2026-05-15T20:14:39-05:00 2025-06-30 330700332 VASQUEZ & COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2024-07-01 952289916 JWCH INSTITUTE INC JWCH 3232014516 5650 JILLSON STREET COMMERCE CA 90040 JEANNE LAM CFO 3232014516 2026-05-15 1 1 REGINA L PRINCE CPA P00576936 2138731700 2024 2025-03-06 01:10:19Z JEANNE LAM 5650 JILLSON STREET COMMERCE CA 90040 209015531 0 X WWW.JWCHINSTITUTE.ORG X 1960 CA TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH. 13 13 1563 177 0 0 52856636 101802290 92451630 105542800 829405 1448177 94056 222264 146231727 209015531 130069 94146 0 0 90826405 111732679 0 0 21249 41319377 52105620 132275851 163932445 13955876 45083086 137730666 191550387 41074142 49806978 96656524 141743409 X THE SPECIFIC PURPOSES OF THIS ORGANIZATION ARE:(A) TO PROVIDE OUTPATIENT PRIMARY HEALTH SERVICE IN UNDERSERVED AREAS AND/OR FOR MEDICALLY UNDERSERVED POPULATIONS AS A COMMUNITY CLINIC. (B) TO DEVELOP, PROMOTE, AND MANAGE HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS WITH AN EMPHASIS ON COMPREHENSIVE HEALTH CARE, PREVENTATIVE MEDICINE, AND HEALTH MAINTENANCE. (C) TO EDUCATE THE PUBLIC ON THE PRINCIPLES OF HEALTH PROTECTION AND PROMOTE OTHER PROJECTS IN THE INTEREST OF THE PUBLIC'S HEALTH. (D) TO ENGAGE IN ANCILLARY MEDICAL, REHABILITATION, AND RESIDENTIAL TREATMENT PROGRAMS FOR UNDERSERVED POPULATIONS.(E) TO PROMOTE MUTUALLY ACCEPTABLE AND SATISFYING RELATIONSHIPS BETWEEN THE ORGANIZATION AND OTHER PROVIDERS OF HEALTH CARE TO DEVELOP AN EFFICIENT AND EFFECTIVE DELIVERY OF HEALTH CARE. (F) TO PARTICIPATE IN AND COOPERATE WITH ANY GOVERNMENTAL AGENCY OR OTHER ORGANIZATION ENGAGED IN SIMILAR OR LIKE ACTIVITIES. (G) TO ENGAGE IN SUCH OTHER ACTIVITIES AS DIRECTED BY THE BOARD. 0 0 94270149 98778946 JWCH INSTITUTE, INC., DBA WESLEY HEALTH CENTERS (JWCH OR WESLEY) IS APPROVED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND PROVIDES A FULL CONTINUUM OF CARE FOR MEN, WOMEN AND CHILDREN IN THE LOS ANGELES AREA. THE SERVICES INCLUDE PRIMARY HEALTH CARE, BEHAVIORAL HEALTH CARE, HOMELESS HEALTH CARE, HIV SERVICES, ORAL HEALTH CARE, PHARMACY SERVICES, VISION CARE AND SUPPORTIVE SERVICES WHICH INCLUDES OUR CHRONIC DISEASE CASE MANAGEMENT, YOUTH SERVICES, HOUSING ASSISTANCE, HEALTH EDUCATION, NUTRITIONAL ASSISTANCE AND RESEARCH. THE WESLEY HEALTH CENTERS ARE PLACES OF EXCELLENCE FOR YOU AND YOUR FAMILY. THROUGH THE 17 AREA HEALTH CENTERS, THE ORGANIZATION PROVIDES COMPREHENSIVE MEDICAL CARE, PHYSICAL EXAMS, ROUTINE SCREENINGS AND TREATMENT OF INJURIES AND ILLNESSES FOR MEN, WOMEN, AND CHILDREN OF LOS ANGELES COUNTY.THE WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH PROVIDED 58,570 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 6,724 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES.THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT, MENTAL HEALTH, AND OPTOMETRY SERVICES WILL BE PROVIDED ON SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 26,948 MEDICAL VISITS TO 6,955 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 317 PATIENTS 790 MEDICAL VISITS. THE DOWNEY CLINIC PROVIDED 22,706 MEDICAL VISITS TO 5,506 PATIENTS. SERVICES PROVIDED AT THE DOWNEY CLINIC INCLUDED PRIMARY CARE, FAMILY PLANNING SERVICES & PROCEDURES, BEHAVIORAL HEALTH SERVICES, COMPREHENSIVE PRENATAL SERVICES, OB/GYN SERVICES, PODIATRY, HIV/STD TESTING & TREATMENT, AND GERIATRIC PRIMARY CARE SERVICES.THE WESLEY HEALTH CENTERS-HACIENDA HEIGHTS PROVIDED 10,255 VISITS TO 2,003 PATIENTS. SERVICES OFFERED AT THE HACIENDA HEIGHTS CLINIC INCLUDED PRIMARY CARE, FAMILY & PEDIATRIC MEDICINE, CHIROPRACTIC SERVICES, REPRODUCTIVE HEALTH, OB/GYN, BEHAVIORAL HEALTH, SUBSTANCE ABUSE SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, AND LABORATORY SERVICES. THE WESLEY HEALTH CENTERS- LYNWOOD (NEW) PROVIDED 28,322 MEDICAL VISITS TO 5,763 PATIENTS. SERVICES OFFERED AT THE NEW LYNWOOD CLINIC INCLUDED PRIMARY CARE, FAMILY MEDICINE, DENTAL/ORAL HEALTH, BEHAVIORAL HEALTH, CHIROPRACTIC SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, PODIARY, AND LABORATORY.JWCH CLINIC AT BELL GARDENS PROVIDED 18,228 VISITS TO 4,828 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.THE LYNWOOD PRIMARY CARE CLINIC PROVIDED 12,990 VISITS TO 3,411 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.THE NORWALK CLINIC PROVIDED 37,063 VISITS TO 8,453 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES. THE VERMONT CLINIC PROVIDED 20,770 VISITS TO 7,040 HOMELESS PATIENTS. THE CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.THE ANTELOPE VALLEY CLINICS CONSISTED OF WESLEY HEALTH CENTERS (LANCASTER), WESLEY HEALTH CENTERS (PALMDALE CENTRAL) AND WESLEY HEALTH CENTERS (PALMDALE EAST). THEY PROVIDED A COMBINED TOTAL OF 117,657 VISITS TO A TOTAL OF 40,202 PATIENTS. THE FOLLOWING SERVICES ARE OFFERED: PRIMARY HEALTH CARE, REPRODUCTIVE HEALTH, DENTAL & ORAL HEALTH, BEHAVIORAL HEALTH, PEDIATRICS, PODIATRY, ENDOCRINOLOGY, DERMATOLOGY, DRUG, ALCOHOL AND OPIOID DETOX SERVICES, LABORATORY SERVICES, AND SPECIALTY REFERRALS. 19855154 1859307 RECUPERATIVE CARE PROGRAM. THE RECUPERATIVE CARE PROGRAM PROVIDES BED SPACE FOR 286 PATIENTS. PATIENTS MUST BE HOMELESS, HAVE AN ACUTE MEDICAL CONDITION, AND BE MEDICALLY AND PHYSICALLY STABLE. THIS RESPITE PROGRAM PROVIDES MEDICAL CARE, CASE MANAGEMENT, PERSONAL CARE, 3 MEALS PER DAY, ACCESS TO LONG-TERM HOUSING RESOURCES AND PLACEMENT, AND REUNIFICATION SERVICES FOR CLIENTS WHO HAVE FALLEN OUT OF TOUCH WITH THEIR FAMILY OR SUPPORT NETWORK. WESLEY ALSO PROVIDES THESE PATIENTS WITH TRANSPORTATION TO AND FROM MEDICAL VISITS AND TO SPECIALISTS AND OTHER SOCIAL SERVICES AGENCIES IN THE COUNTY. IN ADDITION TO THE NURSING CARE AVAILABLE IN RECUPERATIVE CARE, THE WEINGART CENTER AND BELL SHELTER SITES THAT HOUSE THE PROGRAM OFFER MANY OTHER SERVICES TO HELP BREAK THE CYCLE OF HOMELESSNESS, INCLUDING HOUSING PLACEMENT, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, AND COUNSELING SERVICES. RECUPERATIVE CARE PROGRAMS INCLUDE THE ZONAL AVENUE, MLK, AND THE SAN JULIAN OASIS CARE CENTERS. 7524427 BPHC-HEALTH CARE CENTER CLUSTER. JWCH IS ONE OF THE LARGEST HOMELESS HEALTH CARE PROVIDERS IN LOS ANGELES COUNTY AND PROVIDES SPECIALIZED CARE AND PROGRAMMING AIMED AT CARING FOR THE UNIQUE NEEDS OF THE PATIENTS EXPERIENCING HOMELESSNESS. THE ORGANIZATION PROVIDES THESE SERVICES AT THE DEDICATED ONE-STOP-SHOP HOMELESS HEALTH CARE CLINICS, MINI-CLINICS CO-LOCATED WITHIN HOUSING, RECUPERATIVE CARE FACILITIES, AND THROUGH THE INNOVATIVE STREET MEDICINE PROGRAM WHICH TRAVELS BEYOND THE TRADITIONAL CLINIC WALLS TO DELIVER CARE RIGHT WHERE THE PATIENTS NEED IT. THE HOMELESS HEALTH LOCATIONS ARE FRIENDLY AND WELCOMING AND OFFER PATIENTS ACCESS TO THE FULL SUITE OF COMPREHENSIVE HEALTH CARE SERVICES AS WELL AS SPECIALIZED SERVICES SUCH AS FOOD PANTRY, SHOWER FACILITIES, MAIL ROOM, HOUSING NAVIGATION, AMONG OTHERS. 25909547 94146 4904547 AIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT SRO HOUSING TRUST. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.CARE - CDC - JWCH'S CARE PROGRAM OR (CULTURALLY-AFFIRMING, RESPONSIVE EMPOWERMENT PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. HE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING. 25909547 94146 4904547 147559277 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 141 0 1 1563 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JEANNE LAM 3232014516 5650 JILLSON STREET COMMERCE CA 90040 KEITH TERASAKI MD CHAIRPERSON (UNTIL 12/22/24) 1.00 X X 0 0 0 KATHLEEN J HOUSE CHAIRPERSON 2.00 X X 0 0 0 MARIE S TORRES PHD LCSW VICE CHAIRPERSON 2.00 X X 0 0 0 SHEILA SHIMA EATON TREASURER 2.00 X X 0 0 0 JOE CASTEL SECRETARY 2.00 X X 0 0 0 LAWRENCE FERNANDEZ JR BOARD MEMBER 1.00 X 0 0 0 MARIA PADRON BOARD MEMBER 1.00 X 0 0 0 TOM GRODE BOARD MEMBER 1.00 X 0 0 0 EDUARDO SAUCEDO BOARD MEMBER 1.00 X 0 0 0 HERBERT TORRANCE BOARD MEMBER 1.00 X 0 0 0 ANNETTE SULLIVAN BOARD MEMBER 1.00 X 0 0 0 CHRISTOPHER EWING BOARD MEMBER 1.00 X 0 0 0 ALVARO BALLESTEROS CHIEF EXECUTIVE OFFICER 40.00 X 517819 0 21112 JEANNE GEE LAM CHIEF FINANCIAL OFFICER 40.00 X 257190 0 12954 ANDY S IRIE CHIEF ADMINISTRATIVE OFFICER 40.00 X 215558 0 16150 ANA ORTIZ CHIEF DENTAL OFFICER 40.00 X 283304 0 19646 BENJAMIN MONROE MEDICAL DIRECTOR/OB/GYN 32.00 X 280815 0 9964 BRENDA L VELASQUEZ CHIEF OPERATING OFFICER 40.00 X 232498 0 16985 HAROLD GLENN SAN AGUSTIN ASSO. MEDICAL DIRECTOR - HIV SERVICES 40.00 X 309078 0 19710 KIM TRAN DIRECTOR OF QUALITY ASSURANCE 40.00 X 215354 0 16037 LINDA AROUS ASSOCIATE MEDICAL DIRECTOR 40.00 X 311803 0 20203 PAUL G GREGERSON CHIEF MEDICAL OFFICER 40.00 X 498494 0 14604 PHILLIP LE ASSOCIATE MEDICAL DIRECTOR 40.00 X 298621 0 20215 TIEN DANG CHIEF INFORMATION OFFICER 40.00 X 238136 0 16951 ARIEL MONSANTO GAVINO MEDICAL DIRECTOR PSYCHIATRY 40.00 X 378107 0 21112 JAMES ALLEN COOK DIVISION CHIEF BEHAVIORAL HEALTH SERVICES 40.00 X 175009 0 5853 MARIA KARINA OBERTEICHER ASSOCIATE DENTAL DIRECTOR 40.00 X 166611 0 14514 APARNA KALEECKAL RAJALAKSHMI PHYSICIAN SPECIALIST 40.00 X 242697 0 16822 LUCIEN ALEXANDRE PHYSICIAN SPECIALIST 32.00 X 301880 0 16298 OLUWAMUYIWA O BOLONDURO PHYSICIAN SPECIALIST 40.00 X 386286 0 21109 PAWEL KASZUBOWSKI PHYSICIAN SPECIALIST 40.00 X 287334 0 10642 ROBILA ASHFAQ PHYSICIAN SPECIALIST 40.00 X 261047 0 18315 5857641 0 329196 146 0 1 0 CITIGUARD INC 22736 VANOWEN ST SUITE 300 WEST HILLS CA 91307 SECURITY GUARD SERVICES 594958 TRIO COMMUNITY MEALS LLC PO BOX 742992 ATLANTA GA 303742992 MEAL SERVICES 476461 FEEDFOLKS LLC 1434 W COLORADO BLVD PASADENA CA 91105 MEAL SERVICES 435133 CROSS COUNTRY STAFFING INC PO BOX 404691 ATLANTA GA 303844691 TEMPORARY STAFFING SERVICES 411294 COY BUILDER 11555 TELEGRAPH ROAD SANTA FE SPRINGS CA 90670 RENOVATION 345398 9 68623686 33178604 101802290 PATIENT SERVICES, NET 621400 93388908 93388908 PHARMACY REVENUES 621400 6523182 6523182 IPA REVENUES 621400 4021709 4021709 OTHER PROGRAM REVENUE 621400 1534964 1534964 EQUITY & PRACTICE TRANSFORMATION/ 621400 74037 74037 105542800 1448177 1448177 222264 0 222264 222264 222264 209015531 105542800 0 1670441 X 94146 94146 4571919 4246375 325544 87507277 81689230 5818047 2402298 2031912 370386 10198241 8625878 1572363 7052944 5965522 1087422 1994676 1631036 361364 2276 127550 104297 23107 146 14974580 12244641 2712857 17082 88745 61443 27302 2993095 2383916 609179 541524 431309 110215 7431190 7005555 425635 412075 331179 80839 57 222054 185581 36473 1165069 806638 358431 2279034 2011705 267329 962469 205114 757355 MEDICAL AND LABORATORY 9837736 9837736 PATIENT WELFARE 3096713 3096713 SMALL TOOLS & SUPPLIES 2180437 1944242 236195 REPAIRS AND MAINTENANCE 1123820 933891 189929 2674853 1691218 981947 1688 163932445 147559277 16351919 21249 7216780 5510769 24400654 36918692 8809139 36922719 27533910 22748666 267883 265967 281532 589155 79950657 10877352 53082585 69073305 5661019 5661019 10477164 13860095 137730666 191550387 3395101 7792372 656861 2632161 22768112 21798427 14254068 17584018 41074142 49806978 X 93841248 116783413 2815276 24959996 96656524 141743409 137730666 191550387 45083086 3799 0 X 0 1 X 1 1 1 X 43043545 41098844 61150991 52856636 101802290 299952306 43043545 41098844 61150991 52856636 101802290 299952306 299952306 14938 85179 186383 923461 1670441 2880402 110983 110983 302943691 411734678 0.99010 0.99380 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - FUNDRAISING INCOME - 2023 AMOUNT: $ 110,983. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 21656884 21656884 33340612 6983982 26356630 6634775 3893370 2741405 18318386 18318386 69073305 DEPOSIT 544613 ESTIMATED AMOUNTS DUE FROM THIRD-PARTY PAYERS 6379299 RIGHT-OF-USE ASSETS 6894775 OTHER RECEIVABLES 41408 13860095 PAYROLL & RELATED LIABILITIES 9034890 ESTIMATED AMOUNTS DUE TO THIRD PARTY PAYERS 1304760 LEASE LIABILITIES 6778120 FINANCE LEASE LIABILITIES 241969 OTHER LONG-TERM PAYABLES 224279 17584018 X 209019330 3799 3799 209015531 0 209015531 163932445 0 163932445 0 163932445 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D AND IS GENERALLY NOT SUBJECT TO INCOME TAXES. THE ORGANIZATION IS CLASSIFIED AS A PUBLIC CHARITY PURSUANT TO SECTIONS 509(A)(1) AND 170(B)(1)(A)(VI). US GAAP PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AND THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE SUBSTANTIAL UNRELATED TRADE OR BUSINESS INCOME ACTIVITIES WHICH WOULD AFFECT CONTINUED TAX-EXEMPT STATUS OR PRODUCE MATERIAL INCOME TAX. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS, BASED ON THE TECHNICAL MERITS OF THE POSITION, WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION GENERALLY FOR THREE AND FOUR YEARS AFTER THEY WERE FILED FOR FEDERAL AND STATE, RESPECTIVELY. 1 WEINGART CENTER ASSOCIATION 566 S SAN PEDRO STREET LOS ANGELES CA 90013 956054617 501(C)(3) 94146 0 TO SUPPORT SUBSTANCE ABUSE PROGRAM 1 0 PART I, LINE 2: THE ORGANIZATION ENTERS INTO WRITTEN AGREEMENTS WITH THE GRANTEES SPECIFYING HOW THE GRANT MONIES ARE TO BE SPENT. THE GRANTEES ARE REQUIRED TO SUBMIT BUDGETS FOR THE GRANTS AND REPORTS ARE OBTAINED QUARTERLY OR SEMI-ANNUALLY TO ENSURE THAT MONIES ARE BEING CONSISTENT WITH THE GRANT TERMS AND THE BUDGET. X X X 0 0 0 0 0 0 0 0 0 ALVARO BALLESTEROS CHIEF EXECUTIVE OFFICER 456319 0 45000 0 16500 0 13800 0 7312 0 538931 0 0 0 PAUL G GREGERSON CHIEF MEDICAL OFFICER 494894 0 0 0 3600 0 13800 0 804 0 513098 0 0 0 OLUWAMUYIWA O BOLONDURO PHYSICIAN SPECIALIST 386286 0 0 0 0 0 13800 0 7309 0 407395 0 0 0 ARIEL MONSANTO GAVINO MEDICAL DIRECTOR PSYCHIATRY 378107 0 0 0 0 0 13800 0 7312 0 399219 0 0 0 LINDA AROUS ASSOCIATE MEDICAL DIRECTOR 306403 0 5400 0 0 0 12891 0 7312 0 332006 0 0 0 HAROLD GLENN SAN AGUSTIN ASSO. MEDICAL DIRECTOR - HIV SERVICE 308478 0 600 0 0 0 12398 0 7312 0 328788 0 0 0 PHILLIP LE ASSOCIATE MEDICAL DIRECTOR 297421 0 1200 0 0 0 12903 0 7312 0 318836 0 0 0 LUCIEN ALEXANDRE PHYSICIAN SPECIALIST 295680 0 6200 0 0 0 9056 0 7242 0 318178 0 0 0 ANA ORTIZ CHIEF DENTAL OFFICER 283304 0 0 0 0 0 12334 0 7312 0 302950 0 0 0 PAWEL KASZUBOWSKI PHYSICIAN SPECIALIST 284134 0 3200 0 0 0 9172 0 1470 0 297976 0 0 0 BENJAMIN MONROE MEDICAL DIRECTOR/OB/GYN 280815 0 0 0 0 0 5181 0 4783 0 290779 0 0 0 ROBILA ASHFAQ PHYSICIAN SPECIALIST 256447 0 4600 0 0 0 11003 0 7312 0 279362 0 0 0 JEANNE GEE LAM CHIEF FINANCIAL OFFICER 257190 0 0 0 0 0 10332 0 2622 0 270144 0 0 0 APARNA KALEECKAL RAJALAKSHMI PHYSICIAN SPECIALIST 242697 0 0 0 0 0 9510 0 7312 0 259519 0 0 0 TIEN DANG CHIEF INFORMATION OFFICER 238136 0 0 0 0 0 9639 0 7312 0 255087 0 0 0 BRENDA L VELASQUEZ CHIEF OPERATING OFFICER 232498 0 0 0 0 0 9673 0 7312 0 249483 0 0 0 ANDY S IRIE CHIEF ADMINISTRATIVE OFFICER 209558 0 0 0 6000 0 8838 0 7312 0 231708 0 0 0 KIM TRAN DIRECTOR OF QUALITY ASSURANCE 209754 0 800 0 4800 0 8725 0 7312 0 231391 0 0 0 MARIA KARINA OBERTEICHER ASSOCIATE DENTAL DIRECTOR 166611 0 0 0 0 0 7211 0 7303 0 181125 0 0 0 JAMES ALLEN COOK DIVISION CHIEF BEHAVIORAL HEALTH SER 164884 0 0 0 10125 0 5008 0 845 0 180862 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 AND ITS ATTACHMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXTENT OF THE REVIEW INCLUDES A LINE-BY-LINE REVIEW OF THE FORM 990. THE REVIEW IS BASED ON GUIDANCE PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT OF THE ORGANIZATION ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT STAFF SIGNS AN ANNUAL CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST POLICY WAS REVIEWED AND HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND IS IMPLEMENTED AT THE BOARD MANAGEMENT LEVEL. TRAINING ON THE POLICY WAS ALSO CONDUCTED. DETERMINATIONS OF POTENTIAL CONFLICT OF INTEREST ARE MADE AT THE BOARD LEVEL AND AT THE EXECUTIVE STAFF LEVEL. IF A POTENTIAL CONFLICT IS IDENTIFIED, AGENCY POLICY DICTATES THAT THE SUBJECT INDIVIDUAL SHALL REMOVE THEMSELVES FROM DISCUSSIONS REGARDING THE MATTER AT HAND. ALL CONFLICTS WILL BE DOCUMENTED IN MINUTES OF THE GOVERNING BOARD. ANNUALLY, THE JWCH CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL REVIEW OF POLICIES AND PROCEDURES. FORM 990, PART VI, SECTION B, LINE 15 THE JWCH BOARD OF DIRECTORS SETS-UP A COMPENSATION COMMITTEE TO EVALUATE THE CEO'S SALARY BASED ON THE FOLLOWING: AN EXTENSIVE ANNUAL PERFORMANCE REVIEW IS UNDERTAKEN BY THE BOARD OF DIRECTORS VIA THIS COMMITTEE, WITH INPUT BY THE WHOLE BOARD. SHOULD A SALARY INCREASE BE WARRANTED, THE PERFORMANCE EVALUATION IS USED TOGETHER WITH SALARY COMPARISONS OF OTHER COMMUNITY HEALTH CENTERS PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND THE LOCAL COMMUNITY CLINIC ACCOSIATION TO REVIEW COMPARATIVE COMPENSATION LEVELS. A DETERMINATION IS THEN MADE BASED ON BOTH AND BROUGHT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION OF ANY SALARY CHANGES. THE BOARD OF DIRECTORS ONLY SETS THE SALARY FOR THE CEO. THE BOARD OF DIRECTORS REVIEW AND APPROVE A SALARY COMPENSATION GRADE SCHEDULE FOR ALL OTHER AGENCY STAFF, INCLUDING THE CFO. THIS COMPENSATION GRADE SCHEDULE IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS SO THAT SALARIES OF AGENCY STAFF IS CONSISTENT WITH INDUSTRY STANDARDS. THE SETTING OF SALARIES FOR STAFF OTHER THAN THE CEO IS DELEGATED TO THE CEO AND HIS DESIGNEES TOGETHER WITH HUMAN RESOURCES ACCORDING TO THE AFOREMENTIONED SALARY SCHEDULE. THE DELIBERATION AND DECISION ON EACH OF THE COMPENSATION PACKAGES WAS PROPERLY SUBSTANTIATED. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 5,099,266. MANAGEMENT AND GENERAL EXPENSES 1,129,766. FUNDRAISING EXPENSES 7,114. TOTAL EXPENSES 6,236,146. TRANSPORTATION: PROGRAM SERVICE EXPENSES 306,252. MANAGEMENT AND GENERAL EXPENSES 67,852. FUNDRAISING EXPENSES 427. TOTAL EXPENSES 374,531. PAYROLL SERVICES: PROGRAM SERVICE EXPENSES 296,318. MANAGEMENT AND GENERAL EXPENSES 65,651. FUNDRAISING EXPENSES 413. TOTAL EXPENSES 362,382. OUTSIDE SERVICES SECURITY: PROGRAM SERVICE EXPENSES 1,702,429. MANAGEMENT AND GENERAL EXPENSES 377,181. FUNDRAISING EXPENSES 2,375. TOTAL EXPENSES 2,081,985. OUTSIDE SERVICES TRANSLATION: PROGRAM SERVICE EXPENSES 127,464. MANAGEMENT AND GENERAL EXPENSES 28,240. FUNDRAISING EXPENSES 178. TOTAL EXPENSES 155,882. SUBCONTRACTORS: PROGRAM SERVICE EXPENSES 891,381. MANAGEMENT AND GENERAL EXPENSES 197,490. FUNDRAISING EXPENSES 1,244. TOTAL EXPENSES 1,090,115. OTHER PROFESSIONAL SERVICE: PROGRAM SERVICE EXPENSES 2,799,970. MANAGEMENT AND GENERAL EXPENSES 620,346. FUNDRAISING EXPENSES 3,906. TOTAL EXPENSES 3,424,222. OTHER OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 1,021,561. MANAGEMENT AND GENERAL EXPENSES 226,331. FUNDRAISING EXPENSES 1,425. TOTAL EXPENSES 1,249,317.