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GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-16
IRS object ID
201621379349306087
Schema version
2014v6.0
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)
Return2016-05-16T13:50:32-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954557617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Harrington Group CPAs LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1234 East Colorado Blvd Suite M150AddressLine1Txt
CityPasadenaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953702136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QueensCare Health CentersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUEEBusinessNameControlTxt
Phone3236694304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGary C GrubbsPersonNm
Person TitleCFOPersonTitleTxt
Phone3236694304PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSean E Cain CPAPreparerPersonNm
PTINP01612986PTIN
Phone6264036801PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBarbara B HinesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$24,417,958GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.queenscarehealthcenters.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionQueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County, including the uninsured, indigent, elderly and children.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee251TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$7,998,083PYContributionsGrantsAmt
CY Contributions Grants$5,982,315CYContributionsGrantsAmt
PY Program Service Revenue$16,873,002PYProgramServiceRevenueAmt
CY Program Service Revenue$17,367,549CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$1,566,989PYOtherRevenueAmt
CY Other Revenue$1,068,094CYOtherRevenueAmt
PY Total Revenue$26,438,074PYTotalRevenueAmt
CY Total Revenue$24,417,958CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,784,861PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$13,448,848CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,179,628PYOtherExpensesAmt
CY Other Expenses$8,059,483CYOtherExpensesAmt
PY Total Expenses$20,964,489PYTotalExpensesAmt
CY Total Expenses$21,508,331CYTotalExpensesAmt
PY Revenues Less Expenses$5,473,585PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,909,627CYRevenuesLessExpensesAmt
Total Assets BOY$23,711,373TotalAssetsBOYAmt
Total Assets EOY$23,231,823TotalAssetsEOYAmt
Total Liabilities BOY$5,916,770TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,527,594TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$17,794,603NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,704,229NetAssetsOrFundBalancesEOYAmt
MissionQueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,955,007ExpenseAmt
Revenue$17,367,549RevenueAmt
DescQueensCare Health Centers provides directly and through the QFC/QCP Partnership, medical, dental and vision services to underserved populations, including the uninsured, indigent, elderly and children. During this fiscal year, QueensCare Health Centers provided services to Approximately 27,000 patients which accounted for more than 101,000 Visits.Desc
Total Program Service Expenses$15,955,007TotalProgramServiceExpensesAmt
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 EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
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 EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document140IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee251EmployeeCnt
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 Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
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 Body0Form990ProvidedToGvrnBodyInd
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 Other0CompensationProcessOtherInd
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 Line1Gary C GrubbsBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3236694304PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Allan Michelena
Chair2.002.00Yes (X)Yes (X)$2,350$2,500$0
Jay Guerena
Vice Chair2.002.00Yes (X)Yes (X)$2,000$3,950$0
Sr Judy Murphy-resigned 52015
Secretary2.0010.00Yes (X)Yes (X)$13,920$72,250$0
Jorge Blanco
Director2.00Yes (X)$1,100$0$0
Maria Cortes-resigned 52015
Director2.00Yes (X)$600$0$0
Shirley Daniels
Director2.00Yes (X)$1,500$0$0
Archbishop Vatche Hovsepian
Director2.00Yes (X)$1,200$0$0
Jacquelyn P Pantoja
Director2.00Yes (X)$600$0$0
Frank Rey de Perea
Director2.00Yes (X)$2,500$0$0
Mary Ramos
Director2.00Yes (X)$1,400$0$0
Manuel Romero
Director2.00Yes (X)$1,300$0$0
Willy Ruiz
Director2.00Yes (X)$900$0$0
Margarita Duarte Tucker
Director, Secretary (as of 5/2015)2.00Yes (X)Yes (X)$1,350$0$0
Sr Martha Vega-resigned 72014
Director2.00Yes (X)$0$0$0
David Walsh
Director2.002.00Yes (X)$300$3,750$0
Marina Aronoff
Director2.002.00Yes (X)$0$3,900$0
Barbara B Hines
President & CEO20.0020.00Yes (X)$135,268$129,576$29,742
Gary C Grubbs
CFO20.0020.00Yes (X)$89,824$92,346$20,257
Tom T Gladfelter MD
Chief Medical Officer40.00Yes (X)$232,904$0$21,991
Alejandro A Armstrong
COO40.00$166,044$0$37,553Yes (X)
Emelou C Sagaral
Physician40.00$194,425$0$13,456Yes (X)
Maria T Lim Heya
Physician40.00$189,789$0$15,216Yes (X)
Khanh T Nguyen
Physician40.00$189,463$0$0Yes (X)
Hyun H Kim
Physician40.00$184,074$0$433Yes (X)
Yung Soon Ahn
Physician40.00$183,970$0$6,608Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,596,781TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$308,272TotReportableCompRltdOrgAmt
Total Other Compensation$145,256TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
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
University of So Cal School of Pharmacy
1985 Zonal Ave PSC 700ALos AngelesCA90089Pharmacist Services$346,546
Quest Diagnostics Inc
PO Box 5068Los AngelesCA90074Medical Laboratories Services$340,119
Alpha Fund
4178 Douglas BlvdGranite BayCA90074Workers Comp Insurance$226,284
Medical Professionals
PO Box 910569San DiegoCA92191Contract Workers$211,454
Facility Masters
2903 Saturn St Ste EBreaCA92821Cleaning Services$169,800
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Government Grants$5,011,021GovernmentGrantsAmt
All Other Contributions$971,294AllOtherContributionsAmt
Noncash Contributions$294NoncashContributionsAmt
Total Contributions$5,982,315TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621400$12,555,065$12,555,065
QFC/QC Partnership621400$4,812,484$4,812,484
FieldValueIRS element (for citing)
Total Program Service Revenue$17,367,549TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther incomeDesc
Business621400BusinessCd
Total Revenue Column$1,068,094TotalRevenueColumnAmt
Related Or Exempt Func Income$1,068,094RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,068,094OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,417,958TotalRevenueColumnAmt
Related Or Exempt Func Income$18,435,643RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$746,410TotalAmt
Management And General$746,410ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,108,070TotalAmt
Program Services$7,705,814ProgramServicesAmt
Management And General$1,402,256ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$326,305TotalAmt
Program Services$239,511ProgramServicesAmt
Management And General$86,794ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$2,519,422TotalAmt
Program Services$1,954,833ProgramServicesAmt
Management And General$564,589ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$748,641TotalAmt
Program Services$590,553ProgramServicesAmt
Management And General$158,088ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$218,636TotalAmt
Program Services$3,483ProgramServicesAmt
Management And General$215,153ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,539TotalAmt
Management And General$71,539ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$644,664TotalAmt
Program Services$576,853ProgramServicesAmt
Management And General$67,811ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$73,515TotalAmt
Program Services$44,482ProgramServicesAmt
Management And General$29,033ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$74,046TotalAmt
Program Services$59,681ProgramServicesAmt
Management And General$14,365ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$644,240TotalAmt
Program Services$205,364ProgramServicesAmt
Management And General$438,876ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,357,898TotalAmt
Program Services$905,814ProgramServicesAmt
Management And General$452,084ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$141,373TotalAmt
Program Services$41,504ProgramServicesAmt
Management And General$99,869ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$673,020TotalAmt
Program Services$225,826ProgramServicesAmt
Management And General$447,194ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$109,229TotalAmt
Program Services$83,397ProgramServicesAmt
Management And General$25,832ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased services$1,003,677$849,969$153,708
Physician Fees$715,749$715,749
Miscellaneous$476,498$147,942$328,556
Pharmaceuticals$383,182$383,182

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,472,217TotalAmt
Program Services$1,221,050ProgramServicesAmt
Management And General$251,167ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,508,331TotalAmt
Program Services$15,955,007ProgramServicesAmt
Management And General$5,553,324ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,170BOYAmt
EOY$4,470EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,380,247BOYAmt
EOY$4,301,090EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,014,999BOYAmt
EOY$380,900EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,157,712BOYAmt
EOY$4,006,497EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,974,470BOYAmt
EOY$10,974,470EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$67,973BOYAmt
EOY$62,325EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$93,052BOYAmt
EOY$227,122EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,531,514LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,052,170LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,433,374BOYAmt
EOY$2,479,344EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,585,376BOYAmt
EOY$795,605EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$23,711,373BOYAmt
EOY$23,231,823EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,137,770BOYAmt
EOY$1,858,638EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$3,779,000BOYAmt
EOY$668,956EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,916,770BOYAmt
EOY$2,527,594EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$17,574,650BOYAmt
EOY$20,634,846EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$219,953BOYAmt
EOY$69,383EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$17,794,603BOYAmt
EOY$20,704,229EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$23,711,373BOYAmt
EOY$23,231,823EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,909,627ReconcilationRevenueExpnssAmt
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)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
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)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$219,953BeginningYearBalanceAmt
Other Expenditures$150,571OtherExpendituresAmt
End Year Balance$69,382EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$847,310BeginningYearBalanceAmt
Contributions$333,763ContributionsAmt
Other Expenditures$961,120OtherExpendituresAmt
End Year Balance$219,953EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,029,194BeginningYearBalanceAmt
Contributions$896,008ContributionsAmt
Other Expenditures$1,077,892OtherExpendituresAmt
End Year Balance$847,310EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,094,486BeginningYearBalanceAmt
Contributions$1,672,440ContributionsAmt
Other Expenditures$1,737,732OtherExpendituresAmt
End Year Balance$1,029,194EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$885,006BeginningYearBalanceAmt
Contributions$1,081,782ContributionsAmt
Other Expenditures$872,302OtherExpendituresAmt
End Year Balance$1,094,486EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,554,810OtherCostOrOtherBasisAmt
Depreciation$832,782DepreciationAmt
Book Value$722,028BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,840,837OtherCostOrOtherBasisAmt
Depreciation$4,219,388DepreciationAmt
Book Value$1,621,449BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$135,867OtherCostOrOtherBasisAmt
Book Value$135,867BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,479,344TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:QueensCare Health Centers ("QHC") intends to use its endowment funds to support healthcare related activities.
Part X, Line 2:The Centers is exempt from taxation under Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701d. Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Centers in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Centers' returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
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 (9 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
Barbara B Hines
President & CEO$135,268$124,032$0$0$0$5,544$8,116$8,116$0$13,510$143,384$151,202$0$0
Gary C Grubbs
CFO$89,824$85,678$0$0$0$6,668$5,378$5,378$0$9,501$95,202$107,225$0$0
Tom T Gladfelter MD
Chief Medical Officer$229,196$0$0$0$3,708$0$13,942$0$8,049$0$254,895$0$0$0
Alejandro A Armstrong
COO$164,238$0$0$0$1,806$0$10,657$0$26,896$0$203,597$0$0$0
Emelou C Sagaral
Physician$193,795$0$0$0$630$0$0$0$13,456$0$207,881$0$0$0
Maria T Lim Heya
Physician$188,873$0$0$0$916$0$0$0$15,216$0$205,005$0$0$0
Khanh T Nguyen
Physician$186,235$0$0$0$3,228$0$0$0$0$0$189,463$0$0$0
Hyun H Kim
Physician$180,737$0$0$0$3,337$0$0$0$433$0$184,507$0$0$0
Yung Soon Ahn
Physician$181,404$0$0$0$2,566$0$0$0$6,608$0$190,578$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Pursuant to that certain Amended and Restated Clinic Affiliation Agreement, QueensCare Health Centers and QueensCare formed the QFC/QCP partnership to jointly operate six community health centers located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include supervision of medical treatments, measuring outcomes, providing day-to-day management for the operation of the QFC/QCP partnership and on-site management of QHC's personnel to include hiring, training, and discharging QHC personnel. Board Chairman Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Secretary Sr. Judy Murphy devoted approximately ten hours of her time per week to QueensCare serving as QueensCare's Secretary, and provided other important services as an independent contractor. Vice Chair Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as a director of QueensCare. Archbishop Hovsepian devoted approximately two hours of his time per week to a related organization, QueensCare, serving as member of QueensCare's Charitable Committee. Director, David Walsh devoted approximately two hours of his time per week to a related organization, QueensCare serving as a director on QueensCare Board. Director, Marina Aronoff devoted approximately two hours of her time per week to a related organization, QueensCare serving as a director on QueensCare Board. CEO Barbara B. Hines devoted approximately 20 hours of her time per week serving as QueensCare's CEO. CFO Gary C. Grubbs also devoted approximately 20 hours of his time per week serving as QueensCare's Chief Financial Officer.
Form 990, Part VI, Section B, line 11Following 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 CFO 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 12cThe 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 15aA Compensation Committee comprised of independent Board members formulates a proposed compensation level for the CEO by reviewing 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 August 2014 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in September 2014.
Form 990, Part VI, Section C, line 19The 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 Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
QueensCare
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015951644040Healthcare for the poorCA501(c)(3)Line 7St Joseph's Health Support Alliance0
QueensCare Health Centers Foundation
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015463366321Support QHC missionCA501(c)(3)Line 7QueensCare Health Centers0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1QFCQC PartnershipBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 S Grand Ave 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
EIN260502255EIN
Primary ActivitiesTo operate & Manage Healthcare ClinincsPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income-$8,251,158ShareOfTotalIncomeAmt
Share Of EOY Assets$5,471ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.60000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
QueensCare
C$98,823Accrual
QueensCare
O$396,975Accrual
QueensCare
P$1,210,826Accrual
QueensCare
Q$656,898Accrual
QueensCare Health Centers Foundation
K$107,500Accrual
QFCQC Partnership
B$8,256,000Accrual
QFCQC Partnership
J$5,500,353Accrual
QFCQC Partnership
L$13,751,930Accrual