GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
- Tax period
- 2010-07-01 to 2011-06-30
- Filed
- 2012-05-11
- IRS object ID
- 201211329349303181
- Schema version
- 2010v3.2
- 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) |
|---|---|---|
| Timestamp | 2012-05-11T14:40:44-07:00 | Timestamp |
| Tax Period End Date | 2011-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MYERS BRIER & KELLY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2 BALA PLZ STE 300 | AddressLine1 |
| City | BALA CYNWYD | City |
| State | PA | State |
| ZIP Code | 190041512 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953702136 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEENSCARE FAMILY CLINICS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | QUEE | NameControl |
| Phone | 3236694345 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 N VERMONT AVENUE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90027 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BARBARA B HINES | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 3236694345 | Phone |
| Date Signed | 2012-04-30 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH E LUNDY | Name |
| Phone | 6106607788 | Phone |
| Date Prepared | 2012-05-11 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA B HINES | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 N VERMONT AVENUE STE 1002 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23154870 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.queenscarefamilyclinics.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1925 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | QUEENSCARE FAMILY CLINICS, 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 217 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 6146366 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 5921304 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 15951465 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 17002670 | ProgramServiceRevenueCY |
| Investment Income Current Year | 2963 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 174279 | OtherRevenuePriorYear |
| Other Revenue Current Year | 227933 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 22272110 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23154870 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 11372850 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 12100953 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 101700 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 12000 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 12000 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8040052 | OtherExpensePriorYear |
| Other Expenses Current Year | 9003442 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 19514602 | TotalExpensesPriorYear |
| Total Expenses Current Year | 21116395 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 2757508 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2038475 | RevenuesLessExpensesCY |
| Total Assets BOY | 8340715 | TotalAssetsBOY |
| Total Assets EOY | 10475922 | TotalAssetsEOY |
| Total Liabilities BOY | 1130397 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1227129 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 7210318 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 9248793 | NetAssetsOrFundBalancesEOY |
| Mission Description | QUEENSCARE FAMILY CLINICS, | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 19369635 | Expense |
| Revenue | 17233566 | Revenue |
| Description | QUEENSCARE FAMILY CLINICS 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 FAMILY CLINICS PROVIDED SERVICES TO MORE THAN 37,000 PATIENTS WHICH ACCOUNTED FOR MORE THAN 138,000 VISITS. | Description |
| Total Program Service Expense | 19369635 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | false | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 118 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 217 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | true | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BARBARA B HINES CEO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3236694305 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 N VERMONT AVE STE 1002 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90027 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (25 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| ALLAN MICHELENA | ||||||||
| CHAIRMAN | 2.00 | X | X | 1775 | 0 | 0 | ||
| SR JUDY MURPHYCSJ | ||||||||
| SECRETARY | 10.00 | X | X | 14800 | 62000 | 0 | ||
| JAY GUERENA | ||||||||
| TREASURER | 2.00 | X | X | 1475 | 0 | 0 | ||
| JORGE BLANCO | ||||||||
| DIRECTOR | 2.00 | X | 1100 | 0 | 0 | |||
| SHIRLEY DANIELS | ||||||||
| DIRECTOR | 2.00 | X | 1200 | 0 | 0 | |||
| ARCHBISHOP VATCHE HOVSEPIAN | ||||||||
| DIRECTOR | 2.00 | X | 1100 | 0 | 0 | |||
| FRANK REY DE PEREA | ||||||||
| DIRECTOR | 2.00 | X | 1700 | 0 | 0 | |||
| MARY EVELYN RAMOS | ||||||||
| DIRECTOR | 2.00 | X | 800 | 0 | 0 | |||
| WILLY RUIZ | ||||||||
| DIRECTOR | 2.00 | X | 800 | 0 | 0 | |||
| MARGARITA DUARTE TUCKER | ||||||||
| DIRECTOR | 2.00 | X | 1000 | 0 | 0 | |||
| NONGYAO VARANOND | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SR MARTHA VEGASSS | ||||||||
| DIRECTOR | 2.00 | X | 900 | 0 | 0 | |||
| RAY VERNOY | ||||||||
| DIRECTOR | 2.00 | X | 1200 | 0 | 0 | |||
| DAVID WALSH | ||||||||
| DIRECTOR | 2.00 | X | 1050 | 0 | 0 | |||
| FR ANGELOS YOUSSEF | ||||||||
| DIRECTOR | 2.00 | X | 1500 | 0 | 0 | |||
| BARBARA B HINES | ||||||||
| PRESIDENT & CEO | 20.00 | X | 108248 | 111639 | 0 | |||
| ALAN ROTHFELD MD | ||||||||
| CMO | 25.00 | 176311 | 0 | 0 | X | |||
| GUILLERMO DIAZ MD | ||||||||
| ASST. CMO | 40 | 169572 | X | |||||
| ALEJANDRO A ARMSTRONG | ||||||||
| VP Operations | 40 | 135731 | X | |||||
| LEE E HUEY | ||||||||
| CHIEF FINANCIAL OFFICER | 20 | X | 83928 | 82793 | ||||
| FIKRY FANOUS MD | ||||||||
| OB/GYN | 40 | 199501 | X | |||||
| KHANH NGUYEN MD | ||||||||
| PHYSICIAN | 40 | 182822 | X | |||||
| ILLUMINADA BETITA MD | ||||||||
| PHYSICIAN | 40 | 162861 | X | |||||
| ANGELITA ARAQUEL MD | ||||||||
| PHYSICIAN | 40 | 164825 | X | |||||
| YUNG SOON AHN MD | ||||||||
| PHYSICIAN | 40 | 163723 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1577922 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 256432 | TotalReportableCompFrmRltdOrgs |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| QUEST DIAGNOSTICS | |||||
| PO BOX 555 | LOS ANGELES | CA | 90017 | LAB SERVICES | 561141 |
| UNIVERSAL PROTECTION SERV | |||||
| PO BOX 512719 | LOS ANGELES | CA | 90051 | SECURITY | 209343 |
| EXACT STAFF INC | |||||
| 21031 VENTURA BLVD STE 501 | WOODLAND HILLS | CA | 91364 | Contract Workers | 130913 |
| LADDARAN MEDICAL GRP | |||||
| PO BOX 5555 | LOS ANGELES | CA | 90000 | RADIOLOGY SERVICES | 116904 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Government Grants | 3105800 | GovernmentGrants |
| All Other Contributions | 2815504 | AllOtherContributions |
| Noncash Contributions | 2276403 | NoncashContributions |
| Total Contributions | 5921304 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| NET PATIENT REVENUE | 621400 | 12495992 |
| REV FROM QFC/QCP PART | 621400 | 4506678 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 17002670 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2963 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 227933 | TotalRevenueColumn |
| Related Or Exempt Function Income | 227933 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 227933 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23154870 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17233566 | RelatedOrExemptFunctionIncome |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 744720 | Total |
| Program Services | 385360 | ProgramServices |
| Management And General | 359360 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8444467 | Total |
| Program Services | 8002625 | ProgramServices |
| Management And General | 441842 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20550 | Total |
| Program Services | 20550 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2142195 | Total |
| Program Services | 1954571 | ProgramServices |
| Management And General | 187624 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 749021 | Total |
| Program Services | 682787 | ProgramServices |
| Management And General | 66234 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48439 | Total |
| Program Services | 2618 | ProgramServices |
| Management And General | 45821 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45000 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 45000 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12000 | Total |
| Fundraising | 12000 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 101552 | Total |
| Program Services | 97626 | ProgramServices |
| Management And General | 3926 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 244118 | Total |
| Program Services | 212561 | ProgramServices |
| Management And General | 31557 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83461 | Total |
| Program Services | 40627 | ProgramServices |
| Management And General | 42834 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 393669 | Total |
| Program Services | 363432 | ProgramServices |
| Management And General | 30237 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422713 | Total |
| Program Services | 390638 | ProgramServices |
| Management And General | 32075 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| RENT | 969145 | 763495 | 205650 | 0 |
| PHYSICIAN FEES | 711170 | 711170 | 0 | 0 |
| LAB FEES | 783634 | 783634 | 0 | 0 |
| MEDICAL & OTHER SUPPLIES | 543776 | 540488 | 3288 | 0 |
| PHARMACEUTICALS | 2559392 | 2559392 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2097373 | Total |
| Program Services | 1858061 | ProgramServices |
| Management And General | 239312 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21116395 | Total |
| Program Services | 19369635 | ProgramServices |
| Management And General | 1734760 | ManagementAndGeneral |
| Fundraising | 12000 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2450 | BOY |
| EOY | 2750 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3396358 | BOY |
| EOY | 6077674 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 791498 | BOY |
| EOY | 925967 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1214085 | BOY |
| EOY | 392649 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 901584 | BOY |
| EOY | 1022557 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 144184 | BOY |
| EOY | 115458 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6425333 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 4856343 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1449455 | BOY |
| EOY | 1568990 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 75000 | BOY |
| EOY | 75000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366101 | BOY |
| EOY | 294877 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8340715 | BOY |
| EOY | 10475922 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1130397 | BOY |
| EOY | 1227129 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1130397 | BOY |
| EOY | 1227129 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6325312 | BOY |
| EOY | 8154307 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 885006 | BOY |
| EOY | 1094486 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7210318 | BOY |
| EOY | 9248793 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8340715 | BOY |
| EOY | 10475922 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2038475 | ReconcilationRevenueExpenses |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 885006 | BeginningOfYearBalance |
| Contributions | 1081782 | Contributions |
| Other Expenditures | 872302 | OtherExpenditures |
| End Of Year Balance | 1094486 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 679706 | BeginningOfYearBalance |
| Contributions | 2209762 | Contributions |
| Other Expenditures | 2004462 | OtherExpenditures |
| End Of Year Balance | 885006 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 723476 | BeginningOfYearBalance |
| Other Expenditures | 43770 | OtherExpenditures |
| End Of Year Balance | 679706 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1436561 | InvestmentCostOrOtherBasis |
| Depreciation | 786894 | Depreciation |
| Book Value | 649667 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 4988772 | InvestmentCostOrOtherBasis |
| Depreciation | 4069449 | Depreciation |
| Book Value | 919323 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1568990 | TotalOfBookValueLandBuildings |
| Total Revenue | 23154870 | TotalRevenue |
| Total Expenses | 21116395 | TotalExpenses |
| Excess Or Deficit For Year | 2038475 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 2038475 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 23154870 | TotRevenueEtcAuditedFinclStmt |
| Revenue Subtotal | 23154870 | RevenueSubtotal |
| Total Revenue Per Form990 | 23154870 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 21116395 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 21116395 | ExpensesSubtotal |
| Total Expenses Per Form990 | 21116395 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt V Line 4 | Queenscare Family Clinics uses gifts restricted for its charitable purposes to support healthcare related activities. |
| Pt X | As required by GAAP, the Clinics have identified and evaluated its significant tax positions for which the statute of limitations remain 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, 2008 through June 30, 2011 for federal tax |
| Pt X | purposes and the years ended June 30, 2007 through June 30, 2011 for California tax purposes. There have been no material changes in unrecognized benefits as of June 30, 2011, nor are any material changes anticipated in the twelve months following June 30, 2011. There have been no related tax penalties or interest, which would be classified as a tax expense in the statement of activities. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|
| BARBARA B HINES | |||
| 108248 | 111639 | 108248 | 111639 |
| ALAN ROTHFELD MD | |||
| 176311 | 176311 | ||
| GUILLERMO DIAZ MD | |||
| 169572 | 169572 | ||
| LEE E HUEY | |||
| 83928 | 82793 | 83928 | 82793 |
| FIKRY FANOUS MD | |||
| 199501 | 199501 | ||
| KHANH NGUYEN MD | |||
| 182822 | 182822 | ||
| ILLUMINADA BETITA MD | |||
| 162861 | 162861 | ||
| ANGELITA ARAQUEL MD | |||
| 164825 | 164825 | ||
| YUNG SOON AHN MD | |||
| 163723 | 163723 | ||
| ALEJANDRO A ARMSTRONG | |||
| 135731 | 135731 | ||
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 0 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 2276403 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Pt I Line 20 | Form 990 | During its fiscal year 7/1/2010 - 6/30/11, QueensCare |
| Form 990 | Family Clinics received donations of numerous | |
| Form 990 | pharmaceutical products with an aggregate estimated | |
| Form 990 | value of $2,276,403 from various pharmaceutical | |
| : MANUFACTURERS..; |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (83 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-B, Line 11a | Following preparation of a final draft of the Form 990, |
| and review by the organization's CEO, a draft that | |
| is complete in all material respects is presented to | |
| the Finance Committee for approval. Prior to filing | |
| the return, such draft is distributed to all Board | |
| members prior to the meeting of the Board | |
| at which details of the return are discussed | |
| and each Board member is provided with the | |
| opportunity to ask questions. | |
| Pt VI-B, Line 12c | The organization's Board members, corporate officers, |
| and staff are subject to a conflict 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, 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 certifica- | |
| tion of their compliance with the policy; and | |
| (iii) carefully reviewing all material transactions to | |
| identify potential or real conflicts. | |
| Form 990, Part IX, Line 24f | MESSENGER, POSTAGE 67470. 62689. 4781. OTHER PROFESSIONAL FEES 651093. 529960. 121133. EQUIP. RENTAL & MAINTENANCE 272959. 271192. 1767. PRINTING & PUBLICATIONS 17807. 12254. 5553. PURCHASED SERV-CONTR WORKERS 261614. 255604. 6010. PURCHASED SERV-ADVERTISING 68197. 68163. 34. PURCHASED SERV-SECURITY 210584. 210584. 0. PAYROLL SERVICE 20913. 16855. 4058. PURCHASED SERV-DATA SERVICE 36062. 31125. 4937. MEDICAL WASTE & UNIFORM CLEANING 63246. 63246. UTILITIES 15266. 15266. SUBSCRIPTIONS & DUES 5379 |
| Pt VI-B, Line 15 | A 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 for approval at a duly | |
| organized meeting of 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 recommedation process was | |
| last undertaken by the organization's Compensation | |
| Committee in June 2011 and its findings and | |
| recommendations with regard to the CEO's compensation level | |
| were approved by the Board in June 2011. | |
| Pt VI-C, Line 19 | The organization's annual financial information is available |
| on a third-party website (GuideStar). The organization | |
| provides copies of its governing documents, its conflict | |
| of interest policy, as well as its three most recent | |
| Forms 990 to any interested person who makes a request | |
| for such documents. | |
| Pt VI-A, Line 3 | Pursuant to that certain Amended and Restated Clinic |
| Affiliation Agreement, QueensCare Family Clinics and | |
| QueensCare formed the QFC/QCP partnership to jointly | |
| operate six community family clinics located in the | |
| greater Los Angeles area. QueensCare's responsibilities | |
| under the terms of that Agreement include providing | |
| day-to-day mangement for the operation of the QFC/QCP | |
| and on-site management of QFC's personnel to include | |
| hiring, training, and discharging QFC personnel. | |
| QueensCare also has responsibility for the management | |
| and coordination of all administrative services that | |
| are provided in the Clinics. | |
| Pt VII, Line 1a | Board Chairman Allan Michelena devoted approximately two |
| hours of his time per week to a related organization, | |
| QueensCare, serving as a director of QueensCare. | |
| Board Secretary Sr. Judy Murphy devoted approximately | |
| ten hours of her time per week to QueensCare serving as | |
| QueensCare's Secretary. | |
| Board Treasurer Jay Guerena devoted approximately two | |
| hours of his time per week to QueensCare serving as | |
| Chairman of the Board of Directors. | |
| CEO Barbara B. Hines devoted approximately 20 hours of | |
| her time per week serving as QueensCare's CEO. | |
| Chief Financial Officer Lee E. Huey devoted approximately | |
| 20 hours of his time per week serving as QueensCare's | |
| Chief Financial Officer. | |
| Sch A, Pt I | QueensCare Family Clinics is a hospital |
| described in section 170(b)(1)(a)(iii) of the Internal | |
| Revenue Code by reason of the fact that its principal activity is the | |
| direct and indirect provision of medical care | |
| through neighborhood medical clinics. Queenscare | |
| Family Clinics is not licensed to operate a hospital. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEENSCARE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1300 N VERMONT AVENUE STE 1002 | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644040 | EIN |
| Primary Activities | HEALTHCARE FOR THE POOR | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QFCQCP | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 130 N VERMONT AVE | AddressLine1 |
| City | LOS ANGELES | City |
| State | CA | State |
| ZIP Code | 90027 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 260502255 | EIN |
| Primary Activity | TO OPERATE & MANAGE HEALTHCARE CLINICS | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
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 | PredominantIncomeType |
| Share Of Total Income | -7506757 | ShareOfTotalIncome |
| Disproportionate Allocations | false | DisproportionateAllocations |
| General Or Managing Partner | true | GeneralOrManagingPartner |
| Percentage Ownership | 0.60000 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| QFCQCP | ||
| b | 7506757 | accrual |
| QFCQCP | ||
| j | 435795 | accrual |
| QFCQCP | ||
| k | 12010811 | accrual |
| QFCQCP | ||
| m | 736111 | accrual |
| QFCQCP | ||
| n | 12010811 | accrual |
| QFCQCP | ||
| p | 4504054 | |
| QUEENSCARE | ||
| n | 397451 | |
| QUEENSCARE | ||
| o | 568501 | |
| QUEENSCARE | ||
| p | 520055 | |