2021-05-05T18:32:14-05:00 2020-06-30 910189318 MOSS ADAMS LLP 10960 WILSHIRE BLVD SUITE 1100 LOS ANGELES CA 90024 990 2019-07-01 454433505 MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION MART 4243388686 1680 E 120TH STREET LOS ANGELES CA 90059 DYAN SUBLETT PRESIDENT 4243388686 2021-05-03 1 LAUREN A HAVERLOCK P00545829 3104770450 2021-05-03 2019 2022-09-23 18:48:47Z DYAN SUBLETT 1680 E 120TH STREET LOS ANGELES CA 90059 16984413 0 X WWW.MLK-CHF.ORG X 2011 CA 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. 12 11 7 12 0 0 7043748 16578508 0 0 232028 373405 -316942 -326941 6958834 16624972 800000 16537967 0 0 1057954 1231339 80730 85201 1844080 777967 906046 2716651 18760553 4242183 -2135581 39832010 37598953 28803731 28706255 11028279 8892698 X SEE SCHEDULE O 0 0 16537967 16537967 SEE SCHEDULE OTHE FOUNDATION: 1) ACHIEVED $16.8MM IN CONTRIBUTED REVENUE, THE SECOND HIGHEST RESULT IN THE FOUNDATION'S HISTORY; 2) PROVIDED PHILANTHROPIC SUPPORT TO RESPOND TO COVID-19 NEEDS, INCLUDING: EXPANDED TELEHEALTH CAPACITY FOR THE COMMUNITY AND INPATIENT CARE; ESTABLISHED A BI-LINGUAL INTERACTIVE CHAT BOT "MIA" USING ARTIFICIAL INTELLIGENCE TO PROVIDE COVID-19 EDUCATION; LAUNCHED A POST-DISCHARGE COVID-19 CLINIC FOR PATIENT RECOVERY; EXPANDED CRITICAL CARE BED CAPACITY BY 20%; LAUNCHED PARAMEDICINE HEALTH PROGRAM FOR PATIENT HOME RECOVERY; 3) LAUNCHED NATIONAL COMMUNITY GIVES PROGRAM SECURING ANNUAL GIVING FROM STATES THROUGHOUT THE US, SUPPLEMENTING THE MLKCH GIVES PROGRAM WHICH ACHIEVED AN HISTORIC HIGH OF NEARLY $200,000 IN GIFTS AND OVER 600 STAFF DONORS; 4) SERVED AS ANCHOR INSTITUTION SECURING A $35MM FEDERAL GRANT WITH OVER 20 COMMUNITY PARTNERS FOR WATTS RISING, ATTRACTING NEW INVESTMENT IN HOUSING, HEALTH, PUBLIC SAFETY AND GREEN SPACE. 16537967 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 14 0 1 7 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 12 11 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X DYAN SUBLETT 4243388686 1680 E 120TH STREET LOS ANGELES CA 90059 X DR ELAINE BATCHLOR BOARD MEMBER 2.00 40.00 X 0 735961 29983 DYAN SUBLETT PRESIDENT 40.00 0.00 X 0 435835 36418 CELESTE DAVIES DIRECTOR PROSPECT RESEARCH 40.00 0.00 X 0 116267 21671 JOHN E KOBARA BOARD CHAIR 6.00 0.00 X X 0 0 0 ROBERT MARGOLIS MD BOARD SECRETARY 2.00 3.00 X X 0 0 0 DENISE PINES BOARD TREASURER 2.00 0.00 X X 0 0 0 MANUEL A ABASCAL JD BOARD MEMBER 2.00 12.00 X 0 0 0 BRAD ARMSTRONG BOARD MEMBER 2.00 0.00 X 0 0 0 BRUCE CORWIN BOARD MEMBER 2.00 0.00 X 0 0 0 PAUL KING BOARD MEMBER 2.00 6.00 X 0 0 0 RICH LEIB BOARD MEMBER 2.00 0.00 X 0 0 0 LARRY M ROSEN BOARD MEMBER 2.00 0.00 X 0 0 0 JEFF WALKER BOARD MEMBER 2.00 0.00 X 0 0 0 KYLE WALTON BOARD MEMBER 2.00 0.00 X 0 0 0 0 1288063 88072 2 0 1 0 RM DESIGN STUDIO INC 4207 SE WOODSTOCK BLVD 522 PORTLAND OR 972066267 MARKETING AND COMMUNICATIONS 394269 PRODUCTION ELEMENTS INC 5777 WEST PICO BOULEVARD LOS ANGELES CA 90019 EVENT PRODUCTION AND CATERING 294880 2 501750 1459028 320000 14297730 16578508 373405 373405 32500 501750 359441 -326941 -326941 16624972 0 0 46464 16537967 16537967 483570 241785 241785 589396 589396 14996 14996 85601 85601 57776 57776 7542 7542 85201 85201 339762 129179 210583 462145 462145 63948 63948 15152 15152 11309 11309 3438 3438 2750 2750 18760553 16537967 378506 1844080 3855325 5712226 91 91 7070729 2932695 28576725 28576725 77345 136461 28493 21620 9623 6873 242172 233882 39832010 37598953 227006 129530 28576725 28576725 28803731 28706255 X 487311 952223 10540968 7940475 11028279 8892698 39832010 37598953 -2135581 0 X 0 1 X 1 0 X 5245500 3877450 13363587 7043748 16578508 46108793 5245500 3877450 13363587 7043748 16578508 46108793 14323598 31785195 101217 187240 203186 232028 373405 1097076 47205869 0.67330 0.69950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 28493 21620 6873 6873 DUE TO MLKCH - NMTC FINANCING 28576725 28576725 X PART X, LINE 2: 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, 2020 OR 2019. THE COMPANY IS SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR ALL YEARS SINCE INCEPTION FOR FEDERAL AND STATE TAX FILINGS. X X X X X 1 FIREFLY INC 2205 MORENO DRIVE LOS ANGELES CA 90039 GRANT WRITING 0 6225950 85200 6140750 6225950 85200 6140750 CA DREAM LUNCH 534250 501750 32500 157066 108010 14996 79369 534250 501750 32500 157066 108010 14996 79369 359441 -326941 1 MARTIN LUTHER KING JR-LOS ANGELES HEALTHCARE CORPORATION 1680 E 120TH STREET LOS ANGELES CA 90059 274658935 501(C)(3) 7574172 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) 8963795 SUPPORT FOR MLK CMG, DIABETES CENTER OF EXCELLENCE, BEHAVIORAL HEALTH PROGRAM 2 0 PART I, LINE 2: 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. 0 0 0 0 0 0 0 0 0 DR ELAINE BATCHLOR BOARD MEMBER 0 500706 0 225005 0 10250 0 9800 0 20183 0 765944 0 0 DYAN SUBLETT PRESIDENT 0 324693 0 110352 0 790 0 9800 0 26618 0 472253 0 0 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. 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 ORGANIZATION'S PRESIDENT IS COMPENSATED BY MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION, A RELATED ORGANIZATION. AS SUCH, FORM 990, PART VI, SECTION B, LINES 15A AND 15B HAVE BEEN MARKED NO, WHICH IS CONSISTENT WITH THE FORM 990 INSTRUCTIONS. PLEASE REFERENCE SCHEDULE J, PART III FOR A DESCRIPTION ON HOW MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION ESTABLISHES COMPENSATION FOR THE PRESIDENT. 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. 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 MLKCH 0 MARTIN LUTHER KING JR HEALTH ASSOCIATES 1680 E 120TH STREET LOS ANGELES CA 90059 844327369 MEDICAL SERVICES CA 501(C)(3) 0 0 1 1 1 1 0 0 0 0 0 0 1 0 1 1 1 1 1 0