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JWCH INSTITUTE INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
JWCH INSTITUTE INC (EIN 95-2289916)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-15
IRS object ID
201941359349313769
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-15T19:10:50-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330700332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1655 N CENTRAL AVE STE 1550AddressLine1Txt
CityGLENDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952289916EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JWCH INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJWCHBusinessNameControlTxt
Phone3232014516PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE LAMPersonNm
Person TitleCFOPersonTitleTxt
Phone3232014516PhoneNum
Signature2019-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNN D BOSTERPreparerPersonNm
PTINP00440365PTIN
Phone2138731700PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address12.246.196.18IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-15IPDt
IP Tm15:18:05IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1D28454CB9351EBB41F41CE8F1F3659ED1FF0C12AtSubmissionCreationDeviceId
At Submission Filing Device Id25D4679CBD63AF40F0B427329F599593086348EBAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEANNE LAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$54,124,233GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JWCHINSTITUTE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO 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 Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee689TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$19,499,943PYContributionsGrantsAmt
CY Contributions Grants$21,700,725CYContributionsGrantsAmt
PY Program Service Revenue$24,135,920PYProgramServiceRevenueAmt
CY Program Service Revenue$30,079,978CYProgramServiceRevenueAmt
PY Investment Income$615PYInvestmentIncomeAmt
CY Investment Income$1,888CYInvestmentIncomeAmt
PY Other Revenue$3,793,956PYOtherRevenueAmt
CY Other Revenue$2,306,768CYOtherRevenueAmt
PY Total Revenue$47,430,434PYTotalRevenueAmt
CY Total Revenue$54,089,359CYTotalRevenueAmt
PY Grants And Similar Paid$557,710PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$672,086CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$27,436,103PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,763,282CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$45,857CYTotalFundraisingExpenseAmt
PY Other Expenses$14,651,127PYOtherExpensesAmt
CY Other Expenses$17,502,771CYOtherExpensesAmt
PY Total Expenses$42,644,940PYTotalExpensesAmt
CY Total Expenses$49,938,139CYTotalExpensesAmt
PY Revenues Less Expenses$4,785,494PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,151,220CYRevenuesLessExpensesAmt
Total Assets BOY$27,012,608TotalAssetsBOYAmt
Total Assets EOY$31,121,433TotalAssetsEOYAmt
Total Liabilities BOY$12,145,134TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,102,739TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$14,867,474NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$19,018,694NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$11,292,930ExpenseAmt
Revenue$12,923,597RevenueAmt
DescJWCH WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH - PROVIDED 39,391 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 7,229 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

FieldValueIRS element (for citing)
Expense$19,221,876ExpenseAmt
Grant$672,086GrantAmt
Revenue$19,976,567RevenueAmt
DescJWCH - 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 16,533 MEDICAL VISITS TO 4,656 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 340 PATIENTS 937 MEDICAL VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$4,940,904ExpenseAmt
Revenue$4,940,914RevenueAmt
DescBPHC-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

FieldValueIRS element (for citing)
Expense$13,955,043ExpenseAmt
Revenue$14,860,488RevenueAmt
DescAIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. JWCH CLINIC AT BELL GARDENS - PROVIDED 17,256 VISITS TO 4,310 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 20,435 VISITS TO 5,625 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 24,875 VISITS TO 5,526 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 14,105 VISITS TO 4,107 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.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$13,955,043TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$14,860,488TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$49,410,753TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee689EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANNE LAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3232014516PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KATHLEEN J HOUSE
SECRETARY2.00Yes (X)Yes (X)$0$0$0
KARL SCOTT
BOARD MEMBER1.00Yes (X)$0$0$0
SHEILA EATON
BOARD MEMBER1.00Yes (X)$0$0$0
LAWRENCE FERNANDEZ JR
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
KEITH TERASAKI MD
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
EDUARDO SAUCEDO
BOARD MEMBER1.00Yes (X)$0$0$0
SILVIA L HERNANDEZ
BOARD MEMBER1.00Yes (X)$0$0$0
MARIA PADRON
BOARD MEMBER1.00Yes (X)$0$0$0
TOM GRODE
BOARD MEMBER1.00Yes (X)$0$0$0
JOE CASTEL
BOARD MEMBER1.00Yes (X)$0$0$0
HERBERT TORRANCE
BOARD MEMBER1.00Yes (X)$0$0$0
ALVARO BALLESTEROS
CEO40.00Yes (X)$292,686$0$15,781
JEANNE LAM
CFO40.00Yes (X)$161,939$0$10,654
ANDY IRIE
SECRETARY40.00Yes (X)$139,280$0$11,003
PAUL GREGERSON
CMO40.00$306,039$0$15,941Yes (X)
PHILIP LE
ASSOCIATE MEDICAL DIRECTOR40.00$245,739$0$14,961Yes (X)
ANA ORTIZ
DENTAL DIRECTOR40.00$169,266$0$9,788Yes (X)
MICHAEL JOHNSON
COO40.00$164,876$0$12,343Yes (X)
LUCIEN ALEXANDRE
PHYSICIAN40.00$246,750$0$11,317Yes (X)
PAWEL KASZUBOWSKI
PHYSICIAN40.00$220,125$0$8,931Yes (X)
ROBILA ASHFAQ
PHYSICIAN40.00$208,566$0$14,146Yes (X)
SMITHA SATHYAPRAKASH
PHYSICIAN40.00$191,345$0$2,268Yes (X)
DENNIS BLEAKLEY
PHYSICIAN40.00$188,083$0$13,940Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,534,694TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$141,073TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
GLUCK BUILDING COMPANY
26901 AGOURA ROAD SUITE 100CALABASASCA91301RENOVATION$989,829
USC SCHOOL OF DENTISTRY
1149 S HILL ST STE H550LOS ANGELESCA90015DENTAL SERVICES$776,983
MORRISON HEALTHCARE
PO BOX 102289ATLANTAGA30368FOOD CATERING SERVICES$608,681
THE SALVATION ARMY-BELL SHELTER
5600 RICKENBACKER RD BLDG 1-EBELLCA90201SUBCONTRACTOR FOR RECUPERATIVE CARE$435,615
ALLIED COMMUNITY OUTREACH SOLUTIONS
14349 VICTORY BLVD STE 301VAN NUYSCA91401OUTREACH SERVICES$366,455
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K36CntrctRcvdGreaterThan100KCnt
Government Grants$19,929,581GovernmentGrantsAmt
All Other Contributions$1,771,144AllOtherContributionsAmt
Total Contributions$21,700,725TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE INCOME900099$24,355,537$24,355,537
PHARMACY REVENUE900099$5,724,441$5,724,441
FieldValueIRS element (for citing)
Total Program Service Revenue$30,079,978TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,888TotalRevenueColumnAmt
Exclusion$1,888ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$159,398FundraisingGrossIncomeAmt
Fundraising Direct Expenses$34,874FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$124,524TotalRevenueColumnAmt
Exclusion$124,524ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business621110BusinessCd
Total Revenue Column$2,182,244TotalRevenueColumnAmt
Related Or Exempt Func Income$2,182,244RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,182,244OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,089,359TotalRevenueColumnAmt
Related Or Exempt Func Income$32,262,222RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$126,412ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$672,086TotalAmt
Program Services$672,086ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,479,825TotalAmt
Program Services$211,900ProgramServicesAmt
Management And General$1,267,925ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$25,363,592TotalAmt
Program Services$24,411,196ProgramServicesAmt
Management And General$952,396ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$739,068TotalAmt
Program Services$680,393ProgramServicesAmt
Management And General$58,675ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,045,604TotalAmt
Program Services$1,883,203ProgramServicesAmt
Management And General$162,401ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,135,193TotalAmt
Program Services$1,965,679ProgramServicesAmt
Management And General$169,514ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,323,911TotalAmt
Program Services$3,833,799ProgramServicesAmt
Management And General$450,654ManagementAndGeneralAmt
Fundraising$39,458FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$757,097TotalAmt
Program Services$639,116ProgramServicesAmt
Management And General$112,212ManagementAndGeneralAmt
Fundraising$5,769FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$158,833TotalAmt
Program Services$150,147ProgramServicesAmt
Management And General$8,686ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$113,648TotalAmt
Program Services$92,117ProgramServicesAmt
Management And General$21,531ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$643,608TotalAmt
Program Services$479,965ProgramServicesAmt
Management And General$163,643ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$300,099TotalAmt
Program Services$65,715ProgramServicesAmt
Management And General$234,384ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL & LABORATORY$5,989,863$5,989,692$171
LEASES$1,293,036$1,280,039$12,997
PATIENT WELFARE$965,172$963,454$1,718
OTHER EXPENSES$866,604$269,309$596,749$546

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,090,900TotalAmt
Program Services$5,822,943ProgramServicesAmt
Management And General-$3,732,127ManagementAndGeneralAmt
Fundraising$84FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$49,938,139TotalAmt
Program Services$49,410,753ProgramServicesAmt
Management And General$481,529ManagementAndGeneralAmt
Fundraising$45,857FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,217,042BOYAmt
EOY$3,070,499EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,889,787BOYAmt
EOY$4,330,923EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,045,637BOYAmt
EOY$9,134,890EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$95,345BOYAmt
EOY$48,537EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,374BOYAmt
EOY$130,407EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$18,616,401LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,327,242LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,611,584BOYAmt
EOY$14,289,159EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$86,839BOYAmt
EOY$117,018EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$27,012,608BOYAmt
EOY$31,121,433EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,633,459BOYAmt
EOY$2,663,556EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$304,712BOYAmt
EOY$396,738EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,779,188BOYAmt
EOY$6,235,120EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,427,775BOYAmt
EOY$2,807,325EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,145,134BOYAmt
EOY$12,102,739EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,259,357BOYAmt
EOY$18,631,484EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$608,117BOYAmt
EOY$387,210EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$14,867,474BOYAmt
EOY$19,018,694EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$27,012,608BOYAmt
EOY$31,121,433EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,151,220ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,721,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,040,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,717,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,562,724CurrentTaxYearMinus1YearAmt
Current Tax Year$21,700,725CurrentTaxYearAmt
Total$82,743,054TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,721,864CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$14,040,183CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,717,558CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,562,724CurrentTaxYearMinus1YearAmt
Current Tax Year$21,700,725CurrentTaxYearAmt
Total$82,743,054TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$82,743,054PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$207CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$944CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$607CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$615CurrentTaxYearMinus1YearAmt
Current Tax Year$1,888CurrentTaxYearAmt
Total$4,261TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$412,225CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$620,723CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,605,719CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,731,175CurrentTaxYearMinus1YearAmt
Current Tax Year$2,306,768CurrentTaxYearAmt
Total$8,676,610TotalAmt
FieldValueIRS element (for citing)
Total Support$91,423,925TotalSupportAmt
Gross Receipts Rltd Activities$90,708,408GrossReceiptsRltdActivitiesAmt
Public Support CY1700.90500PublicSupportCY170Pct
Public Support PY1700.91880PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,269,757InvestmentCostOrOtherBasisAmt
Book Value$3,269,757BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,645,243InvestmentCostOrOtherBasisAmt
Depreciation$546,540DepreciationAmt
Book Value$3,098,703BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,216,208InvestmentCostOrOtherBasisAmt
Depreciation$782,079DepreciationAmt
Book Value$4,434,129BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,313,241InvestmentCostOrOtherBasisAmt
Depreciation$2,998,623DepreciationAmt
Book Value$1,314,618BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,171,952InvestmentCostOrOtherBasisAmt
Book Value$2,171,952BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$14,289,159TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYROLL AND RELATED LIABILITIES$2,571,256
LINE OF CREDIT$236,069
FieldValueIRS element (for citing)
Total Liability$2,807,325TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$54,089,359TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$54,089,359RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$54,089,359TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$49,938,139TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$49,938,139ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$49,938,139TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1WESLEY BENEFIT DINNEREvent1Nm
Gross Receipts Event1$159,398GrossReceiptsEvent1Amt
Gross Revenue Event1$159,398GrossRevenueEvent1Amt
Non Cash Prizes Event1$500NonCashPrizesEvent1Amt
Food And Beverage Event1$24,639FoodAndBeverageEvent1Amt
Entertainment Event1$1,500EntertainmentEvent1Amt
Other Direct Expenses Event1$8,235OtherDirectExpensesEvent1Amt
Gross Receipts Total$159,398GrossReceiptsTotalAmt
Gross Revenue Total Events$159,398GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$500NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$24,639FoodAndBeverageTotalEventsAmt
Entertainment Total Events$1,500EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,235OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$34,874DirectExpenseSummaryEventsAmt
Net Income Summary$124,524NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
WEINGART CENTER ASSOCIATION
565 S SAN PEDRO STREETLOS ANGELESCA90013956054617501 (C)(3)$126,972BOOKSUBSTANCE ABUSE PROGRAM
HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
1149 S HILL ST STE H550LOS ANGELESCA90015951642394$321,102BOOKDENTAL SERVICE
BIENESTAR HUMAN SERVICES INC
5326 EAST BEVERLY BLVDLOS ANGELESCA90022954505737501 (C)(3)$210,262BOOKHIV SERVICES
COVENANT HOUSE CALIFORNIA
1325 N WESTERN AVENUEHOLLYWOODCA90027133391210501 (C)(3)$13,750BOOKHIV SERVICES
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ALVARO BALLESTEROS
CEO$290,166$0$0$0$2,520$0$10,800$0$4,981$0$308,467$0$0$0
JEANNE LAM
CFO$161,939$0$0$0$0$0$6,914$0$3,740$0$172,593$0$0$0
ANDY IRIE
SECRETARY$139,280$0$0$0$0$0$5,862$0$5,141$0$150,283$0$0$0
PAUL GREGERSON
CMO$302,439$0$0$0$3,600$0$10,800$0$5,141$0$321,980$0$0$0
PHILIP LE
ASSOCIATE MEDICAL DIRECTOR$245,739$0$0$0$0$0$9,920$0$5,041$0$260,700$0$0$0
ANA ORTIZ
DENTAL DIRECTOR$169,266$0$0$0$0$0$4,647$0$5,141$0$179,054$0$0$0
MICHAEL JOHNSON
COO$164,876$0$0$0$0$0$7,312$0$5,031$0$177,219$0$0$0
LUCIEN ALEXANDRE
PHYSICIAN$242,639$0$4,111$0$0$0$7,640$0$3,677$0$258,067$0$0$0
PAWEL KASZUBOWSKI
PHYSICIAN$215,023$0$5,102$0$0$0$7,105$0$1,826$0$229,056$0$0$0
ROBILA ASHFAQ
PHYSICIAN$201,625$0$6,941$0$0$0$9,005$0$5,141$0$222,712$0$0$0
SMITHA SATHYAPRAKASH
PHYSICIAN$186,408$0$4,937$0$0$0$1,979$0$289$0$193,613$0$0$0
DENNIS BLEAKLEY
PHYSICIAN$185,142$0$2,941$0$0$0$8,799$0$5,141$0$202,023$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CMEMBERS 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 15THE 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 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.