2022-05-16T12:55:46-05:00 2021-06-30 951777440 GREEN HASSON & JANKS LLP 700 SOUTH FLOWER STREET SUITE 3300 LOS ANGELES CA 90017 990 2020-07-01 237351622 THE CLINIC INC THEC 3237301920 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 CLIFFORD SHIEPE PRESIDENT AND CEO 3237301920 2022-05-13 1 CLIFFORD SHIEPE 999009999 LIZBETH G NEVAREZ P01399868 3108731600 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z THE HEALTH AND WELLNESS CENTERS INC CLIFFORD SHIEPE 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 19514619 0 X TOHELPEVERYONE.ORG X 1974 CA TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. 12 12 171 12 0 0 5756091 7589970 9416316 11902361 102 1175 8837 21113 15181346 19514619 0 0 0 0 8745351 9129597 0 0 610152 5827163 6594925 14572514 15724522 608832 3790097 11538091 14004260 5059101 3735173 6478990 10269087 X TO PROVIDE HIGH QUALITY, CUSTOMER-FRIENDLY PRIMARY CARE AND RELATED SERVICES TO ALL RESIDENTS OF SOUTH LOS ANGELES, ESPECIALLY THOSE WHO ARE UNDERSERVED. 0 0 12890418 11902361 T.H.E. CLINIC PROVIDES CULTURALLY SENSITIVE & QUALITY COMPREHENSIVE HEALTH SERVICES AT AFFORDABLE COSTS, AND ENCOURAGES AND EDUCATES PEOPLE TO TAKE A PROACTIVE ROLE IN MAINTAINING THEIR OWN HEALTH SERVICES INCLUDE MEDICAL HEALTH SERVICES FOR MEN, WOMEN, CHILDREN AND TEENS, AS WELL AS PUBLIC HEALTH AND PREVENTATIVE EDUCATION SERVICES, ALL DESIGNED TO TREAT THE "WHOLE" PERSON-BODY, MIND, AND SPIRIT. MEDICAL SERVICES INCLUDE PREVENTATIVE SERVICES, CHRONIC DISEASE SCREENING & TREATMENT, PHYSICAL EXAMS, HEALTH EDUCATION, CASE MANAGEMENT, MENTAL HEALTH SCREENING, FOOD AND NUTRITION COUNSELING, SEXUALLY TRANSMITTED DISEASE TREATMENT, SPECIALTY REFERRALS, ASSISTANCE WITH LOW-COST MEDICATIONS, HIV/AIDS SCREENING & TREATMENT, AIDS DRUG ASSISTANCE PROGRAM, AND RAPID HIV TESTING. WOMEN'S HEALTH SERVICES INCLUDE PREGNANCY TESTING, PRENATAL CARE, SEXUALLY TRANSMITTED DISEASE TREATMENT, MAMMOGRAPHY, PRECONCEPTION COUNSELING, FAMILY PLANNING, COLPOSCOPY CLINIC, PAP SMEARS, AND ANNUAL PHYSICAL EXAMINATIONS. MEN'S HEALTH SERVICES INCLUDE PROSTRATE HEALTH SCREENING, AND PHYSICAL EXAMS. FAMILY PLANNING CHILDREN'S HEALTH SERVICES INCLUDE WELL-CHILD CARE, PHYSICAL EXAMS, SICK VISITS, IMMUNIZATIONS, NUTRITION HEALTH COUNSELING, AND CRISIS INTERVENTION. FAMILY COUNSELING TEEN HEALTH SERVICES INCLUDE HEALTH EDUCATION, SEXUALLY TRANSMITTED DISEASE TREATMENT, PHYSICALS EXAMS, AND ADOLESCENT COUNSELING.MENTAL HEALTH SCREENING SUPPORT SERVICES INCLUDE COUNSELING - INDIVIDUAL, GROUP AND FAMILY, RESOURCE REFERRALS, TRANSPORTATION ASSISTANCE, AND LINGUISTIC SERVICES. EDUCATIONAL SERVICES INCLUDE PUBLIC HEALTH EDUCATION HIV AWARENESS AND PREVENTION, HIV RAPID TESTING, DIABETES PREVENTION, CARE AND MANAGEMENT, WEIGHT MANAGEMENT, NUTRITION EDUCATION, HEALTHY COOKING, HEART HELP PROGRAM, MAMMOGRAPHY SCREENING, PERINATAL AND PRENATAL ED, DIAPER SUPPORT GROUP, YOGA AND PILATES. 12890418 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 39 0 1 171 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 1 1 1 0 CA X TATYANA KLOCHKO 3237301920 3834 SOUTH WESTERN AVENUE LOS ANGELES CA 90062 DONNA ROBERTSON CHAIR 2.00 X X 0 0 0 JERMAINE MCMIHELK VICE CHAIR 2.00 X X 0 0 0 MARY ALEJO SECRETARY 2.00 X X 0 0 0 DANIELLE CAMPELL TREASURER 2.00 X X 0 0 0 RONALD BRADEN BOARD MEMBER 2.00 X 0 0 0 DEBORAH MILLER BOARD MEMBER 2.00 X 0 0 0 AUDREY CARTER BOARD MEMBER 2.00 X 0 0 0 RICHARD HAMILTON BOARD MEMBER 2.00 X 0 0 0 HEATHER MCCULLOUGH BOARD MEMBER 2.00 X 0 0 0 DAMONE THOMAS BOARD MEMBER 2.00 X 0 0 0 MICHAEL JONES BOARD MEMBER 3.00 X 0 0 0 PATRICIA SILLAS BOARD MEMBER 2.00 X 0 0 0 CLIFFORD SHIEPE PRESIDENT & CHIEF EXECUTIV 40.00 X 377241 0 16600 TATYANA KLOCHKO SENIOR VICE PRESIDENT & CF 40.00 X 276705 0 25600 DERRICK BUTLER CHIEF MEDICAL OFFICER 40.00 X 295533 0 6600 LINDA WARREN WATSON OB GYN 40.00 X 150954 0 6600 LILIA MARIN HR DIRECTOR 40.00 X 226185 0 6600 CHERYL TRINIDAD CHIEF DEVELOPMENT/COMMS OF 40.00 X 185593 0 6600 PATRICIA JOHNSON COMPLIANCE OFFICER 40.00 X 142783 0 6600 DANIEL LOPEZ STAFF PHYSICIAN 40.00 X 129077 0 6600 1784071 0 81800 8 0 1 0 BALDWIN HILLS INVESTORS LTD 3725 S LA BREA AVE LOS ANGELES CA 90016 PROPERTY MANAGEMENT 522976 ALL NATION SECURITY SERVICES INC 3701 WILSHIRE BLVD STE 530 LOS ANGELES CA 90010 SECURITY SERVICES 370847 QUEST DIAGNOSTICS 500 PLAZA DRIVE SECAUCUS NJ 07094 LABORATORY SERVICES 271785 DATA CENTER WAREHOUSE LLC 23041 AVENIDA DE LA CARLOTA 325 LAGUNA HILLS CA 92653 TECHNOLOGY SERVICES 259732 COMPHEALTH MEDICAL STAFFING 7259 S BINGHAM JCT BLVD MIDVALE UT 84047 STAFFING AGENCY 199885 5 7008142 581828 7589970 PATIENT SERVICE FEES 624100 11902361 11902361 11902361 1175 1175 MISCELLANEOUS INCOME 900099 21113 21113 21113 19514619 0 0 11924649 X 986281 845069 109050 32162 6738562 5816511 682971 239080 17556 13991 3468 97 822862 655773 162549 4540 564336 449743 111479 3114 68187 68187 2404984 1908772 297204 199008 81145 16176 1100 63869 182433 57594 106225 18614 583864 374020 206690 3154 982147 740115 213318 28714 123559 87152 32461 3946 26639 18232 7437 970 189545 189545 116743 34051 82692 MEDICAL SUPPLIES AND ME 904432 902570 1862 PHARMACEUTICAL & PHARMA 622252 622252 EQUIPMENT PURCHASES, RE 166282 94360 66677 5245 LICENSES, FEES, & DUES 112663 48445 56579 7639 30050 16047 14003 15724522 12890418 2223952 610152 7314602 9748447 10064 10077 592989 301255 1002175 1303611 59315 5898061 3792122 2100818 2105939 417516 378850 99927 96766 11538091 14004260 1173518 1215557 1906000 0 1979583 2519616 5059101 3735173 X 6397990 10269087 81000 0 6478990 10269087 11538091 14004260 3790097 0 X 0 1 X 1 1 1 X 5899481 5454160 4989099 5756091 7589970 29688801 5899481 5454160 4989099 5756091 7589970 29688801 29688801 75 74 346 102 1175 1772 18539 14687 5312 8837 21113 68488 29759061 49429218 0.99760 0.99690 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3354400 1546566 1807834 2543661 2245556 298105 2105939 ESTIMATED AMOUNTS DUE TO THIRD-PARTY PAYERS 2519616 2519616 X 19514619 0 19514619 0 19514619 15724522 0 15724522 0 15724522 PART X, LINE 2: T.H.E. CLINIC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2021, T.H.E. CLINIC PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. X X X X 0 0 0 0 0 0 0 1 0 CLIFFORD SHIEPE PRESIDENT & CHIEF EXECUTIV 377241 0 0 0 0 0 10000 0 6600 0 393841 0 0 0 TATYANA KLOCHKO SENIOR VICE PRESIDENT & CF 275705 0 1000 0 0 0 19000 0 6600 0 302305 0 0 0 DERRICK BUTLER CHIEF MEDICAL OFFICER 285533 0 10000 0 0 0 0 0 6600 0 302133 0 0 0 LILIA MARIN HR DIRECTOR 206185 0 20000 0 0 0 0 0 6600 0 232785 0 0 0 CHERYL TRINIDAD CHIEF DEVELOPMENT/COMMS OF 181593 0 4000 0 0 0 0 0 6600 0 192193 0 0 0 LINDA WARREN WATSON OB GYN 150954 0 0 0 0 0 0 0 6600 0 157554 0 0 0 PART I, LINE 7 THE BONUS FOR THE PRESIDENT AND CEO IS BASED ON THE DESCRETION OF THE BOARD. THE PRESIDENT AND CEO DETERMINES BONUS AMOUNTS FOR ALL OTHER EMPLOYEES. FORM 990, PART VI, SECTION A, LINE 8B THIS QUESTION IS NOT APPLICABLE SINCE THE ORGANIZATION DOES NOT HAVE A SEPARATE COMMITTEE WITH THE AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE FORM 990 IS THEN INTERNALLY REVIEWED BY THE TOP MANAGEMENT OF THE ORGANIZATION. A FINAL COPY OF THE FORM 990 WILL BE PROVIDED TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS AND EMPLOYEES ARE REQUIRED TO SIGN A CONFLICT OF INTEREST POLICY ON AN ANNUAL BASIS. THE ORGANIZATION STRICTLY PROHIBITS ANY OUTSIDE EMPLOYMENT OR OTHER ACTIVITIES OR RELATIONSHIPS THAT CREATE ANY ACTUAL, POTENTIAL, OR APPARENT CONFLICT OF INTEREST. ANY VIOLATION OF THIS POLICY MAY RESULT IN DISCIPLINARY ACTION, UP TO AND POSSIBLY INCLUDING IMMEDIATE TERMINATION OF EMPLOYEES. BOARD MEMBERS WITH A CONFLICT OF INTEREST WILL ABSTAIN FROM VOTING ON THE MATTER RELATED TO THAT CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE CEO'S COMPENSATION IS REVIEWED AND APPROVED BY THE BOARD OF DIRECTORS, AND COMPENSATION OF OFFICERS AND KEY EMPLOYEES ARE REVIEWED AND APPROVED BY THE CEO INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. SALARY COMPENSATION SURVEYS AND OTHER INDUSTRY-STANDARD COMPENSATION TOOLS ARE USED IN RECOMMENDING SALARIES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, POLICIES, AND FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,908,772. MANAGEMENT AND GENERAL EXPENSES 297,204. FUNDRAISING EXPENSES 199,008. TOTAL EXPENSES 2,404,984.