FURP.ORG / PUBLIC DATA EXPLORER

MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
MARTIN LUTHER KING JR COMMUNITY MEDICAL FOUNDATION (EIN 81-2455970)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-05-04
IRS object ID
202031259349301708
Schema version
2018v3.1
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)
Return2020-05-04T18:59:07-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line110960 WILSHIRE BLVD SUITE 1100AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90024ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN812455970EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN LUTHER KING JR COMMUNITYBusinessNameLine1Txt
Business Name Line2MEDICAL GROUPBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARTBusinessNameControlTxt
Phone4245296755PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12251 WEST ROSECRANS AVENUE NO 18AddressLine1Txt
CityCOMPTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90222ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN FISHER MDPersonNm
Person TitlePRESIDENT/SECRETARY/TREASURERPersonTitleTxt
Phone4245296755PhoneNum
Signature2020-04-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLAUREN A HAVERLOCKPreparerPersonNm
PTINP00545829PTIN
Phone3104770450PhoneNum
Preparation2020-04-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address172.90.17.200IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-04-27IPDt
IP Tm20:47:41IPTm
IP TimezonePDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id45A0DEE88EBA5BC01B2D6E064F66B43F0304238AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-11-06 18:47:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOHN FISHER MDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12251 WEST ROSECRANS AVENUE NO 18AddressLine1Txt
CityCOMPTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90222ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,985,867GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MLKCMG.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2016FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO FACILITATE ACCESS TO HEALTHCARE AND PROMOTE THE HEALTH AND WELLBEING OF THE LOW INCOME, DISADVANTAGED COMMUNITIES OF SOUTH LOS ANGELES.ActivityOrMissionDesc
Voting Members Governing Body1VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee10TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,701,956PYContributionsGrantsAmt
CY Contributions Grants$4,329,484CYContributionsGrantsAmt
PY Program Service Revenue$2,430,137PYProgramServiceRevenueAmt
CY Program Service Revenue$11,615,171CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$41,212CYOtherRevenueAmt
PY Total Revenue$4,132,093PYTotalRevenueAmt
CY Total Revenue$15,985,867CYTotalRevenueAmt
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$1,864,799PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,800,535CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$2,751,109PYOtherExpensesAmt
CY Other Expenses$12,210,173CYOtherExpensesAmt
PY Total Expenses$4,615,908PYTotalExpensesAmt
CY Total Expenses$15,010,708CYTotalExpensesAmt
PY Revenues Less Expenses-$483,815PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$975,159CYRevenuesLessExpensesAmt
Total Assets BOY$621,966TotalAssetsBOYAmt
Total Assets EOY$2,429,371TotalAssetsEOYAmt
Total Liabilities BOY$1,473,327TotalLiabilitiesBOYAmt
Total Liabilities EOY$2,305,573TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$851,361NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$123,798NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO INCREASE ACCESS TO HIGH QUALITY MEDICAL SERVICES OUTSIDE OF THE HOSPITAL CONTEXT, WITH A PARTICULAR FOCUS ON CARING FOR PATIENTS WITH CHRONIC MEDICAL CONDITIONS.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$13,432,408ExpenseAmt
Revenue$11,615,171RevenueAmt
DescMARTIN LUTHER KING COMMUNITY MEDICAL GROUP (MLKCMG) IS A TEAM OF PHYSICIANS PASSIONATELY COMMITTED TO IMPROVING THE HEALTH OF THE SOUTH LOS ANGELES COMMUNITY. MLKCMG IS MADE UP OF HIGHLY TRAINED SPECIALISTS WORKING TOGETHER TO PROVIDE THE CARE AND MANAGEMENT OF CHRONIC CONDITIONS SUCH AS DIABETES, HEART DISEASE, MEN'S AND WOMEN'S HEALTH, PODIATRY, UROLOGY, INFECTIOUS DISEASE, PRIMARY CARE, DIGESTIVE DISEASE, LUNG DISEASE, GENERAL SURGERY, MENTAL AND BEHAVIORAL HEALTH, ADDICTION MEDICINE, INTERNAL MEDICINE, AND PEDIATRICS. MLKCMG WORKS WITH EVERY PATIENT TO PROVIDE HELP WITH DISEASE PREVENTION, WELLNESS PLANS, HEALTH EDUCATION AND SELF-MANAGEMENT PROGRAMS, AND CONNECTIONS TO HEALTH SERVICES AND RESOURCES. DURING FY2019, MLKCMG INCREASED THE NUMBER OF PHYSICIANS AND EXPANDED THE CLINIC SPACE TO ACCOMMODATE LARGER PATIENT VOLUME PATIENT CLINIC VISITS WERE 11,008. MLKCMG COLLABORATED THIS PAST YEAR IN AN INNOVATIVE DESIGN FOR THE TREATMENT OF MENTAL HEALTH, PHYSICAL HEALTH AND SUBSTANCE ABUSE DISORDERS. THE INTEGRATED DESIGN FOR BEHAVIORAL HEALTH BEGINS WITH AN ASSESSMENT AT THE FIRST POINT OF PATIENT CONTACT ESTABLISHING POTENTIAL LINKS BETWEEN A CHRONIC MEDICAL CONDITION AND A BEHAVIORAL HEALTH CONCERN. THIS ALLOWS FOR AN EARLY INTERVENTION OF A BEHAVIORAL HEALTH TEAM FOLLOWING THE PATIENT FROM INPATIENT CARE TO APPROPRIATE LONG-TERM SUPPORT CARE AND RESOURCES IN AN OUTPATIENT SETTING.Desc
Total Program Service Expenses$13,432,408TotalProgramServiceExpensesAmt
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
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document14IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee10EmployeeCnt
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 Members1GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMITCHELL THOMASPersonNm
Phone4243388717PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90059ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (6 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN FISHER MD
PRESIDENT/SECRETARY/TREASURER3.0040.00Yes (X)Yes (X)$0$502,166$17,707
ANCIL PHILIP MD
GENERAL SURGEON40.000.00$385,455$0$11,775Yes (X)
ALAN KAPLAN MD
PHYSICIAN - UROLOGY40.000.00$466,597$0$17,226Yes (X)
JUAN CABRALES MD
PHYSICIAN - FAMILY MEDICINE40.000.00$246,994$0$13,135Yes (X)
YAMANDA EDWARDS MD
PHYSICIAN - FAMILY MEDICINE40.000.00$205,370$0$22,074Yes (X)
ADAN ROMERO MD
PHYSICIAN - FAMILY MEDICINE40.000.00$245,659$0$13,532Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,550,075TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$502,166TotReportableCompRltdOrgAmt
Total Other Compensation$95,449TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K11IndivRcvdGreaterThan100KCnt
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
THE REGENTS OF THE UNIVERSITY OF CALIFOR
1680 E 102TH STREETLOS ANGELESCA90095PHYSICIAN SERVICES$566,115
FARAMARZ TEHRANI MD
639 N BROADWAY 647LOS ANGELESCA90012PHYSICIAN SERVICES$355,416
ARIEL MALAMUD MD
2307 GUTHRIE DRIVELOS ANGELESCA90034PHYSICIAN SERVICES$257,710
JEAN MULLER MD
26827 HYLE ROADRANCHO PALOS VERDESCA90275PHYSICIAN SERVICES$163,879
HALL DYNAMICS DBA MYRON L HALL DPM
9301 WILSHIRE BLVD 404BEVERLY HILLSCA90210PHYSICIAN SERVICES$144,200
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K7CntrctRcvdGreaterThan100KCnt
Related Organizations$4,329,484RelatedOrganizationsAmt
Total Contributions$4,329,484TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CALL COVERAGE621990$7,639,837$7,639,837
NET PATIENT SERV. REV.621990$3,022,370$3,022,370
SUPPORT SERVICES621990$816,757$816,757
MEDICAL DIRECTORSHIP621990$136,207$136,207
FieldValueIRS element (for citing)
Total Program Service Revenue$11,615,171TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER OPERATING REVENUEDesc
Business900099BusinessCd
Total Revenue Column$41,212TotalRevenueColumnAmt
Exclusion$41,212ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$41,212OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,985,867TotalRevenueColumnAmt
Related Or Exempt Func Income$11,615,171RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$41,212ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$2,483,117TotalAmt
Program Services$2,483,117ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$87,396TotalAmt
Program Services$87,396ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$100,910TotalAmt
Program Services$100,910ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$129,112TotalAmt
Program Services$129,112ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$351,433TotalAmt
Management And General$351,433ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$134,018TotalAmt
Management And General$134,018ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,000TotalAmt
Management And General$5,000ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,106,664TotalAmt
Program Services$9,145,810ProgramServicesAmt
Management And General$960,854ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$5,856TotalAmt
Management And General$5,856ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,446,366TotalAmt
Program Services$1,446,366ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$32,781TotalAmt
Program Services$32,781ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$36,778TotalAmt
Management And General$36,778ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
DUES AND SUBSCRIPTIONS$47,358$47,358
EMPLOYEE EXPENSE REIMB.$22,925$22,925
MEDICAL SUPPLIES$6,916$6,916
EDUCATION$6,772$6,772

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,306TotalAmt
Management And General$7,306ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$15,010,708TotalAmt
Program Services$13,432,408ProgramServicesAmt
Management And General$1,578,300ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$318,995BOYAmt
EOY$403,975EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$291,019BOYAmt
EOY$1,911,450EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,952BOYAmt
EOY$32,610EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$81,336EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$621,966BOYAmt
EOY$2,429,371EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$385,648BOYAmt
EOY$1,436,586EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,087,679BOYAmt
EOY$868,987EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,473,327BOYAmt
EOY$2,305,573EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$851,361BOYAmt
EOY-$851,361EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
EOY$975,159EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$851,361BOYAmt
EOY$123,798EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$621,966BOYAmt
EOY$2,429,371EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$975,159ReconcilationRevenueExpnssAmt
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 Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,701,956CurrentTaxYearMinus1YearAmt
Current Tax Year$4,329,484CurrentTaxYearAmt
Total$6,031,440TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$377,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,430,137CurrentTaxYearMinus1YearAmt
Current Tax Year$11,615,171CurrentTaxYearAmt
Total$14,422,558TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$377,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,132,093CurrentTaxYearMinus1YearAmt
Current Tax Year$15,944,655CurrentTaxYearAmt
Total$20,453,998TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$20,453,998PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$0CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$0CurrentTaxYearMinus1YearAmt
Current Tax Year$0CurrentTaxYearAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$41,212CurrentTaxYearAmt
Total$41,212TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus2 Years$377,250CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,132,093CurrentTaxYearMinus1YearAmt
Current Tax Year$15,985,867CurrentTaxYearAmt
Total$20,495,210TotalAmt
FieldValueIRS element (for citing)
First5 Years509Yes (X)First5Years509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:MISCELLANEOUS REVENUE - 2018 AMOUNT: $ 41,212.
SCHEDULE A, PART IIITHE ORGANIZATION'S 2015 TAX YEAR WAS A SHORT-YEAR, AS THIS WAS THE FIRST YEAR THE ORGANIZATION HAD FORMED.

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

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PROMISSORY NOTE TO MLKCH$300,000
PHYSICIANS SALARY GUARANTEE LIABILITY$568,987
FieldValueIRS element (for citing)
Total Liability$868,987TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION 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, 2019 OR 2018. THE ORGANIZATION IS SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR ALL YEARS SINCE INCEPTION FOR FEDERAL AND STATE TAX FILINGS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (6 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
JOHN FISHER MD
PRESIDENT/SECRETARY/TREASURER$0$375,046$0$121,120$0$6,000$0$8,250$0$9,457$0$519,873$0$0
ANCIL PHILIP MD
GENERAL SURGEON$350,374$0$35,081$0$0$0$1,107$0$10,668$0$397,230$0$0$0
ALAN KAPLAN MD
PHYSICIAN - UROLOGY$432,139$0$34,458$0$0$0$14,513$0$2,713$0$483,823$0$0$0
JUAN CABRALES MD
PHYSICIAN - FAMILY MEDICINE$228,099$0$18,895$0$0$0$9,813$0$3,322$0$260,129$0$0$0
YAMANDA EDWARDS MD
PHYSICIAN - FAMILY MEDICINE$190,279$0$15,091$0$0$0$8,326$0$13,748$0$227,444$0$0$0
ADAN ROMERO MD
PHYSICIAN - FAMILY MEDICINE$228,815$0$16,844$0$0$0$6,014$0$7,518$0$259,191$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RELIED ON MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION, A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE ORGANIZATION'S PRESIDENT, WHICH INCLUDED REVIEW OF HIS COMPENSATION BY THE BOARD OF DIRECTORS WHO UTILIZED EXTERNAL MARKET COMPENSATION INFORMATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS SHAREHOLDERS, WHO SHALL BE LIMITED TO INDIVIDUALS THAT ARE: (I) LICENSED OR OTHERWISE AUTHORIZED TO ENGAGE IN THE PRACTICE OF MEDICINE IN THE STATE OF CALIFORNIA, AND (II) ARE EMPLOYEES OR CONTRACTORS OF MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7ATHE SHAREHOLDERS OF THE CORPORATION MAY ELECT THE MEMBERS OF THE BOARD OF DIRECTORS FROM AMONG QUALIFIED NOMINEES DESIGNATED BY MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE BYLAWS, ARTICLES OF INCORPORATION, AND CAPTIVE PROFESSIONAL CORPORATION DOCUMENTS MAY BE AMENDED ONLY BY THE AFFIRMATIVE VOTE OF A MAJORITY OF THE OUTSTANDING SHARES ENTITLED TO VOTE, OR BY THE WRITTEN CONSENT OF SHAREHOLDERS ENTITLED TO VOTE SUCH SHARES. IN EITHER CASE, SUCH AMENDMENTS ARE SUBJECT TO THE APPROVAL OF MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS PREPARED BY AN OUTSIDE TAX PREPARER IN CONJUNCTION WITH THE ACCOUNTING AND FINANCE STAFF OF MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION. UPON COMPLETION, THE FORM 990 IS THEN DISTRIBUTED TO THE ORGANIZATION'S PRESIDENT/TREASURER/SECRETARY FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR, OFFICER, AND MEMBER OF A COMMITTEE HAVING POWERS DELEGATED BY THE GOVERNING BOARD SHALL, PRIOR TO THEIR ELECTION AND ANNUALLY THEREAFTER, SIGN AND SUBMIT A CONFLICT OF INTEREST STATEMENT. IN THE EVENT A CONFLICT OF INTEREST MAY OCCUR, INTERESTED PERSONS ARE REQUIRED UNDER THE POLICY TO DISCLOSE THE EXISTENCE OF ANY FINANCIAL INTEREST TO THE ORGANIZATION'S GOVERNING BOARD OR TO A DULY AUTHORIZED COMMITTEE OF THE GOVERNING BOARD CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT, AND ARE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS OF THE TRANSACTION. AFTER DISCLOSURE OF THE POTENTIAL CONFLICT AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL LEAVE THE MEETING OF THE GOVERNING BOARD OR COMMITTEE WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON.
FORM 990, PART VI, SECTION B, LINE 15THE ORGANIZATION DOES NOT COMPENSATE ITS PRESIDENT OR ANY ADDITIONAL OFFICERS OR KEY EMPLOYEES; RATHER, THESE INDIVIDUALS ARE COMPENSATED BY A RELATED ORGANIZATION. AS SUCH, PART VI, SECTION B, LINE 15A AND 15B HAVE BEEN MARKED "NO" AS MANDATED BY THE FORM 990 INSTRUCTIONS.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GMEDICAL PHYSICIANS: PROGRAM SERVICE EXPENSES 8,707,489. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,707,489. CONSULTING FEES: PROGRAM SERVICE EXPENSES 438,321. MANAGEMENT AND GENERAL EXPENSES 960,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,399,175.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARTIN LUTHER KING JR-LOS ANGELES HEALTHCARE CORPORATION
1680 E 120TH STREETLOS ANGELESCA90059274658935HOSPITALCA501(C)(3)LINE 3N/A0
MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION
1680 E 120TH STREETLOS ANGELESCA90059454433505CHARITABLE FOUNDATIONCA501(C)(3)LINE 70MLKCH
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd