MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION (EIN 45-4433505)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-13
- IRS object ID
- 202201339349303210
- Schema version
- 2020v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-13T10:09:32-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | 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 W OXNARD ST 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 | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454433505 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR COMMUNITY HEALTH | BusinessNameLine1Txt |
| Business Name Line2 | FOUNDATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MART | BusinessNameControlTxt |
| Phone | 4243388686 | 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 |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DYAN SUBLETT | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 4243388686 | PhoneNum |
| Signature | 2022-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DYAN | PersonFirstNm |
| Person Last | SUBLETT | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
| Preparation | 2022-05-11 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DYAN SUBLETT | PrincipalOfficerNm |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,665,325 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MLK-CHF.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2011 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO GATHER AND STEWARD RESOURCES IN SUPPORT OF THE MISSION, VISION AND VALUES OF THE MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL AND THE COMMUNITY IT SERVES. THE FOUNDATION SUPPORTS INITIATIVES THAT WILL CREATE AN IMPACT IN HEALTH ACCESS, AND PROVIDES RESOURCES FOR HOSPITAL SERVICES AND PROGRAMS. WITH THE HOSPITAL, THE FOUNDATION WORKS TO ENSURE POSITIVE LONG-TERM HEALTH OUTCOMES FOR THE SOUTH LOS ANGELES COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 10 | VotingMembersIndependentCnt |
| Total Employee | 9 | TotalEmployeeCnt |
| Total Volunteers | 12 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $16,578,508 | PYContributionsGrantsAmt |
| CY Contributions Grants | $8,207,461 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $373,405 | PYInvestmentIncomeAmt |
| CY Investment Income | $431,944 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$326,941 | PYOtherRevenueAmt |
| CY Other Revenue | -$388,519 | CYOtherRevenueAmt |
| PY Total Revenue | $16,624,972 | PYTotalRevenueAmt |
| CY Total Revenue | $8,250,886 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $16,537,967 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $9,125,525 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $1,231,339 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,642,090 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $85,201 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $102,707 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,042,683 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $906,046 | PYOtherExpensesAmt |
| CY Other Expenses | $793,657 | CYOtherExpensesAmt |
| PY Total Expenses | $18,760,553 | PYTotalExpensesAmt |
| CY Total Expenses | $11,663,979 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,135,581 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$3,413,093 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $37,598,953 | TotalAssetsBOYAmt |
| Total Assets EOY | $43,323,066 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,706,255 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $37,493,461 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,892,698 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,829,605 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,125,525 | ExpenseAmt |
| Grant | $9,125,525 | GrantAmt |
| Desc | SEE SCHEDULE OTHE FOUNDATION: ACHIEVED $8.2MM IN CONTRIBUTED REVENUE FOR THE HIGHEST PRIORITIES OF MLK COMMUNITY HEALTHCARE, INCLUDING THE ADDITION OF INFECTIOUS DISEASE DOCTORS AND PSYCHIATRISTS TO THE MLK COMMUNITY MEDICAL GROUP IN RESPONSE TO THE CONTINUING PANDEMIC AND GROWING BEHAVIORAL HEALTH NEEDS IN SOUTH LOS ANGELES; PROVIDED PHILANTHROPIC SUPPORT FOR THE MLKCH COMMUNITY VACCINATION CAMPAIGN, DELIVERING 50,000 DOSES TO COMMUNITY MEMBERS IN HOUSING PROJECTS, CHURCHES, GROCERY STORE PARKING LOTS, SHOPPING MALLS AND SCHOOLS; SECURED FUNDING TO LAUNCH A STREET MEDICINE PROGRAM, OFFERING CARE TO MLKCH UNHOUSED PATIENTS, IN PARTNERSHIP WITH THE STREET MEDICINE INSTITUTE AT THE KECK/USC SCHOOL OF MEDICINE; PRODUCED THE DREAM SHOW, A FILM CELEBRATING THE DIVERSITY, STRENGTH AND RESILIENCE OF SOUTH LOS ANGELES, BROADCAST TO A VIEWER AUDIENCE OF 33,000 ON THE MARTIN LUTHER KING, JR. HOLIDAY WEEKEND. | Desc |
| Total Program Service Expenses | $9,125,525 | 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 | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | 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 | Yes (1) | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | 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 | 15 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 9 | 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 | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 10 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | 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 | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 | DYAN SUBLETT | PersonNm |
| Phone | 4243388686 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| DR ELAINE BATCHLOR | ||||||||
| BOARD MEMBER (SEE SCH J, PART III) | 2.00 | 40.00 | Yes (X) | $0 | $1,754,575 | $32,665 | ||
| JOHN E KOBARA | ||||||||
| BOARD CHAIR | 6.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| ROBERT MARGOLIS MD | ||||||||
| BOARD SECRETARY | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DENISE PINES | ||||||||
| BOARD TREASURER | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| MANUEL A ABASCAL JD | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRAD ARMSTRONG | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE CORWIN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL KING | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| RICH LEIB | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| LARRY M ROSEN | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| JEFF WALKER | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| KYLE WALTON | ||||||||
| BOARD MEMBER | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| DYAN SUBLETT | ||||||||
| PRESIDENT (SEE SCHEDULE J, PART III) | 40.00 | 1.00 | $0 | $666,401 | $38,869 | Yes (X) | ||
| CELESTE DAVIES | ||||||||
| DIRECTOR PROSPECT RESEARCH | 40.00 | $0 | $134,435 | $24,608 | Yes (X) | |||
| LISA BAXTER | ||||||||
| DIRECTOR MAJOR GIFTS | 40.00 | $0 | $172,135 | $16,659 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,727,546 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $112,801 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RM DESIGN STUDIO INC | |||||
| 4207 SE WOODSTOCK BLVD 522 | PORTLAND | OR | 972066267 | MARKETING AND COMMUNICATIONS | $369,559 |
| EDDIE DELBRIDGE PRODUCTIONS INC (LIVE | |||||
| 13112 SAINT MARKS DR | SANTA ANA | CA | 92705 | VIDEO PRODUCTION | $196,034 |
| PRODUCTION ELEMENTS INC | |||||
| 5777 WEST PICO BOULEVARD | LOS ANGELES | CA | 90019 | EVENT PRODUCTION AND CATERING | $159,557 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $562,100 | FundraisingAmt |
| Related Organizations | $1,904,381 | RelatedOrganizationsAmt |
| Government Grants | $450,000 | GovernmentGrantsAmt |
| All Other Contributions | $5,290,980 | AllOtherContributionsAmt |
| Total Contributions | $8,207,461 | TotalContributionsAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $431,944 | TotalRevenueColumnAmt |
| Exclusion | $431,944 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,920 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $562,100 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $414,439 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$388,519 | TotalRevenueColumnAmt |
| Exclusion | -$388,519 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,250,886 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $43,425 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,125,525 | TotalAmt |
| Program Services | $9,125,525 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,320 | TotalAmt |
| Management And General | $358,160 | ManagementAndGeneralAmt |
| Fundraising | $358,160 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $727,789 | TotalAmt |
| Fundraising | $727,789 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,062 | TotalAmt |
| Fundraising | $21,062 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,073 | TotalAmt |
| Fundraising | $103,073 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,846 | TotalAmt |
| Fundraising | $73,846 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,801 | TotalAmt |
| Management And General | $7,801 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,100 | TotalAmt |
| Management And General | $2,100 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,707 | TotalAmt |
| Fundraising | $102,707 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,095 | TotalAmt |
| Management And General | $127,710 | ManagementAndGeneralAmt |
| Fundraising | $188,385 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $391,286 | TotalAmt |
| Fundraising | $391,286 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,824 | TotalAmt |
| Fundraising | $59,824 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400 | TotalAmt |
| Fundraising | $400 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,011 | TotalAmt |
| Fundraising | $11,011 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,791 | TotalAmt |
| Fundraising | $3,791 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,349 | TotalAmt |
| Fundraising | $1,349 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,663,979 | TotalAmt |
| Program Services | $9,125,525 | ProgramServicesAmt |
| Management And General | $495,771 | ManagementAndGeneralAmt |
| Fundraising | $2,042,683 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,712,226 | BOYAmt |
| EOY | $2,343,289 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91 | BOYAmt |
| EOY | $91 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,932,695 | BOYAmt |
| EOY | $3,172,076 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,576,725 | BOYAmt |
| EOY | $37,451,725 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,461 | BOYAmt |
| EOY | $143,594 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $28,493 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $22,969 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,873 | BOYAmt |
| EOY | $5,524 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $233,882 | BOYAmt |
| EOY | $206,767 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,598,953 | BOYAmt |
| EOY | $43,323,066 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,530 | BOYAmt |
| EOY | $41,736 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,576,725 | BOYAmt |
| EOY | $37,451,725 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,706,255 | BOYAmt |
| EOY | $37,493,461 | 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 | $952,223 | BOYAmt |
| EOY | $1,251,112 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,940,475 | BOYAmt |
| EOY | $4,578,493 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,892,698 | BOYAmt |
| EOY | $5,829,605 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,598,953 | BOYAmt |
| EOY | $43,323,066 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$3,413,093 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $350,000 | 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) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,877,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,363,587 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,043,748 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,578,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,207,461 | CurrentTaxYearAmt |
| Total | $49,070,754 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,877,450 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $13,363,587 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $7,043,748 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $16,578,508 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,207,461 | CurrentTaxYearAmt |
| Total | $49,070,754 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $14,090,297 | SubstantialContributorsTotAmt |
| Public Support Total170 | $34,980,457 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $187,240 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $203,186 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $232,028 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $373,405 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $431,944 | CurrentTaxYearAmt |
| Total | $1,427,803 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $50,498,557 | TotalSupportAmt |
| Public Support CY170 | 0.69270 | PublicSupportCY170Pct |
| Public Support PY170 | 0.67330 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
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
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,493 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,969 | DepreciationAmt |
| Book Value | $5,524 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,524 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DUE TO MLKCH - NMTC FINANCING | Desc |
| Amt | $37,451,725 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $37,451,725 | 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, 2021 OR 2020. THE COMPANY IS SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR ALL YEARS SINCE INCEPTION FOR FEDERAL AND STATE TAX FILINGS. | ExplanationTxt |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Mail Solicitations | Yes (X) | MailSolicitationsInd |
| Email Solicitations | Yes (X) | EmailSolicitationsInd |
| Solicitation Of Non Govt Grants | Yes (X) | SolicitationOfNonGovtGrantsInd |
| Solicitation Of Govt Grants | Yes (X) | SolicitationOfGovtGrantsInd |
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | Yes (1) | AgrmtProfFundraisingActyInd |
Fundraiser Activity Info FundraiserActivityInfoGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIREFLY INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2205 MORENO DRIVE | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90039 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activity | GRANT WRITING | ActivityTxt |
| Fundraiser Control Of Funds | 0 | FundraiserControlOfFundsInd |
| Gross Receipts | $5,193,025 | GrossReceiptsAmt |
| Retained By Contractor | $102,707 | RetainedByContractorAmt |
| Net To Organization | $5,090,318 | NetToOrganizationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Gross Receipts | $5,193,025 | TotalGrossReceiptsAmt |
| Total Retained By Contractors | $102,707 | TotalRetainedByContractorsAmt |
| Total Net To Organization | $5,090,318 | TotalNetToOrganizationAmt |
| Licensed States | CA | LicensedStatesCd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | DREAM SHOW | Event1Nm |
| Gross Receipts Event1 | $588,020 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $562,100 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $25,920 | GrossRevenueEvent1Amt |
| Other Direct Expenses Event1 | $414,439 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $588,020 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $562,100 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,920 | GrossRevenueTotalEventsAmt |
| Oth Direct Expnss Total Events | $414,439 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $414,439 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$388,519 | NetIncomeSummaryAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| MARTIN LUTHER KING JR-LOS ANGELES HEALTHCARE CORPORATION | |||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 274658935 | 501(C)(3) | $2,888,025 | LEASEHOLD IMPROVEMENTS, ENDOSCOPY SUITE, NURSE TRAINING, AND EMERGENCY RELIEF |
| MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION | |||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 812455970 | 501(C)(3) | $6,237,500 | SUPPORT FOR MLK CMG, DIABETES CENTER OF EXCELLENCE, BEHAVIORAL HEALTH PROGRAM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION REQUIRES REPORTS FROM MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION AND MARTIN LUTHER KING, JR. COMMUNITY MEDICAL FOUNDATION; THESE REPORTS DETAIL OUT THE AMOUNT OF GRANTS GIVEN TO EACH ORGANIZATION, AS WELL AS HOW EACH ORGANIZATION HAS UTILIZED THOSE FUNDS IN ITS OPERATIONS. | 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 (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ELAINE BATCHLOR | ||||||||||||||
| BOARD MEMBER (SEE SCH J, PART III) | $0 | $573,203 | $0 | $519,015 | $0 | $662,357 | $0 | $11,400 | $0 | $21,265 | $0 | $1,787,240 | $0 | $0 |
| DYAN SUBLETT | ||||||||||||||
| PRESIDENT (SEE SCHEDULE J, PART III) | $0 | $336,591 | $0 | $133,217 | $0 | $196,593 | $0 | $11,400 | $0 | $27,469 | $0 | $705,270 | $0 | $0 |
| LISA BAXTER | ||||||||||||||
| DIRECTOR MAJOR GIFTS | $0 | $153,384 | $0 | $18,751 | $0 | $0 | $0 | $5,242 | $0 | $11,417 | $0 | $188,794 | $0 | $0 |
| CELESTE DAVIES | ||||||||||||||
| DIRECTOR PROSPECT RESEARCH | $0 | $116,749 | $0 | $17,232 | $0 | $454 | $0 | $4,860 | $0 | $19,748 | $0 | $159,043 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE ORGANIZATION'S PRESIDENT IS COMPENSATED BY MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION, A RELATED ORGANIZATION; COMPENSATION FOR THE PRESIDENT IS DETERMINED VIA A COMPENSATION SURVEY OR STUDY AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. |
| PART I, LINE 4B | ELAINE BACHELOR - $652,107 DYAN SUBLETT - $195,803 EXECUTIVE COMPENSATION REFLECTS A ONE-TIME PAYMENT RELATED TO A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. DURING THE START-UP PERIOD FOR THE HOSPITAL'S OPENING AND ESTABLISHMENT OF A HEALTH SYSTEM, THE RETIREMENT PLAN FOR MLKCH EXECUTIVES WAS DEFERRED. THE MLK-LA BOARD OF DIRECTORS VOTED TO INITIATE THIS PLAN IN FISCAL YEAR 2021 AND TO RECOGNIZE PREVIOUS SERVICE IN A MAKE-UP AWARD. THE FIRM OF SULLIVAN COTTER WAS ENGAGED TO RECOMMEND AND DESIGN THE EXECUTIVE RETIREMENT PLAN FOR MLK COMMUNITY HEALTHCARE. THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) CATCH PAYMENTS IS 37% OF DR. ELAINE BACHELOR AND DYAN SUBLETT'S COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1, DESCRIPTION OF ORGANIZATION MISSION: | TO GATHER AND STEWARD RESOURCES IN SUPPORT OF THE MISSION, VISION AND VALUES OF THE MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL AND THE COMMUNITY IT SERVES. THE FOUNDATION SUPPORTS INITIATIVES THAT WILL CREATE AN IMPACT IN HEALTH ACCESS, AND PROVIDES RESOURCES FOR HOSPITAL SERVICES AND PROGRAMS. WITH THE HOSPITAL, THE FOUNDATION WORKS TO ENSURE POSITIVE LONG-TERM HEALTH OUTCOMES FOR THE SOUTH LOS ANGELES COMMUNITY. |
| FORM 990, PART VI, SECTION A, LINE 6 | MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION (MLK-LA HC) IS THE ORGANIZATION'S SOLE CORPORATE MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE APPOINTED BY THE SOLE CORPORATE MEMBER, MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION (MLK-LA HC). |
| FORM 990, PART VI, SECTION A, LINE 7B | THE FOLLOWING GOVERNANCE DECISIONS MUST BE SUBMITTED TO AND RECEIVE APPROVAL OF MLK-LA HC, THE ORGANIZATION'S SOLE CORPORATE MEMBER: (I) THE AMENDMENT, OR RESTATEMENT OF THE CORPORATION'S ARTICLES OF INCORPORATION OR BYLAWS, (II) THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE CORPORATION, AND (III) THE BORROWING OF FUNDS EXCEEDING $20,000. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX PREPARER IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. A DRAFT FORM 990 IS REVIEWED BY THE ORGANIZATION'S PRESIDENT; ADJUSTMENTS ARE MADE, AS NECESSARY. THE FORM 990 IS THEN PROVIDED ELECTRONICALLY TO ALL MEMBERS OF THE BOARD FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS AND OFFICERS, INCLUDING THE FOUNDATION PRESIDENT, READ THE POLICY AND ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT FOR MEMBERS OF THE BOARD AND OFFICERS. POTENTIAL CONFLICTS, AS THEY ARE DISCLOSED, ARE BROUGHT BEFORE THE BOARD, DISCUSSED (AFTER THE PERSON WITH THE DISCLOSED POTENTIAL CONFLICT LEAVES THE BOARD MEETING), AND RESOLVED TO THE BOARD'S SATISFACTION. BOARD MEMBERS, OFFICERS, AND THE PRESIDENT CAN UPDATE THEIR CONFLICTS OF INTEREST DISCLOSURE AND CERTIFICATION FORM AT ANY TIME AND SUBMIT IT TO THE SECRETARY OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE PRESIDENT'S SALARY IS REVIEWED ANNUALLY BY AN ANNUAL FIRM. HUMAN RESOURES DIRECTS THIS PROCESS AND REPORTS TO THE HEALTH SYSTEM BOARD IN EXECUTIVE SESSION ON THE RESULTS. FOR TAX YEAR 6/30/2021, THE PRESIDENT'S SALARY WAS ADJUSTED. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VII, SECTION A, COLUMN B AND SCHEDULE J: | DR. ELAINE BATCHLOR IS A MEMBER OF THE BOARD OF MARTIN LUTHER KING, JR. COMMUNITY HEALTH FOUNDATION. SHE DEVOTES AN AVERAGE OF TWO HOURS PER WEEK RELATING TO HER ACTIVITIES ASSOCIATED WITH SERVING ON THE BOARD OF DIRECTORS. THE REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHCEDULE J IS RELATED TO HER POSITION OF CHIEF EXECUTIVE OFFICER OF MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION AND IS UNRELATED TO THE AVERAGE NUMBER OF HOURS PER WEEK SHE DEVOTES TO MARTIN LUTHER KING, JR. COMMUNITY HEALTH FOUNDATION. |
| FORM 990, PART VII, SECTION A AND FORM 990, PART IX: | THE FOUNDATION DOES NOT HAVE EMPLOYEES; RATHER, ALL INDIVIDUALS REPORTED ON FORM 990, PART VII ARE COMPENSATED BY MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION (MLKCH), A RELATED ORGANIZATION AND COMMON PAYMASTER. THE FOUNDATION REPORTS AN ALLOCATION OF SALARIES AND BENEFITS FROM MLKCH ON ITS FINANCIAL STATEMENTS, WHICH IS THE BASIS FOR REPORTING ON FORM 990, PART IX, LINES 5, 7, 8, 9, AND 10. |
| FORM 990, PART XI, LINE 9: | CONSOLIDATED FINANCIAL STATEMENT GRANT TO MLKHC ADJUSTMENT 350,000. |
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) | 3 | N/A | 0 | |
| MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION | |||||||||||
| 2251 WEST ROSECRANS AVENUE SUITE 18 | COMPTON | CA | 90222 | 812455970 | HEALTHCARE FOR LOW INCOME POPULATIONS | CA | 501(C)(3) | 10 | 0 | MLKCH | |
| MARTIN LUTHER KING JR HEALTH ASSOCIATES | |||||||||||
| 1680 E 120TH STREET | LOS ANGELES | CA | 90059 | 844327369 | MEDICAL SERVICES | CA | 501(C)(3) | 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 | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Comments