2014-05-15T16:51:25-05:00 2013-06-30 910189318 MOSS ADAMS LLP 101 SECOND STREET 9TH FLOOR SAN FRANCISCO CA 94105 990 2012-07-01 274658935 MARTIN LUTHER KING JR-LOS ANGELES HEALTHCARE CORPORATION MART 4242508655 12012 COMPTON AVE BOX 4-115 LOS ANGELES CA 90059 DR ELAINE BATCHLOR 4242508655 2014-05-13 1 RENIE BURBANK P00159653 4159561500 2012 2015-11-30 17:44:51Z DR ELAINE BATCHLOR 12012 COMPTON AVE BOX 4-115 LOS ANGELES CA 90059 20192737 0 X WWW.MLKCOMMUNITYHOSPITAL.ORG X 2010 CA THE SPECIFIC PURPOSE OF THIS CORPORATION IS TO ORGANIZE AND OPERATE A GENERAL ACUTE CARE HOSPITAL AND TO PROVIDE HIGH QUALITY HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE AND SUCH ADDITIONAL HEALTH CARE SERVICES AS ARE DESIRABLE TO MEET THE NEEDS OF THE SOUTH LOS ANGELES COMMUNITY, WHICH INCLUDES INDIGENT, MEDI-CAL, MEDI-CAL MANAGED CARE, AND UNDERSERVED POPULATIONS, AMONG OTHERS, AND TO CONTRACT WITH, AMONG OTHERS, PUBLIC AND PRIVATE ENTITIES PROVIDING MANAGED CARE PROGRAMS FOR MEDI-CAL BENEFICIARIES IN LOS ANGELES COUNTY, PARTICULARLY SOUTH LOS ANGELES. 7 7 1 7 0 0 4451789 18251146 0 0 93375 88130 0 0 4545164 18339276 0 0 0 0 0 589445 0 0 0 4527945 11611153 4527945 12200598 17219 6138678 17384758 19027234 17313364 12639540 71394 6387694 MARTIN LUTHER KING JR.-LOS ANGELES HEALTHCARE CORPORATION PROVIDES HIGH QUALITY HEALTH EDUCATION, PREVENTION, AND MEDICAL TREATMENT FOR A DIVERSE POPULATION. 0 0 11338119 THE ORGANIZATION IS CURRENTLY IN THE DEVELOPMENT STAGE AND EXPECTS TO BE FULLY OPERATIONAL IN 2015. 11338119 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 12 0 1 1 0 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 1 0 0 CA X DR ELAINE BATCHLOR 4242508655 12012 COMPTON AVE STE 4-115 LOS ANGELES CA 90059 MANUAL A ABASCAL JD 6.00 X X 0 0 0 PAUL KING 3.00 X X 0 0 0 MICHAEL MADDEN 3.00 X X 0 0 0 JAMES YOSHIOKA 3.00 X X 0 0 0 GEORGINA R GARCIA RN 3.00 X 0 0 0 ROBERT MARGOLIS MD 3.00 X 0 0 0 ROBERT TRANQUADA MD 3.00 X 0 0 0 DR ELAINE BATCHLOR 40.00 2.00 X 106923 0 5857 106923 0 5857 1 0 0 0 TOP TIER CONSULTING PO BOX 2126 THOUSAND OAKS CA 913604343 IT CONSULTING & INTERIM MGMT SRVCS 4080167 THE CAMDEN GROUP 100 N SEPULVEDA BLVD STE 600 EL SEGUNDO CA 90245 INTERIM MANAGEMENT SERVICES/CONSULTING 3007490 CLEO ENTERPRISES LLC 34 CALLE CASTILLO SAN CLEMENTE CA 92673 CONSULTING SERVICES 668779 MELAYNE YOCUM 4733 TORRANCE BLVD 419 TORRANCE CA 90503 INTERIM MANAGEMENT SERVICES 459159 COTO PARTNERS 31982 VIA COYOTE TRABUCO CANYON CA 926794109 INTERIM MANAGEMENT SERVICES 283294 7 2000000 16251146 18251146 81591 81591 1860000 1853461 6539 6539 6539 18339276 0 0 88130 349214 349214 206708 206708 33523 33523 10881684 10881684 400078 400078 93842 93842 76863 76863 66794 66794 72547 72547 OTHER COSTS 19345 19345 12200598 11338119 862479 0 1202812 3605182 507873 3500017 42695 27547 6129210 12812 6129210 15618566 5765278 17384758 19027234 1183927 1875318 16129437 9878321 885901 17313364 12639540 X 71394 6387694 71394 6387694 17384758 19027234 6138678 50915 126707 0 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6129210 6129210 6129210 U.S. GOVERNMENT FUNDS 226706 F DOMESTIC MUTUAL FUNDS 5538572 F 5765278 X 18390191 50915 50915 18339276 0 18339276 12200598 0 12200598 0 12200598 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2013. THE CAMDEN GROUP BOARD MEMBER OF MLK IS CO-CHRMAN OF THE CAMDEN GRP/DAVITA HEALTHCARE PRTNER 3007490 PROVISION OF INTERIM MANAGEMENT SERVICES AND OTHER CONSULTING SERVICES 0 FORM 990, PART VI, SECTION B, LINE 11 A DRAFT OF FORM 990 WILL BE PROVIDED ELECTRONICALLY TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MLK-LA DRAFTED AND ADOPTED ITS CONFLICT OF INTEREST POLICY EARLY IN ITS EXISTENCE. ALL BOARD MEMBERS AND OFFICERS, INCLUDING THE CEO AND ALL INTERIM OFFICERS READ THE POLICY AND COMPLETED A CONFLICTS OF INTEREST DISCLOSURE STATEMENT FOR MEMBERS OF THE BOARD AND OFFICERS. POTENTIAL CONFLICTS, AS THEY ARE DISCLOSED, ARE BROUGHT BEFORE THE BOARD, DISCUSSED (AFTER THE PERSON WITH THE DISCLOSED POTENTIAL CONFLICT LEAVES THE BOARD MEETING), AND RESOLVED TO THE BOARD'S SATISFACTION. BOARD MEMBERS, OFFICERS, INTERIM TEAM MEMBERS CAN UPDATE THEIR CONFLICTS OF INTEREST DISCLOSURE AND CERTIFICATION FORM AT ANY TIME AND SUBMIT IT TO THE SECRETARY OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 15A AS A NEW START UP ENTITY, WHEN THE BOARD BEGAN THE PROCESS TO ENGAGE A CEO, THEY ENGAGED THE SERVICES OF A SEARCH FIRM TO ASSIST THEM IN DETERMINING THE COMPENSATION FOR SUCH AN INDIVIDUAL. BASED UPON RECENT SALARY SURVEYS PERFORMED BY INDUSTRY ORGANIZATIONS, THE COMPENSATION WAS SET FOR THE CEO. THE BOARD MADE THIS DETERMINATION AFTER CONSULTATION WITH THE EXECUTIVE SEARCH FIRM AND REVIEWING THE SALARY SURVEY DATA THEY PROVIDED. FORM 990, PART VI, SECTION C, LINE 19 WHILE FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY AND FINANCIAL STATEMENTS BE MADE AVAILABLE FOR PUBLIC INSPECTION, THE ORGANZATION IS NOT MAKING THESE DOCUMENTS AVAILABLE AT THIS TIME. AUDIT COMMITTEE AND OVERSIGHT FORM 990, PART XII, LINE 2C THE ORGANIZATION'S FIRST YEAR OF OPERATIONS IS EXPECTED TO COMMENCE IN 2015; THEREFORE, THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR. OPERATION OF HOSPITAL FORM 990, PART IV, LINE 20A THE ORGANIZATION IS CURRENTLY IN THE DEVELOPMENT STAGE AND EXPECTS TO BE FULLY OPERATIONAL IN 2015. THEREFORE, WE HAVE MARKED "NO" TO 990, PART IV, LINE 20 AS THE HOSPITAL FACILITY IS NOT CURRENTLY IN OPERATION. MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION 515 S FLOWER STREET STE 1610 LOS ANGELES CA 90071 454433505 FUNDRAISING FOUNDATION CA 501(C)(3) 7 N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0