MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION (EIN 81-2455970)
- Tax period
- 2022-07-01 to 2023-06-30
- Filed
- 2024-05-13
- IRS object ID
- 202441349349309259
- Schema version
- 2022v5.0
- 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) |
|---|---|---|
| Return | 2024-05-13T18:34:30-05:00 | ReturnTs |
| Tax Period End | 2023-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 21700 OXNARD ST STE 300 | AddressLine1Txt |
| City | WOODLAND HILLS | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91367 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 812455970 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR COMMUNITY | BusinessNameLine1Txt |
| Business Name Line2 | MEDICAL FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MART | BusinessNameControlTxt |
| Phone | 4245296755 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2251 WEST ROSECRANS AVENUE 18 | AddressLine1Txt |
| City | COMPTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90222 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVEN CIAMPA | PersonNm |
| Person Title | INTERIM CFO | PersonTitleTxt |
| Phone | 4245296755 | PhoneNum |
| Signature | 2024-05-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | STEVEN | PersonFirstNm |
| Person Last | CIAMPA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 8185771900 | PhoneNum |
| Preparation | 2024-05-06 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEVE CIAMPA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2251 WEST ROSECRANS AVENUE 18 | AddressLine1Txt |
| City | COMPTON | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90222 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $27,875,579 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MLKCMG.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2016 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO FACILITATE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH AND WELLBEING OF THE LOW INCOME, DISADVANTAGED COMMUNITIES OF SOUTH LOS ANGELES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 9 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,254,824 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,645,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $25,685,711 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $22,489,673 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $264,464 | PYOtherRevenueAmt |
| CY Other Revenue | $740,906 | CYOtherRevenueAmt |
| PY Total Revenue | $27,204,999 | PYTotalRevenueAmt |
| CY Total Revenue | $27,875,579 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,082,392 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,626,165 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $7,304,979 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $25,667,305 | PYOtherExpensesAmt |
| CY Other Expenses | $28,964,516 | CYOtherExpensesAmt |
| PY Total Expenses | $34,375,862 | PYTotalExpensesAmt |
| CY Total Expenses | $36,269,495 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$7,170,863 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,393,916 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $36,479,093 | TotalAssetsBOYAmt |
| Total Assets EOY | $47,612,970 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $49,374,030 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,901,823 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$12,894,937 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$21,288,853 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO INCREASE ACCESS TO HIGH QUALITY MEDICAL SERVICES OUTSIDE OF THE HOSPITAL CONTEXT, WITH A PARTICULAR FOCUS ON CARING FOR PATIENTS WITH CHRONIC MEDICAL CONDITIONS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $33,970,278 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $22,489,673 | RevenueAmt |
| Desc | VOLUME PATIENT CLINIC VISITS WERE 40,848 INCLUDING 281 COVID19 VACCINATION VISITS. MLKCMF COLLABORATED THIS PAST YEAR IN AN INNOVATIVE DESIGN FOR THE TREATMENT OF MENTAL HEALTH, PHYSICAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THE INTEGRATED DESIGN FOR BEHAVIORAL HEALTH BEGINS WITH AN ASSESSMENT AT THE FIRST POINT OF PATIENT CONTACT ESTABLISHING POTENTIAL LINKS BETWEEN A CHRONIC MEDICAL CONDITION AND A BEHAVIORAL HEALTH CONCERN. THIS ALLOWS FOR AN EARLY INTERVENTION OF A BEHAVIORAL HEALTH TEAM FOLLOWING THE PATIENT FROM INPATIENT CARE TO APPROPRIATE LONG-TERM SUPPORT CARE AND RESOURCES IN AN OUTPATIENT SETTING. THE TOTAL BEHAVIORAL HEALTHS VISITS WERE 2,766. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MLKCMF'S ONGOING ENHANCED CARE MANAGEMENT PROGRAM IS A STATEWIDE MEDICAID BENEFIT. THE GOAL OF THIS PROGRAM IS TO PROVIDE A WHOLE PERSON APPROACH TO CARE THAT ADDRESSES BOTH CLINICAL AND NON-CLINICAL NEEDS OF HIGH-NEED MEDICAID BENEFICIARIES. BENEFICIARIES HAVE A SINGLE LEAD CARE MANAGER WHO COORDINATES CARE AND SERVICES AMONG THE PHYSICAL, BEHAVIORAL, DENTAL, DEVELOPMENTAL, AND SOCIAL SERVICES DELIVERY SYTEMS, MAKING IT EASIER FOR THEM TO GET THE RIGHT CARE AT THE RIGHT TIME.MLKCMF'S PROVIDES DIABETES MANAGEMENT TO PATIENTS INCLUDING EDUCATION AND CLASSES AVAILABLE TO THE COMMUNITY. CARE COORDINATORS ASSIST PATIENTS WITH ONGOING ENROLLMENT IN HEALTH COVERAGE VIA EDUCATION AND NAVIGATION SERVICES. THEY ALSO ASSIST WITH THE EVALUATION OF SOCIAL DETERMINANTS OF HEALTH IN THE PATIENT POPULATION AND CONNECTING PATIENTS WITH RESOURCES TO ADDRESS THEIR NEEDS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MLKCMF CONTINUES THE LACTATION CLNIC, WHICH SUPPORTS IMPROVED MATERNAL AND INFANT HEALTH IN SOUTH LOS ANGELES BY INCREASING THE PERCENTAGE OF WOMEN IN THE SERVICE AREA WHO EXCLUSIVELY BREASTFEED THEIR INFANTS UNTIL THEY REACH SIX MONTHS OF AGE. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $33,970,278 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 8 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEVE CIAMPA | PersonNm |
| Phone | 4243388717 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90059 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MANUEL A ABASCAL JD | ||||||||
| CHAIR | 6.00 | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| PAUL KING | ||||||||
| VICE CHAIR | 3.00 | 7.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MICHAEL MADDEN | ||||||||
| SECRETARY | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES YOSHIOKA | ||||||||
| TREASURER | 3.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GEORGINA R GARCIA RN | ||||||||
| BOARD MEMBER | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| ROBERT MARGOLIS MD | ||||||||
| BOARD MEMBER | 3.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||
| IAN MORRISON | ||||||||
| BOARD MEMBER | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| CYNTHIA PATTON | ||||||||
| BOARD MEMBER | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| KEDAR MATE MD | ||||||||
| BOARD MEMBER | 3.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||
| KURT STAUDER | ||||||||
| PRES. OF MEDICAL GROUP FDN | 40.00 | 8.00 | Yes (X) | $0 | $249,008 | $10,144 | ||
| JOHN FISHER MD | ||||||||
| CHIEF MEDICAL OFFICER | 1.00 | 41.00 | Yes (X) | $0 | $677,573 | $32,446 | ||
| LISSA OWEN | ||||||||
| MANAGER OF REVENUE CYCLE | 40.00 | 0.00 | $120,563 | $0 | $23,207 | Yes (X) | ||
| NANCY TORRES | ||||||||
| MANAGER POPULATION HEALTH AMBULATORY | 40.00 | 0.00 | $108,661 | $0 | $22,640 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $229,224 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $926,581 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $88,437 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 2 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| THE REGENTS OF THE UNIVERSITY OF CALIFOR | |||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | HOSPITALIST / INTENSIVIST PHYSICIANS | $8,775,628 |
| MARTIN LUTHER KING JR HEALTH ASSOCIATE | |||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | STAFFING SERVICES | $8,234,829 |
| HUBMD PC | |||||
| 104 OLIVE STREET UNIT 100 | REDLANDS | CA | 92373 | UROLOGY PHYSICIANS | $769,613 |
| HALL DYNAMICS DBA MYRON L HALL | |||||
| 9301 WILSHIRE BOULEVARD NO 404 | BEVERLY HILLS | CA | 90210 | PODIATRY PHYSICIAN | $254,750 |
| NEURO INDUSTRIAL MEDICAL GROUP | |||||
| 223 N GARFIELD AVENUE 302 | MONTEREY PARK | CA | 91754 | NEUROLOGIST | $180,310 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,645,000 | RelatedOrganizationsAmt |
| Total Contributions | $4,645,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CALL COVERAGE | 621990 | $10,968,080 | $10,968,080 |
| NET PATIENT SERV. REV. | 621990 | $6,585,115 | $6,585,115 |
| SUPPORT SERVICES | 621990 | $1,680,379 | $1,680,379 |
| SB SUPPLEMENTAL FUNDING | 561499 | $1,630,552 | $1,630,552 |
| CAPITATION REVENUE | 621990 | $1,082,275 | $1,082,275 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $543,272 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $543,272 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $22,489,673 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER OPERATING REVENUE | Desc |
| Business | 561499 | BusinessCd |
| Total Revenue Column | $740,906 | TotalRevenueColumnAmt |
| Exclusion | $740,906 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $740,906 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $27,875,579 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $22,489,673 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $740,906 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,268,120 | TotalAmt |
| Program Services | $4,886,378 | ProgramServicesAmt |
| Management And General | $381,742 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,338 | TotalAmt |
| Program Services | $143,338 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,450,348 | TotalAmt |
| Program Services | $1,405,340 | ProgramServicesAmt |
| Management And General | $45,008 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $443,173 | TotalAmt |
| Program Services | $411,006 | ProgramServicesAmt |
| Management And General | $32,167 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $803,365 | TotalAmt |
| Program Services | $2,625 | ProgramServicesAmt |
| Management And General | $800,740 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,803 | TotalAmt |
| Program Services | $2,654 | ProgramServicesAmt |
| Management And General | $32,149 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,285 | TotalAmt |
| Management And General | $12,285 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,266,046 | TotalAmt |
| Program Services | $25,421,221 | ProgramServicesAmt |
| Management And General | $844,825 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,316 | TotalAmt |
| Management And General | $123,316 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,830 | TotalAmt |
| Program Services | $78,830 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,402 | TotalAmt |
| Program Services | $10,402 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $705,029 | TotalAmt |
| Program Services | $705,029 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,817 | TotalAmt |
| Program Services | $1,817 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,978 | TotalAmt |
| Management And General | $7,978 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $737,816 | $737,816 | |
| REPAIRS AND MAINTENANCE | $133,833 | $133,833 | |
| DUES AND SUBSCRIPTIONS | $34,168 | $23,768 | $10,400 |
| EMPLOYEE EXPENSE REIMB. | $8,046 | $5,651 | $2,395 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,782 | TotalAmt |
| Program Services | $570 | ProgramServicesAmt |
| Management And General | $6,212 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,269,495 | TotalAmt |
| Program Services | $33,970,278 | ProgramServicesAmt |
| Management And General | $2,299,217 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,157,024 | BOYAmt |
| EOY | $1,572,719 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,919,917 | BOYAmt |
| EOY | $5,876,262 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,882 | BOYAmt |
| EOY | $387,722 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,298,270 | BOYAmt |
| EOY | $39,776,267 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,479,093 | BOYAmt |
| EOY | $47,612,970 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,070,887 | BOYAmt |
| EOY | $6,495,857 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,303,143 | BOYAmt |
| EOY | $62,405,966 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,374,030 | BOYAmt |
| EOY | $68,901,823 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$13,956,009 | BOYAmt |
| EOY | -$22,074,121 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,061,072 | BOYAmt |
| EOY | $785,268 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$12,894,937 | BOYAmt |
| EOY | -$21,288,853 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,479,093 | BOYAmt |
| EOY | $47,612,970 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$8,393,916 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,329,484 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,524,494 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,050,197 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,254,824 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,645,000 | CurrentTaxYearAmt |
| Total | $26,803,999 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $11,615,171 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $14,991,574 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $18,778,547 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $25,685,711 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $22,489,673 | CurrentTaxYearAmt |
| Total | $93,560,676 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,944,655 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,516,068 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,828,744 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $26,940,535 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,134,673 | CurrentTaxYearAmt |
| Total | $120,364,675 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,432,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,632,006 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,478,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,418,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,375,820 | CurrentTaxYearAmt |
| Total | $52,338,113 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,432,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $10,632,006 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $11,478,469 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $11,418,876 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $10,375,820 | CurrentTaxYearAmt |
| Total | $52,338,113 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $68,026,562 | PublicSupportTotal509Amt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $41,212 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $291,400 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $19,795 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $264,464 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $740,906 | CurrentTaxYearAmt |
| Total | $1,357,777 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,985,867 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,807,468 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $25,848,539 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $27,204,999 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $27,875,579 | CurrentTaxYearAmt |
| Total | $121,722,452 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.55890 | PublicSupportCY509Pct |
| Public Support PY509 | 0.54650 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: | FormAndLineReferenceDesc |
| Explanation | MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 41,212. 2019 AMOUNT: $ 291,400. 2020 AMOUNT: $ 19,795. 2021 AMOUNT: $ 264,464. 2022 AMOUNT: $ 740,906. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM HOSPITAL | $37,932,291 |
| RIGHT-OF-USE LEASE ASSET | $1,843,976 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $39,776,267 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| PROMISSORY NOTE TO MLKCH | $300,000 |
| DUE TO MLKCH | $60,122,896 |
| RIGHT-OF-USE LEASE LIABILITY | $1,983,070 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $62,405,966 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED UPON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2023 AND 2022. THE COMPANY IS SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR ALL YEARS SINCE INCEPTION FOR FEDERAL AND STATE TAX FILINGS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN FISHER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $519,341 | $0 | $152,232 | $0 | $6,000 | $0 | $12,200 | $0 | $20,246 | $0 | $710,019 | $0 | $0 |
| KURT STAUDER | ||||||||||||||
| PRES. OF MEDICAL GROUP FDN | $0 | $158,335 | $0 | $90,673 | $0 | $0 | $0 | $9,150 | $0 | $994 | $0 | $259,152 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | DR. JOHN FISHER PARTICIPATES IN THE MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE "PLAN") EFFECTIVE AS OF JANUARY 1, 2020 (THE "ADOPTION DATE"). HE RECEIVED THE FOLLOWING DISTRIBUTION DURING 2022: DR. JOHN FISHER: $43,645 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION PERFORMS THE NON-MEDICAL ADMINISTRATIVE, CLERICAL, AND SUPPORT STAFF FUNCTIONS, SPECIFICALLY INCLUDING RECEPTION AND PATIENT SCHEDULING, AND ALL OTHER NECESSARY AND APPROPRIATE NON-PROFESSIONAL SERVICES RELATING TO THE OPERATION OF A MEDICAL FOUNDATION. |
| FORM 990, PART VI, SECTION A, LINE 6 | AS OF APRIL 1, 2020, THE ORGANIZATION SHALL HAVE ONE (1) MEMBER ("MEMBER") WITHIN THE MEANING OF SECTION 5056 OF THE CALIFORNIA NONPROFIT CORPORATION LAW, NAMELY, MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION. SAID MEMBER SHALL HAVE AND BE ENTITLED TO EXERCISE FULLY ALL RIGHTS AND PRIVILEGES OF MEMBERS OF NONPROFIT CORPORATIONS UNDER THE CALIFORNIA NONPROFIT CORPORATION LAW, AS AMENDED, AND UNDER ALL APPLICABLE LAWS, INCLUDING ALL VOTING RIGHTS AND THE POWER TO ELECT THE BOARD OF DIRECTORS OF THIS ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS OF APRIL 1, 2020, MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION, THE SOLE MEMBER OF THIS ORGANIZATION UNDER THE CALIFORNIA NONPROFIT CORPORATION LAW, HAS ALL CORRESPONDING STATUTORY RIGHTS AND POWERS OF MEMBERSHIP. IN ADDITION, THE MEMBER HAS THE POWER (WHICH ARE TERMED THE "RESERVED POWERS" OF THE MEMBER) TO TAKE OR APPROVE THE FOLLOWING ACTIONS: (A) APPROVE OR CHANGE THE PURPOSES OF THIS ORGANIZATION; (B) AUTHORIZE THE AMENDMENT OF THE BYLAWS AND ARTICLES OF INCORPORATION OF THIS ORGANIZATION; (C) AUTHORIZE THE BOARD OF DIRECTORS TO AMEND THE BYLAWS, ARTICLES OF INCORPORATION OR OTHER ORGANIZATIONAL DOCUMENTS OF ANY AFFILIATE CONTROLLED BY THIS ORGANIZATION; (D) APPROVE THE FORMATION, MERGER, DISSOLUTION, CONSOLIDATION, DIVESTITURE, CLOSURE, CHANGE IN MEMBERSHIP OR CONTROL AND REORGANIZATION OF EACH DIRECT AFFILIATE CONTROLLED BY THIS ORGANIZATION; (E) FIX THE NUMBER, AND APPOINT AND REMOVE THE DIRECTORS OF THIS ORGANIZATION; (F) APPROVE THE MERGER, CONSOLIDATION, REORGANIZATION OR DISSOLUTION OF THIS ORGANIZATION AND THE DISPOSITION OF THE ASSETS OF THIS ORGANIZATION UPON DISSOLUTION; (G) APPROVE THE ACQUISITION, SALE, LEASE, MORTGAGE, TRANSFER OR OTHER ALIENATION OF REAL OR PERSONAL PROPERTY OF THIS ORGANIZATION; (H) APPROVE THE ORGANIZATION'S ENTERING INTO ANY JOINT VENTURE OR OTHER MATERIAL TRANSACTION; (I) APPROVE THE CAPITAL AND OPERATING BUDGETS OF THIS ORGANIZATION OR ANY AFFILIATE CONTROLLED BY THIS ORGANIZATION; (J) APPROVE GENERAL POLICIES CONCERNING QUALITY OF CARE OBJECTIVES FOR THIS ORGANIZATION IN FURTHERANCE OF CONSISTENCY AMONG ITS AFFILIATES; (K) ESTABLISH POLICIES AND PROCEDURES CONCERNING FINANCE AND RESOURCES FOR THIS ORGANIZATION AND APPROVE ANY PROPOSED ARRANGEMENTS THAT ARE INCONSISTENT WITH SUCH POLICIES OR PROCEDURES; (L) ESTABLISH CRITERIA FOR THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF THIS ORGANIZATION AND APPROVE ANY SUCH PLANS; (M) ESTABLISH AN INTERNAL AUDITING PROGRAM AND APPROVE ANY MATERIAL ELEMENT OF THE INTERNAL AUDITING PROGRAM FOR THIS ORGANIZATION THAT IS INCONSISTENT WITH THE INTERNAL AUDITING PROGRAM ESTABLISHED BY THE MEMBER; (N) APPROVE THE TRANSFER OF FUNDS, BY GIFT OR LOAN, BETWEEN THIS ORGANIZATION AND ONE (1) OR MORE OTHER AFFILIATES OF MLK-LA AND THIS ORGANIZATION TO ANY PERSON OR ENTITY OTHER THAN IN ACCORDANCE WITH CERTAIN THRESHOLDS; AND (O) APPROVE ANY OTHER ACTION BY THIS ORGANIZATION OR ANY AFFILIATE CONTROLLED BY THIS ORGANIZATION THAT HAS BEEN ESTABLISHED BY RESOLUTION OF THE MEMBER AS REQUIRING ITS APPROVAL, INCLUDING, BUT NOT LIMITED TO, ANY APPROVALS OF AUTHORITY NECESSARY TO ENSURE COMPLIANCE WITH ANY CREDIT AGREEMENT, MASTER INDENTURE OR LOAN AGREEMENT TO WHICH THIS ORGANIZATION OR ANY AFFILIATE CONTROLLED BY THIS ORGANIZATION IS A PARTY. |
| FORM 990, PART VI, SECTION A, LINE 7B | AS OF APRIL 1, 2020, THE BYLAWS AND ARTICLES OF INCORPORATION MAY BE AMENDED ONLY BY THE THE ORGANIZATION'S SOLE MEMBER, MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARER IN CONJUNCTION WITH THE ACCOUNTING AND FINANCE STAFF OF MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION. UPON COMPLETION, THE FORM 990 IS THEN DISTRIBUTED TO THE ORGANIZATION'S PRESIDENT/TREASURER/SECRETARY FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE HAVING POWERS DELEGATED BY THE GOVERNING BOARD SHALL, PRIOR TO THEIR ELECTION AND ANNUALLY THEREAFTER, SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT. IN THE EVENT A CONFLICT OF INTEREST MAY OCCUR, INTERESTED PERSONS ARE REQUIRED UNDER THE POLICY TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST TO THE ORGANIZATION'S GOVERNING BOARD OR TO A DULY AUTHORIZED COMMITTEE OF THE GOVERNING BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT, AND ARE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS OF THE TRANSACTION. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE MEETING OF THE GOVERNING BOARD OR COMMITTEE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION DOES NOT COMPENSATE ITS PRESIDENT OR ANY ADDITIONAL OFFICERS OR KEY EMPLOYEES; RATHER, THESE INDIVIDUALS ARE COMPENSATED BY A RELATED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINE 15A AND 15B HAVE BEEN MARKED "NO" AS MANDATED BY THE FORM 990 INSTRUCTIONS. UPON HIRING OF THE CURRENT MEDICAL FOUNDATION CEO, THE HOSPITAL BOARD ENGAGED THE SERVICES OF A COMPENSATION CONSULTING FIRM TO ASSIST THEM IN DETERMINING APPROPRIATE COMPENSATION FOR SUCH AN INDIVIDUAL. AFTER CONSULTATION WITH THE COMPENSATION CONSULTING FIRM, WHICH COMPILED SALARY SURVEYS FOR SIMILAR INDUSTRY ORGANIZATIONS, THE HOSPITAL BOARD SET THE COMPENSATION FOR THE CEO. THE HOSPITAL BOARD ALSO REVIEWS THE COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES OF THE HOSPITAL WITH EXTERNAL COMPENSATION INFORMATION ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | MEDICAL PHYSICIANS: PROGRAM SERVICE EXPENSES 20,916,126. MANAGEMENT AND GENERAL EXPENSES 301,174. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,217,300. CONSULTING FEES: PROGRAM SERVICE EXPENSES 156,478. MANAGEMENT AND GENERAL EXPENSES 104,713. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 261,191. MEDICAL THERAPISTS: PROGRAM SERVICE EXPENSES 17,393. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,393. OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,306,830. MANAGEMENT AND GENERAL EXPENSES 114,610. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,421,440. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 3,024,394. MANAGEMENT AND GENERAL EXPENSES 324,328. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,348,722. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARTIN LUTHER KING JR-LOS ANGELES HEALTHCARE CORPORATION | |||||||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 274658935 | HOSPITAL | CA | 501(C)(3) | LINE 3 | N/A | 0 | |
| MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION | |||||||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 454433505 | CHARITABLE FOUNDATION | CA | 501(C)(3) | LINE 7 | 0 | MLKCH | |
| MARTIN LUTHER KING JR HEALTH ASSOCIATES | |||||||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 844327369 | MEDICAL SERVICES | CA | 501(C)(3) | LINE 3 | 0 | MLKCH | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |