2019-02-22T19:07:31-06:00 2018-06-30 330783700 PDM LLP 3460 TORRANCE BLVD STE 200 TORRANCE CA 90503 990 2017-07-01 237103245 HARBOR COMMUNITY CLINIC INC HARB 3105478241 593 WEST 6TH STREET SAN PEDRO CA 90731 TAMRA KING CEO 3105478241 2019-02-22 1 ANTHONY P BOZANIC CPA P01314417 3105404118 64.183.112.46 2019-02-22 15:01:10 PS P 6100595947F2C56822133FA001DBA701B74366D3 060F7C2A28BD2E04D17DD6AE29CD1DAFB3125F6D 2017 2019-02-21 02:37:17Z TAMRA KING 593 WEST 6TH STREET SAN PEDRO CA 90731 5635066 0 X WWW.HARBORCOMMUNITYCLINIC.COM X 2005 CA TO PROVIDE NO COST TO LOW COST MEDICAL CARE TO THE WORKING POOR AND THEIR FAMILIES. 10 10 56 10 0 0 1194460 1369329 4231045 4125750 0 0 88647 139987 5514152 5635066 0 0 0 0 2741948 3099718 0 0 35960 2502809 2282675 5244757 5382393 269395 252673 3164975 3336129 1060621 979102 2104354 2357027 TO PROVIDE NO COST TO LOW COST PRIMARY CARE, MENTAL HEALTH COUNSELING, AND OTHER SOCIAL SERVICES TO THE WORKING POOR AND THEIR FAMILIES THROUGH ITS MEDICAL AND PEDIATRIC CLINICS IN THE HARBOR AREA OF GREATER LOS ANGELES. 0 0 4512557 4265737 FROM TWO LOCATIONS IN THE LOS ANGELES HARBOR AREA, THE ORGANIZATION PROVIDES NO COST TO LOW COST MEDICAL CARE TO INDIVIDUALS AND THEIR FAMILIES WHO DO NOT HAVE ACCESS TO ANY OTHER MEDICAL CARE. THE MAJORITY OF ITS PATIENTS ARE THE WORKING POOR: PEOPLE WHO ARE EMPLOYED BUT WHOSE EMPLOYMENT DOES NOT PROVIDE MEDICAL INSURANCE. SERVICES INCLUDE QUALITY PRIMARY MEDICAL CARE, MENTAL HEALTH COUNSELING, AND OTHER SOCIAL SERVICES THROUGH ITS MEDICAL AND PEDIATRIC CLINICS IN THE HARBOR AREA OF GREATER LOS ANGELES. THE ORGANIZATION CURRENTLY OPERATES AS AN APPROVED FEDERALLY QUALIFIED HEALTH CENTER. THE ORGANIZATION SERVICED APPROXIMATELY 25,000 PATIENT VISITS DURING FISCAL 2018. 4512557 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 37 0 1 56 1 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 X YESSENIA HENRIQUEZ 3105478241 593 WEST 6TH STREET SAN PEDRO CA 90731 JULIE VAN WERT BOARD MEMBER 1.00 X 0 0 0 BIANCA BANKS BOARD MEMBER 1.00 X 0 0 0 MIKE LANSING BOARD MEMBER 1.00 X 0 0 0 DEBORAH OLSON BOARD MEMBER 1.00 X 0 0 0 ALAN WEINFELD BOARD MEMBER 1.00 X 0 0 0 CHAD SPARKS MD CHAIRPERSON 1.00 X X 0 0 0 DORA JACILDO VICE CHAIR 1.00 X X 0 0 0 ARCHANA SHARMA BOARD MEMBER 1.00 X 0 0 0 IDA MAE TAYLOR SECRETARY 1.00 X 0 0 0 ANTHONY COLLINS TREASURER 1.00 X 0 0 0 TAMRA KING CEO 40.00 X 164155 0 7584 DR UDUAK ILUORE MEDICAL DIRECTOR 32.00 X 243542 0 7380 YESSENIA HENRIQUEZHIRED 1217 CFO 40.00 X 7500 0 0 CYNTHIA ULM PROVIDER 32.00 X 126796 0 0 DR PARVANEH DELBAKHSH PROVIDER 40.00 X 145238 0 7176 DR AHMAD KHALIFA PROVIDER 16.00 X 102952 0 0 DR VIJAYAKUMAR PRAVEEN PROVIDER 24.00 X 123023 0 0 DR MAITEEN PUMPUANG PROVIDER 32.00 X 149407 0 0 NATHALIE RODRIGUEZ PROVIDER 40.00 X 115187 0 5556 1177800 0 27696 8 0 1 0 GREG FACTOR & ASSOCIATES LLC 316 NORTH ROSSMORE AVE 505 LOS ANGELES CA 90004 FQHC COMPLIANCE 261416 PMG PRIORITY MANAGEMENT SERVICES 700 SCHOOL STREET PAWTUCKER RI 02860 MEDICAL BILLING 239031 HITCARE 1310 REDWOOD WAY SUITE 125 PATALUMA CA 94954 IT 233676 MCKESSON MEDICAL SURGICAL PO BOX 100884 ATLANTA GA 30384 MEDICAL SUPPLIES 121318 QUEST DIAGNOSTICS PO BOX 912411 PASADENA CA 91110 LABORATORY 103815 5 835359 533970 15073 1369329 PATIENT SERVICE 621400 3635412 3635412 HEALTH PLAN INCENTIVES 621400 490338 490338 4125750 OTHER REVENUE 900099 139987 139987 139987 5635066 4265737 0 0 X 467076 384026 67770 15280 2229116 1894749 334367 188103 158981 28056 1066 215423 182072 32130 1221 58285 46628 11657 20400 16320 4080 702679 547429 136857 18393 23729 14237 9492 226017 163710 62307 293216 249234 43982 124962 116264 8698 8628 7334 1294 40345 34293 6052 124015 105413 18602 63814 54242 9572 DRUGS AND MEDICAL SUPPL 186939 186939 LABORATORY FEES 95694 95694 REPAIRS AND MAINTENANCE 64816 55094 9722 IN-KIND PHARMACEUTICALS 15073 15073 234063 184825 49238 5382393 4512557 833876 35960 751350 563873 200000 30000 106006 529627 590429 32212 15710 2881967 1039256 1821786 1842711 0 17400 3164975 3336129 478153 418337 582468 531904 0 28861 1060621 979102 X 2074354 2148647 30000 208380 2104354 2357027 3164975 3336129 252673 0 X X 0 1 X 1 1 1 X 610251 523893 1053114 1194460 1369329 4751047 610251 523893 1053114 1194460 1369329 4751047 44935 4706112 99 59 3 161 16778 148134 108511 88647 139987 502057 5253265 15393490 0.89580 0.91110 X PART II, LINE 10 OTHER INCOME IS PRIMARILY CONSISTED OF PHARMACEUTICAL-RELATED REVENUE. 376328 376328 1648464 489623 1158841 108401 60117 48284 547726 457904 89822 201048 31612 169436 1842711 DEFERRED RENT 28861 28861 X 5672566 37500 37500 5635066 0 5635066 5419893 37500 37500 5382393 0 5382393 PART X, LINE 2: HCC RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT OF BEING SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. TO DATE, THE ORGANIZATION HAS NOT RECORDED ANY UNCERTAIN TAX POSITIONS. HCC RECOGNIZES POTENTIAL ACCRUED INTEREST AND PENALTIES RELATED TO UNCERTAIN TAX POSITIONS IN INCOME TAX EXPENSE. DURING THE YEAR ENDED JUNE 30, 2018, HCC DID NOT RECOGNIZE ANY AMOUNT IN POTENTIAL INTEREST AND PENALITIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS. X X X X 0 0 0 0 0 0 0 0 0 TAMRA KING CEO 164155 0 0 0 0 0 0 0 7584 0 171739 0 0 0 DR UDUAK ILUORE MEDICAL DIRECTOR 243542 0 0 0 0 0 0 0 7380 0 250922 0 0 0 DR PARVANEH DELBAKHSH PROVIDER 145238 0 0 0 0 0 0 0 7176 0 152414 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE BOARD OF DIRECTORS DISCUSSES POTENTIAL CONFLICTS OF INTEREST AMONGST ITS MEMBERS ON AN ANNUAL BASIS. THE EMPLOYEES ARE NOTIFIED BY AGREEING TO THE ANNUAL CONFLICT OF INTEREST POLICY IN THE EMPLOYEE HANDBOOK EACH YEAR. FORM 990, PART VI, SECTION B, LINE 15 EACH YEAR THE BOARD APPROVES THE EXECUTIVE DIRECTOR'S SALARY THROUGH THE BOARD MEETING MINUTES. THE ANNUAL SALARY IS COMPARED TO INDUSTRY STANDARDS FOR COMPARABLE HEALTH CARE CENTERS OF COMPARABLE SIZE IN THE AREA. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G CONSULTANTS & MARKETING: PROGRAM SERVICE EXPENSES 476,289. MANAGEMENT AND GENERAL EXPENSES 119,072. FUNDRAISING EXPENSES 18,393. TOTAL EXPENSES 613,754. CONTRACT SVCS- MEDICAL: PROGRAM SERVICE EXPENSES 71,140. MANAGEMENT AND GENERAL EXPENSES 17,785. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 88,925. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED ITS OVERSIGHT PROCESS OR SELECTION PROCESS DURING THE TAX YEAR.