2022-05-11T10:32:28-05:00 2021-06-30 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2020-07-01 952687213 NORTHEAST COMMUNITY CLINIC NORT 6264576900 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 CHRISTOPHER LAU MD EXECUTIVE DIRECTOR 6264576900 2022-05-04 1 CHRISTOPHER LAU MD 999009999 MICHAEL J PETERSON CPA P01833529 2187224705 2022-05-04 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z CHRISTOPHER LAU MD 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 43289921 0 X WWW.NECCCARE.COM X 1971 CA NECC PROVIDES A CONTINUUM OF COMPREHENSIVE HEALTHCARE THROUGH THE PROMOTION OF HEALTH AND DISEASE PREVENTION, EDUCATION, AND COORDINATION OF SERVICES TO MEDICALLY UNDERSERVED AND UNINSURED POPULATIONS OF LOS ANGELES, REGARDLESS OF FINANCIAL STATUS. AS A PREMIER PROVIDER FOR THE AFFORDABLE CARE ACT WE ARE COMMITTED TO TAILORING OUR SERVICES TO THE HEALTHCARE NEEDS OF OUR PATIENTS. 10 10 413 10 -33022 0 8382854 8066505 33595911 34869150 278568 -3709 -137371 -24536 42119962 42907410 0 0 0 0 24366324 23377274 0 0 0 13626794 15182456 37993118 38559730 4126844 4347680 29554503 37692108 8755663 12545588 20798840 25146520 NECC'S MISSION IS TO PROVIDE COMPREHENSIVE, QUALITY HEALTHCARE IN A CULTURALLY SENSITIVE AND LINGUISTICALLY COMPETENT MANNER TO LOW-INCOME, UNDERSERVED, AND INDIGENT PATIENTS IN THE COMMUNITIES OF THE LOS ANGELES REGION, REGARDLESS OF FINANCIAL STATUS. 0 0 30478201 0 34890954 DURING THE REPORTING YEAR, THE NORTHEAST COMMUNITY CLINIC (NECC) OPERATED 16 OUTPATIENT CLINICS IN THE GREATER LOS ANGELES AREA PROVIDING LOW COST PRIMARY HEALTH CARE, BEHAVIORAL HEALTH, AND DENTAL SERVICES TO APPROXIMATELY 37,814 PATIENTS FOR A TOTAL OF 143,198 PATIENT VISITS. ANCILLARY SERVICES PROVIDED TO PATIENTS INCLUDED, LABORATORY, PHARMACY, RADIOLOGY, AND ULTRASOUND SERVICES.NECC OPENED ONE ADDITIONAL MOBILE DENTAL CLINIC SITE TO INCREASE CAPACITY AND EXPANDED THE DENTAL AND MEDICAL SERVICES IN THE LOS ANGELES AREA. THESE NEW PROGRAM SERVICES INCURRED COSTS THAT WERE RECORDED IN 2020/2021 FISCAL YEAR. 30478201 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 63 0 413 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JAN ZHOU 6264576900 2550 W MAIN STREET NO 301 ALHAMBRA CA 91801 MARK GONZALEZ CHAIRPERSON 1.00 X X 0 0 0 IRENE HUERTA VICE-CHAIRPERSON 1.00 X X 0 0 0 DALIA JARAMILLO TREASURER 1.00 X X 0 0 0 MONICA GUARDIAN SECRETARY 1.00 X X 0 0 0 MELISSA AGUILAR DIRECTOR 1.00 X 0 0 0 OCTAVIO FIERROS DIRECTOR 1.00 X 0 0 0 KATRINA MANNING DIRECTOR 1.00 X 0 0 0 RUBY MEDRANO DIRECTOR 1.00 X 0 0 0 ROBERT NAKAHIRO DIRECTOR 1.00 X 0 0 0 GISELLE NAVAR DIRECTOR (THRU NOV 2020) 1.00 X 0 0 0 PATRICIA SANDERS DIRECTOR 1.00 X 0 0 0 CHRISTOPHER T LAU CEO 50.00 X 324481 0 7845 JAN ZHOU FINANCE DIRECTOR 40.00 X 133361 0 28344 KENNETH SHAN WAIN LEE MEDICAL PROVIDER 40.00 X 283196 0 16048 RUBEN MUNOZ MEDICAL PROVIDER 40.00 X 284702 0 7289 JENNIFER SUE AN WAY MEDICAL PROVIDER 40.00 X 277326 0 7266 ESPERANZA RAMIREZ MEDICAL PROVIDER 40.00 X 254168 0 15106 NGAN THUY DINH PHAM MEDICAL PROVIDER 40.00 X 246733 0 17324 1803967 0 99222 43 0 1 0 ACCESS CONTROL SECURITY INC P O BOX 3791 CHATSWORTH CA 91313 SECURITY 927656 SIGNATURE STAFF RESOURCES LLC 2460 NORTH F M 740 HEATH TX 75032 STAFFING RESOURCES 447947 KIMCOMEDIQUEST STAFFING DEPT842023 LOS ANGELES CA 90084 STAFFING RESOURCES 414047 ROTH STAFFING COMPANY 450 N STATE COLLEGE BLVD ORANGE CA 92868 STAFFING RESOURCES 351326 MADY MAINTENANCE 121 E AVE 33 LOS ANGELES CA 90031 JANITORIAL SERVICES 185825 16 770 7768427 297308 978468 8066505 PATIENT SERVICE REVENUE 621110 23053737 23053737 CAPITATION AND INCENTIVES 621110 10678195 10678195 PHARMACY 340B 621110 1137218 1137218 34869150 4958 4958 308919 355259 -46340 -46340 -33022 -13318 18585 27252 -8667 -8667 -8667 21804 21804 21804 42907410 34890954 -33022 -17027 X 480490 480490 19567268 16231316 3335952 1553753 1321649 232104 1775763 1476172 299591 104650 104650 85690 85690 3966047 2452618 1513429 568850 149539 419311 3194612 2525094 669518 38201 7789 30412 49873 49873 180292 178937 1355 1526565 1321717 204848 273127 216686 56441 SUPPLIES AND MINOR EQUI 4338905 3970543 368362 REPAIRS AND MAINTENANCE 450399 383671 66728 TAXES AND LICENSES 294227 190997 103230 DUES AND SUBSCRIPTIONS 108102 108102 2916 1600 1316 38559730 30478201 8081529 0 2293902 1764958 6670808 11052235 4229772 3941365 248947 458627 30366065 10604671 15344780 19761394 606608 606608 60462 30231 99224 76690 29554503 37692108 1708282 2089209 1258128 1086410 33433 52794 5123954 7983645 631866 1333530 8755663 12545588 X 20798840 25146520 20798840 25146520 29554503 37692108 4347680 0 X 0 1 X 1 1 1 X 2242337 3316649 4222381 8382854 8066505 26230726 29926076 32193141 33144839 33595911 34869150 163729117 47167 116334 69846 18558 21804 273709 32215580 35626124 37437066 41997323 42957459 190233552 0 0 0 190233552 369662 321027 313185 284713 313876 1602463 369662 321027 313185 284713 313876 1602463 32585242 35947151 37750251 42282036 43271335 191836015 0.99160 0.98960 0.00840 0.00920 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 2810000 2810000 13172915 2756132 10416783 3249586 948198 2301388 10966371 6813989 4152382 167193 86352 80841 19761394 DUE TO THIRD PARTY REIMBURSEMENT 1333530 1333530 X 43262668 355258 355258 42907410 0 42907410 38698477 355258 355258 38343219 216511 216511 38559730 PART IV, LINE 2B: THE ORGANIZATION HOLDS SECURITY DEPOSITS. PART X, LINE 2: NECC IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE. NECC IS ALSO EXEMPT FROM STATE INCOME TAXES ON RELATED INCOME. FEDERAL AND STATE INCOME TAXES ARE PAID ON NONEXEMPT UNRELATED BUSINESS INCOME IN ACCORDANCE WITH THE CODE. NECC HAS ELECTED FOR NECC HOLDINGS, LLC TO BE TAXED AS A CORPORATION SUBJECT TO FEDERAL AND STATE INCOME TAXES. NECC HAWTHORNE HOLDINGS, LLC, HIPLA1 LLC, AND SFGL HOLDINGS, LLC ARE CLASSIFIED AS DISREGARDED ENTITIES FOR FEDERAL INCOME TAX PURPOSES. MINIMUM ANNUAL TAX FOR THE STATE OF CALIFORNIA IS $800 FOR EACH LLC. CURRENT ACCOUNTING GUIDELINES REQUIRE AN ORGANIZATION TO DETERMINE WHETHER IT IS MORE LIKELY THAN NOT THAT A TAX POSITION WILL BE SUSTAINED UPON EXAMINATION OF THE TECHNICAL MERITS OF THE POSITION, ASSUMING THE TAXING AUTHORITY HAS FULL KNOWLEDGE OF ALL INFORMATION. IF THE TAX POSITION DOES NOT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD, THE BENEFIT OF THAT POSITION IS NOT RECOGNIZED IN THE FINANCIAL STATEMENTS. NECC RECORDED NO ASSETS OR LIABILITIES RELATED TO UNCERTAIN TAX POSITIONS. TAX RETURNS FOR TAX YEARS 2018 AND BEYOND REMAIN SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 355,258. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 355,258. PART XII, LINE 4B - OTHER ADJUSTMENTS: NECC HOLDINGS RENTAL INCOME 442,715. NECC HOLDINGS EXPENSES -226,204. X X 0 0 0 0 0 0 0 0 0 CHRISTOPHER T LAU CEO 324481 0 0 0 0 0 0 0 7845 0 332326 0 0 0 KENNETH SHAN WAIN LEE MEDICAL PROVIDER 283196 0 0 0 0 0 0 0 16048 0 299244 0 0 0 RUBEN MUNOZ MEDICAL PROVIDER 284702 0 0 0 0 0 0 0 7289 0 291991 0 0 0 JENNIFER SUE AN WAY MEDICAL PROVIDER 277326 0 0 0 0 0 0 0 7266 0 284592 0 0 0 ESPERANZA RAMIREZ MEDICAL PROVIDER 254168 0 0 0 0 0 0 0 15106 0 269274 0 0 0 NGAN THUY DINH PHAM MEDICAL PROVIDER 246733 0 0 0 0 0 0 0 17324 0 264057 0 0 0 JAN ZHOU FINANCE DIRECTOR 133361 0 0 0 0 0 0 0 28344 0 161705 0 0 0 X 1 978468 FMV 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS DISTRIBUTED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY COVERS ALL BOARD MEMBERS, EXECUTIVE DIRECTOR, OPERATIONS DIRECTOR, CLINICAL SERVICES DIRECTOR, FINANCE DIRECTOR, ALL PROGRAM DIRECTORS AND MANAGEMENT. ON AN ANNUAL BASIS THESE INDIVIDUALS REVIEW AND SIGN THE CONFLICT OF INTEREST POLICY. THE BOARD REVIEWS ANY POTENTIAL BOARD MEMBER CONFLICTS AND EXECUTIVE DIRECTOR REVIEWS ALL OTHER POTENTIAL CONFLICTS. BOARD MEMBERS CANNOT VOTE ON CONFLICT ITEMS AND OTHER OFFICERS AND DIRECTORS CANNOT MAKE DECISIONS IN AREAS WITH CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE EXECUTIVE AND SENIOR MANAGEMENT OF NECC IS REVIEWED BY THE PERSONNEL COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED BY THE FULL MEMBERSHIP BOARD. ALL COMPENSATION IS CONSISTENT WITH COMPARABLE SALARIES PAID BY SIMILAR ORGANIZATIONS WITHIN THE GREATER LOS ANGELES AREA BASED ON THE ANNUAL SURVEY BY THE COMMUNITY CLINIC ASSOCIATION OF LOS ANGELES COUNTY. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND AUDITED FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MEDICAL CONTRACTED LABOR: PROGRAM SERVICE EXPENSES 334,246. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 334,246. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 907,570. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 907,570. ANCILLARY SERVICES: PROGRAM SERVICE EXPENSES 998,547. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 998,547. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 212,255. MANAGEMENT AND GENERAL EXPENSES 1,513,429. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,725,684. NECC HAWTHORNE HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 465067653 REAL ESTATE HOLDING COMPANY CA 858157 4432506 NORTHEAST COMMUNITY CLINIC HIPLA1 LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 851929339 REAL ESTATE HOLDING COMPANY CA 0 5000 NORTHEAST COMMUNITY CLINIC SFGL HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 862469572 REAL ESTATE HOLDING COMPANY CA 95549 5176187 NORTHEAST COMMUNITY CLINIC NECC HOLDINGS LLC 2550 W MAIN STREET STE 301 ALHAMBRA CA 91801 271930203 REAL ESTATE HOLDING COMPANY CA NORTHEAST COMMUNITY CLINIC C 442715 3186614 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 NECC HOLDINGS LLC K 442715 FMV