2016-05-16T13:54:23-05:00 2015-06-30 954557617 Harrington Group CPAs LLP 234 East Colorado Blvd Suite M150 Pasadena CA 91101 990 2014-07-01 951644040 QueensCare QUEE 3236694304 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 Gary C Grubbs CFO 3236694304 2016-05-16 1 Sean E Cain CPA P01612986 6264036801 2014 2016-08-17 19:52:53Z Barbara B Hines 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 160478315 0 X www.queenscare.org X 1936 CA QueensCare provides a continuum of high quality medical and hospital care to the medically underserved (indigent, unisured, underinsured) residents of Los Angeles County. 15 13 58 0 855783 56420 582950 458087 142824 149959 10737771 27787288 548039 368236 12011584 28763570 8971194 9512940 0 0 3702116 3209893 0 0 0 7906592 7629164 20579902 20351997 -8568318 8411573 411501341 405373441 10126845 12629634 401374496 392743807 X QueensCare provides a continuum of high quality medical and hospital care to the medically underserved (indigent, uninsured, underinsured) residents of Los Angeles County. 0 0 5510308 0 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 2014-2015, the health centers served appoximately 27,000 patients which accounted for 101,000 visits. QueensCare also provides mobile vision and dental programs to low-income school communities through LAUSD, the local school district, with vision screenings and 4 mobile, fully equipped dental vans. In partnership with the health centers, QueensCare provides funding for a perinatal service for high-risk pregnancies. 7270624 5945672 To support the operation of the 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 the following medical care support services in coordination with the services provided by the health centers: inpatient and outpatient healthcare services; contract with specialist to provide all fields of medical care; and pastoral care to all faiths. 907841 6064 QueensCare Health and Faith Partnership provides the largest parish nurse program in California. 18 full-time and part-time registered nurses and 7 staff provide immunizations, health screenings, cardio-pulmonoary resuscitation training, and parenting classes. The program is also designed to provide poor and underpriviledged residents of Los Angeles County with information regarding cancer prevention, prenatal care, nutrition, and other health education programs. The partnership expanded its services by establishing a mental health program for children traumatized by violence. The QueensCare Health and Faith Partneship is located in 64 parishes, churches and food banks throughout low-income communities in Los Angeles County. QueensCare also provided bilingual access and translation services throughout its healthcare delivery system, as well as transportation assistance to and from the parishes, the clinics, hospitals, and specialists. 4502699 3567268 143895 1. QueensCare also contributes to the Gene and Marilyn Nuziard scholarship program for healthcare education reimbursement.2. QueensCare also contributes to AIDS organizations; various education and outreach programs designed to assist the low-income communities that QueensCare serves with instruction, brochures, and media communications for preventative care.3. QueensCare provides the following medical care support services in coordination with the services provided by the health centers: Emergency medical services; transportation services, and bilingual services; QueensCare also makes various grants to support the provision of healthcare to the indigent and low-income population of Los Angeles County. 4502699 3567268 143895 18191472 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 111 0 1 58 1 1 1 0 0 0 0 0 0 0 0 0 X 15 13 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 CA X X Gary C Grubbs CFO 3236694304 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 David Walsh Chair 10.00 2.00 X X 3750 300 0 Bettie J Woods Vice Chair 10.00 2.00 X X 3050 0 0 Sister Judy Murphy CSJ Secretary 10.00 10.00 X X 72250 25920 0 Steven Aronoff Director 2.00 X 4500 0 0 Barbara Bice Director 2.00 X 1000 0 0 Denise Partamian Forgette Director 2.00 X 4050 0 0 Jay Guerena Director 2.00 2.00 X 3950 3250 0 Fran Inman Director 2.00 X 0 0 0 Rev Michael Mata Director 2.00 X 0 0 0 Allan Michelena Director 2.00 2.00 X 2500 2350 0 Msgr J Murphy Director 2.00 X 8250 0 0 Gene A Nuziard Director 2.00 2.00 X 5500 1500 0 Lois Saffian Director 2.00 X 2750 0 0 Dr Richard E Yoo Director 2.00 X 1500 0 0 Joan Sanders Baker Director until 6/2015 2.00 X 3000 0 0 Marina Aranoff Director until 12/2014 2.00 X 3900 0 0 Barbara B Hines President & CEO 20.00 20.00 X X 129576 135268 29742 Gary Grubbs CFO 20.00 20.00 X 92346 89824 20257 Alan DeJong Director Risk Management 40.00 X 110792 0 7101 Liz Hoang Director HR 40.00 X 123142 0 5148 Maeflor T Padilla Corp. Audit & Compliance 40.00 X 115477 0 7014 691283 258412 69262 4 0 1 0 T2 Technology Group LLC 1611 S Catalina Ave Ste 214 Redondo Beach CA 90277 IS Consulting 198090 Canterbury Consulting 660 Newport Center Dr Ste 300 Newport Beach CA 92660 Investment Mgmt Fee 159768 2 448823 9264 458087 Mental Health Project 124100 143895 143895 QHFP Health Screening 900099 6064 6064 149959 9829062 855783 8973279 2310041 2002692 307349 307349 307349 147670279 129712053 17958226 17958226 17958226 Other income 900099 60887 60887 60887 28763570 149959 855783 27299741 4668268 4668268 4844672 4844672 380877 20164 360713 1990076 1417338 572738 117667 80761 36906 545365 414270 131095 175908 112749 63159 317740 60000 257740 132195 53320 78875 42791 42791 707799 644326 63473 73074 33991 39083 90802 90168 634 16511 8915 7596 63138 4951 58187 81475 16705 64770 420680 37915 382765 K-1 Expenses - QFC/QCP 5500353 5500353 Other expense 182606 182606 20351997 18191472 2160525 0 8405396 11983280 919898 104287 3779000 668956 69644825 17149506 90447434 52495319 262732707 293401137 44309867 46457000 907039 263462 411501341 405373441 3437120 4821600 2357671 2890301 3988293 3930542 343761 987191 10126845 12629634 X 400719496 392088807 655000 655000 401374496 392743807 411501341 405373441 8411573 -17042263 0 X 0 1 X 1 0 X Form 990, Schedule A, Part I 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. QueensCare is not licensed to operate a hospital. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 655000 655000 655000 655000 655000 655000 655000 655000 655000 655000 1.00000 0 0 11757141 11757141 51100385 15171304 35929081 5182858 424852 4758006 1604441 1553350 51091 52495319 Alt. Mutual Fund Inv. 37962000 F Closely held securities 8495000 F 46457000 Workers compensation liability 987191 987191 X 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. 1 LACUSC Medical Center 1200 N State Stret Los Angeles CA 90033 956000927 501(c)(3) 711245 Healthcare Support Good Samaritan Hospital 1225 Wilshire Blvd Los Angeles CA 90017 951656366 501(c)(3) 558514 Healthcare Support Hollywood Presbyterian Med Center 1300 N Vermont Avenue Los Angeles CA 90027 300284087 370817 Healthcare Support VIP Community Mental Health Center 1721 Griffin Ave Los Angeles CA 90031 300017808 501(c)(3) 175000 Healthcare Support Children's Burn Foundation 5000 Van Nuys Blvd Sherman Oaks CA 91403 953954352 501(c)(3) 150000 Healthcare support City Of Hope 1500 E Duarte Road Duarte CA 91010 953435919 501(c)(3) 150000 Healthcare Support PATH 340 N Madison Aveune Los Angeles CA 90004 953950196 501(c)(3) 150000 Healthcare Support California Hospital 1401 S Grand Avenue Los Angeles CA 90015 941196203 501(c)(3) 109287 Healthcare Support A Place Called Home 2830 S Central Avenue Los Angeles CA 90011 954427291 501(c)(3) 100000 Healthcare Support Execeptional Children's Foundation 8740 W Washington Blvd Culver City CA 90232 951690988 501(c)(3) 100000 Healthcare Support USC School Social Work 669 W 34th St Los Angeles CA 90089 951642394 501(c)(3) 100000 Healthcare Support Olympia Medical Center 5900 W Olympica Blvd Los Angeles CA 90036 421643090 99352 Healthcare Support Women Against Gun Violence 8800 Venice Blvd 304 Los Angeles CA 90034 954738754 501(c)(3) 95100 Healthcare Support Saint Mary's Academy 701 Grace Avenue Inglewood CA 90301 952097145 501(c)(3) 89000 Healthcare Support Glendale Memorial Hospital 1420 South Central Avenue Glendale CA 91204 941196203 501(c)(3) 77728 Healthcare Support Aids Project LA 611 S Kingsley Drive Los Angeles CA 90005 953842560 501(c)(3) 75000 Healthcare Support Young & Healthy 37 N Holliston Avenue Pasadena CA 91106 954527969 501(c)(3) 70000 Healthcare Support Hillsides 940 Avenue 64 Pasadena CA 91105 951644002 501(c)(3) 66000 Healthcare Support Blind Children 4120 Marathon Street Los Angeles CA 90029 951656369 501(c)(3) 65000 Healthcare Support Providence St Joseph Medical Ctr 501 S Buena Vista Street Burbank CA 91505 953544872 501(c)(3) 61657 Healthcare Support Downtown Women's Center 442 S San Pedro Stret Los Angeles CA 90013 311597223 501(c)(3) 60000 Healthcare Support Bienvenidos Comm Health Center 507 S Atlantic Blvd Los Angeles CA 90022 800699156 501(c)(3) 50000 Healthcare Support Children's Dental Center Of Grtr LA 300 E Buckthorn St Inglewood CA 90301 954533883 501(c)(3) 50000 Healthcare Support Los Angeles Youth Network 1754 Taft Ave Los Angeles CA 90028 953953979 501(c)(3) 50000 Healthcare Support St John Of God Retirement Center 2468 S St Andrews Pl Los Angeles CA 90018 951660824 501(c)(3) 50000 Healthcare Support Worksite Wellness LA 5955 S Western Avenue Los Angeles CA 90047 550802354 501(c)(3) 50000 Healthcare Support UCLA Ron Reagan Med Ctr 757 Westwood Plaza Los Angeles CA 90095 956006143 501(c)(3) 46170 Healthcare Support Village Health Foundation 4075 Pico Blvd Los Angeles CA 90019 954826637 501(c)(3) 45000 Healthcare Support White Memorial 1720 Ceasar E Chavez Ave Los Angeles CA 90033 953760201 501(c)(3) 36527 Healthcare Support Children's Hospital 4650 Sunset Blvd Los Angeles CA 90027 951690977 501(c)(3) 32436 Healthcare Support Order Of Malta (Los Angeles Clinic) 2222 Ocean View Ave Ste 112 Los Angeles CA 90057 953532418 501(c)(3) 30000 Healthcare Support American Heart Association 816 S Figueroa St Los Angeles CA 90017 135613797 501(c)(3) 25000 Healthcare Support Jovenes Inc 1208 Pleaseans Ave Los Angeles CA 90033 954342434 501(c)(3) 20000 Healthcare Support Sherman Oaks Hospital 4929 Van Nuys Blvd Sherman Oaks CA 91403 202546649 11396 Healthcare Support Beverly Hospital 309 W Beverly Blvd Montebello CA 90640 237429685 8766 Healthcare Support USC Verdugo Hills Hospital 1812 Verdugo Blvd Glendale CA 91208 953247823 501(c)(3) 6721 Healthcare Support St John's Well Child 5701 S Hoover Street Los Angeles CA 90037 954067758 501(c)(3) 115573 Healthcare Support 33 Scholarships 34 268500 N/A Inpatient Care Assistance 435 4576172 N/A Part I, Line 2: 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. X X X 0 0 0 0 0 0 0 0 0 Barbara B Hines President & CEO 124032 135268 0 0 5544 0 8116 8116 13510 0 151202 143384 0 0 Gary Grubbs CFO 85678 89824 0 0 6668 0 5378 5378 9501 0 107225 95202 0 0 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 11 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 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 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 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. Director Jay Guerena devoted approximately two hours of his time per week to a related organization, QueensCare Health Centers(QHC), in his capacity as a Vice-Chair of QHC. Secretary Sr. Judy Murphy devoted approximately 10 hours of her time per week to QHC in her capacity as QHC's Secretary. 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 QHC in his capacity as Chairman of QHC's Board of Directors. Director David Walsh devoted approximately two hours of his time per week to QHC in his capacity as a Director of QHC. CEO Barbara Hines devoted approximately 20 hours of her time per week to QHC in her capacity as QHC's CEO. QueensCare's CFO, Gary Grubbs, also devoted approximately 20 hours of his time to QHC as its Chief Financial Officer. 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. Bridge Street 1525 Bridge Street Yuba CA 95993 951644040 Rental Real Estate CA 1648400 12130529 QueensCare Schilling Place Property LLC 1441 Schilling Place Salinas CA 93901 951644040 Rental Real Estate CA 840827 0 QueensCare Schilling Property QC-LLC 1488 1494 Schilling Place Salinas CA 93901 951644040 Rental Real Estate CA 362796 0 QueensCare Greenfield Apartments QC-LLC 1640 S Greenfield Circle NE Grand Rapids MI 49505 951644040 Rental Real Estate MI 1371667 6624562 QueensCare HPMB LLC 1300 N Vermont Ave Los Angeles CA 90027 951644040 Rental Real Estate CA 2369104 18677404 QueensCare Airway Diego LLC 10132 Airway Road San Diego CA 92154 951644040 Rental Real Estate CA 2356288 21989672 QueensCare 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 11c, III-FI 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 11a, I 1 QFCQCP 950 South Grand Ave 2nd Fl South Los Angeles CA 90015 260502255 To operate and manage Healthcare Clinics CA N/A Related -5500353 3647 0 1 0.40000 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 QFCQCP B 5500353 ACCRUAL ST JOSEPH'S HEALTH SUPPORT ALLIANCE K 25000 ACCRUAL QUEENSCARE HEALTH CENTER O 618388 ACCRUAL QUEENSCARE HEALTH CENTER P 656898 ACCRUAL QUEENSCARE HEALTH CENTER Q 1210826 ACCRUAL QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION C 98823 ACCRUAL QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION Q 1520 ACCRUAL