GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-16
- IRS object ID
- 201501369349301100
- Schema version
- 2013v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-16T04:14:16-07:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Schnader Harrison Segal & Lewis LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1600 Market St | AddressLine1 |
| City | Philadelphia | City |
| State | PA | State |
| ZIP Code | 19103 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953702136 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEENSCARE HEALTH CENTERS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | QUEE | BusinessNameControlTxt |
| Phone | 3236694304 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue | AddressLine1 |
| City | Los Angeles | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GARY C GRUBBS | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 3236694304 | PhoneNum |
| Signature | 2015-03-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | NOEL A FLEMING | PreparerPersonNm |
| Phone | 2157512000 | PhoneNum |
| Preparation | 2015-05-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | Yes (X) | AddressChangeInd |
Principal Ofcr Business Address PrincipalOfcrBusinessAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Barbara B Hines | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 South Grand Avenue 2nd Fl South | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $26,438,074 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.queenscarehealthcenters.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1925 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | QUEENSCARE HEALTH 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 Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 267 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $5,006,429 | PYContributionsGrantsAmt |
| CY Contributions Grants | $7,998,083 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $16,333,352 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $16,873,002 | CYProgramServiceRevenueAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,291,488 | PYOtherRevenueAmt |
| CY Other Revenue | $1,566,989 | CYOtherRevenueAmt |
| PY Total Revenue | $22,631,269 | PYTotalRevenueAmt |
| CY Total Revenue | $26,438,074 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $13,123,627 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,784,861 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $3,250 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $8,386,976 | PYOtherExpensesAmt |
| CY Other Expenses | $7,179,628 | CYOtherExpensesAmt |
| PY Total Expenses | $21,513,853 | PYTotalExpensesAmt |
| CY Total Expenses | $20,964,489 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,117,416 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,473,585 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $13,533,101 | TotalAssetsBOYAmt |
| Total Assets EOY | $23,711,373 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,173,724 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $5,916,770 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $11,359,377 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $17,794,603 | NetAssetsOrFundBalancesEOYAmt |
| Mission | QUEENSCARE HEALTH CENTERS, | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $16,212,504 | ExpenseAmt |
| Revenue | $18,439,991 | RevenueAmt |
| Desc | QUEENSCARE HEALTH CENTERS PROVIDES DIRECTLY AND THROUGH THE QFC/QCP PARTNERSHIP MEDICAL, DENTAL, AND VISION SERVICES TO UNDERSERVED POPULATIONS, IN- CLUDING THE UNINSURED, INDIGENT, ELDERLY, AND CHILDREN. DURING THIS FISCAL YEAR, QUEENSCARE HEALTH CENTERS PROVIDED SERVICES TO MORE THAN 28,000 PATIENTS WHICH ACCOUNTED FOR MORE THAN 118,000 VISITS. | Desc |
| Total Program Service Expenses | $16,212,504 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 147 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 267 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | false | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gary C Grubbs CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3236694304 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 S Grand Ave 2nd Fl South | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ALLAN MICHELENA | ||||||||
| CHAIRMAN | 2.00 | Yes (X) | Yes (X) | $2,350 | $2,500 | $0 | ||
| SR JUDY MURPHYCSJ | ||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $14,450 | $105,650 | $0 | ||
| JAY GUERENA | ||||||||
| Vice Chair | 2.00 | Yes (X) | Yes (X) | $2,000 | $3,150 | $0 | ||
| JORGE BLANCO | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $700 | $0 | $0 | |||
| SHIRLEY DANIELS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $1,050 | $0 | $0 | |||
| ARCHBISHOP VATCHE HOVSEPIAN | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $1,100 | $500 | $0 | |||
| FRANK REY DE PEREA | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $2,200 | $0 | $0 | |||
| MARY EVELYN RAMOS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $1,000 | $0 | $0 | |||
| MANUEL ROMERO | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $1,200 | $0 | $0 | |||
| WILLY RUIZ | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $900 | $0 | $0 | |||
| MARGARITA DUARTE TUCKER | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $900 | $0 | $0 | |||
| SR MARTHA VEGASSS | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $1,000 | $0 | $0 | |||
| RAY VERNOY | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $400 | $0 | $0 | |||
| DAVID WALSH | ||||||||
| DIRECTOR | 2.00 | Yes (X) | $950 | $2,250 | $0 | |||
| EDWARD J AVILA | ||||||||
| DIRECTOR | 2 | Yes (X) | $1,150 | $250 | ||||
| BARBARA B HINES | ||||||||
| PRESIDENT & CEO | 20 | Yes (X) | $127,467 | $131,006 | $39,142 | |||
| TOM T GLADFELTER MD | ||||||||
| CHIEF MEDICAL OFFICER | 40 | Yes (X) | $224,317 | $10,169 | ||||
| GARY C GRUBBS | ||||||||
| CHIEF FINANCIAL OFFICER | 20 | Yes (X) | $83,397 | $83,978 | $22,781 | |||
| ALEJANDRO A ARMSTRONG | ||||||||
| COO | 40 | $159,235 | $35,703 | Yes (X) | ||||
| EMELOU C SAGARALMD | ||||||||
| PHYSICIAN | 40 | $188,574 | $14,440 | Yes (X) | ||||
| KHANH NGUYEN MD | ||||||||
| PHYSICIAN | 40 | $188,808 | Yes (X) | |||||
| ILUMINADA BETITA MD | ||||||||
| PHYSICIAN | 40 | $190,065 | $16,440 | Yes (X) | ||||
| MARIA LIM HEYA MD | ||||||||
| PHYSICIAN | 40 | $183,029 | $15,040 | Yes (X) | ||||
| ERIC CELO MD | ||||||||
| PHYSICIAN | 40 | $183,868 | Yes (X) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,560,110 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $329,284 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $153,715 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 29 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Univ of So Cal School of Pharmacy | |||||
| 1985 Zonal Ave PSC 700A | Los Angeles | CA | 90089 | Pharmacist Services | $480,574 |
| Medical Professionals | |||||
| PO Box 910569 | San Diego | CA | 92191 | Contract Workers | $309,365 |
| Alpha Fund | |||||
| 4178 Douglas Blvd | Granite | CA | 95746 | Workers Comp Ins | $202,653 |
| Facility Masters | |||||
| 2903 Saturn St Ste E | Brea | CA | 92821 | Cleaning Services | $183,950 |
| Fusionstorm | |||||
| PO Box 31001-830 | Pasadena | CA | 91110 | Info Sys Svcs Contract | $159,202 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,545,177 | GovernmentGrantsAmt |
| All Other Contributions | $2,452,906 | AllOtherContributionsAmt |
| Noncash Contributions | $31,746 | NoncashContributionsAmt |
| Total Contributions | $7,998,083 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt |
|---|---|---|
| NET PATIENT REVENUE | 621400 | $12,270,981 |
| REV FROM QFC/QCP PART | 621400 | $4,602,021 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $16,873,002 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 621400 | BusinessCd |
| Total Revenue Column | $1,566,989 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,566,989 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,566,989 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,438,074 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,439,991 | RelatedOrExemptFuncIncomeAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $755,435 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $755,435 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,388,777 | TotalAmt |
| Program Services | $7,982,331 | ProgramServicesAmt |
| Management And General | $1,406,446 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $323,632 | TotalAmt |
| Program Services | $242,883 | ProgramServicesAmt |
| Management And General | $80,749 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,555,031 | TotalAmt |
| Program Services | $2,088,225 | ProgramServicesAmt |
| Management And General | $466,806 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $761,986 | TotalAmt |
| Program Services | $606,999 | ProgramServicesAmt |
| Management And General | $154,987 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,129 | TotalAmt |
| Program Services | $2,140 | ProgramServicesAmt |
| Management And General | $77,989 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,272 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $56,272 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,299 | TotalAmt |
| Program Services | $59,980 | ProgramServicesAmt |
| Management And General | $17,319 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $528,058 | TotalAmt |
| Program Services | $224,026 | ProgramServicesAmt |
| Management And General | $304,032 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,083 | TotalAmt |
| Program Services | $18,908 | ProgramServicesAmt |
| Management And General | $39,175 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $382,534 | TotalAmt |
| Program Services | $125,788 | ProgramServicesAmt |
| Management And General | $256,746 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,194 | TotalAmt |
| Program Services | $53,531 | ProgramServicesAmt |
| Management And General | $3,663 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| RENT | $1,113,200 | $1,113,200 | $0 | $0 |
| PHYSICIAN FEES | $597,418 | $597,418 | $0 | $0 |
| LAB FEES & RADIOLOGY | $767,331 | $767,331 | $0 | $0 |
| PHARMACEUTICALS | $383,363 | $383,363 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,078,747 | TotalAmt |
| Program Services | $1,946,381 | ProgramServicesAmt |
| Management And General | $1,132,366 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,964,489 | TotalAmt |
| Program Services | $16,212,504 | ProgramServicesAmt |
| Management And General | $4,751,985 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,470 | BOYAmt |
| EOY | $4,170 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,802,141 | BOYAmt |
| EOY | $6,380,247 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,031 | BOYAmt |
| EOY | $1,014,999 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,608,605 | BOYAmt |
| EOY | $1,157,712 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,974,470 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $840,229 | BOYAmt |
| EOY | $67,973 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,223 | BOYAmt |
| EOY | $93,052 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,491,029 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,057,655 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,081,879 | BOYAmt |
| EOY | $1,433,374 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $811,523 | BOYAmt |
| EOY | $2,585,376 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,533,101 | BOYAmt |
| EOY | $23,711,373 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,724 | BOYAmt |
| EOY | $2,137,770 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $3,779,000 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,173,724 | BOYAmt |
| EOY | $5,916,770 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,512,067 | BOYAmt |
| EOY | $17,574,650 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $847,310 | BOYAmt |
| EOY | $219,953 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,359,377 | BOYAmt |
| EOY | $17,794,603 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,533,101 | BOYAmt |
| EOY | $23,711,373 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $5,473,585 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | $961,641 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
| Public Support Total170 | $0 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY170 | 0 | PublicSupportCY170Pct |
| Public Support Total509 | $0 | PublicSupportTotal509Amt |
| Public Support CY509 | 0 | PublicSupportCY509Pct |
| Investment Income CY | 0 | InvestmentIncomeCYPct |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $847,310 | BeginningYearBalanceAmt |
| Contributions | $333,763 | ContributionsAmt |
| Other Expenditures | $961,120 | OtherExpendituresAmt |
| End Year Balance | $219,953 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,029,194 | BeginningYearBalanceAmt |
| Contributions | $896,008 | ContributionsAmt |
| Other Expenditures | $1,077,892 | OtherExpendituresAmt |
| End Year Balance | $847,310 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,094,486 | BeginningYearBalanceAmt |
| Contributions | $1,672,440 | ContributionsAmt |
| Other Expenditures | $1,737,732 | OtherExpendituresAmt |
| End Year Balance | $1,029,194 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $885,006 | BeginningYearBalanceAmt |
| Contributions | $1,081,782 | ContributionsAmt |
| Other Expenditures | $872,302 | OtherExpendituresAmt |
| End Year Balance | $1,094,486 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $679,706 | BeginningYearBalanceAmt |
| Contributions | $2,209,762 | ContributionsAmt |
| Other Expenditures | $2,004,462 | OtherExpendituresAmt |
| End Year Balance | $885,006 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,554,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,050,074 | DepreciationAmt |
| Book Value | $504,736 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,840,837 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,007,581 | DepreciationAmt |
| Book Value | $833,256 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $95,382 | OtherCostOrOtherBasisAmt |
| Book Value | $95,382 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,433,374 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Other receivables | $1,587,039 |
| Receivable from affiliates | $306,016 |
| Security deposits | |
| Other | $268,980 |
| Investment in Affiliate-QHC Foundation | $423,341 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $2,585,376 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt V Line 4 | QueensCare Health Centers ("QHC") intends to use its endowment funds to support healthcare related activities. |
| Pt X Line 2 | 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 |
| Pt X Line 2 | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|
| BARBARA B HINES | |||||||||
| $127,467 | $126,848 | $4,158 | $7,598 | $7,906 | $23,638 | $135,065 | $162,550 | ||
| TOM T GLADFELTER MD | |||||||||
| $221,117 | $7,088 | $234,486 | $3,200 | $3,081 | |||||
| GARY C GRUBBS | |||||||||
| $83,397 | $79,440 | $4,538 | $4,948 | $4,948 | $12,885 | $88,345 | $101,811 | ||
| ALEJANDRO A ARMSTRONG | |||||||||
| $157,594 | $10,219 | $194,938 | $1,641 | $25,484 | |||||
| EMELOU C SAGARALMD | |||||||||
| $187,954 | $190,014 | $620 | $1,440 | ||||||
| KHANH NGUYEN MD | |||||||||
| $185,620 | $188,808 | $3,188 | |||||||
| ILUMINADA BETITA MD | |||||||||
| $185,128 | $206,505 | $4,937 | $16,440 | ||||||
| MARIA LIM HEYA MD | |||||||||
| $182,451 | $198,069 | $578 | $15,040 | ||||||
| ERIC CELO MD | |||||||||
| $183,023 | $183,868 | $845 | |||||||
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 0 | ContributionCnt |
| Noncash Contributions Rpt F990 | $31,746 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Pt I Line 20 | FormAndLineReferenceDesc |
| Explanation | During its fiscal year 7/1/2013 - 6/30/14, QueensCare Health Centers received donations of numerous pharmaceutical and medical products with an aggregate estimated value of $31,746 from various pharmaceutical manufacturers and other organizations. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (90 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Pt VI, Line 11b | Following preparation of a final draft of the Form 990, |
| Pt VI, Line 11b | the organization's CEO and CFO review, analyze and discuss the |
| Pt VI, Line 11b | final draft to better ensure its accuracy and completeness. |
| Pt VI, Line 11b | After the return is filed, the CEO and CFO review |
| Pt VI, Line 11b | and discuss material aspects and details of the return |
| Pt VI, Line 11b | at the next regularly scheduled meeting of the Board |
| Pt VI, Line 11b | of Directors. |
| Pt VI, Line 12c | The organization's Board members, corporate officers, |
| Pt VI, Line 12c | and staff are subject to a conflict of interest policy. |
| Pt VI, Line 12c | Pursuant to that policy, each such person is required |
| Pt VI, Line 12c | to identify any transaction with the organization in |
| Pt VI, Line 12c | which the person has (or may have) a financial interest. |
| Pt VI, Line 12c | If a conflict (or potential conflict)is identified, the |
| Pt VI, Line 12c | Board, excluding any involved Board members, carefully |
| Pt VI, Line 12c | reviews the terms of the transaction and makes a |
| Pt VI, Line 12c | determination as to whether the transaction is fair and |
| Pt VI, Line 12c | reasonable to the organization under all the facts and |
| Pt VI, Line 12c | circumstances. The organization monitors and enforces |
| Pt VI, Line 12c | compliance with this policy by: (i) discussing such |
| Pt VI, Line 12c | issues at its annual meeting; (ii) requiring all |
| Pt VI, Line 12c | covered persons to annually provide written certifica- |
| Pt VI, Line 12c | tion of their compliance with the policy; and |
| Pt VI, Line 12c | (iii) carefully reviewing all material transactions to |
| Pt VI, Line 12c | identify potential or real conflicts. |
| Pt VI, Line 15a | A Compensation Committee comprised of independent Board |
| Pt VI, Line 15a | members formulates a proposed compensation level for the |
| Form 990, Part IX, Line 24f | MESSENGER, POSTAGE 73058. 44858. 28200. 0. OTHER PROFESSIONAL FEES 938864. 482533. 456331. 0. EQUIP. REPAIR & MAINTENANCE 225206. 219022. 6184. 0. PRINTING & PUBLICATIONS 36140. 10193. 25947. 0. PURCHASED SERV-CONTR WORKERS 460825. 260267. 200558. 0. PURCHASED SERV-ADVERTISING 66326. 60889. 5437. 0. PURCHASED SERV-SECURITY 229317. 229317. 0. 0. PAYROLL SERVICE 70310. 1586. 68724. 0. PURCHASED SERV-DATA SERVICE 38734. 4007. 34727. 0. MEDICAL WASTE & UNIFORM CLEANING 49375. 46700. 2675. 0. UTILITI |
| Pt VI, Line 15a | CEO by reviewing general compensation data for |
| Pt VI, Line 15a | similarly situated organizations. Following such a |
| Pt VI, Line 15a | review, the Compensation Committee presents its findings |
| Pt VI, Line 15a | and recommendations to the Board for approval at a duly |
| Pt VI, Line 15a | organized meeting of the Board at which Board members |
| Pt VI, Line 15a | are provided with the opportunity to ask questions. |
| Pt VI, Line 15a | Based on the findings and recommendations of the |
| Pt VI, Line 15a | Compensation Committee, a Board vote is taken to |
| Pt VI, Line 15a | establish the new compensation level for the CEO. |
| Pt VI, Line 15a | Deliberations of the Compensation Committee and the |
| Pt VI, Line 15a | Board are recorded in the organization's minute book. |
| Pt VI, Line 15a | The evaluation, review, and recommedation process was |
| Pt VI, Line 15a | last undertaken by the organization's Compensation |
| Pt VI, Line 15a | Committee in June 2014 and its findings and |
| Pt VI, Line 15a | recommendations with regard to the CEO's compensation level |
| Pt VI, Line 15a | were approved by the Board in June 2014. |
| Pt VI, Line 19 | The organization's annual financial report is available |
| Pt VI, Line 19 | on a third-party website (Guidestar). The organization |
| Pt VI, Line 19 | provides copies of its governing documents, its conflict |
| Pt VI, Line 19 | of interest policy, as well as its three most recent |
| Pt VI, Line 19 | Forms 990 to any interested person that makes a request |
| Pt VI, Line 19 | for such documents. |
| Pt VI, Line 3 | Pursuant to that certain Amended and Restated Clinic |
| Pt VI, Line 3 | Affiliation Agreement, QueensCare Health Centers and |
| Pt VI, Line 3 | QueensCare formed the QFC/QCP partnership to jointly |
| Pt VI, Line 3 | operate six community family clinics located in the |
| Pt VI, Line 3 | greater Los Angeles area. QueensCare's responsibilities |
| Pt VI, Line 3 | under the terms of that Agreement include supervision of |
| Pt VI, Line 3 | medical treatments, measuring outcomes, providing day-to-day |
| Pt VI, Line 3 | management for the operation of the QFC/QCP partnership |
| Pt VI, Line 3 | and on-site management of QHC's personnel to include |
| Pt VI, Line 3 | hiring, training, and discharging QHC personnel. |
| Pt VII, Line 1a | Board Chairman Allan Michelena devoted approximately two |
| Pt VII, Line 1a | hours of his time per week to a related organization, |
| Pt VII, Line 1a | QueensCare, serving as a director of QueensCare. |
| Pt VII, Line 1a | Board Secretary Sr. Judy Murphy devoted approximately ten |
| Pt VII, Line 1a | hours of her time per week to QueensCare serving as QueensCare's |
| Pt VII, Line 1a | Secretary, and provided other important services as an |
| Pt VII, Line 1a | independent contractor. |
| Pt VII, Line 1a | Vice Chair Jay Guerena devoted approximately two |
| Pt VII, Line 1a | hours of his time per week to QueensCare serving as |
| Pt VII, Line 1a | a director of QueensCare. |
| Pt VII, Line 1a | Archbishop Hovsepian devoted approximately two hours |
| Pt VII, Line 1a | of his time per week to a related organization, QueensCare, |
| Pt VII, Line 1a | serving as member of QueensCare's Charitable Committee. |
| Pt VII, Line 1a | Director, David Walsh devoted approximately two hours |
| Pt VII, Line 1a | of his time per week to a related organization, QueensCare |
| Pt VII, Line 1a | serving as a director on QueensCare Board. |
| Pt VII, Line 1a | CEO Barbara B. Hines devoted approximately 20 hours of |
| Pt VII, Line 1a | her time per week serving as QueensCare's CEO. |
| Pt VII, Line 1a | CFO Gary C. Grubbs also devoted approximately |
| Pt VII, Line 1a | 20 hours of his time per week serving as QueensCare's |
| Pt VII, Line 1a | Chief Financial Officer. |
| Sch A, Pt I | QueensCare Health Centers is a hospital |
| Sch A, Pt I | described in section 170(b)(1)(a)(iii) of the Internal |
| Sch A, Pt I | Revenue Code because its principal purpose is to provide |
| Sch A, Pt I | medical care through neighborhood medical clinics. |
| Sch A, Pt I | QueensCare Health Centers is not licensed to operate |
| Sch A, Pt I | a hospital. |
| Part XI, line 8 | The organization reported a prior period adjustment |
| Part XI, line 8 | as a result of a change in its accounting methodology |
| Part XI, line 8 | from cash basis to accrual basis for the purpose of |
| Part XI, line 8 | recognizing certain medical services. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| QUEENSCARE | ||||||||||
| 950 S GRAND AVE 2ND FL SOUTH | LOS ANGELES | CA | 90015 | 951644040 | HEALTHCARE FOR THE POOR | CA | 501(c)(3) | 3 | St Joseph's Health Support Alliance | false |
| QueensCare Health Centers Foundation | ||||||||||
| 950 S GRAND AVE 2ND FL SOUTH | Los Angeles | CA | 90015 | 463366321 | SUPPORT QHC MISSION | CA | 501(c)(3) | 7 | QueensCare Health Centers | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QFCQCP | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 950 S GRAND AVE 2ND FL SOUTH | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90015 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260502255 | EIN |
| Primary Activities | TO OPERATE & MANAGE HEALTHCARE CLINICS | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | -$8,062,488 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $629 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.60000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (true) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| QFCQCP | ||
| b | $8,062,098 | accrual |
| QUEENSCARE | ||
| c | $98,412 | accrual |
| QFCQCP | ||
| j | $5,374,992 | accrual |
| QFCQCP | ||
| l | $13,437,480 | accrual |
| QUEENSCARE | ||
| o | $206,288 | accrual |
| QUEENSCARE | ||
| p | $1,180,939 | |
| QUEENSCARE | ||
| q | $658,212 | |
| QueensCare Health Centers Foundatrion | ||
| b | $423,341 | |
| QueensCare Health Centers Foundatrion | ||
| g | $5,994,126 | |
| QueensCare Health Centers Foundatrion | ||
| q | $147,265 | |