GRACELIGHT COMMUNITY HEALTH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
GRACELIGHT COMMUNITY HEALTH (EIN 95-3702136)
Tax period
2019-07-01 to 2020-06-30
Filed
2021-04-16
IRS object ID
202101069349300820
Schema version
2019v5.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2021-04-16T14:44:03-05:00ReturnTs
Tax Period End2020-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954557617PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Harrington Group CPAs LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1234 East Colorado Blvd Suite M150AddressLine1Txt
CityPasadenaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN953702136EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1QueensCare Health CentersBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlQUEEBusinessNameControlTxt
Phone3236694301PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBarbara B HinesPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone3236694301PhoneNum
Signature2021-04-16SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSean E Cain CPAPreparerPersonNm
PTINP01612986PTIN
Phone6264036801PhoneNum
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBarbara B HinesPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$28,104,953GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.queenscarehealthcenters.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1925FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionThe Centers directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County, including the uninsured, indigent, elderly and children.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee325TotalEmployeeCnt
Total Volunteers17TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,102,036PYContributionsGrantsAmt
CY Contributions Grants$4,745,144CYContributionsGrantsAmt
PY Program Service Revenue$24,858,537PYProgramServiceRevenueAmt
CY Program Service Revenue$22,321,157CYProgramServiceRevenueAmt
PY Investment Income$363,300PYInvestmentIncomeAmt
CY Investment Income$422,649CYInvestmentIncomeAmt
PY Other Revenue$860,972PYOtherRevenueAmt
CY Other Revenue$616,003CYOtherRevenueAmt
PY Total Revenue$30,184,845PYTotalRevenueAmt
CY Total Revenue$28,104,953CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,537,851PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,519,869CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,758,253PYOtherExpensesAmt
CY Other Expenses$8,274,463CYOtherExpensesAmt
PY Total Expenses$29,296,104PYTotalExpensesAmt
CY Total Expenses$31,794,332CYTotalExpensesAmt
PY Revenues Less Expenses$888,741PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$3,689,379CYRevenuesLessExpensesAmt
Total Assets BOY$34,592,144TotalAssetsBOYAmt
Total Assets EOY$34,599,930TotalAssetsEOYAmt
Total Liabilities BOY$1,302,979TotalLiabilitiesBOYAmt
Total Liabilities EOY$5,000,144TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,289,165NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$29,599,786NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionQueensCare Health Centers ("the Centers") directly and indirectly provides medical, dental and vision care services to underserved and neglected populations in Los Angeles County.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$24,819,281ExpenseAmt
Revenue$22,321,157RevenueAmt
DescThe mission of QueensCare Health Centers and affiliated entities is to provide quality primary healthcare to any patient in need in the communities we serve, regardless of ability to pay. We seek to provide universal access to primary healthcare, reducing disparities in care and improving health in the communities we serve.In 1897, the Franciscan Sisters of the Sacred Heart founded an orphanage, the Society of El Hogar Feliz, for abandoned and neglected children in Los Angeles, which later became a clinic known as the Franciscan Clinic. In 1994, the Sisters transferred sponsorship of the Franciscan Clinic to the hospital it had also founded, Queen of Angels-Hollywood Presbyterian Medical Center. At the time of its sale in 1998, the hospital's four other outpatient clinics were merged into Franciscan Clinics and operated under the business name QueensCare Family Clinics. In 2003 QueensCare Family Clinics applied for and became a federally qualified health center (FQHC), requiring it to form a board of directors independent of the other QueensCare entities. As a federally qualified health center, QueensCare Health Centers is partially funded by grants from the U.S. Department of Health & Human Services, Health Resources & Services Administration and has been deemed under the Federal Tort Claims Act. QueensCare Health Centers also contracts with the County of Los Angeles to provide healthcare services to uninsured residents of Los Angeles. QueensCare Health Centers accepts Medi-Cal, Medicare and some private insurance, but treats all patients, regardless of ability to pay.QueensCare Health Centers operates five clinic locations in Los Angeles, California. A wide range of health services are provided to children, adults and elderly patients in underserved populations at these locations, including:" Adult primary care" Pediatric care" Obstetrics" Dental care" Pharmacy" Optometry" Podiatry" Behavioral health" Chronic disease management" Care coordination" TelehealthDuring the fiscal year ended June 30, 2020, QueensCare Health Centers provided, medical, dental and vision services to approximately 21,000 patients, which accounted for approximately 93,000 visits.Desc
Total Program Service Expenses$24,819,281TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document46IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee325EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dennis C BentonBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3232867513PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 South Grand Avenue 2nd Flr SAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Jay Guerena
Chair2.002.00Yes (X)Yes (X)$0$3,600$0
Marina Aronoff
Vice Chair2.00Yes (X)Yes (X)$0$0$0
Yasmin Garcia
Secretary2.00Yes (X)Yes (X)$0$0$0
Carmen Andreasen
Director2.00Yes (X)$0$0$0
Martha Arias
Director2.00Yes (X)$0$0$0
Jorge Blanco
Director2.00Yes (X)$0$0$0
William Chim
Director2.00Yes (X)$0$0$0
Shirley Daniels
Director2.00Yes (X)$0$0$0
Serina Demirians
Director2.00Yes (X)$0$0$0
Jeffrey Hermann
Director2.002.00Yes (X)$0$0$0
Harry Kram MD
Director2.00Yes (X)$0$0$0
Allan Michelena
Director2.002.00Yes (X)$0$2,250$0
Ama Neel
Director2.00Yes (X)$0$0$0
Jacquelyn P Pantoja
Director2.00Yes (X)$0$0$0
Mary Ramos
Director2.00Yes (X)$0$0$0
Manuel Romero
Director2.00Yes (X)$0$0$0
Matthew Wells
Director2.00Yes (X)$0$0$0
Barbara B Hines
President & CEO20.0020.00Yes (X)$211,134$225,646$60,320
Edward Liao MD
Physician/C.M.O.40.00Yes (X)$270,360$0$40,061
Eloisa Perard
CAO40.00Yes (X)$0$236,657$32,353
Chad Vargas
COO40.00Yes (X)$151,644$0$18,119
Arthur Doi
VP Accounting & Finance40.00Yes (X)$0$180,378$23,179
Maria T Lim Heya
Physician40.00$243,914$0$31,729Yes (X)
Craig Golden MD
Physician40.00$224,402$0$14,568Yes (X)
Moe Kyi MD
Physician40.00$217,750$0$25,089Yes (X)
Hla Moe
Physician40.00$216,810$0$20,202Yes (X)
Claudia Ramos-Smulevich MD
Physician40.00$202,926$0$37,721Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,738,940TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$648,531TotReportableCompRltdOrgAmt
Total Other Compensation$303,341TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K39IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
University of So Cal School of Pharmacy
1985 Zonal Ave PSC 700ALos AngelesCA90089Pharmacist Services$347,168
Quest Diagnostics Inc
PO Box 5068Los AngelesCA90074Medical Laboratories Services$302,959
Ryan K Lee MD
222 West Eulalia Street Suite 211GlendaleCA91204Independent Contractor$210,992
Progressive Dental Studio
1110 North Orchard DriveBurbankCA91506Dental Lab Services$119,589
Registered Dietitian Consultants
34162 Capistrano by the SeaDana PointCA92629Independent Contractor$112,635
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$4,059,544GovernmentGrantsAmt
All Other Contributions$685,600AllOtherContributionsAmt
Total Contributions$4,745,144TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Revenue621400$17,821,157$17,821,157
Q/QHC Healthcare Partners621400$4,500,000$4,500,000
FieldValueIRS element (for citing)
Total Program Service Revenue$22,321,157TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$422,649TotalRevenueColumnAmt
Exclusion$422,649ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther incomeDesc
Business621400BusinessCd
Total Revenue Column$616,003TotalRevenueColumnAmt
Exclusion$616,003ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$616,003OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$28,104,953TotalRevenueColumnAmt
Related Or Exempt Func Income$22,321,157RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,038,652ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$691,249TotalAmt
Management And General$691,249ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$18,267,116TotalAmt
Program Services$15,383,456ProgramServicesAmt
Management And General$2,883,660ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,394,234TotalAmt
Program Services$1,998,479ProgramServicesAmt
Management And General$395,755ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$856,716TotalAmt
Program Services$724,600ProgramServicesAmt
Management And General$132,116ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,310,554TotalAmt
Program Services$1,070,558ProgramServicesAmt
Management And General$239,996ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$39,049TotalAmt
Program Services$2,813ProgramServicesAmt
Management And General$36,236ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$59,145TotalAmt
Management And General$59,145ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,645,326TotalAmt
Program Services$1,514,648ProgramServicesAmt
Management And General$130,678ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$34,396TotalAmt
Program Services$5,461ProgramServicesAmt
Management And General$28,935ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$416,840TotalAmt
Program Services$309,918ProgramServicesAmt
Management And General$106,922ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,449,507TotalAmt
Program Services$22,721ProgramServicesAmt
Management And General$1,426,786ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,182,797TotalAmt
Program Services$861,717ProgramServicesAmt
Management And General$321,080ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$46,431TotalAmt
Program Services$28,466ProgramServicesAmt
Management And General$17,965ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$101,522TotalAmt
Program Services$5,896ProgramServicesAmt
Management And General$95,626ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,700TotalAmt
Management And General$6,700ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$288,352TotalAmt
Program Services$278,568ProgramServicesAmt
Management And General$9,784ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$120,200TotalAmt
Program Services$61,727ProgramServicesAmt
Management And General$58,473ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Pharmaceuticals$1,027,453$1,027,453
Medical/other supplies$863,673$863,673
Other$581,773$247,828$333,945
Purchased services$411,299$411,299

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$31,794,332TotalAmt
Program Services$24,819,281ProgramServicesAmt
Management And General$6,975,051ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,320BOYAmt
EOY$4,321EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,364,758BOYAmt
EOY$9,064,614EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$328,273BOYAmt
EOY$998,628EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,275,399BOYAmt
EOY$4,656,774EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,974,470BOYAmt
EOY$10,974,470EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$87,722BOYAmt
EOY$109,441EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$225,765BOYAmt
EOY$304,624EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$8,316,825LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,776,700LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$562,440BOYAmt
EOY$540,125EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$6,771,399BOYAmt
EOY$9,361,286EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY-$1,002,402BOYAmt
EOY-$1,414,353EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$34,592,144BOYAmt
EOY$34,599,930EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,302,979BOYAmt
EOY$1,447,146EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,552,998EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,302,979BOYAmt
EOY$5,000,144EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,279,442BOYAmt
EOY$29,599,786EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,723BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,289,165BOYAmt
EOY$29,599,786EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,592,144BOYAmt
EOY$34,599,930EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$3,689,379ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
Other Expenditures$9,722OtherExpendituresAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,722BeginningYearBalanceAmt
End Year Balance$9,722EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$69,382BeginningYearBalanceAmt
Other Expenditures$59,660OtherExpendituresAmt
End Year Balance$9,722EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,565,241OtherCostOrOtherBasisAmt
Depreciation$1,327,838DepreciationAmt
Book Value$237,403BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,751,584OtherCostOrOtherBasisAmt
Depreciation$6,448,862DepreciationAmt
Book Value$302,722BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$540,125TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCorporate BondsDesc
Book Value$9,361,286BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$9,361,286TotalBookValueSecuritiesAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:QueensCare Health Centers ("the Centers") intends to use its endowment funds to support healthcare related activities.
Part X, Line 2:The Centers is exempt from taxation under Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701d. Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Centers in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Centers' returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Barbara B Hines
President & CEO$211,134$218,483$0$0$0$7,163$12,668$12,679$0$34,973$223,802$273,298$0$0
Edward Liao MD
Physician/C.M.O.$269,010$0$0$0$1,350$0$16,060$0$24,001$0$310,421$0$0$0
Eloisa Perard
CAO$0$235,757$0$0$0$900$0$14,118$0$18,235$0$269,010$0$0
Chad Vargas
COO$150,375$0$0$0$1,269$0$8,946$0$9,173$0$169,763$0$0$0
Arthur Doi
VP Accounting & Finance$0$176,508$0$0$0$3,870$0$10,164$0$13,015$0$203,557$0$0
Maria T Lim Heya
Physician$242,108$0$0$0$1,806$0$14,118$0$17,611$0$275,643$0$0$0
Craig Golden MD
Physician$223,436$0$0$0$966$0$13,348$0$1,220$0$238,970$0$0$0
Moe Kyi MD
Physician$217,120$0$0$0$630$0$12,989$0$12,100$0$242,839$0$0$0
Hla Moe
Physician$216,180$0$0$0$630$0$12,933$0$7,269$0$237,012$0$0$0
Claudia Ramos-Smulevich MD
Physician$200,170$0$0$0$2,756$0$11,845$0$25,876$0$240,647$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3Pursuant to that certain Amended and Restated Partnership Agreement, QueensCare Health Centers and QueensCare formed Q/QHC Healthcare Partners to jointly operate five community health centers located in the greater Los Angeles area. QueensCare's responsibilities under the terms of that Agreement include supervision of medical treatments, measuring outcomes, providing day-to-day management for the operation of Q/QHC Healthcare Partners and on-site management of the Centers' personnel to include hiring, training, and discharging the Centers' personnel. Form 990, Part VII, Section A, Hours of Officers: Director Allan Michelena devoted approximately two hours of his time per week to a related organization, QueensCare, serving as a director of QueensCare. Board Chairman Jay Guerena devoted approximately two hours of his time per week to QueensCare serving as a director of QueensCare. CEO Barbara B. Hines devoted approximately 8 hours of her time per week serving as QueensCare's CEO. Director Jeffrey Hermann devoted approximately two hours of his time per week to QueensCare, serving as a director of QueensCare.
Form 990, Part VI, Section B, line 11bFollowing preparation of a final draft of the Form 990 by the organization's tax preparers, the organization's CEO and VP Accounting & Finance review, analyze and discuss the final draft to better ensure its accuracy and completeness. After the return is filed, the CEO and VP Accounting & Finance review and discuss material aspects and details of the return at the next regularly scheduled meeting of the Board of Directors.
Form 990, Part VI, Section B, line 12cThe organization's Board members, corporate officers, and staff are subject to a written conflicts of interest policy. Pursuant to that policy, each such person is required to identify any transaction with the organization in which the person has (or may have) a financial interest. If a conflict (or potential conflict) is identified, the Board, excluding any involved Board members, carefully reviews the terms of the transaction and makes a determination as to whether the transaction is fair and reasonable to the organization under all the facts and circumstances. The organization monitors and enforces compliance with this policy by: (i) discussing such issues at its annual meeting; (ii) requiring all covered persons to annually provide written certification of their compliance with the policy; and (iii) carefully reviewing all material transactions to identify potential or real conflicts.
Form 990, Part VI, Section B, line 15aA comprehensive study of most if not all positions in the organization is done every 3 to 5 years by an outside compensation consultant hired for this purpose. A Compensation Committee, comprised of independent Board members, reviews and recommends to the Board a wage scale proposed by the consultant from compensation data for similarly situated organizations. The scale includes each position, including the CEO and other top management officials. The Compensation Committee presents its findings and recommendations to the Board, and members are provided the opportunity to ask questions. A Board vote is taken to establish the new wage scale, with which each employee's compensation must comply. The wage scale is then reviewed annually by the Compensation Committee. The CEO's compensation amount is determined by the Board, based on the recommendation of the CEO Evaluation Committee comprised of independent Board members. The CEO Evaluation Committee reviews performance feedback submitted by each Board member annually. The amount of compensation paid to the CEO must comply with the wage scale established by the Compensation Committee. Deliberations of the Compensation Committee, the CEO Evaluation Committee and the Board are recorded in the organization's minute book. The compensation study was last undertaken by the Compensation Committee in April 2017. The CEO Evaluation Committee performs its review and makes its recommendations to the Board annually, typically in September.
Form 990, Part VI, Section C, line 19The organization's annual information return (Form 990) is available on a third-party website (GuideStar). The organization provides copies of its governing documents, its conflict of interest policy, as well as its three most recent Forms 990 to any interested person that makes a request for such documents.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
QueensCare
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015951644040Healthcare for the poorCA501(c)(3)Line 7St Joseph's Health Support Alliance0
QueensCare Health Centers Foundation
950 S Grand Ave 2nd Fl SouthLos AngelesCA90015463366321Support QHC missionCA501(c)(3)Line 7QueensCare Health Centers0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1QQHC Healthcare PartnersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1950 S Grand Ave 2nd Fl SouthAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90015ZIPCd
FieldValueIRS element (for citing)
EIN260502255EIN
Primary ActivitiesTo operate & Manage Healthcare ClinincsPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.60000OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
QueensCare
C$20,000Accrual
QueensCare
O$240,000Accrual
QueensCare
P$547,415Accrual
QueensCare
Q$494,095Accrual
QueensCare Health Centers Foundation
K$215,000Accrual
QQHC Healthcare Partners
B$6,750,000Accrual
QQHC Healthcare Partners
J$4,500,000Accrual
QQHC Healthcare Partners
L$11,250,000Accrual
QueensCare Health Centers Foundation
S$59,225Accrual

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