LA HEALTH FOUNDATION: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- LA HEALTH FOUNDATION (EIN 47-0864952)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-03-06
- IRS object ID
- 202330659349300113
- Schema version
- 2021v4.0
- 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 | 2023-03-06T15:12:32-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 113335534 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SHAPIRO GOLDSTEIN MOSES & ARTUSO LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7600 JERICHO TPKE STE 200 | AddressLine1Txt |
| City | WOODBURY | CityNm |
| State Abbreviation | NY | StateAbbreviationCd |
| ZIP | 11797 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 470864952 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | LA HEALTH FOUNDATION | BusinessNameLine1Txt |
| Business Name Line2 | FKA COPE HEALTH SOLUTIONS | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | LAHE | BusinessNameControlTxt |
| Phone | 2132590245 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 S OLIVE STREET NUMBER 1200 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELVIA FOULKE | PersonNm |
| Person Title | CHAIR | PersonTitleTxt |
| Phone | 2132590245 | PhoneNum |
| Signature | 2023-03-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ELVIA | PersonFirstNm |
| Person Last | FOULKE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | XXX-XX-XXXX | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KENNETH L GOLDSTEIN | PreparerPersonNm |
| PTIN | P00357323 | PTIN |
| Phone | 5169320404 | PhoneNum |
| Preparation | 2023-03-06 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ELVIA FOULKE | PrincipalOfficerNm |
| Gross Receipts | $131,077 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2002 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | MAKING COMMUNITIES IN LOS ANGELES COUNTY HEALTHIER THROUGH VARIOUS PROGRAMS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $522,023 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $121,815 | CYProgramServiceRevenueAmt |
| PY Investment Income | $15,818 | PYInvestmentIncomeAmt |
| CY Investment Income | $9,227 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,021 | PYOtherRevenueAmt |
| CY Other Revenue | $35 | CYOtherRevenueAmt |
| PY Total Revenue | $543,862 | PYTotalRevenueAmt |
| CY Total Revenue | $131,077 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $555,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $375,000 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $554,547 | PYOtherExpensesAmt |
| CY Other Expenses | $142,642 | CYOtherExpensesAmt |
| PY Total Expenses | $1,109,547 | PYTotalExpensesAmt |
| CY Total Expenses | $517,642 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$565,685 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$386,565 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $914,727 | TotalAssetsBOYAmt |
| Total Assets EOY | $538,819 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $160,278 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $170,935 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $754,449 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $367,884 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MAKING COMMUNITIES IN LOS ANGELES COUNTY HEALTHIER THROUGH VARIOUS PROGRAMS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $490,128 | ExpenseAmt |
| Grant | $375,000 | GrantAmt |
| Revenue | $121,815 | RevenueAmt |
| Desc | : LA HEALTH FOUNDATION ESTABLISHED THE HEALTH SCHOLARS PROGRAM ("HSP") A NUMBER OF YEARS AGO TO PROVIDE INNOVATIVE WORKFORCE DEVELOPMENT, RECRUITMENT AND RETENTION SERVICES THAT LINK HEALTH CARE PROVIDERS WITH A PIPELINE OF HEALTH PROFESSIONALS. THE TAILORED AND COST- EFFECTIVE WORKFORCE PIPELINE STRATEGIES REDUCE NEW-HIRE TURNOVER RATES, CULTIVATE A QUALIFIED WORKFORCE THAT IS REFLECTIVE OF THE COMMUNITY AND BRIDGE THE GAP BETWEEN ACADEMIC TRAINING AND HEALTH PRACTICE. THE FOUNDATION SOLD THE HSP DURING THE YEAR ENDED 6/30/20 BUT HAS RETAINED HSP PROJECTS WHICH ARE BEING IMPLEMENTED UTILIZING THE RESOURCES OF THE PURCHASED UNDER AN ADMINISTRATIVE SERVICES AGREEMENT. | Desc |
| Total Program Service Expenses | $490,128 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | false | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ELVIA FOULKE | PersonNm |
| Phone | 2135422210 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 S OLIVE STREET | AddressLine1Txt |
| Address Line2 | SUITE 1200 | AddressLine2Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| No Listed Persons Compensated | Yes (X) | NoListedPersonsCompensatedInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (8 entries)
| TitleTitleTxt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd |
|---|---|---|---|---|---|
| MARTIN ANDERSON | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| JOHN COLEMAN | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ROLAND FARGO | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ELVIA FOULKE | |||||
| CHAIR | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RON HALBERT | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| NAT HUTTON | |||||
| SECRETARY | Yes (X) | $0 | $0 | $0 | Yes (X) |
| RICHARD LOPATT | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| ROBBY MORRIS | |||||
| BOARD MEMBER | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | false | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COPE HEALTHCARE CONSULTING INC | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1150 S OLIVE STREET | AddressLine1Txt |
| Address Line2 | SUITE 1200 | AddressLine2Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | MGMT SERVICES | ServicesDesc |
| Compensation | $115,128 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CONSULTING CONTRACT REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $121,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,815 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $121,815 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $9,227 | TotalRevenueColumnAmt |
| Exclusion | $9,227 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Total Revenue Column | $35 | TotalRevenueColumnAmt |
| Exclusion | $35 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $35 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $131,077 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,815 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $9,262 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,000 | TotalAmt |
| Program Services | $375,000 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,500 | TotalAmt |
| Management And General | $7,500 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,000 | TotalAmt |
| Management And General | $18,000 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $85 | TotalAmt |
| Management And General | $85 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,929 | TotalAmt |
| Management And General | $1,929 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROGRAM SERVICE FEES | Desc |
| Total | $115,128 | TotalAmt |
| Program Services | $115,128 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,642 | TotalAmt |
| Program Services | $490,128 | ProgramServicesAmt |
| Management And General | $27,514 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,311 | BOYAmt |
| EOY | $538,819 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,366 | BOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,618 | BOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $110 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,322 | BOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $914,727 | BOYAmt |
| EOY | $538,819 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,278 | BOYAmt |
| EOY | $124,999 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $45,936 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $160,278 | BOYAmt |
| EOY | $170,935 | 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 | $754,449 | BOYAmt |
| EOY | $367,884 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $754,449 | BOYAmt |
| EOY | $367,884 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $914,727 | BOYAmt |
| EOY | $538,819 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$386,565 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,069,126 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $538,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $574,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $522,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,185 | CurrentTaxYearAmt |
| Total | $2,825,727 | TotalAmt |
Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $35 | CurrentTaxYearAmt |
| Total | $35 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,069,126 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $538,662 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $574,731 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $522,023 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,220 | CurrentTaxYearAmt |
| Total | $2,825,762 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $2,825,762 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,749 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,078 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,227 | CurrentTaxYearAmt |
| Total | $129,565 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,749 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $39,693 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $31,078 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,818 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $9,227 | CurrentTaxYearAmt |
| Total | $129,565 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $12,540 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,842 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $6,021 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $35 | CurrentTaxYearAmt |
| Total | $26,438 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,102,875 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $590,895 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $613,651 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $543,862 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $130,482 | CurrentTaxYearAmt |
| Total | $2,981,765 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.94770 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97800 | PublicSupportPY509Pct |
| Investment Income CY | 0.04000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02000 | InvestmentIncomePYPct |
| 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 | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | MISCELLANEIOUS 26,438 | ExplanationTxt |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO RELATED PARTY | Desc |
| Amt | $45,936 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $45,936 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| ONEGENERATION | |||||||
| 17400 VICTORY BOULEVARD | LOS ANGELES | CA | 91406 | 954066979 | 501C3 | $125,000 | HEALTH IMPROVEMENT |
| PIH HEALTH HOSPITAL | |||||||
| 12401 WASHINGTON BOULEVARD | WHITTIER | CA | 90602 | 951934652 | 50C3 | $125,000 | HEALTH IMPROVEMENT |
| CHILDREN'S HOSPITAL LOS ANGELES | |||||||
| 4650 SUNSET BOULEVARD | LOS ANGELES | CA | 90027 | 951690977 | 501C3 | $125,000 | CHILD HEALTH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE I, PAGE 1, PART I, LINE 2 | MULTI-YEAR GRANTS WILL BE EVALUATED AT THE END OF EACH YEAR. IF PROJECT GOALS ARE UNMET, SUBSEQUENT FUNDING MY BE REVOKED. ANY PROPOSED MATERIAL CHANGE, ADDITIONS, OR DELETIONS TO ANY PART OF THE DELIVERABLES, GOALS, OBJECTIVES, ACTIVITIES, TIMETABLE, OR BUDGET FOR THE GRANT AS ORIGINALLY APPROVED BY THE FOUNDATION MUST BE REQUESTED IN ADVANCE IN WRITING BY THE GRANTEE AND APPROVAL THEREOF WILL BE AT THE FOUNDATION'S SOLE DISCRETION. WITHIN THIRTY DAYS FOLLOWING THE TWELVE MONTH PERIOD THEREAFTER UNTIL THE GRANT IS FULLY EXPENDED, AND FOLLOWING THE EXPENDITURE OF ALL GRANT FUNDS, GRANTEE SHALL PROVIDE TO THE FOUNDATION A WRITTEN REPORT THAT DESCRIBES THE SPECIFIC EXPENDITURES OF THE GRANT FUNDS AND THE USE OF THE GRANT FUNDS FOR THE APPROVED GRANT PURPOSES. |
| SCHEDULE I, PAGE 4, PART IV | THE PURPOSE OF THE GRANTS MADE IS TO IMPROVE THE PANDEMIC RESPONSE, THE WELL BEING OF INDIVDUALS WITH GREAT NEED, TO SUPPORT HEALTH EDUCATION PROGRAMS, AND TO SUPPORT HEALTH RELATED ORGANIZATIONS IN IMPROVING SERVICES AND EDUCATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | COPE HEALTHCARE CONSULTING INC | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | FORMER OFFICERS | RelationshipDescriptionTxt |
| Transaction | $115,128 | TransactionAmt |
| Transaction | ADMIN SERVICES | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART V | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART II: LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF PERSON: COPE HEALTHCARE CONSULTING INC. ("CHC"). (B) RELATIONSHIP WITH ORGANIZATION: FORMER OFFICERS OF ORGANIZATION ARE NOW SHAREHOLDERS AND OFFICERS OF CHC (C) PURPOSE OF LOAN: IN CONNECTION WITH THE ASSET SALE TRANSACTION. SCHEDULE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: (A) NAME OF PERSON: COPE HEALTHCARE CONSULTING INC. ("CHC"). (B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION:FORMER OFFICERS OF ORGANIZATION ARE NOW SHAREHOLDERS AND OFFICERS OF CHC (C) DESCRIPTION OF TRANSACTION: ADMINISTRATIVE SERVICES | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PAGE 6, PART VI, LINE 3 | THE ORGANIZATION ENTERED INTO AN ADMINISTRATIVE SERVICES AGREEMENT WITH COPE HEALTHCARE CONSULTING INC. ("CHC") ON JULY 29, 2016 WHEREBY CHC WILL PROVIDE PERSONNEL AND OTHER SERVICES TO MANAGE AND ADMINISTER THE ORGANIZATION'S OPERATIONS FOR A TERM OF SEVEN YEARS. ULTIMATE GOVERNANCE RESPONSIBILITIES AND OVERSIGHT REMAIN THE RESPONSIBILITY OF THE ORGANIZATION'S OFFICERS AND BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE INFORMATIONAL RETURN WAS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND WAS REVIEWED AND APPROVED BY THE BOARD CHAIR. ONCE APPROVED BY THE BOARD CHAIR, THE RETURN WAS PROVIDED TO THE REST OF THE BOARD PRIOR TO BEING FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | ALL PROSPECTIVE NEW MEMBERS OF THE FOUNDATION BOARD OF DIRECTORS MUST SUBMIT A DISCLOSURE LETTER OUTLINING ANY POTENTIAL CONFLICTS OF INTEREST OR APPEARANCE OF SAME PRIOR TO BEING ELECTED TO THE BOARD. ALL CURRENT BOARD MEMBERS MUST PROVIDE THE SAME ANNUALLY AT THE BEGINNING OF EACH FISCAL YEAR, WITH ADDITIONAL WRITTEN DISCLOSURES AS FURTHER CONFLICTS ARISE. DISCLOUSRE LETTERS WILL BE SENT BY E-MAIL OR HARD COPY TO THE CHAIR OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND INFORMATIONAL RETURNS AVAILABLE TO THE PUBLIC THROUGH WWW.GUIDESTAR.ORG, A PUBLIC WEBSITE. |
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