2011-05-13T12:48:56-07:00 2010-06-30 MYERS BRIER & KELLY LLP 2 BALA PLZ STE 300 BALA CYNWYD PA 190041512 990 2009-07-01 953702136 QUEENSCARE FAMILY CLINICS QUEE 3236694302 1300 N VERMONT AVENUE LOS ANGELES CA 90027 LEE E HUEY 3236694302 2011-02-09 JOSEPH E LUNDY 6106607788 2011-05-13 2009 2016-02-24 21:20:13Z BARBARA B HINES 1300 N VERMONT AVENUE STE 1002 LOS ANGELES CA 90027 22272110 false X www.queenscarefamilyclinics.org X 1925 CA 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. 14 14 235 0 0 5336249 6146366 16376927 15951465 0 265956 174279 21979132 22272110 0 0 12461839 11372850 94232 101700 101700 8757747 8040052 21313818 19514602 665314 2757508 5480127 8340715 1027317 1130397 4452810 7210318 QUEENSCARE FAMILY CLINICS, false false 17725176 16125744 QUEENSCARE FAMILY CLINICS PROVIDED 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 EXPERIENCED 127,415 PATIENT VISITS. 17725176 true true false false false false false false true true true false false false false false false true false false false false false true false false false false false false false false true false false false false true true false false true 92 0 true 235 true false false false false false false false false false 14 14 false true false false false false false true true false false true true true true true true true false false CA X X LEE E HUEY CFO 3236694304 1300 N VERMONT AVE STE 1002 LOS ANGELES CA 90027 ALLAN MICHELENA 2.00 X X 400 0 0 REV WAYNE R NEGRETE SJ 2.00 X X 400 0 0 SR JUDY MURPHYCSJ 10.00 X X 14500 68000 0 JAY GUERENA 2.00 X X 400 0 0 JORGE BLANCO 2.00 X 500 0 0 SHIRLEY DANIELS 2.00 X 400 0 0 ARCHBISHOP VATCHE HOVSEPIAN 2.00 X 200 0 0 FRANK REY DE PEREA 2.00 X 500 0 0 WILLY RUIZ 2.00 X 300 0 0 MARGARITA DUARTE TUCKER 2.00 X 400 0 0 NONGYAO VARANOND 2.00 X 0 0 0 SR MARTHA VEGASSS 2.00 X 300 0 0 DAVID WALSH 2.00 X 0 0 0 FR ANGELOS YOUSSEF 2.00 X 400 0 0 BARBARA B HINES 20.00 X 31300 135789 0 ALAN ROTHFELD MD 25.00 X 174361 0 0 GUILLERMO DIAZ MD 40.00 X 159044 0 0 TERRY A BONECUTTER 20 X 111623 113073 LEE E HUEY 20 X 91108 89498 FIKRY FANOUS MD 40 X 201251 KHANH NGUYEN MD 40 X 179536 ANGELITA ARAQUEL MD 40 X 162360 YUNG SOON AHN MD 40 X 161587 HYUN KIM MD 40 X 160647 1451517 406360 21 true true false QUEST DIAGNOSTICS PO BOX 555 LOS ANGELES CA 90017 LAB SERVICES 458164 UNIVERSAL PROTECTION SERV PO BOX 512719 LOS ANGELES CA 90051 SECURITY 190995 LADDARAN MEDICAL GRP PO BOX 5555 LOS ANGELES CA 90000 RADIOLOGY SERVICES 101439 3 2606911 3539455 2209762 6146366 NET PATIENT REVENUE 621400 11433979 11433979 REV FROM QFC/QCP PART 621400 4517486 4517486 15951465 OTHER REVENUE 621400 174279 174279 174279 22272110 16125744 641976 343754 298222 0 8212361 7718570 493791 0 -15850 -15850 0 0 1830440 1689710 140730 0 703923 637779 66144 0 53299 27490 25809 0 67266 0 67266 0 101700 101700 13489 13489 0 0 87533 83459 4074 0 262606 219910 42696 0 76442 38953 37489 0 452817 430688 22129 0 286354 268174 18180 0 RENT 941101 736052 205049 0 PHYSICIAN FEES 622451 622451 0 0 LAB FEES 647669 647669 0 0 MEDICAL & OTHER SUPPLIES 546337 542257 4080 0 PHARMACEUTICALS 2357313 2357313 0 0 1625375 1363308 262067 0 19514602 17725176 1687726 101700 2450 2450 1042025 3396358 603394 791498 1400881 1214085 660138 901584 115477 144184 5912128 4462673 1172642 1449455 75000 75000 408120 366101 5480127 8340715 1027317 1130397 1027317 1130397 X 3773104 6325312 679706 885006 4452810 7210318 5480127 8340715 X false true true X true true X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 679706 2209762 2004462 885006 723476 43770 679706 0.00000 0.00000 1.00000 false false 1396683 683538 713145 4515445 3779135 736310 1449455 DUE FROM QUEENSCARE 156257 UST-UNEMPLOYMENT INSURANCE TRUST 105174 HOLLYWOOD PRESBYTERIAN MEDICAL BUILDING 5015 ALLIANT INSURANCE-WILSHIRE CLINIC FIRE 40950 FIREMAN'S FUND -WORKERS' COMPENSATION 29904 TDA FORFEITURE ACCOUNT 27819 COBRA 463 MESSAGE EXCHANGE CENTER 519 366101 22272110 19514602 2757508 2757508 22272110 22272110 22272110 19514602 19514602 19514602 Pt V Line 4 QueensCare Family Clinics intends to use its endowment funds to support healthcare related activities. Pt X THE CLINICS HAVE APPLIED ASC 740 TO ALL TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINED OPEN AND DETERMINED THERE WERE NO MATERIAL UNRECOGNIZED TAX BENEFITS. IN ADDITION, THERE HAVE BEEN NO MATERIAL CHANGES IN UNRECOGNIZED BENEFITS SINCE JULY 1, 2009, NOR ARE ANY ANTICIPATED IN THE NEXT Pt X 12 MONTHS. THERE HAVE BEEN 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 DID NOT HAVE A MATERIAL EFFECT ON THE CLINICS' FINANCIAL STATEMENTS. X X true KELLEHER & ASSOCIATES GRANT WRITER false 213700 22000 191700 GARY BESS & ASSOCIATES GRANT WRITER false 5567000 6950 5560050 MEDICAL STAFF MGMT ENROLLERS false 454100 72750 381350 6234800 101700 6133100 X X X X false false false false false false false false false BARBARA B HINES 31300 135789 31300 135789 ALAN ROTHFELD MD 174361 174361 GUILLERMO DIAZ MD 159044 159044 TERRY A BONECUTTER 111623 113073 111623 113073 LEE E HUEY 91108 89498 91108 89498 FIKRY FANOUS MD 201251 201251 KHANH NGUYEN MD 179536 179536 ANGELITA ARAQUEL MD 162360 162360 YUNG SOON AHN MD 161587 161587 HYUN KIM MD 160647 160647 X 0 2209762 COST false false false Pt I Line 20 Form 990 During its fiscal year 7/1/2009 - 6/30/10, QueensCare Form 990 Family Clinics received donations of numerous Form 990 pharmaceutical products with an aggregate estimated Form 990 value of $2,209,762 from various pharmaceutical : MANUFACTURERS..; 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 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. 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 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 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 that 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 because its principal purpose is to provide medical care through neighborhood medical clinics. QueensCare Family Clinics is not licensed to operate a hospital. QUEENSCARE 1300 N VERMONT AVENUE STE 1002 LOS ANGELES CA 90027 951644040 HEALTHCARE FOR THE POOR CA 501(c)(3) 3 NA QFCQCP 130 N VERMONT AVE LOS ANGELES CA 90027 260502255 TO OPERATE & MANAGE HEALTHCARE CLINICS CA NA RELATED -7728038 false true false true false false false false false false false true true false true true true true false false QFCQCP b 7728038 QFCQCP j 435195 QFCQCP k 12364860 QFCQCP m 725325 QFCQCP n 12364862 QFCQCP p 4636824 QUEENSCARE n 397415 QUEENSCARE o QUEENSCARE p