2013-05-14T13:15:33-05:00 2012-06-30 111986323 MARCUM LLP 101 MONTGOMERY STREET 1900 SAN FRANCISCO CA 94104 990 2011-07-01 942502308 LIFELONG MEDICAL CENTER LIFE 5107046010 2344 6TH STREET BERKELEY CA 94710 RICK CLARK 5109814122 2013-05-14 1 BARBARA A BOND P00294787 4159819400 2011 2016-02-24 21:20:13Z RICK CLARK 2344 6TH STREET BERKELEY CA 94710 40758951 0 X WWW.LIFELONGMEDICAL.ORG X 1996 CA TO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES; AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES. 17 16 746 25 0 0 11055550 13824491 23421162 25127696 488 387 1334395 1775843 35811595 40728417 0 0 0 0 26048474 30684625 0 0 269733 7702601 9432641 33751075 40117266 2060520 611151 19133681 34409543 7245234 18468152 11888447 15941391 TO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES; AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES. 0 0 29575447 26906442 LMC PROVIDES MEDICAL, BEHAVIOR HEALTH AND SOCIAL SERVICES TO PEOPLE OF ALL AGES, PROMOTES INDEPENDENT LIVING FOR HEALTHY AND DISABLED ELDERS, AS WELL AS FOR THE DISABLED OF ALL AGES, BY OFFERING PRIMARY MEDICAL CARE INTEGRATED WITH COMPREHENSIVE SOCIAL SERVICES. 29575447 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 104 0 1 746 1 0 0 0 0 0 0 0 0 0 0 X 17 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X RICK CLARK 5109814122 2344 6TH STREET BERKELEY CA 94710 MARTY LYNCH 40.00 X X 214488 0 22112 GEORGIA LACY 1.00 X 0 0 0 RON ADLER 1.00 X 0 0 0 SCOTT SPORTE 1.00 X 0 0 0 JUDY TURIEL 1.00 X 0 0 0 ROBERTA BROOKS 1.00 X 0 0 0 CHRIS KIEFER 1.00 X 0 0 0 GLORIA FLORES-GARCIA 1.00 X 0 0 0 JENNY ALEXICH 1.00 X 0 0 0 JAMES JONHSON JR 1.00 X 0 0 0 GUADALUPE RAMIREZ 1.00 X 0 0 0 DIANNA CHAMBERS-BEOMON 1.00 X 0 0 0 PATRICIA CARSON-SUSSMAN 1.00 X 0 0 0 JANET HOWLEY 1.00 X 0 0 0 KEVIN WILLIAMS 1.00 X 0 0 0 NANCY THREATT 1.00 X 0 0 0 BRENDA SHIPP 40.00 X 118180 0 17502 RICK CLARK 40.00 X 149008 0 25932 BARBARA TOWNER-WINCHESTER 40.00 X 190008 0 20358 RACHEL FOGEL 35.20 X 159993 0 2476 LAURA MILLER 40.00 X 194380 0 18109 LESTER LOVE 40.00 X 167743 0 242 JABARI JONES 40.00 X 166720 0 4481 FLOYD HUEN 40.00 X 160398 0 17252 1520918 0 128464 35 0 1 0 HOWARD D DANIEL MD 19 MANDANA CIRCLE OAKLAND CA 94610 MEDICAL & RENTS 347572 MACARTHUR BOULEVARD ASSOCIATES DBA 10700 MACARTHUR BLVD SUITE 200 OAKLAND CA 94605 RENTS 321317 STAFF CARE INC PO BOX 281923 ATLANTA GA 30384 MEDICAL STAFF SERV. 142157 REGENTS OF THE UNIVERSITY OF CALIFORNIA 333 CALIFORNIA ST SUITE 380 SAN FRANCISCO CA 94118 MEDICAL 118637 MERRITT SOFTWARE DBA DAVID SLEZAK 878 DESERT AIRE DR N DESERT AIRE WA 99349 CONSULTANT SERV. 113904 7 84498 10534425 3205568 53831 13824491 PATIENT AND THIRD PART 621300 25127696 25127696 25127696 387 387 1750 0 1750 1750 1750 25881 84498 30534 -4653 -4653 OTHER INCOME 621300 1778746 1778746 1778746 40728417 26906442 0 -2516 1649382 1249209 389796 10377 22453235 17005633 5306335 141267 746751 560495 181565 4691 3380104 2537031 821839 21234 2455153 1842783 596946 15424 57180 57180 51174 33466 17708 101822 66647 35175 323638 177876 144049 1713 200267 127625 72642 982656 911052 71604 149874 70685 78484 705 15863 7481 8307 75 131884 29096 102788 674572 285931 388641 133624 43883 89741 CONSULTANT AND CONTRACT 1798337 1193069 558943 46325 MEDICAL, DENTAL AND OTH 971369 900484 70885 MISCELLANEOUS 587866 147894 431427 8545 LABORATORY AND RADIOLOG 445743 445743 2806772 1939364 848031 19377 40117266 29575447 10272086 269733 2149415 9690554 2008122 568 1255798 1542403 4202059 7589497 84259 60519 566274 121689 17509641 7023916 7096740 10485725 1771014 4918588 19133681 34409543 3527138 3939773 14580 151222 2386841 13131316 1316675 1245841 7245234 18468152 X 11059198 15263201 829249 678190 11888447 15941391 19133681 34409543 X 611151 3441793 X X 0 1 1 X 1 1 X 8022136 8406700 9592317 11055550 13824491 50901194 8022136 8406700 9592317 11055550 13824491 50901194 50901194 162689 27177 6 488 2137 192497 51093691 0.99620 0.99270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1541147 1541147 4535771 4535771 5099133 5099133 3274832 3274832 3058758 7023916 -3965158 10485725 DEPOSITS 51981 OTHER RECEIVABLES 1755613 RISK POOL RECEIVABLE 22400 THIRD PARTY SETTLEMENTS 3088594 4918588 AGENCY PDACTIVE 161 DUE TO STATE (UNCLAIMED PROPERTY) 28333 DUE TO ASHBY VILLAGE 122009 DUE TO WBFP 99789 ELDER'S ACTUALIZATION PROJECT 11015 NPV FOR PURCHASE - LT 938306 WBFP NURSING COST - LONGTERM 46228 1245841 40728417 40117266 611151 3441793 3441793 4052944 41079797 320846 30534 351380 40728417 0 40728417 40468646 320846 30534 351380 40117266 0 40117266 PART XI, LINE 8 - OTHER ADJUSTMENTS: ACQUISITION OF BCHC NET ASETS - INHERENT CONTRIBUTION RECEIVED 3,441,793. PART XII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES RECLASSIFIED 30,534. PART XIII, LINE 2D - OTHER ADJUSTMENTS: SPECIAL EVENTS EXPENSES RECLASSIFIED 30,534. FUNDRAISING 110379 84498 25881 28743 110379 84498 25881 28743 28743 -2862 X X X 0 0 0 0 0 0 0 0 0 MARTY LYNCH 203088 0 11400 0 0 0 0 0 22112 0 236600 0 0 0 RICK CLARK 143508 0 5500 0 0 0 0 0 25932 0 174940 0 0 0 BARBARA TOWNER-WINCHESTER 190008 0 0 0 0 0 0 0 20358 0 210366 0 0 0 RACHEL FOGEL 159993 0 0 0 0 0 0 0 2476 0 162469 0 0 0 LAURA MILLER 194380 0 0 0 0 0 0 0 18109 0 212489 0 0 0 LESTER LOVE 167743 0 0 0 0 0 0 0 242 0 167985 0 0 0 JABARI JONES 166720 0 0 0 0 0 0 0 4481 0 171201 0 0 0 FLOYD HUEN 160398 0 0 0 0 0 0 0 17252 0 177650 0 0 0 X OFFICE SUPPLIES 1 53831 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE FINANCE COMMITTEE. FORM 990, PART VI, SECTION B, LINE 12C THE PROCEDURES TAKEN TO MONITOR AND ENFORCE CONFLICT OF INTEREST IS BASED UPON REQUESTING SIGNED DECLARATIONS FROM BOARD MEMBERS ANNUALLY AND SELF-REPORTING FOR BOARD AND EMPLOYEES. FORM 990, PART VI, SECTION B, LINE 15 PERIODIC MARKET STUDIES ARE COMPLETED TO EVALUATE PAY FOR THE POSITION WITHIN OUR AREA. ANNUAL EVALUATIONS ARE COMPLETED BY THE SUPERVISING PERSON. BOARD REVIEWS CEO'S PERFORMANCE AND DETERMINES COMPENSATION. CEO ALSO REVIEWS MARKET RATE INFORMATION FOR THE CFO AND RECOMMENDS ANNUAL COMPENSATION. THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD AS REQUIRED IN CALIFORNIA'S INTEGRITY ACT. FORM 990, PART VI, SECTION C, LINE 19 WHEN DOCUMENTS ARE REQUESTED, THE REQUEST IS FORWARDED TO THE RESPONSIBLE INDIVIDUAL TO PROCESS THE REQUEST WHETHER BY E-MAIL OR POSTAGE MAIL. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: ACQUISITION OF BCHC NET ASETS - INHERENT CONTRIBUTION RECEIVED 3,441,793. TOTAL TO FORM 990, PART XI, LINE 5: 3,441,793. FORM 990, PART XII, LINE 2C THE ORGANIZATION'S OVERSIGHT PROCESS OR SELECTION PROCESS WAS NOT CHANGED DURING THIS TAX YEAR.