2015-09-28T19:51:47-07:00 2014-06-30 953683803 Simpson and Simpson CPAs 633 West 5th Street Suite 3320 Los Angeles CA 90071 990 2013-07-01 952289916 JWCH Institute Inc JWCH 3232014516 5650 Jillson Street Commerce CA 90040 Jeanne Lam CFO 2132014516 2015-05-15 1 Braindard Simpson P00312228 2137366664 2015-05-15 2013 2016-03-07 17:11:31Z Jeanne Lam 5650 Jillson Street Commerce CA 90040 28703747 0 X www.jwchinstitute.org X 1960 CA To improve the health status and well being of underserved segments of the population of Los Angeles area through the direct provision or coordination of health care, health education services, and research. 13 13 484 10 0 0 13459202 13721864 11486303 14761161 66 207 204037 220515 25149608 28703747 358302 513992 0 0 17336446 18036955 0 0 83040 8468549 8207774 26163297 26758721 -1013689 1945026 9895078 14980693 7661986 10802575 2233092 4178118 To improve the health status and well being of underserved segments of the population of Los Angeles area through the direct provision or coordination of health care, health education services, and research. 0 0 6139123 6233408 JWCH Weingart Clinic at Center for Community Health - Provided 32,009 medical visit assessments to low income and homeless individuals. 8,972 patients received health care services at the clinic including primary care, x-rays, EKGS, family planning, male wellness, case management, HIV testing, mental health and dental services. 2921839 2625556 JWCH - Other Clinic - The Bellflower Health Center provides primary care services to low income individuals regardless of ability to pay. All primary care services for families, women and children will be available. Case management and mental health services will be provided in the site as well as access to eligibility assistance for public medical benefits programs. LA CADA is an alcohol and drug treatment facility where JWCH has co-located medical services via a satellite clinic. This site serves persons suffering for alcohol and drug dependency and the JWCH clinic treats the primary care needs and ensures that the patient's behavioral care is integrated with that of their primary care. The Downtown Women's Center Clinic serves homeless women and provides primary health care services, reproductive health services, cancer screening and access to specialty care and mental health. The JWCH clinic is embedded in this homeless residential facility and provided 311 unduplicated women 1,063 medical visits. 2699919 0 BPHC-Health Care Center Cluster - The Federal Section 330 Grant allows for JWCH's participation as a Federally Qualified Health Center. This program provides a base grant for indigent care visits to uninsured persons in JWCH's homeless and community health centers. Provided under this program are primary medical care, diagnostics, reproductive health services, prevention and education and access to medical specialists. All ages are served with this funding. 2461444 0 AIDS Prevention & Education - Provides prevention, education, and referrals to treatment among high risk populations. The Special Projects of National Significance (SPNS) ensures linkage of HIV positive women in care as well as other support services. 2168294 1893495 JWCH Clinic at Bell Gardens - Provided 18,051 visits to 5,187 patients for medical services in the most indigent area in LA County. The following services are offered: family medicine, family planning, comprehensive prenatal care, pediatrics, obstetrics, x-rays, EKGs, male wellness services, HIV testing and laboratory services. 1973441 21250 Recuperative Care - Provides 24-hour care for homeless persons who are recovering from an illness or injury and discharged from local hospitals. A total of 53 beds are available daily, including three meals and assistance with wound care, benefits access and case management services. In total, 19,345 bed days are available for homeless persons who would otherwise spend time recovering on the streets. Post discharge from recuperative care, the program seeks to find more permanent solutions for patients including placement in transitional and permanent housing locations. 1696125 1303406 JWCH Lynwood Primary Care Clinic - Provided 13,209 visits to 3,964 patients residing in Lynwood and the surrounding area of Compton. Because the majority of the clinic's clientele are people of childbearing age, their primary needs include family planning services and access to adequate prenatal care. In addition, the women are at high risk of cervical cancer, making screening and treatment of sexually transmitted infections an important service at the clinic. The following services are offered: physical/gynecological examinations, screening for cervical and breast cancer, diagnosis and treatment of sexually transmitted diseases, pregnancy testing and referrals for prenatal services, birth control methods, diagnosis and treatment of common gynecological problems, health education, referrals for other health and social services as needed. 1601340 1596124 JWCH Norwalk Clinic - Provided 13,917 visits to 3,632 patients for medical services in the most indigent area in LA County. The following services are offered: family medicine, family planning, comprehensive prenatal care, pediatrics, obstetrics, x-rays, EKGs, male wellness services, HIV testing and laboratory services. 1110342 761120 Family Planning Services - Provided 11,895 visits to 6,720 patients including physical assessments, family planning services and health/reproductive education to low income women and men in LA County. 847649 63014 Substance Abuse Treatment - The Mini 12 Step House offers residential and outpatient substance abuse treatment for women and women with children for alcohol and drug abuse. The program offers an intensive residential program for women which involves substance abuse treatment in individual and group classes, case management, mental health and referral to medical care and community support services. The residential program can accommodate up to 31 women daily in this 24-hour facility. The outpatient program offers a longer term program for men and women based on the 12 step program of alcohol and drug abstention. The program is supported by numerous local and state grants specifically for alcohol and drug treatment. 634595 0 Information & Education - Targets youth that are pregnant or parenting and provides them with support needed to stay in school, while taking care of themselves and their children and at the same time avoiding any further unintended pregnancy. The program connects youth to reproductive health care and other medical services in a JWCH clinic. Youth in probation and alternative schools are the primary focus of the program as well as any other high risk youth that seek services from the Information & Education Program. 619710 0 Other Program Services - Provides emergency and transitional housing services to people living with HIV/AIDS with 18 beds nightly located at the LAMP Community. These services include: Complete psychosocial assessment, individual care plan development, appropriate referrals to housing, mental health and drug treatment, meals and nutritional supplementation, and hygiene items and clothing. JWCH also operates a street medicine team and two mobile medical units which provide care to persons on the streets. 484550 429798 JWCH P.A.T.H. Clinic - Provided 4,038 visits to 1,436 homeless patients. The JWCH P.A.T.H. Clinic offers medical services to homeless and medically indigent persons including family medicine, family planning, child health disability prevention, pediatrics, geriatric primary care, EKGs, specialty referrals, HIV testing, and laboratory services. 308675 0 SHIP-CDC - JWCH's SHIP Program or (Skid Row HIV Prevention Program) provides HIV testing and health education activities to persons at high risk of acquiring HIV in Skid Row. The majority of the participants are homeless or formerly homeless persons, living in shelters, missions and on the streets. Participants are provided rapid HIV testing, immediate access to medical specialists and education to assist them in healthy living. 190380 0 HIV Case Management - Provides HIV medical care through case management, counseling and testing, prevention education, referrals to emergency and transitional housing. 14096545 0 6068207 25857426 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 64 0 1 484 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Jeanne Lam 3232014516 5650 Jillson Street Commerce CA 90040 Kathleen J House Board Member 2 0 X 0 0 0 Miguel Angel Naranjo Board Member 1 0 X 0 0 0 Karl Scott Vice Chairman 2 0 X 0 0 0 Joseph Castel Board Member 1 0 X 0 0 0 Lawrence Fernandez Jr Board Member 1 0 X 0 0 0 Jacqueline Waltman Board Member 2 0 X 0 0 0 Robert E Morris MD Chairman 2 0 X 0 0 0 Keith Terasaki MD Secretary 2 0 X 0 0 0 Sheila Eaton Board Member 2 0 X 0 0 0 Silvia L Hernadez Board Member 1 0 X 0 0 0 Louis Michael Shea Board Member 1 0 X 0 0 0 Ronald Chambers Board Member 1 0 X 0 0 0 Maria Padron Board Member 1 0 X 0 0 0 Andy Irie Director of Admin 40 0 X 117075 0 9319 Alvaro Ballesteros CEO 40 0 X 220838 0 13547 Jeanne Lam CFO 40 0 X 136070 0 9864 Paul Gregerson CMO 40 0 X 238886 0 14032 Phillip Le Associate Medical Director 40 0 X 206937 0 12871 Pawel Kaszubowski Physcian 40 0 X 184606 0 1476 Lucien Alexandre Physician 40 0 X 177432 0 9978 Thanh Chu Physician Assistant 40 0 X 164990 0 10824 John K Jones Physician 40 0 X 160277 0 5774 Dennis Bleakley Physician 40 0 X 149147 0 11013 Sabita Naidu Physician 40 0 X 146150 0 2172 Patricia Talaro Physician Assist 40 0 X 135390 0 8261 Maria Lopez Physician Assist 40 0 X 130452 0 8391 Wendy Roberts Physician Assist 40 0 X 125092 0 3753 2293342 0 121275 20 0 1 0 Golden Sentry General Contractor Inc PO BOX 150 Walnut CA 91788 Construction 701339 Amerisourcebergen PO BOX 100565 Pasadena CA 91189 Pharmaceuticle 670056 Quest Diasnostics File No 50368 Los Angeles CA 90074 Lab 656941 USC School of Dentistry 3305B S Hoover St Bld A-Room A 120 Los Angeles CA 90089 Dental Services 367784 Mckesson Medical Surgical Inc PO Box 634404 Cincinnati OH 45263 Medical Supplies 271459 16 0 0 0 0 12593382 1128482 0 13721864 Program Service Income 900099 13954864 13954864 0 0 Pharmacy Revenue 900099 806297 806297 0 0 0 0 0 0 14761161 207 207 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Miscellaneous 621110 220515 220515 0 0 0 0 0 0 220515 28703747 14981883 0 0 X 513992 513992 1694796 872534 822262 0 0 0 13048390 12463707 584683 326319 303380 22939 1764833 1636699 128134 1202617 1099504 103113 212432 212432 36843 36843 2756439 2326034 349528 80877 78996 64305 14467 224 249752 186758 62521 473 922924 865537 57387 121865 97746 24119 20325 6031 13393 901 254853 16605 238248 0 0 340368 0 340368 236080 64155 171925 Medical & Lab 1609499 1608526 973 0 Utilities 354126 253964 100162 0 Patient Welfare 322901 322301 600 0 Repair & Maintenance 152881 136229 16652 0 537490 3019419 -2482494 565 26758721 25857426 818255 83040 628964 153383 2353999 2876586 2184115 2946553 0 0 0 0 0 0 35892 70030 67786 64606 10807502 1995517 4428155 8811985 196167 57550 9895078 14980693 3468124 3525403 1255844 933569 2938017 6343603 1 0 7661986 10802575 X 2233092 4178118 0 0 0 0 2233092 4178118 9895078 14980693 1945026 0 0 0 0 0 X 0 1 X 1 1 1 X 10642734 11921025 12136412 13459202 13721864 61881237 10642734 11921025 12136412 13459202 13721864 61881237 61881237 68 43 49 66 207 433 97044 124603 237279 215870 412225 1087021 62968691 7559753 0.98273 0.9583 X Schedule A, Part II, Line 10 Other Income RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2219757 0 2219757 3195243 0 35846 3159397 1645360 0 241070 1404290 2674904 0 1718601 956303 1072238 0 0 1072238 8811985 0 0 X 28703747 0 0 0 0 0 28703747 0 0 0 28703747 26758721 0 0 0 0 0 26758721 0 0 0 26758721 Schedule D, Part X, Line 2 Part X - FIN 48 Footnote 1. Provision for Bad Debts $182,831 Pursuant to accounting standard FASB ASC 210-10-45-13, provision for bad debt are netted against Program Service Income; whereas in the Form 990, the provision for bad debts are reported as bad debts expenses. 1 ABC Unified School District 16700 Norwalk Blvd Cerritos CA 90703 952380644 119837 0 Book Outreach and Enrollment Helpline Youth Counseling 12440 Firestone Blvd Suite 1000 Norwalk CA 90650 237113824 23-7113824 79879 Book Outreach and Enrollment Homeless Healthcare LA 2330 Beverly Blvd Los Angeles CA 90057 954074970 104072 Book Healthcare and Sup Svcs Int Program Special Service for Groups 605 W Olympic Blvd Suite 6 Los Angeles CA 90057 951716914 66624 Book Substance Abuse Program The Wall - Las Memorias 930 Colorado Blvd Ste 3 Los Angeles CA 90041 954468225 43580 Book Substance Abuse Program Weingart Center Association 566 S San Pedro Street Los Angeles CA 90013 956054617 100000 Book Substance Abuse Program 5 1 Schedule I, Part I, Line 2 JWCH performed desk review of the subreceipients' audit reports/perform periodic site visits and monitoring to ensure the use of grant funds are in compliance with the program regulations. X X X 0 0 0 0 0 0 0 0 0 Alvaro Ballesteros CEO 218318 0 0 0 2520 0 8891 0 4656 0 234385 0 0 0 Paul Gregerson CMO 235286 0 0 0 3600 0 9581 0 4451 0 252918 0 0 0 Phillip Le Associate Medical Director 206937 0 0 0 0 0 8420 0 4451 0 219808 0 0 0 Pawel Kaszubowski Physcian 184606 0 0 0 0 0 239 0 1237 0 186082 0 0 0 Lucien Alexandre Physician 174652 0 2780 0 0 0 5322 0 4656 0 187410 0 0 0 Thanh Chu Physician Assistant 164787 0 0 0 203 0 6373 0 4451 0 175814 0 0 0 John K Jones Physician 160277 0 0 0 0 0 4425 0 1349 0 166051 0 0 0 Dennis Bleakley Physician 149147 0 0 0 0 0 6357 0 4656 0 160160 0 0 0 Form 990, Part VI, Section B, Line 11b The Form 990 and its attachments are reviewed by the Audit and Compliance Committee of the Board of Directors. The extent of the review includes a line-by-line review of the Form 990. The review is based on guidance provided by the National Association of Community Health Centers. The final Form 990 is then presented to the full Board of Directors for final review prior to submission. Form 990, Part VI, Section B, Line 12c Members of the Board of Directors, Officers, and Executive Management of the organization are covered under the conflict of interest policy. Each board member and member of the executive management staff signs a conflict of interest statement. A conflict of interest policy was reviewed and has been approved by the Board of Directors, and is implemented at the Board and Management Level. Training on the policy was also conducted. Determinations of potential conflict of interest are made at the Board level and at the executive staff level. If potential conflict is identified, agency policy dictates that the subject individual shall remove themselves from discussions regarding the matter at hand. All conflicts will be documented in minutes of the governing board. Annually, the JWCH conflict of interest policy is reviewed by the Board of Directors as part of the annual review of policies and procedures. Form 990, Part VI, Section B, Line 15 The JWCH Board of Directors sets-up a compensation committee to evaluate the CEO's salary based on the following: An extensive annual performance review is undertaken by the Board of Directors via this committee, with input by the whole Board. Should a salary increase be warranted, the performance evaluation is used together with salary comparisons of other Community Health Centers provided by the California Primary Care Association and the local Community Clinic Association to review comparative compensation levels. A determination is then made based on both and brought to the Board of Directors for review and approval prior to implementation of any salary changes. The Board of Directors only sets the salary for the CEO. The Board of Directors review and approve a salary compensation grade schedule for all other agency staff, including the CFO. This compensation grade schedule is periodically reviewed by the Board of Directors so that salaries of agency staff is consistent with industry standards. The setting of salaries for staff other than the CEO is delegated to the CEO and his designees together with Human Resources according to the aforementioned salary schedule. Form 990, Part VI, Section C, Line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, Line 11g Less: Grant to Subrecipient -513,992 Medical Professional Services 452,636 Other Professional Services 223,174 Outside service/Medical 878,076 Outside Services 571,090 Outside Services/Stericycle 105,558 Subcontractor 1,039,897 Hard copy of tax return was submitted on due date - May 15, 2015. Submitting an electronic copy of tax return per the request of IRS letter dated August 28, 2015.