $6,770,760 | CYOtherExpensesAmt |
| PY Total Expenses | $18,769,634 | PYTotalExpensesAmt |
| CY Total Expenses | $19,696,896 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,732,578 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,042,370 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $399,442,875 | TotalAssetsBOYAmt |
| Total Assets EOY | $407,190,264 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,907,634 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $10,485,960 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $391,535,241 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $396,704,304 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | QueensCare 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,543,771 | ExpenseAmt |
| Desc | QueensCare 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 2017-2018, the health centers served appoximately 25,000 patients which accounted for 112,000 visits. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,574,081 | ExpenseAmt |
| Grant | $4,671,027 | GrantAmt |
| Desc | To 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,599,300 | ExpenseAmt |
| Grant | $5,024,067 | GrantAmt |
| Revenue | $194,368 | RevenueAmt |
| Desc | QueensCare operates 4 divisions: 1) The Pastoral Care Division provides spiritual care to inpatients and staff at Hollywood Presbyterian Medical Center. During FY 2018, the chaplains visited over 40,000 patients. Over 950 patients received the anointing of the sick; five were baptized; 30 were helped with Advance Directives; and 98 patients were attended by chaplains during a Code Blue; 2) QueensCare Health and Faith Partnership (QHFP) is the largest parish nurse program in California. There are 16 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. In addition, QHFP helped plan and participated in 627 outreach events and sponsored health fairs; 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 2018, QueensCare provided services at 11 schools and served 1,869 children and provided 12,960 visits. In addition, QueensCare provided oral hygiene presentations and instructions to every child in every school visited and distributed 2,200 oral hygiene kits; b) Mobile Vision Program - QueensCare provides mobile vision services to low-income communities through LAUSD. The mobile vision program was offered at 24 LAUSD middle schools and 2 Catholic schools. Total of 1,900 prescriptions were written by QueensCare's optometrist and 1,921 glasses were provided the students at no cost; c) Mental Health Program - QueensCare provided services to 300 children between the ages of 5 and 18 and their families. 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 increased it meeting frequency during FY 2018 to three meetings and approved 30 grants amounting to $2.8 million. In addition, the Charitable Board also approved 28 scholarships and funded 14 area hospitals with Emergency Medical Services grants amounting to another $2.0 million. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $17,717,152 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | 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 | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 94 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 57 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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 | 0 | 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 | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Faith Lee Vice President | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3236694345 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Fl South | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Bettie J Woods | ||||||||
| Chair | 3.00 | 2.00 | Yes (X) | Yes (X) | $3,950 | $0 | $0 | |
| Steven Aronoff | ||||||||
| Vice Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $4,250 | $0 | $0 | |
| Alan Cushman | ||||||||
| Secretary | 10.00 | 10.00 | Yes (X) | Yes (X) | $2,750 | $0 | $0 | |
| Sister Judy Murphy | ||||||||
| Secretary | 10.00 | 10.00 | Yes (X) | Yes (X) | $23,250 | $4,650 | $0 | |
| Allan Michelena | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $2,150 | $1,750 | $0 | ||
| Denise Partamian Forgette | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $3,900 | $500 | $0 | ||
| Edward Avila | ||||||||
| Director | 2.00 | Yes (X) | $1,000 | $0 | $0 | |||
| Fr Michael Stechmann | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Frances Inman | ||||||||
| Director | 2.00 | Yes (X) | $2,150 | $0 | $0 | |||
| Gene A Nuziard | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $3,750 | $750 | $0 | ||
| Javier Guerena | ||||||||
| Director | 2.00 | 2.00 | Yes (X) | $3,050 | $1,500 | $0 | ||
| Jeff Hermann | ||||||||
| Director | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph Bui | ||||||||
| Director | 2.00 | Yes (X) | $750 | $0 | $0 | |||
| Lois Saffian | ||||||||
| Director | 2.00 | Yes (X) | $2,800 | $0 | $0 | |||
| Rev Michael Mata | ||||||||
| Director | 4.00 | Yes (X) | $2,650 | $0 | $0 | |||
| Barbara B Hines | ||||||||
| CEO | 8.00 | 32.00 | Yes (X) | Yes (X) | $62,283 | $294,094 | $42,882 | |
| Eloisa Perard | ||||||||
| CAO | 40.00 | Yes (X) | $94,038 | $0 | $3,933 | |||
| Gary Grubbs | ||||||||
| President & CFO (term end 7/18) | 40.00 | Yes (X) | $243,004 | $0 | $17,622 | |||
| Alan G De Jong | ||||||||
| Director Risk Management | 40.00 | $127,116 | $0 | $23,816 | Yes (X) | |||
| Faith Lee | ||||||||
| VP-Finance & Accounting(Q) | 40.00 | $135,023 | $0 | $15,456 | Yes (X) | |||
| Kathy Williamson | ||||||||
| Director of Operations | 40.00 | $120,416 | $0 | $9,893 | Yes (X) | |||
| Wendy Johnson | ||||||||
| Parish Nurse Manager | 40.00 | $101,998 | $0 | $21,149 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $940,278 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $303,244 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $134,751 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 5 | 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 |
|---|---|---|---|---|---|
| Goldman Sachs & Co LLC | |||||
| 2121 Avenue of the Stars Suite 260 | Los Angeles | CA | 90067 | Investment Mgmt. | $869,239 |
| USC School of Dentisty | |||||
| 1149 S Hill Street Ste H550 | Los Angeles | CA | 90015 | Pediatric Dentistry | $487,396 |
| BJ'S Maintenance and Painting | |||||
| 21500 Lassen Street No 141 | Chatsworth | CA | 91311 | Janetorial service | $128,584 |
| Seyfarth Shaw LLP | |||||
| 3807 Collection Center Drive | Chicago | IL | 606035577 | Legal services | $122,354 |
| Guy Rounsaville Jr | |||||
| 948 Tournament Drive | Hillsborough | CA | 94010 | Legal services | $120,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,245,000 | RelatedOrganizationsAmt |
| Total Contributions | $1,245,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Mental Health Project | 124100 | $191,884 | $191,884 |
| QHFP Health Screening | 900099 | $2,484 | $2,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $194,368 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,023 | TotalRevenueColumnAmt |
| Exclusion | $84,023 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,422,960 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,156,806 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,266,154 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,266,154 | TotalRevenueColumnAmt |
| Exclusion | $4,266,154 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $15,000,000 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $9,147,651 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,852,349 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,852,349 | TotalRevenueColumnAmt |
| Exclusion | $5,852,349 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other income | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $12,632 | TotalRevenueColumnAmt |
| Exclusion | $12,632 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $12,632 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,654,526 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $194,368 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,215,158 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,759,067 | TotalAmt |
| Program Services | $4,759,067 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,936,027 | TotalAmt |
| Program Services | $4,936,027 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $387,917 | TotalAmt |
| Program Services | $67,843 | ProgramServicesAmt |
| Management And General | $320,074 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,036,365 | TotalAmt |
| Program Services | $1,609,520 | ProgramServicesAmt |
| Management And General | $426,845 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,023 | TotalAmt |
| Program Services | $93,180 | ProgramServicesAmt |
| Management And General | $14,843 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $546,223 | TotalAmt |
| Program Services | $433,691 | ProgramServicesAmt |
| Management And General | $112,532 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $152,514 | TotalAmt |
| Program Services | $125,410 | ProgramServicesAmt |
| Management And General | $27,104 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $200,435 | TotalAmt |
| Program Services | $61,300 | ProgramServicesAmt |
| Management And General | $139,135 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $255,901 | TotalAmt |
| Management And General | $255,901 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,750 | TotalAmt |
| Management And General | $43,750 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $696,870 | TotalAmt |
| Program Services | $578,956 | ProgramServicesAmt |
| Management And General | $117,914 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $224,876 | TotalAmt |
| Program Services | $95,612 | ProgramServicesAmt |
| Management And General | $129,264 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,099 | TotalAmt |
| Program Services | $24,096 | ProgramServicesAmt |
| Management And General | $8,003 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $149,702 | TotalAmt |
| Program Services | $30,364 | ProgramServicesAmt |
| Management And General | $119,338 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $182,659 | TotalAmt |
| Program Services | $141,920 | ProgramServicesAmt |
| Management And General | $40,739 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,666 | TotalAmt |
| Program Services | $28,958 | ProgramServicesAmt |
| Management And General | $4,708 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,512 | TotalAmt |
| Program Services | $12,621 | ProgramServicesAmt |
| Management And General | $25,891 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,930 | TotalAmt |
| Program Services | $49,393 | ProgramServicesAmt |
| Management And General | $31,537 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,086 | TotalAmt |
| Program Services | $11,525 | ProgramServicesAmt |
| Management And General | $98,561 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| K-1 Expenses - Q/QHC He | $4,543,771 | $4,543,771 | |
| Other expense | $177,503 | $113,898 | $63,605 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,696,896 | TotalAmt |
| Program Services | $17,717,152 | ProgramServicesAmt |
| Management And General | $1,979,744 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,377,011 | BOYAmt |
| EOY | $7,612,546 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $98,497,000 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $16,860,000 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $83,194,000 | BOYAmt |
| EOY | $81,637,000 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,238,864 | BOYAmt |
| EOY | $270,399,718 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,452,000 | BOYAmt |
| EOY | $47,452,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $181,000 | BOYAmt |
| EOY | $89,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,442,875 | BOYAmt |
| EOY | $407,190,264 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,154,836 | BOYAmt |
| EOY | $6,038,960 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,876,634 | BOYAmt |
| EOY | $3,521,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $164 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $876,000 | BOYAmt |
| EOY | $926,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,907,634 | BOYAmt |
| EOY | $10,485,960 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $390,878,047 | BOYAmt |
| EOY | $396,021,301 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $657,194 | BOYAmt |
| EOY | $683,003 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $391,535,241 | BOYAmt |
| EOY | $396,704,304 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $399,442,875 | BOYAmt |
| EOY | $407,190,264 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,042,370 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,211,433 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule A, Part I: | FormAndLineReferenceDesc |
| Explanation | QueensCare is recognized as a hospital described in section 170(b)(1)(A)(iii) of the Internal revenue Code because its principal purpose is to provide medical care through neighborhood medical clinics and health centers. QueensCare is not licensed to operate a hospital. | ExplanationTxt |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $657,194 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $25,809 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $683,003 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $656,487 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $707 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $657,194 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $655,000 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $1,487 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $656,487 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $655,000 | BeginningYearBalanceAmt |
| End Year Balance | $655,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $655,000 | BeginningYearBalanceAmt |
| End Year Balance | $655,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,703,000 | OtherCostOrOtherBasisAmt |
| Book Value | $20,703,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $70,818,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,328,089 | DepreciationAmt |
| Book Value | $55,489,911 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,480,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $268,835 | DepreciationAmt |
| Book Value | $4,211,165 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,496,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,263,076 | DepreciationAmt |
| Book Value | $1,232,924 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $81,637,000 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Alt. Mutual Fund Inv. | $36,279,000 | F |
| Closely held securities | $11,173,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $47,452,000 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Workers compensation liability | Desc |
| Amt | $926,000 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $926,000 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (46 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| Alcoholism Center for Women | ||||||||
| 1147 South Alvarado Street | Los Angeles | CA | 90006 | 237428537 | 501(c)3 | $25,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| Alta Los Angeles Community Hospital | ||||||||
| 4081 E Olympic Blvd | Los Angeles | CA | 90023 | 954691839 | $4,533 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| American Red Cross | ||||||||
| 11355 Ohio Avenue | Los Angeles | CA | 90025 | 530196605 | 501(c)3 | $50,000 | To provide funding for health related materials/services provided by organization. | |
| APLA Health & Wellness | ||||||||
| 611 South Kingsley Drive | Los Angeles | CA | 90005 | 953842506 | 501(c)3 | $110,000 | To fund health related services provided AIDS patients. | |
| Beverly Hospital | ||||||||
| 309 W Beverly Blvd | Los Angeles | CA | 90640 | 237429685 | $7,555 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| BREATHE California of LA County | ||||||||
| 5858 Wilshire Blvd Suite 300 | Los Angeles | CA | 90036 | 951641451 | 501(c)3 | $50,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| CAST | ||||||||
| 5042 Wilshire Blvd Suite 586 | Los Angeles | CA | 90036 | 100008533 | 501(c)3 | $95,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| Cancer Support Community Pasadena | ||||||||
| 76 East Del Mar Blvd Suite 215 | Pasadena | CA | 91105 | 954201985 | 501(c)3 | $35,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| Care Harbor Los Angeles | ||||||||
| 18436 Hawthorne Blvd Ste 204 | Torrance | CA | 90504 | 272984870 | 501(c)3 | $25,000 | To fund outpatient healthcare services. | |
| Chapcare | ||||||||
| 455 W Montana Street | Pasadena | CA | 91103 | 954536824 | 501(c)3 | $75,000 | To fund outpatient healthcare services. | |
| Children's Hospital Los Angeles | ||||||||
| 4650 Sunset Blvd | Los Angeles | CA | 90027 | 951690977 | 501(c)3 | $452,276 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| CIBD | ||||||||
| 2670 N Main Street Suite 100 | Santa Ana | CA | 92705 | 270179192 | 501(c)3 | $855,657 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| Covenant House California | ||||||||
| 1325 North Western Avenue | Los Angeles | CA | 90027 | 133391210 | 501(c)3 | $50,000 | To fund outpatient healthcare services. | |
| Exceptional Children's Foundation | ||||||||
| 8740 W Washington Boulevard | Culver City | CA | 90232 | 951690988 | 501(c)3 | $125,000 | To fund outpatient healthcare services. | |
| Five Acres | ||||||||
| 760 W Mountain View Street | Altadena | CA | 91001 | 951647810 | 501(c)3 | $35,000 | To fund outpatient healthcare services. | |
| Glendale Memorial Hospital and Health Center | ||||||||
| 1420 South Central Avenue | Glendale | CA | 91204 | 941196203 | 501(c)3 | $55,400 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| Good Samaritan Hospital | ||||||||
| 1225 Wilshire Blvd | Los Angeles | CA | 90017 | 951656366 | 501(c)3 | $481,991 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| Hillsides | ||||||||
| 940 Avenue 64 | Pasadena | CA | 91105 | 951644002 | 501(c)3 | $60,000 | To fund outpatient healthcare services. | |
| Hollywood Presbyterian Medical Center | ||||||||
| 1300 N Vermont Avenue | Los Angeles | CA | 90027 | 300284087 | $286,576 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| Jewish Free Loan Association | ||||||||
| 6505 Wilshire Boulevard Suite 715 | Los Angeles | CA | 90048 | 951691014 | 501(c)3 | $60,000 | To provide funding for health related materials/services provided by organization. | |
| LACUSC Medical Center | ||||||||
| 1200 N State Street | Los Angeles | CA | 90033 | 956000927 | 501(c)3 | $44,321 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| Monterey Park Hospital | ||||||||
| 900 S Atlantic Blvd | Monterey Park | CA | 91754 | 510519163 | $5,036 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| Olympia Medical Center | ||||||||
| 5900 W Olympica Blvd | Los Angeles | CA | 90036 | 421643090 | $110,299 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| Orthapedic Institute For Children | ||||||||
| 403 W Adams Boulevard | Los Angeles | CA | 90007 | 951644604 | 501(c)3 | $45,000 | To fund outpatient healthcare services. | |
| Pepperdine University | ||||||||
| 24255 Pacific Coast Highway | Malibu | CA | 90263 | 951644037 | 501(c)3 | $50,000 | To fund outpatient healthcare services. | |
| Program for Torture Victims | ||||||||
| 1325 North Western Avenue | Los Angeles | CA | 90027 | 133391210 | 501(c)3 | $75,000 | To fund outpatient healthcare services. | |
| Providence St Joseph Medical Center | ||||||||
| 501 S Buena Vista Street | Burbank | CA | 91505 | 953544872 | 501(c)3 | $37,774 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| Saban Community Clinic | ||||||||
| 8405 Beverly Boulevard | Los Angeles | CA | 90048 | 952359105 | 501(c)3 | $75,000 | To fund outpatient healthcare services. | |
| Sherman Oaks Hospital | ||||||||
| 4929 Van Nuys Blvd | Los Angeles | CA | 91403 | 202546649 | $13,095 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| Southern California Counseling Center | ||||||||
| 5615 W Pico Boulevard | Los Angeles | CA | 90019 | 952430665 | 501(c)3 | $65,000 | To fund outpatient healthcare services. | |
| Southern California Hospital of Culver City | ||||||||
| 3828 Delmar Terrace | Culver City | CA | 90232 | 954690845 | $14,102 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | ||
| Southern California Public Radio | ||||||||
| 474 S Raymond Avenue | Pasadena | CA | 91105 | 954765734 | 501(c)3 | $50,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| St Anne's | ||||||||
| 155 N Occidental Boulevard | Los Angeles | CA | 90026 | 951691306 | 501(c)3 | $147,000 | To fund vehicle purchased to transport patients to/from residence and hospitals/doctors' offices. | |
| St Barnabas Senior Services | ||||||||
| 675 S Carondelet Street | Los Angeles | CA | 90057 | 951641435 | 501(c)3 | $50,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| St Jon Well Child & Family Center | ||||||||
| 808 W 58th Street | Los Angeles | CA | 90037 | 954067758 | 501(c)3 | $75,000 | To fund outpatient healthcare services. | |
| St Vincent Medcial Center | ||||||||
| 2131 West Third Street | Los Angeles | CA | 90057 | 912154438 | 501(c)3 | $381,261 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| St Vincent Medcial Center | ||||||||
| 2131 West Third Street | Los Angeles | CA | 90057 | 912154438 | 501(c)3 | $100,000 | To fund transportation program provided by hospital for its patients to transport patients to/from residence and hospitals/doctors' offices. | |
| The Trevor Project | ||||||||
| 8704 Santa Monica Boulevard Suite | West Hollywood | CA | 90069 | 954681287 | 501(c)3 | $100,000 | To fund outpatient healthcare services. | 200 |
| Tierra del Sol Foundation | ||||||||
| 9919 Sunland Boulevard | Sunland | CA | 90049 | 952671260 | 501(c)3 | $25,000 | To provide funding for health related materials/services provided by organization. | |
| UCLA Mobile Clinic Project | ||||||||
| 11980 San Vicente Boulevard Suite | Los Angeles | CA | 90049 | 952250801 | 501(c)3 | $25,000 | To fund outpatient healthcare services. | 102 |
| UCLA Ronald Reagan Medical Center | ||||||||
| 757 Westwood Plaza | Los Angeles | CA | 90095 | 956006143 | 501(c)3 | $57,416 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| VIP Community Mental Health Center | ||||||||
| 1721 Griffin Avenue | Los Angeles | CA | 90031 | 300017808 | 501(c)3 | $100,000 | To fund outpatient healthcare services. | |
| Weingart Center Association | ||||||||
| 566 S San Pedro Street | Los Angeles | CA | 90013 | 956054617 | 501(c)3 | $50,000 | To fund outpatient healthcare services. | |
| White Memorial Medical Center | ||||||||
| 1720 Ceasar E Chavez Ave | Los Angeles | CA | 90033 | 953760201 | 501(c)3 | $50,365 | To fund emergency room services provided to uninsured patients residing in Los Angeles. | |
| Worksite Wellness | ||||||||
| 5955 S Western Avenue | Los Angeles | CA | 90047 | 550802354 | 501(c)3 | $50,000 | To provide health related education or outreach to underserved populations residing in Los Angeles. | |
| Young and Healthy | ||||||||
| 136 West Peoria Street | Pasadena | CA | 91103 | 954527969 | 501(c)3 | $70,000 | To fund outpatient healthcare services. | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 39 | Total501c3OrgCnt |
| Total Other Org | 7 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|
| Scholarships | 28 | $265,000 | N/A |
| Inpatient Care Assistance | 129 | $4,753,000 | N/A |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | QueensCare 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Barbara B Hines | ||||||||||||||
| CEO | $62,283 | $294,094 | $0 | $0 | $0 | $0 | $3,884 | $17,267 | $6,549 | $15,182 | $72,716 | $326,543 | $0 | $0 |
| Gary Grubbs | ||||||||||||||
| President & CFO (term end 7/18) | $213,004 | $0 | $0 | $0 | $30,000 | $0 | $0 | $0 | $17,622 | $0 | $260,626 | $0 | $0 | $0 |
| Alan G De Jong | ||||||||||||||
| Director Risk Management | $125,163 | $0 | $0 | $0 | $1,953 | $0 | $7,836 | $0 | $15,980 | $0 | $150,932 | $0 | $0 | $0 |
| Faith Lee | ||||||||||||||
| VP-Finance & Accounting(Q) | $132,803 | $0 | $0 | $0 | $2,220 | $0 | $7,769 | $0 | $7,687 | $0 | $150,479 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gary Grubbs | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Former CFO | RelationshipDescriptionTxt |
| Transaction | $30,000 | TransactionAmt |
| Transaction | Consultation services | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. 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 7a | In 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 7b | St. 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 11b | Following 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 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 Compensation Committee comprised of independent Board members formulates a proposed compensation level for the CEO by reviewing recomendation 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 was last undertaken by the Compensation Committee in May 2018 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in January 2019. 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. Sr. Murphy also provided services to QueensCare as an independent contractor for which she was compensated. 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; QueensCare Health Centers(QHC)and St. Joseph's Health Support Alliance (SJHSA) in her capacity as Director for QHC and SJHSA. CEO Barbara Hines devoted approximately 32 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 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. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Bridge Street | |||||||||
| 1525 Bridge Street | Yuba | CA | 95993 | 951644040 | Rental Real Estate | CA | $498,916 | $10,858,947 | QueensCare |
| Airway Diego LLC | |||||||||
| 10132 Airway Road | San Diego | CA | 92154 | 951644040 | Rental Real Estate | CA | $1,722,414 | $20,718,276 | QueensCare |
| QLV - HD LLC | |||||||||
| 855 Dorrell Lane | Las Vegas | NV | 89086 | 951644040 | Rental Real Estate | NV | $645,928 | $13,509,153 | QueensCare |
| QLV - INO LLC | |||||||||
| 6880 North 5th Street | Las Vegas | NV | 89084 | 951644040 | Rental Real Estate | NV | $199,294 | $3,819,332 | QueensCare |
| QLV - HDR LLC | |||||||||
| 861 South Rainbow Blvd | Las Vegas | NV | 89145 | Rental Real Estate | NV | $904,833 | $22,968,267 | QueensCare | |
| QOR - FXG LLC | |||||||||
| 20750 Brinson Blvd | Bend | OR | 97701 | Rental Real Estate | OR | $497,034 | $12,618,400 | QueensCare | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| St Joseph's Health Support Alliance | |||||||||
| 950 South Grand Ave 2nd Fl South | Los Angeles | CA | 90015 | 940831115 | to support QueensCare | CA | 501(c)(3) | Line 12d, III-O | 0 |
| QueensCare Health Centers | |||||||||
| 950 South Grand Ave 2nd Fl South | Los Angeles | CA | 90015 | 953702136 | provide medical service to the indigent | CA | 501(c)(3) | Line 3 | 0 |
| Queen of Angels Hollywood Presbyterian Foundation | |||||||||
| 950 South Grand Ave 2nd Fl South | Los Angeles | CA | 90015 | 953403582 | to support QueensCare | CA | 501(c)(3) | Line 12b, II | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QQHC Healthcare Partners | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Ave 2nd Fl South | AddressLine1Txt |
| City | Los Angeles | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260502255 | EIN |
| Primary Activities | To operate and manage Healthcare Clinics | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | Related | PredominantIncomeTypeTxt |
| Share Of Total Income | -$4,543,771 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,279 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (1) | GeneralOrManagingPartnerInd |
| Ownership | 0.40000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (9 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| QQHC HEALTHCARE PARTNERS | ||
| B | $4,543,771 | ACCRUAL |
| ST JOSEPH'S HEALTH SUPPORT ALLIANCE | ||
| C | $245,000 | ACCRUAL |
| ST JOSEPH'S HEALTH SUPPORT ALLIANCE | ||
| Q | $23,170 | ACCRUAL |
| QUEENSCARE HEALTH CENTER | ||
| O | $223,200 | ACCRUAL |
| QUEENSCARE HEALTH CENTER | ||
| P | $488,210 | ACCRUAL |
| QUEENSCARE HEALTH CENTER | ||
| Q | $673,820 | ACCRUAL |
| QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION | ||
| C | $1,000,000 | ACCRUAL |
| QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION | ||
| Q | $4,210 | ACCRUAL |
| QUEENSCARE HEALTH CENTER | ||
| B | $8,850 | ACCRUAL |