QUEENSCARE: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- QUEENSCARE (EIN 95-1644040)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-13
- IRS object ID
- 201101339349304680
- Schema version
- 2009v1.3
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-13T13:43:24-07:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | 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 | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644040 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | QUEENSCARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | QUEE | NameControl |
| Phone | 3236694302 | 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 | LEE E HUEY | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 3236694302 | Phone |
| Date Signed | 2011-02-15 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOSEPH E LUNDY | Name |
| Phone | 6106607788 | Phone |
| Date Prepared | 2011-05-13 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | BARBARA B HINES | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 46854700 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.queenscare.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1936 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | QUEENSCARE PROVIDES A CONTINUUM OF HIGH QUALITY MEDICAL AND HOSPITAL CARE TO THE MEDICALLY UNDERSERVED (INDIGENT, UNINSURED, UNDERINSURED) RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIA | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 14 | NbrIndependentVotingMembers |
| Total Nbr Employees | 72 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 599500 | TotalGrossUBI |
| Contributions Grants Prior Year | 322000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 604900 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 284000 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -12126000 | InvestmentIncomePriorYear |
| Investment Income Current Year | 17581000 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6765000 | OtherRevenuePriorYear |
| Other Revenue Current Year | 305100 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | -5039000 | TotalRevenuePriorYear |
| Total Revenue Current Year | 18775000 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 10299542 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 6997311 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 4408705 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3851613 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 92003 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 9877759 | OtherExpensePriorYear |
| Other Expenses Current Year | 6664076 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 24586006 | TotalExpensesPriorYear |
| Total Expenses Current Year | 17513000 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -29625006 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1262000 | RevenuesLessExpensesCY |
| Total Assets BOY | 338630000 | TotalAssetsBOY |
| Total Assets EOY | 359959000 | TotalAssetsEOY |
| Total Liabilities BOY | 11676000 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 10476000 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 326954000 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 349483000 | NetAssetsOrFundBalancesEOY |
| Mission Description | QUEENSCARE PROVIDES A CONTINUUM OF HIGH | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 5853862 | Expense |
| Description | QUEENSCARE OPERATES JOINTLY WITH QUEENSCARE FAMILY CLINICS TO PROVIDE A NETWORK OF SIX FREESTANDING FAMILY HEALTHCARE CLINICS IN AREAS OF LOS ANGELES COUNTY THAT ARE MEDICALLY UNDERSERVED. THE CLINICS PROVIDE SERVICES TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. EACH CLINIC 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 2009-2010, THE CLINICS SERVED APPROXIMATELY 37,000 PATIENTS WHICH ACCOUNTED FOR 141,000 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 CLINICS, QUEENSCARE PROVIDES FUNDING FOR A PERINATAL SERVICE FOR HIGH-RISK PREGNANCIES. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4787915 | Expense |
| Grants | 4504792 | Grants |
| Description | TO SUPPORT THE OPERATION OF THE QUEENSCARE FAMILY CLINICS 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 CLINICS: INPATIENT AND OUTPATIENT HEALTHCARE AND EMERGENCY MEDICAL SERVICES; CONTRACTS WITH SPECIALISTS TO PROVIDE ALL FIELDS OF MEDICAL CARE; AND PASTORAL CARE TO ALL FAITHS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1781771 | Expense |
| Revenue | 284000 | Revenue |
| Description | QUEENSCARE 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 ESTABLISH | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | DescriptionDescription | GrantsGrants |
|---|---|---|
| 234500 | QUEENSCARE ALSO CONTRIBUTES TO THE GENE AND MARILYN NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION | |
| 2540452 | QUEENSCARE 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 | 2492519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 2774952 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 2492519 | TotalOfOtherProgramServiceGrnt |
| Total Program Service Expense | 15198500 | 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 |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | 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 | true | GrantsToOrganizations |
| Grants To Individuals | true | 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 | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 201 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 72 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| 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 |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 14 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 | LEE E HUEY CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3236694302 | 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 (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | FormerFormer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JAY GUERENA | ||||||||
| CHAIRMAN | 2.00 | X | X | 250 | 0 | 0 | ||
| SISTER JUDY MURPHYCSJ | ||||||||
| SECRETARY | 10.00 | X | X | 68250 | 14500 | 0 | ||
| MARINA ARONOFF | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| JOAN SANDERS BAKER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| PATRICK HINES | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| IVAN A HOUSTON | ||||||||
| DIRECTOR | 2.00 | X | 250 | 0 | 0 | |||
| EDWARD LEAMER | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| ALLAN MICHELENA | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| MSGR JEREMIAH MURPHY | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| GENE NUZIARD | ||||||||
| DIRECTOR | 2.00 | X | 250 | 0 | 0 | |||
| JOHN RAUEN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| SEN NEWTON RUSSELL | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| LOIS SAFFIAN | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BETTIE WOODS | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| RICHARD YOO MD | ||||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | |||
| BARBARA B HINES | ||||||||
| PRESIDENT & CEO | 20.00 | X | 103122 | 63967 | 0 | |||
| LEE E HUEY | ||||||||
| CFO | 20.00 | X | 89499 | 91107 | 0 | |||
| TERRY BONECUTTER | ||||||||
| CEO, EMERITUS | 10 | 113073 | 111623 | X | ||||
| ALEJANDRO ARMSTRONG | ||||||||
| VP, OPERATIONS | 40 | 129142 | X | |||||
| ALAN DE JONG | ||||||||
| DIR COMPLIANCE | 40 | 101879 | X | |||||
| LELAND CHEW | ||||||||
| DIR, I/T | 40 | 101771 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 707486 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 281197 | TotalReportableCompFrmRltdOrgs |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 76600 | GovernmentGrants |
| All Other Contributions | 528300 | AllOtherContributions |
| Noncash Contributions | 58021 | NoncashContributions |
| Total Contributions | 604900 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Mental Health & other programs | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 284000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 284000 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 284000 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11070000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10470500 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 599500 | UnrelatedBusinessRevenue |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 4000 | RelatedOrExemptFunctionIncome |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2286800 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2016700 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 270100 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 270100 | TotalRevenueColumn |
| Related Or Exempt Function Income | 270100 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 32574000 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 26063000 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 6511000 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6511000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 6511000 | RelatedOrExemptFunctionIncome |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| OTHER INCOME | 900001 | 41000 | 41000 |
| DISCONTINUED OPER | 900099 | -10000 | -10000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 31000 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 18775000 | TotalRevenueColumn |
| Related Or Exempt Function Income | 17570600 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 599500 | UnrelatedBusinessRevenue |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2492519 | Total |
| Program Services | 2492519 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4504792 | Total |
| Program Services | 4504792 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776938 | Total |
| Program Services | 406942 | ProgramServices |
| Management And General | 298397 | ManagementAndGeneral |
| Fundraising | 71599 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2242772 | Total |
| Program Services | 1960440 | ProgramServices |
| Management And General | 261928 | ManagementAndGeneral |
| Fundraising | 20404 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 611011 | Total |
| Program Services | 469475 | ProgramServices |
| Management And General | 141536 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220892 | Total |
| Program Services | 158594 | ProgramServices |
| Management And General | 62298 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 475173 | Total |
| Program Services | 475173 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116580 | Total |
| Program Services | 46057 | ProgramServices |
| Management And General | 70523 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 138770 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 138770 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 563547 | Total |
| Program Services | 395963 | ProgramServices |
| Management And General | 167584 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1271 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1271 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224321 | Total |
| Program Services | 146493 | ProgramServices |
| Management And General | 77828 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1204744 | Total |
| Program Services | 1014122 | ProgramServices |
| Management And General | 190622 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6275 | Total |
| Program Services | 6275 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 31852 | Total |
| Program Services | 12192 | ProgramServices |
| Management And General | 19660 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249506 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 249506 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2709148 | Total |
| Program Services | 2709148 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114797 | Total |
| Program Services | 96746 | ProgramServices |
| Management And General | 18051 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 166702 | Total |
| Program Services | 65566 | ProgramServices |
| Management And General | 101136 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 661390 | Total |
| Program Services | 238003 | ProgramServices |
| Management And General | 423387 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17513000 | Total |
| Program Services | 15198500 | ProgramServices |
| Management And General | 2222497 | ManagementAndGeneral |
| Fundraising | 92003 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5819000 | BOY |
| EOY | 8206000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 220000 | BOY |
| EOY | 220000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 174000 | BOY |
| EOY | 222000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 130644000 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 11358000 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100370000 | BOY |
| EOY | 119286000 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 183014000 | BOY |
| EOY | 195703000 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 48576000 | BOY |
| EOY | 36019000 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 457000 | BOY |
| EOY | 303000 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 338630000 | BOY |
| EOY | 359959000 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3946000 | BOY |
| EOY | 3140000 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3585000 | BOY |
| EOY | 2575000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4145000 | BOY |
| EOY | 4145000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 616000 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11676000 | BOY |
| EOY | 10476000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326299000 | BOY |
| EOY | 348828000 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 655000 | BOY |
| EOY | 655000 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 326954000 | BOY |
| EOY | 349483000 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 338630000 | BOY |
| EOY | 359959000 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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 | 665000 | BeginningOfYearBalance |
| End Of Year Balance | 665000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 665000 | BeginningOfYearBalance |
| End Of Year Balance | 665000 | 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 |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 15685000 | InvestmentCostOrOtherBasis |
| Book Value | 15685000 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 112981000 | InvestmentCostOrOtherBasis |
| Depreciation | 9740000 | Depreciation |
| Book Value | 103241000 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 194000 | InvestmentCostOrOtherBasis |
| Depreciation | 46000 | Depreciation |
| Book Value | 148000 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 1784000 | InvestmentCostOrOtherBasis |
| Depreciation | 1572000 | Depreciation |
| Book Value | 212000 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 119286000 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| ALTERNATIVE MUTUAL FUND INV | 28407000 | F |
| CLOSELY HELD SECURITIES | 7612000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 36019000 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | WORKERS' COMPENSATION LIABILITY | Description |
| Amount | $616,000 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 616000 | TotalOfAmounts |
| Total Revenue | 18775000 | TotalRevenue |
| Total Expenses | 17513000 | TotalExpenses |
| Excess Or Deficit For Year | 1262000 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 21267000 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 21267000 | TotalAdjustments |
| Excess Or Deficit Per FS | 22529000 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 40042000 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 21267000 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 21267000 | RevenueNotRptdF990 |
| Revenue Subtotal | 18775000 | RevenueSubtotal |
| Total Revenue Per Form990 | 18775000 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 17513000 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 17513000 | ExpensesSubtotal |
| Total Expenses Per Form990 | 17513000 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt V Line 4 | QUEENSCARE INTENDS TO USE ITS ENDOWMENT FUNDS FOR HEALTHCARE RELATED ACTIVITIES. |
| Pt X | QUEENSCARE HAS APPLIED ASC 740 TO ALL TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINS OPEN AND DETERMINED THERE ARE NO MATERIAL UNRECOGNIZED TAX BENEFITS. IN ADDITION, THERE ARE NO MATERIAL CHANGES IN UNRECOGNIZED BENEFITS SINCE JULY 1, 2009, NOR ARE ANY ANTICIPATED IN THE NEXT 12 MONTHS. THERE ARE |
| Pt X | NO RELATED TAX PENALTIES OR INTEREST, WHICH WOULD BE CLASSIFIED AS TAX EXPENSE IN THE STATEMENT OF ACTIVITIES. AS A RESULT, THE ADOPTION OF ASC 740 DOES NOT HAVE A MATERIAL EFFECT ON QUEENSCARE'S FINANCIAL STATEMENTS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (17 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| ALLIANCE FOR HOUSING AND HEALING | |||||||
| 825 COLORADO BL STE 100 | LOS ANGELES | CA | 90041 | 954147364 | 501(C)(3) | 25000 | HEALTHCARE SUPP |
| PROJECT ANGEL FOOD | |||||||
| 922 VINE STREET | LOS ANGELES | CA | 90038 | 954115863 | 501(C)(3) | 30000 | HEALTHCARE SUPP |
| SALVATION ARMY-ALEGRIA HOUSE | |||||||
| 2737 SUNSET BLVD | LOS ANGELES | CA | 90026 | 951656360 | 501(C)(3) | 12000 | HEALTHCARE SUPP |
| BROTMAN MEDICAL CENTER | |||||||
| 3828 DELMAS TERRACE | CULVER CITY | CA | 90232 | 830423823 | 11480 | HEALTHCARE SUPP | |
| CALIFORNIA HOSPITAL | |||||||
| 1401 S GRAND AVE | LOS ANGELES | CA | 90015 | 941196203 | 501(C)(3) | 365232 | HEALTHCARE SUPP |
| CEDARS-SINAI MED CTR | |||||||
| 8700 BEVERLY BLVD | LOS ANGELES | CA | 90048 | 951644600 | 501(C)(3) | 16381 | HEALTHCARE SUPP |
| CHILDREN'S HOSPITAL | |||||||
| 4650 SUNSET BLVD | LOS ANGELES | CA | 90027 | 951690977 | 501(C)(3) | 226398 | HEALTHCARE SUPP |
| LACUSC GENERAL HOSPITAL | |||||||
| 313 N FIGUEROA | LOS ANGELES | CA | 90033 | 956000927 | 544068 | HEALTHCARE SUPP | |
| GLENDALE ADVENTIST | |||||||
| 1509 WILSON TERRACE | GLENDALE | CA | 91206 | 951816017 | 501(C)(3) | 18961 | HEALTHCARE SUPP |
| GLENDALE MEMORIAL HOSPITAL | |||||||
| 1420 SOUTH CENTRAL AVE | GLENDALE | CA | 91204 | 941196203 | 501(C)(3) | 211351 | HEALTHCARE SUPP |
| GOOD SAMARITAN HOSPITAL | |||||||
| 1225 WILSHIRE BLVD | LOS ANGELES | CA | 90017 | 951656366 | 501(C)(3) | 2311504 | HEALTHCARE SUPP |
| HOLLYWOOD PRESBYTERIAN | |||||||
| 1300 N VERMONT AVE | LOS ANGELES | CA | 90027 | 300284087 | 373160 | HEALTHCARE SUPP | |
| LOS ANGELES COMMUNITY HOSP | |||||||
| 4081 E OLYMPIC BLVD | LOS ANGELES | CA | 90023 | 954691839 | 8900 | HEALTHCARE SUPP | |
| OLYMPIA MEDICAL CENTER | |||||||
| 5900 W OLYMPIC BLVD | LOS ANGELES | CA | 90036 | 421643090 | 51079 | HEALTHCARE SUPP | |
| UCLA MED CTR-SANTA MONICA | |||||||
| 1250 16TH STREET | SANTA MONICA | CA | 90404 | 956006143 | 12512 | HEALTHCARE SUPP | |
| UCLA RON REAGAN MED CTR | |||||||
| 757 WESTWOOD PLAZA | LOS ANGELES | CA | 90095 | 956006143 | 35214 | HEALTHCARE SUPP | |
| WHITE MEMORIAL MED CTR | |||||||
| 1720 CESAR E CHAVEZ AVE | LOS ANGELES | CA | 90033 | 953760201 | 501(C)(3) | 167463 | HEALTHCARE SUPP |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | SCHOLARSHIP | TypeOfGrant |
| Number Of Recipients | 31 | NumberOfRecipients |
| Amount Of Cash Grant | 234469 | AmountOfCashGrant |
| Method Of Valuation | N/A | MethodOfValuation |
| Description Of Non Cash Assistance | N/A | DescriptionOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt I Line 2 | Identifier |
| Explanation | QUEENSCARE MONITORS THE USE OF GRANTS IT MAKES BY REQUIRING EACH GRANTEE TO SUPPLY QUEENSCARE WITH REGULAR REPORTS THAT DESCRIBE HOW SUCH GRANTEE IS USING QUEENSCARE'S GRANT FUNDS. IN ADDITION, QUEENSCARE OFTEN VISITS A GRANTEE'S PREMISES TO ENSURE THAT THE GRANTEE IS CONDUCTING PROGRAMS THAT FURTHER QUEENSCARE'S CHARITABLE MISSION. QUEENSCARE ALSO REQUIRES EACH GRANTEE TO PROVIDE QUEENSCARE WITH A COPY OF THEIR ANNUAL FINANCIAL REPORTS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 (3 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|
| BARBARA B HINES | |||
| 103122 | 63967 | 103122 | 63967 |
| LEE E HUEY | |||
| 89499 | 91107 | 89499 | 91107 |
| TERRY BONECUTTER | |||
| 113073 | 111623 | 113073 | 111623 |
Schedule M IRS990ScheduleM
Books And Publications BooksAndPublications
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 900 | NoncashContribsRptdF990 |
Drugs And Medical Supplies DrugsAndMedicalSupplies
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 57121 | NoncashContribsRptdF990 |
| 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 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (84 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-A, Line 2 | President & CEO Barbara Hines is married to Board |
| member Patrick Hines. | |
| Pt VI-A, Line 6 | St. 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-A, Line 7a | In 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-A, Line 7b | St. 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-B, Line 11A | Following preparation of a final draft of the Form 990, and |
| review by the organization's CEO, the final draft is | |
| presented to the Finance Committee for approval. | |
| Prior to filing the return, it is distributed to all | |
| Board members at a 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 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, | |
| 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-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 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 2010 | |
| and its findings and recommendations with regard to the | |
| CEO's compensation level were approved by the Board in | |
| June 2010. | |
| Pt VI-C, Line 19 | The organization's annual financial report 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 1a | Chairman Jay Guerena devoted approximately two hours of his |
| time per week to a related organization, QueensCare | |
| Family Clinics(QFC), in his capacity as Treasurer of QFC. | |
| Secretary Sr. Judy Murphy devoted approximately 2 hours of | |
| her time per week to QFC in her capacity as QFC's Secretary. | |
| Director Allan Michelena devoted approximately 2 hours of | |
| his time per week to QFC in his capacity as Chairman of | |
| QFC's Board of Directors. | |
| CEO Barbara Hines devoted approximately 20 hours of her | |
| time per week to QFC in her capacity as QFC's CEO. | |
| Chief Financial Officer Lee Huey devoted approximately | |
| 20 hours of his time per week to QFC in his capacity as | |
| QFC's Chief Financial Officer. | |
| Sch A, Pt I | QueensCare 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. | |
| Pt VI-A, Line 5 | After the close of its tax year, QueensCare became aware |
| that a former employee embezzled approx.$300,000 from | |
| the organization. QueensCare does not consider | |
| such amount to be material under applicable financial reporting | |
| guidelines and anticipates that it will recover the | |
| full amount from its insurance carrier. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| BRIDGE STREET-QC LLC | |||||||||
| 1525 BRIDGE STREET | YUBA CITY | CA | 95993 | 951644040 | RENTAL REAL ESTATE | CA | 1279843 | 15254812 | NA |
| SCHILLING PLACE PROPERTY QC LLC | |||||||||
| 1441 SCHILLING PLACE | SALINAS | CA | 93901 | 951644040 | RENTAL REAL ESTATE | CA | 3045182 | 42705669 | NA |
| SCHILLING PROPERTY QC-LLC | |||||||||
| 1488 1494 SCHILLING PLACE | SALINAS | CA | 93901 | 951644040 | RENTAL REAL ESTATE | CA | 1657848 | 20892747 | NA |
| GREENFIELD APARTMENTS QC LLC | |||||||||
| 1640 S GREENFIELD CIRCLE NE | GRAND RAPIDS | MI | 49505 | 951644040 | RENTAL REAL ESTATE | CA | 1080648 | 7345118 | NA |
| HPMB LLC | |||||||||
| 1300 N VERMONT AVENUE | LOS ANGELES | CA | 90027 | 951644040 | RENTAL REAL ESTATE | CA | 1992917 | 17174191 | NA |
| AIRWAY DIEGO LLC | |||||||||
| 10132 AIRWAY ROAD | SAN DIEGO | CA | 92154 | 951644040 | RENTAL REAL ESTATE | CA | 852528 | 22822286 | NA |
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH'S HEALTH SUPPORT ALLIANCE | |||||||||
| 1300 N VERMONT AVENUE | LOS ANGELES | CA | 90027 | 940831115 | TO SUPPORT QUEENSCARE | CA | 501(C)(3) | 11c III-FI | NA |
| QUEENSCARE FAMILY CLINICS | |||||||||
| 1300 N VERMONT AVENUE | LOS ANGELES | CA | 90027 | 953702136 | PROVIDE MEDICAL SERV TO THE INDIGENT | CA | 501(C)(3) | 3 | NA |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | 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 | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | 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 (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| ST JOSEPH'S HEALTH SUPPORT ALLIANCE | |
| k | 15189 |
| QUEENSCARE FAMILY CLINICS | |
| n | 511674 |
| QUEENSCARE FAMILY CLINICS | |
| o | 153263 |
| QUEENSCARE FAMILY CLINICS | |
| p | 445000 |