2019-05-14T11:29:17-05:00 2018-06-30 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2017-07-01 752986675 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION CENT 3232345000 714 WEST OLYMPIC BLVD NO 801 LOS ANGELES CA 90015 KENNETH ORDUNA CEO 3232345000 2019-05-09 1 LYNN D BOSTER P00440365 2138731700 12.246.196.18 2019-05-09 15:48:35 PD P 1D28454CB9351EBB41F41CE8F1F3659ED1FF0C12 25D4679CBD63AF40F0B427329F599593086348EB 2017 2019-02-21 02:37:17Z KENNETH ORDUNA 714 WEST OLYMPIC BLVD LOS ANGELES CA 90015 11717422 0 X N/A X 2004 CA ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN THE SOUTHERN CALIFORNIA AREA. 10 10 123 0 0 0 1922263 4858039 6983877 6849620 0 0 5606 9763 8911746 11717422 0 0 0 0 5842393 6009034 0 0 0 3198421 4560808 9040814 10569842 -129068 1147580 6875528 7991893 4254566 4223351 2620962 3768542 ORGANIZATION PROVIDES HEALTHCARE TO THE UNDERSERVED POPULATION IN SOUTHERN CALIFORNIA AREA UNDER SPONSORED COMMUNITY PROGRAMS. 0 0 6609115 PROVIDING MEDICAL CARE TO THE UNDERSERVED IN THE SOUTHERN CALIFORNIA AREA. 6609115 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 27 0 1 123 1 0 0 0 0 0 0 0 0 0 0 X 10 10 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 GLADYS PRECIADO BOARD MEMBER 12.00 X 0 0 0 NITZE SANCHEZ BOARD MEMBER 12.00 X 0 0 0 LAURIE GUARIGLIA BOARD MEMBER 12.00 X 0 0 0 JAMES MACKEY BOARD VICE CHAIR/SECRETARY 12.00 X X 0 0 0 RICHARD MAYER BOARD MEMBER 12.00 X 0 0 0 ANGEL COASTAN BOARD MEMBER 12.00 X 0 0 0 MARY WINNERS BOARD MEMBER 12.00 X 0 0 0 CLAUDIA CASTELLANOS BOARD MEMBER 12.00 X 0 0 0 CRYSTAL LAUTRUP BOARD CHAIR 12.00 X X 0 0 0 GEORGE BELL BOARD MEMBER 12.00 X 0 0 0 BASSET BROWN MD PRESIDENT & CEO 40.00 X 210657 0 0 NURSRATH F JAHANGIR COO 40.00 X 111753 0 0 AMY FAWCETT CFO 40.00 X 127790 0 0 ABDOULAYE DIOP CMO 40.00 X 222284 0 0 FREDERICK N THOMAS PHYSICIAN 40.00 X 198642 0 0 MEHRY GHARIB PHYSICIAN 40.00 X 205046 0 0 FATEMA SHAMIM PHYSICIAN 40.00 X 185255 0 0 MEHRANGIZ CADRY PHYSICIAN 40.00 X 176257 0 0 ELEANOR PEREZ DIRECTOR OB & INLAND EMPIRE 40.00 X 113278 0 0 1550962 0 0 13 0 1 0 OCHIN INC 1881 SW NAITO PARKWAY PORTLAND OR 97201 COMPUTER SUPPORT 390429 MARBASCAL INC 3233 SAGE CANYON ROAD SAINT HELENA CA 94574 LESSOR 361250 HINSHAW & CULBERTSON LLP 8142 SOLUTIONS CENTER DRIVE CHICAGO IL 60677 LEGAL SERVICE 322394 AMINA K CHAEHOI-DIOP 5212 REYNIER AVENUE LOS ANGELES CA 90056 LESSOR 292557 PETROLEUM BUILDING LLC 714 W OLYMPIC BLVD STE 1131 LOS ANGELES CA 90015 LESSOR 174897 7 987862 3870177 4858039 NET PATIENT SERVICE REVENUE 621110 4175239 4175239 CAPITATION 621110 2000228 2000228 INCENTIVES 621110 674153 674153 6849620 OTHER INCOME 900099 9763 9763 9763 11717422 6859383 0 0 1550962 1550962 3647151 2087717 1559434 360656 242685 117971 450265 315186 135079 1045561 194526 851035 8401 8401 72790 50953 21837 1081617 1005904 75713 26130 26130 750 750 74961 74961 551782 386247 165535 43832 30682 13150 BAD DEBTS EXPENSE 1053493 1053493 COMPUTER & INTERNET EXP 315572 220900 94672 MEDICAL COST 280584 280584 TELEPHONE EXPENSE 102302 71611 30691 -96967 162757 -259724 10569842 6609115 3960727 0 83332 656464 80000 453568 1057005 808349 11523 10346 1448458 596781 871457 851677 2513477 2207641 2258734 3003848 6875528 7991893 1326819 1154457 208730 80000 450873 380873 1148437 959742 1119707 1648279 4254566 4223351 X 2620962 2774875 0 993667 2620962 3768542 6875528 7991893 1147580 0 X 0 1 X 0 1 1 X 76930 45241 1776439 2372263 4858039 9128912 76930 45241 1776439 2372263 4858039 9128912 9128912 5606 9763 15369 9144281 31073205 0.99830 0.99860 X 1448458 596781 851677 851677 DEPOSIT 35445 INVESTMENT PROPERTY 400000 INTERCOMPANY RECEIVABLE 2568403 3003848 THIRD PARTY SETTLEMENT PAYABLE 1603615 ACCRUED INTEREST 44664 1648279 X 11717422 0 11717422 0 11717422 10569842 0 10569842 0 10569842 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 2013. 0 0 0 0 0 0 0 0 0 BASSET BROWN MD PRESIDENT & CEO 210657 0 0 0 0 0 0 0 0 0 210657 0 0 0 ABDOULAYE DIOP CMO 222284 0 0 0 0 0 0 0 0 0 222284 0 0 0 FREDERICK N THOMAS PHYSICIAN 198642 0 0 0 0 0 0 0 0 0 198642 0 0 0 MEHRY GHARIB PHYSICIAN 205046 0 0 0 0 0 0 0 0 0 205046 0 0 0 FATEMA SHAMIM PHYSICIAN 185255 0 0 0 0 0 0 0 0 0 185255 0 0 0 MEHRANGIZ CADRY PHYSICIAN 176257 0 0 0 0 0 0 0 0 0 176257 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 CEO 270000 LEASE OF PREMISES CENTRAL AVENUE LOCATION 0 ABDOULAYE DIOP MD MEDICAL DIRECTO 206976 PROVIDE LEASE OF PREMISES, JANITORIAL SERVICES, SECURITY SERVICES AND LEASE OF FURNITURE & EQUIPMENT. 0 FATIMA JAHANGIR CLINIC MANAGER 23400 A COMPANY OWNED BY THE OFFICER WHICH PROVIDE AFTER HOUR SERVICE LIKE RECEIVING PHONE CALLS FOR THE EMERGENCIES. 0 MIZRA ALI BROTHER OF THE CLINICAL MANAGER FATIMA JAHANGIR 54239 PROVIDE EMPLOYMENT SERVICES. 0 IAN BROWN KIRK GRANDSON OF THE CEO BASSET BROWN 54849 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. 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