STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

QUEENSCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
QUEENSCARE (EIN 95-1644040)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-15
IRS object ID
201401359349307285
Schema version
2012v2.0
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)
Timestamp2014-05-15T13:16:24-07:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LUNDY FLEMING LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 BALA PLZ STE 300AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code190041512ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951644040EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUEENSCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUEENameControl
Phone3236694304Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY C GRUBBSName
TitleCFOTitle
Phone3236694304Phone
Date Signed2014-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameNOEL A FLEMINGName
Phone6106607788Phone
Date Prepared2014-05-15DatePrepared
Self EmployedXSelfEmployed
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARBARA B HINESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVE STE 1002AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode
FieldValueIRS element (for citing)
Gross Receipts36498806GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.queenscare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1936YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionQUEENSCARE PROVIDES A CONTINUUM OF HIGH QUALITY MEDICAL AND HOSPITAL CARE TO THE MEDICALLY UNDERSERVED (INDIGENT, UNINSURED, UNDERINSURED) RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIAActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees61TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI719858TotalGrossUBI
Net Unrelated Business Txbl Income2473NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year606482ContributionsGrantsPriorYear
Contributions Grants Current Year602900ContributionsGrantsCurrentYear
Program Service Revenue Prior Year317763ProgramServiceRevenuePriorYear
Program Service Revenue CY187956ProgramServiceRevenueCY
Investment Income Prior Year6660341InvestmentIncomePriorYear
Investment Income Current Year22408012InvestmentIncomeCurrentYear
Other Revenue Prior Year429564OtherRevenuePriorYear
Other Revenue Current Year515569OtherRevenueCurrentYear
Total Revenue Prior Year8014150TotalRevenuePriorYear
Total Revenue Current Year23714437TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year9630795GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8042264GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3487729SalariesEtcPriorYear
Salaries Etc Current Year3432491SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7577422OtherExpensePriorYear
Other Expenses Current Year7806134OtherExpensesCurrentYear
Total Expenses Prior Year20695946TotalExpensesPriorYear
Total Expenses Current Year19280889TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-12681796RevenuesLessExpensesPriorYear
Revenues Less Expenses CY4433548RevenuesLessExpensesCY
Total Assets BOY383055000TotalAssetsBOY
Total Assets EOY397747053TotalAssetsEOY
Total Liabilities BOY12135000TotalLiabilitiesBOY
Total Liabilities EOY9150125TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY370920000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY388596928NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionQUEENSCARE PROVIDES A CONTINUUM OF HIGHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense5110315Expense
DescriptionQUEENSCARE OPERATES JOINTLY WITH QUEENSCARE HEALTH CENTERS TO PROVIDE A NETWORK OF SIX 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 2012-2013, THE HEALTH CENTERS SERVED APPROXIMATELY 28,000 PATIENTS WHICH ACCOUNTED FOR 118,000 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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6347179Expense
Grants4787992Grants
DescriptionTO 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; CONTRACTS WITH SPECIALISTS TO PROVIDE ALL FIELDS OF MEDICAL CARE; AND PASTORAL CARE TO ALL FAITHS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1415111Expense
Revenue187956Revenue
DescriptionQUEENSCARE HEALTH & FAITH PARTNERSHIP PROVIDES THE LARGEST PARISH NURSE PROGRAM IN CALIFORNIA. 18 FULL-TIME REGISTERED NURSES AND 4 STAFF PROVIDE IMMUNIZATIONS, HEALTH SCREENINGS, CARDIO-PULMONARY RESUSCITATION TRAINING, AND PARENTING CLASSES. THE PROGRAM IS ALSO DESIGNED TO PROVIDE POOR AND UNDERPRIVILEGED RESIDENTS OF LOS ANGELES COUNTY WITH INFORMATION REGARDING CANCER PREVENTION, PRENATAL CARE, NUTRITION, AND OTHER HEALTH EDUCATION PROGRAMS. THE PARTNERSHIP EXPANDED ITS SERVICES BY ESTABLISHDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsDescriptionDescription
313000313000QUEENSCARE ALSO CONTRIBUTES TO THE GENE AND MARILYN NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION
553292460000QUEENSCARE ALSO CONTRIBUTES TO AIDS ORGANIZATIONS; VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED
31539422481272QUEENSCARE PROVIDES THE FOLLOWING MEDICAL CARE SUPPORT SERVICES IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE
FieldValueIRS element (for citing)
Total Of Other Program Service Exp4020234TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt3254272TotalOfOtherProgramServiceGrnt
Total Program Service Expense16892839TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096117NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees61NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY C GRUBBS CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3236694304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVE STE 1002AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (20 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
MSGR JEREMIAH T MURPHY
CHAIRMAN2.00XX957500
DAVID WALSH
DIRECTOR2.00X150015750
SISTER JUDY MURPHYCSJ
SECRETARY10.00XX113150152000
MARINA ARONOFF
DIRECTOR2.00X200000
STEVEN ARONOFF
DIRECTOR2.00X350000
JOAN SANDERS BAKER
DIRECTOR2.00X342500
DENISE PARTAMIAN FORGETTE
DIRECTOR2.00X357500
JAVIER GUERENA
DIRECTOR2.00X437520000
ALLAN MICHELENA
DIRECTOR2.00X225021500
GENE NUZIARD
DIRECTOR2.00X620000
NEWTON RUSSELL
VICE CHAIR2.00XX240000
LOIS SAFFIAN
DIRECTOR2.00X325000
BETTIE WOODS
DIRECTOR2.00X345000
DR RICHARD WOO
DIRECTOR2.00X000
BARBARA B HINES
PRESIDENT & CEO20XX11406812161936203
ALAN DE JONG
DIR RISK MGT4010739923959X
LELAND CHEW
DIR. I/T4012760121280X
GARY C GRUBBS
CFO20X571805692113332
LIZ HOANG
Director, H.R.4010842817260X
WENDY BUTTS
COMPLIANCE OFFICER401051226296X
FieldValueIRS element (for citing)
Total Reportable Comp From Org778448TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs199465TotalReportableCompFrmRltdOrgs
Total Other Compensation118330TotalOtherCompensation
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SR JUDY MURPHYCSJBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1341 S WESTMORELAND AVEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90020ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesCONSULTINGDescriptionOfServices
Compensation108000Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions602900AllOtherContributions
Noncash Contributions21828NoncashContributions
Total Contributions602900TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMental Health & other programsDescription
Business Code624100BusinessCode
Total Revenue Column187956TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue187956TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11872440TotalRevenueColumn
Unrelated Business Revenue719858UnrelatedBusinessRevenue

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column7716TotalRevenueColumn
Related Or Exempt Function Income7716RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2598984Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2115813Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real483171Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column483171TotalRevenueColumn
Related Or Exempt Function Income483171RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities21204128Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities10668556Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities10535572Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column10535572TotalRevenueColumn
Related Or Exempt Function Income10535572RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER INCOMEDescription
Business Code900001BusinessCode
Total Revenue Column24682TotalRevenueColumn
Related Or Exempt Function Income24682RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue24682TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column23714437TotalRevenueColumn
Related Or Exempt Function Income22391679RelatedOrExemptFunctionIncome
Unrelated Business Revenue719858UnrelatedBusinessRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3552350Total
Program Services3552350ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4489914Total
Program Services4489914ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total321749Total
Program Services96011ProgramServices
Management And General225738ManagementAndGeneral
Fundraising0Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2544914Total
Program Services1971671ProgramServices
Management And General573243ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total116215Total
Program Services89903ProgramServices
Management And General26312ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total268618Total
Program Services204059ProgramServices
Management And General64559ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total180995Total
Program Services136409ProgramServices
Management And General44586ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total550463Total
Program Services494114ProgramServices
Management And General56349ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total427648Total
Program Services156835ProgramServices
Management And General270813ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total111856Total
Program Services0ProgramServices
Management And General111856ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total403549Total
Program Services125320ProgramServices
Management And General278229ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total101381Total
Program Services45178ProgramServices
Management And General56203ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total264761Total
Program Services83036ProgramServices
Management And General181725ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total9180Total
Program Services8840ProgramServices
Management And General340ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8679Total
Program Services4469ProgramServices
Management And General4210ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total
Program Services0ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total96714Total
Program Services77254ProgramServices
Management And General19460ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total199165Total
Program Services65708ProgramServices
Management And General133457ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionK-1 Expenses from QFC/QCPDescription
Total5100000Total
Program Services5100000ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total532738Total
Program Services191768ProgramServices
Management And General340970ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total19280889Total
Program Services16892839ProgramServices
Management And General2388050ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY12237000BOY
EOY8048076EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY220000BOY
EOY220000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY813000BOY
EOY1148857EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis131315523LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec23284484LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY111916000BOY
EOY108031039EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY221570000BOY
EOY242779062EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY36127000BOY
EOY37114000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY172000BOY
EOY406019EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY383055000BOY
EOY397747053EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4024000BOY
EOY2455237EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY3551000BOY
EOY2267492EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4094000BOY
EOY4042683EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY466000BOY
EOY384713EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY12135000BOY
EOY9150125EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY370265000BOY
EOY387941928EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY655000BOY
EOY655000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY370920000BOY
EOY388596928EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY383055000BOY
EOY397747053EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses4433548ReconcilationRevenueExpenses
Reconciliation Unrealized Invest13244822ReconciliationUnrealizedInvest
Reconcilation Other Changes-1442ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis24257377InvestmentCostOrOtherBasis
Book Value24257377BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis104543409InvestmentCostOrOtherBasis
Depreciation21172159Depreciation
Book Value83371250BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis498656InvestmentCostOrOtherBasis
Depreciation316094Depreciation
Book Value182562BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1914571InvestmentCostOrOtherBasis
Depreciation1796231Depreciation
Book Value118340BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis101510InvestmentCostOrOtherBasis
Book Value101510BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings108031039TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ALTERNATIVE MUTUAL FUND INV33165000F
CLOSELY HELD SECURITIES3949000F
FieldValueIRS element (for citing)
Total Of Book Value Securities37114000TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionWORKERS' COMPENSATION LIABILITYDescription
Amount$384,713Amount
FieldValueIRS element (for citing)
Total Of Amounts384713TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt36959259TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments13244822NetUnrealizedGainsInvestments
Revenue Not Rptd F99013244822RevenueNotRptdF990
Revenue Subtotal23714437RevenueSubtotal
Total Revenue Per Form99023714437TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt19280879TotExpensesEtcAuditedFinclStmt
Expenses Subtotal19280879ExpensesSubtotal
Total Expenses Per Form99019280879TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (6 entries)

IdentifierIdentifierExplanationExplanation
Pt V Line 4QUEENSCARE INTENDS TO USE ITS ENDOWMENT FUNDS FOR
HEALTHCARE RELATED ACTIVITIES.
Pt X Line 2QUEENSCARE HAS IDENTIFIED AND EVALUATED ITS SIGNIFICANT
TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINS OPEN AND HAS DETERMINED THAT THERE IS NO MATERIAL UNRECOGNIZED BENEFIT OR LIABILITY TO BE RECORDED. THE OPEN TAX YEARS ARE THE YEARS ENDED JUNE 30, 2010 THROUGH JUNE 30 2013 FOR FEDERAL TAX
Pt X Line 2PURPOSES AND THE YEARS ENDED JUNE 30, 2009 THROUGH
JUNE 30, 2013 FOR CALIFORNIA TAX PURPOSES. THERE HAVE BEEN NO MATERIAL CHANGES IN UNRECOGNIZED BENEFITS AS OF JUNE 30, 2013, NOR ARE ANY MATERIAL CHANGES ANTICIPATED IN THE 12 MONTHS FOLLOWING JUNE 30, 2013. FOR THE YEARS ENDED JUNE 30, 2013 AND 2012, THE ORGANIZATION INCURRED FRANCHISE TAX BOARD LIABILITY OF APPROXIMATELY $34,000 AND $40,000 WHICH WAS INCLUDED IN THE ADMINISTRATIVE AND GENERAL EXPENSE IN THE STATEMENT OF ACTIVITIES.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (62 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
CALIFORNIA HOSPITAL
1401 S GRAND AVELOS ANGELESCA90015941196203501(C)(3)255269HEALTHCARE SUPP
CEDARS-SINAI MED CTR
8700 BEVERLY BLVDLOS ANGELESCA90048951644600501(C)(3)20722HEALTHCARE SUPP
CHILDREN'S HOSPITAL
4650 SUNSET BLVDLOS ANGELESCA90027951690977501(C)(3)38218HEALTHCARE SUPP
GLENDALE MEMORIAL HOSPITAL
1420 SOUTH CENTRAL AVEGLENDALECA91204941196203501(C)(3)15143HEALTHCARE SUPP
GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLOS ANGELESCA90017951656366501(C)(3)432301HEALTHCARE SUPP
HOLLYWOOD PRESBYTERIAN
1300 N VERMONT AVELOS ANGELESCA90027300284087501(c)(3)398948HEALTHCARE SUPP
OLYMPIA MEDICAL CENTER
5900 W OLYMPIC BLVDLOS ANGELESCA90036421643090501(C)(3)99872HEALTHCARE SUPP
LACUSC MEDICAL CENTER
1200 N STATE ST INPT TOWER STE 1112LOS ANGELESCA90033956000927501(C)(3)709382HEALTHCARE SUPP
UCLA RON REAGAN MED CTR
757 WESTWOOD PLAZALOS ANGELESCA90095956006143501(C)(3)53361HEALTHCARE SUPP
WHITE MEMORIAL MED CTR
1720 CESAR E CHAVEZ AVELOS ANGELESCA90033953760201501(C)(3)12619HEALTHCARE SUPP
ASSISTANCE LEAGUE
1370 NORTH ST ANDREWS PLACELOS ANGELESCA90028951641960501(C)(3)25000HEALTHCARE SUPP
ST VINCENT MEDICAL CENTER
2131 W 3RD STREETLOS ANGELESCA90057912154438501(C)(3)53415HEALTHCARE SUPP
PROJECT ANGEL FOOD
922 VINE STREETLOS ANGELESCA90038954115863501(C)(3)30000HEALTHCARE SUPP
ASIAN PACIFIC HEALTHCARE VENTURE
1530 HILLHURST AVENUE SUITE 200LOS ANGELESCA90027954177752501(C)(3)38540HEALTHCARE SUPP
JWCH INSTITUTE
1910 W SUNSET BLVD SUITE 650LOS ANGELESCA90026952289916501(C)(3)86104HEALTHCARE SUPP
LA CHRISTIAN HEALTH CENTERS
311 WINSTON STREETLOS ANGELESCA90013954315734501(C)(3)79618HEALTHCARE SUPP
SOUTH CENTRAL FAMILY HEALTH CENTER
4425 SOUTH CENTRAL AVENUELOS ANGELESCA90011953877793501(C)(3)36660HEALTHCARE SUPP
ST JOHN'S WELL CHILD & FAMILY CENTER
5701 SOUTH HOOVER STREETLOS ANGELESCA90037954067758501(C)(3)85000HEALTHCARE SUPP
VENICE FAMILY CLINIC
604 ROSE AVENUELOS ANGELESCA90291952769432501(C)(3)56868HEALTHCARE SUPP
ALLIANCE FOR HOUSING AND HEALING
825 COLORADO BLVD SUITE 100LOS ANGELESCA90041954147364501(C)(3)75000HEALTHCARE SUPP
ALZHEIMER'S ASSOCIATION
4221 WILSHIRE BLVD SUITE 400LOS ANGELESCA90010953718119501(C)(3)25000HEALTHCARE SUPP
AMERICAN HEART ASSOCIATION
816 S FIGUEROA STREETLOS ANGELESCA90017135613797501(C)(3)25000HEALTHCARE SUPP
BLIND CHILDREN'S CENTER
4120 MARATHON STREETLOS ANGELESCA90029951656369501(C)(3)25000HEALTHCARE SUPP
BREATHE LA
5858 WILSHIRE BLVD SUITE 300LOS ANGELESCA90036951641451501(C)(3)42000HEALTHCARE SUPP
CALIFORNIA HOSPITAL MEDICAL CENTER
1401 SOUTH GRAND AVENUELOS ANGELESCA90015954310407501(C)(3)73000HEALTHCARE SUPP
CANCER SUPPORT COMMUNITY
200 E DEL MAR BLVDPASADENACA91105954201985501(C)(3)25000HEALTHCARE SUPP
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVDLOS ANGELESCA90027951690977501(C)(3)83000HEALTHCARE SUPP
DOWNTOWN WOMEN'S CENTER
442 S SAN PEDRO STREETLOS ANGELESCA90013311597223501(C)(3)40000HEALTHCARE SUPP
ESPERANZA COMMUNITY HOUSING CORPORATION
2337 S FIGUEROA STREETLOS ANGELESCA90007954230345501(C)(3)25000HEALTHCARE SUPP
EXCEPTIONAL CHILDREN'S FOUNDATION
8740 W WASHINGTON BLVDCULVER CITYCA90232951690988501(C)(3)40000HEALTHCARE SUPP
FIVE ACRES
760 W MOUNTAIN VIEW STREETALTADENACA91001951647810501(C)(3)35000HEALTHCARE SUPP
HILLSIDES
940 AVENUE 64PASADENACA91105951644002501(C)(3)35000HEALTHCARE SUPP
JEWISH FREE LOAN ASSOCIATION
6505 WILSHIRE BLVDLOS ANGELESCA90048951691014501(C)(3)65000HEALTHCARE SUPP
JOHN TRACY CLINIC
806 W ADAMS BLVDLOS ANGELESCA90007951642393501(C)(3)40000HEALTHCARE SUPP
JUNIOR BLIND OF AMERICA
5300 ANGELES VISTA BLVDLOS ANGELESCA90043951677659501(C)(3)40000HEALTHCARE SUPP
KECK SCHOOL OF MEDICINE AT USC
1975 ZONAL AVENUE KAM 500LOS ANGELESCA90033951642394501(C)(3)50000HEALTHCARE SUPP
KHEIR CENTER
3727 W 6TH STREET SUITE 210LOS ANGELESCA90020954074660501(C)(3)100000HEALTHCARE SUPP
LITTLE SISTERS OF THE POOR
2100 SOUTH WESTERN AVENUESAN PEDROCA90732951972847501(C)(3)100000HEALTHCARE SUPP
MEND
10641 SAN FERNANDO ROADPACOIMACA91331237306337501(C)(3)50000HEALTHCARE SUPP
NO LIMITS
9801 WASHINGTON BLVD 2ND FLOORCULVER CITYCA90232954603048501(C)(3)30000HEALTHCARE SUPP
PF BRESEE FOUNDATION
184 S BIMINI PLACELOS ANGELESCA90004953797363501(C)(3)25000HEALTHCARE SUPP
PASADENA EDUCATIONAL FOUNDATION
351 SOUTH HUDSONSOUTH HUDSONCA91109237149451501(C)(3)75000HEALTHCARE SUPP
PEPPERDINE UNIVERSITY
24255 PACIFIC COAST HIGHWAYMALIBUCA90263951644037501(C)(3)30000HEALTHCARE SUPP
PROJECT KINDLE
28245 AVENUE CROCKER SUITE 104VALENCIACA91355470814125501(C)(3)80000HEALTHCARE SUPP
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVDTORRANCECA90503330261016501(C)(3)25000HEALTHCARE SUPP
PROVINCE OF SAINT BARBARA
1500 34TH AVENUEOAKLANDCA94601207242491501(C)(3)27500HEALTHCARE SUPP
SALVATION ARMY
2737 SUNSET BLVDLOS ANGELESCA90026951656360501(C)(3)68000HEALTHCARE SUPP
ST ANNE'S MATERNITY HOME
155 N OCCIDENTAL BLVDLOS ANGELESCA90026951691306501(C)(3)23500HEALTHCARE SUPP
ST BARNABAS SENIOR SERVICES
675 SCARONDELET STREETLOS ANGELESCA90057951641435501(C)(3)25000HEALTHCARE SUPP
ST VINCENT MEALS ON WHEELS
2222 OCEAN VIEW AVENUE SUITE 114LOS ANGELESCA90057953696693501(C)(3)65000HEALTHCARE SUPP
UCLA CENTER FOR BEHAVIORAL & ADDICTION MEDICINE
10880 WILSHIRE BLVD SUITE 1800LOS ANGELESCA90024952250801501(C)(3)34000HEALTHCARE SUPP
UCLA MOBILE CLINIC PROJECT
11980 SAN VINCENTE BLVDLOS ANGELSCA90049952250801501(C)(3)17000HEALTHCARE SUPP
USC OSTROW SCHOOL OF DENTISTRY
925 W 34TH STREETLOS ANGELESCA90089951642394501(C)(3)8009HEALTHCARE SUPP
WORKSITE WELLNESS LA
5955 S WESTERN AVENUELOS ANGELESCA90047550802354501(C)(3)75000HEALTHCARE SUPP
YOUNG & HEALTHY
37 N HOLLISTON AVEPASADENACA91106954527969501(C)(3)40000HEALTHCARE SUPP
QUEENSCARE FAMILY CLINICS
1300 N VERMONT AVELOS ANGELESCA90027953702136501(C)(3)93599HEALTHCARE SUPP
AIDS PROJECT LA
611 S KINGSLEY DRLOS ANGELESCA90005953842506501(C)(3)50000HEALTHCARE SUPP
LAMP COMMUNITY
527 CROCKER STLOS ANGELESCA90013953993742501(C)(3)25000HEALTHCARE SUPP
MY FRIEND'S PLACE
PO BOX 3867LOS ANGELESCA90078954834034501(C)(3)25000HEALTHCARE SUPP
PACIFIC CLINICS
800 S SANTA ANITA AVEARCADIACA91006951644034501(C)(3)50000HEALTHCARE SUPP
UNIV MUSLIM MED ASSOC INC
711 W FLORENCE AVELOS ANGELESCA90044954666712501(C)(3)14664HEALTHCARE SUPP
USC FOR SCOTT BICE
699 EXPOSITION BLVDLOS ANGELESCA90089951642394501(C)(3)150000HEALTHCARE SUPP
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants54TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations7TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients36NumberOfRecipients
Amount Of Cash Grant198675AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (7 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2QUEENSCARE MONITORS THE USE OF GRANTS IT MAKES BY REQUIRING EACH
Pt I Line 2GRANTEE TO SUPPLY QUEENSCARE WITH REGULAR REPORTS THAT DESCRIBE HOW
Pt I Line 2SUCH GRANTEE IS USING QUEENSCARE'S GRANT FUNDS. IN ADDITION, QUEENSCARE
Pt I Line 2OFTEN VISITS A GRANTEE'S PREMISES TO ENSURE THAT THE GRANTEE IS
Pt I Line 2CONDUCTING PROGRAMS THAT FURTHER QUEENSCARE'S CHARITABLE MISSION.
Pt I Line 2QUEENSCARE ALSO REQUIRES EACH GRANTEE TO PROVIDE QUEENSCARE WITH A
Pt I Line 2COPY OF THEIR ANNUAL FINANCIAL REPORTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

FieldValueIRS element (for citing)
Name PersonBARBARA B HINESNamePerson
Base Compensation Filing Org112262BaseCompensationFilingOrg
Comp Based On Related Orgs121619CompBasedOnRelatedOrgs
Other Compensation Filing Org1806OtherCompensationFilingOrg
Deferred Comp Filing Org7256DeferredCompFilingOrg
Deferred Comp Related Orgs7256DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org10846NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs10845NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org132170TotalCompensationFilingOrg
Total Compensation Related Orgs139720TotalCompensationRelatedOrgs

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F99021828NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (81 entries)

IdentifierIdentifierExplanationExplanation
Pt VI, Line 6St. 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.
Pt VI, Line 7aIn 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.
Pt VI, Line 7bSt. 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.
Pt VI, Line 11bFollowing 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.
Pt VI, 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,
Form 990, Part III, Line 4dQUEENSCARE ALSO CONTRIBUTES TO THE GENE AND MARILYN 313000. 313000. 0. QUEENSCARE ALSO CONTRIBUTES TO AIDS ORGANIZATIONS; 553292. 460000. 0. QUEENSCARE PROVIDES THE FOLLOWING MEDICAL CARE SUPPORT SERVICES 3153942. 2481272. 0.
Form 990, Part IX, Line 24fPHARM & MEDICAL SUPPLIES REPAIR & MAINTENANCE TAXES & LICENSES SUBSCRIPTIONS OTHER EXPENSES
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.
Pt VI, 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 June 2013
and its findings and recommendations with regard to the
CEO's compensation level were approved by the Board in
June 2013.
Pt VI, Line 19The organization's annual information return (Form 990) is available
on a third-party website (GuideStar). The organizaion
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.
Pt VII, Line 1aDirector Jay Guerena devoted approximately two hours of his
time per week to a related organization, QueensCare
Health Centers(QHC), in his capacity as a Director of QHC.
Secretary Sr. Judy Murphy devoted approximately 2 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.
Sch A, Pt IQueensCare 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.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BRIDGE STREET-QC LLC
1525 BRIDGE STREETYUBA CITYCA95993951644040RENTAL REAL ESTATECA61843813516430QUEENSCARE
SCHILLING PLACE PROPERTY QC LLC
1441 SCHILLING PLACESALINASCA93901951644040RENTAL REAL ESTATECA212774236683327QUEENSCARE
SCHILLING PROPERTY QC-LLC
1488 1494 SCHILLING PLACESALINASCA93901951644040RENTAL REAL ESTATECA93619017978458QUEENSCARE
GREENFIELD APARTMENTS QC LLC
1640 S GREENFIELD CIRCLE NEGRAND RAPIDSMI49505951644040RENTAL REAL ESTATECA6708727053966QUEENSCARE
HPMB LLC
1300 N VERMONT AVENUELOS ANGELESCA90027951644040RENTAL REAL ESTATECA230456317251646QUEENSCARE
AIRWAY DIEGO LLC
10132 AIRWAY ROADSAN DIEGOCA92154951644040RENTAL REAL ESTATECA150669921027432QUEENSCARE

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST JOSEPH'S HEALTH SUPPORT ALLIANCE
1300 N VERMONT AVENUELOS ANGELESCA90027940831115TO SUPPORT QUEENSCARECA501(C)(3)11c III-FINAfalse
QUEENSCARE HEALTH CENTERS
1300 N VERMONT AVENUELOS ANGELESCA90027953702136PROVIDE MEDICAL SERV TO THE INDIGENTCA501(C)(3)3NAfalse
QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION
1300 N VERMONT AVENUELOS ANGELESCA90027953403582TO SUPPORT QUEENSCARECA501(C)(3)11c III-FINAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1QFCQCPBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode
FieldValueIRS element (for citing)
EIN260502255EIN
Primary ActivityTO OPERATE AND MANAGE HEALTHCARE CLINICSPrimaryActivity
Legal Domicile StateCALegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-5101294ShareOfTotalIncome
Share Of EOY Assets411ShareOfEOYAssets
Disproportionate AllocationsfalseDisproportionateAllocations
General Or Managing PartnertrueGeneralOrManagingPartner
Percentage Ownership0.40000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
(1) QFCQCP
b5101705ACCRUAL
(2) QUEENSCARE HEALTH CENTERS
b102273ACCRUAL
(2) ST JOSEPH'S HEALTH SUPPORT ALLIANCE
k24000ACCRUAL
(3) QUEENSCARE HEALTH CENTERS
o199844ACCRUAL
(4) QUEENSCARE HEALTH CENTERS
p508975ACCRUAL
(5) QUEENSCARE HEALTH CENTERS
q881778ACCRUAL