2019-05-14T17:30:10-05:00 2018-06-30 951777440 GREEN HASSON & JANKS LLP 10990 WILSHIRE BLVD 16TH FLOOR LOS ANGELES CA 900243929 990 2017-07-01 952539105 THE LOS ANGELES FREE CLINIC LOSA 3236538622 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 MURIEL NOUWEZEM INTERIM CHIEF EXEC. OFFICER 3236538622 2019-04-22 1 LIZBETH NEVAREZ P01399868 3108731600 38.186.35.254 2019-04-22 14:23:11 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 1E5C2E37194314C3A47C760AEAFDC059525B6175 2017 2019-02-21 02:37:17Z SABAN COMMUNITY CLINIC MURIEL NOUWEZEM 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 28067759 0 X WWW.SABANCOMMUNITYCLINIC.ORG X 1967 CA TO PROVIDE QUALITY HEALTH CARE AND HUMAN SERVICES FOR THE UNDERSERVED & VULNERABLE IN OUR COMMUNITY 15 15 275 286 0 66214 8368142 9663064 11129738 13892795 340909 365690 46858 31936 19885647 23953485 0 0 0 0 15813221 17420957 0 0 1055396 6805181 8477518 22618402 25898475 -2732755 -1944990 22729301 22150105 3820764 4891910 18908537 17258195 X THE LOS ANGELES FREE CLINIC (DBA SABAN COMMUNITY CLINIC), IN COLLABORATION WITH STRATEGIC PARTNERS, PROVIDES DEPENDABLE AND AFFORDABLE QUALITY HEALTH CARE AND HUMAN SERVICES IN A CARING ENVIRONMENT FOR THE UNDERSERVED AND THOSE WHO ARE THE MOST VULNERABLE. 0 0 17228589 8883582 PRIMARY CARE SERVICESPRIMARY CARE SERVICES ARE PROVIDED THROUGH WAC CLINIC (WALLIS ANNENBERG CENTER), BEVERLY CLINIC, AND MARK S. TAPER CLINIC .THE CLINICS PROVIDE PRIMARY CARE SERVICES FOR ADULTS AND CHILDREN, WHICH INCLUDES HEALTH MAINTENANCE SERVICES SUCH AS PHYSICAL EXAMS, PAP SMEARS AND BREAST EXAMS; DIAGNOSIS AND TREATMENT OF CHRONIC CONDITIONS SUCH AS DIABETES, HYPERTENSION AND ASTHMA; FAMILY PLANNING SERVICES, HIV TESTING AND COUNSELING, AND TESTING AND TREATMENT OF OTHER SEXUALLY TRANSMITTED DISEASES; CANCER SCREENING AND BLOOD PRESSURE SCREENING. 3143268 3595867 DENTAL CLINIC -THE DENTAL CLINIC DELIVERS SERVICES TO BOTH CHILDREN AND ADULTS OF ALL AGES. SERVICES INCLUDE GENERAL SCREENING, ORAL EXAMS AND DIAGNOSTIC VISITS, X RAYS AND RESTORATIVE PROCEDURES SUCH AS FILLING, EXTRACTION, PULPOTOMIES, CROWNS AND ROOT CANALS, DENTURES, EMERGENCY AND PALLIATIVE CARE, AND SUCH PREVENTIVE CARE AS CLEANING, SEALANTS AND ORAL HYGIENE EDUCATION. THE PLAQUE BUSTER PROGRAM PROVIDES PATIENTS WITH INFORMATIVE BROCHURES AND AN ANTI-PLAQUE KIT OF TOOTHBRUSH, TOOTHPASTE, FLOSS AND PLAQUE DISCLOSURE TABLETS. 2335619 1413346 BEHAVIORAL HEALTH -THE BEHAVIORAL HEALTH DEPARTMENT OPERATES AT ALL CLINIC SITES TO PROVIDE CASE MANAGEMENT AND SHORT TERM COUNSELING SERVICES TO PEOPLE OF ALL AGES. CASE MANAGEMENT INCLUDES INFORMATION AND REFERRALS; SHORT-TERM COUNSELING INCLUDES DEPRESSION SCREENING, INDIVIDUAL AND COUPLES COUNSELING, AND FAMILY COUNSELING; GROUP COUNSELING INCLUDES A TEEN GROUP AND A PARENTING GROUP. LIMITED PSYCHIATRIC SERVICES ARE ALSO AVAILABLE. 1001287 ELIGIBILITY AND ENROLLMENT -THE ELIGIBILITY AND ENROLLMENT DEPARTMENT PROVIDES HEALTH INSURANCE AND PROGRAM ELIGIBILITY SERVICES TO PEOPLE OF ALL AGES, AT ALL THREE CLINIC SITES AS WELL AS AT COMMUNITY MEETINGS, HEALTH FAIRS AND OTHER PUBLIC EVENTS. 1001287 23708763 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 28 0 1 275 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MURIEL NOUWEZEM 3233371707 8405 BEVERLY BOULEVARD LOS ANGELES CA 90048 ROBERT BRODER CHAIR 8.00 1.00 X X 0 0 0 RUSSELL ALEXANDER-OROZCO VICE CHAIR 4.00 1.00 X X 0 0 0 MICHAEL ZIERING JD TREASURER 2.00 1.00 X X 0 0 0 ANGELA L JONES SECRETARY 2.00 2.00 X X 0 0 0 ERIC JUNG DIRECTOR 1.00 0.00 X 0 0 0 JOANNE DIETCH DIRECTOR 1.00 0.00 X 0 0 0 JESSE BRONNER DIRECTOR 1.00 0.00 X 0 0 0 STEVE KLIMBACK DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL MCBRIDE DIRECTOR 1.00 0.00 X 0 0 0 CAM MONTGOMERY JR DIRECTOR 1.00 0.00 X 0 0 0 MITCHELL PINDUS DIRECTOR 1.00 0.00 X 0 0 0 RICHARD K RIFENBARK JD DIRECTOR 1.00 0.00 X 0 0 0 NEIL E ROMANOFF MD MPH DIRECTOR 1.00 0.00 X 0 0 0 LUIS PARDO DIRECTOR 1.00 0.00 X 0 0 0 INGRID PALMER DIRECTOR 1.00 0.00 X 0 0 0 JULIE HUDMAN CEO (UNTIL JUNE 1, 2018) 40.00 1.00 X 217242 0 35116 MURIEL NOUWEZEM INTERIM CHIEF EXECUTIVE OFFICER 40.00 0.00 X 217520 0 15331 DAVID LUNA CHIEF MEDICAL OFFICER 40.00 0.00 X 256546 0 17215 EMANUEL MKRTICHIAN CHIEF INFORMATION OFFICER 40.00 0.00 X 230872 0 21463 TINH VUONG PHYSICIAN 40.00 0.00 X 225561 0 14547 FARSHID FARAROOY PHYSICIAN 40.00 0.00 X 224545 0 23759 CHRISTOPHER BRYCHEL PHYSICIAN/CLINICAL CHAMPION 40.00 0.00 X 208574 0 8198 SARAH MARTIN DOMB PSYCHIATRIST 40.00 0.00 X 209220 0 4266 1790080 0 139895 20 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EPIC SYSTEM MAINTENANCE 480123 1 2605 59004 4352627 5248828 9663064 PATIENT SERVICE REVENUE 900099 13892795 13892795 13892795 272803 272803 4207161 4114274 92887 92887 92887 0 2605 0 0 MISCELLANEOUS 900099 31936 31936 31936 23953485 13892795 0 397626 811527 759817 23113 28597 13957362 13057407 401579 498376 174754 165076 4419 5259 1406058 1328191 35554 42313 1071256 1001607 30811 38838 259511 259511 67376 67376 59446 59446 2236595 1964418 82666 189511 12755 10650 1630 475 528036 465736 34891 27409 915977 863922 15235 36820 1419445 1282027 26722 110696 49020 36991 11027 1002 159016 132780 20318 5918 519080 497875 8485 12720 328641 317733 4411 6497 PROGRAM SUPPLIES 1342252 1312216 1029 29007 EQUIPMENT & FACILITY MA 249164 235758 3776 9630 STAFF & VOLUNTEER RECRU 150225 125440 19194 5591 SUBSCRIPTIONS & MEMBERS 62612 52282 8000 2330 118367 98837 15123 4407 25898475 23708763 1134316 1055396 379131 553724 3859 63890 575689 2183717 3190567 1985476 43860 20167 329512 180667 12275977 5556102 6124003 6719875 10568823 8295170 1345391 2018547 168466 128872 22729301 22150105 2397537 3193892 95247 417879 0 600000 1327980 680139 3820764 4891910 X 7413136 5158100 11417118 12021812 78283 78283 18908537 17258195 22729301 22150105 X -1944990 409508 -114860 X 0 1 X 1 1 1 X 7776781 7527046 7088947 8368142 9663064 40423980 7776781 7527046 7088947 8368142 9663064 40423980 650780 39773200 504203 647136 453678 277574 272803 2155394 60615 16721 77526 46858 31936 233656 42813030 56068382 0.92900 0.93250 X 11280203 780890 2316250 9744843 10717603 1060445 497845 11280203 11785906 -544162 524141 10717603 12151450 41783 212340 619667 11785906 11795048 36500 680234 360332 12151450 0.00000 0.00800 0.99200 0 0 1407981 1407981 7254702 3819396 3435306 121399 27503 93896 2322344 1709203 613141 1169551 1169551 6719875 1468547 F FOREIGN OFFSHORE INVESTMENT 550000 F 2018547 OTHER LIABILITIES 680139 680139 FORM 990, PART V THE ORGANIZATION HAS ADOPTED AN ENDOWMENT INVESTMENT POLICY, APPROVED BY THE BOARD, FOR ENDOWMENT ASSETS THAT ATTEMPT TO PROVIDE A PREDICTABLE STREAM OF FUNDING TO PROGRAMS SUPPORTED BY ITS ENDOWMENT WHILE SEEKING TO MAINTAIN THE PURCHASING POWER OF THESE ENDOWMENT ASSETS OVER THE LONG TERM. THE INVESTMENT POLICY ESTABLISHES AN ACHIEVABLE RETURN OBJECTIVE THROUGH DIVERSIFICATION OF ASSET CLASSES. THE OBJECTIVE IS TO GROW THE AGGREGATE PORTFOLIO VALUE, NET OF SPENDING, AT THE RATE OF INFLATION OVER THE INVESTMENT HORIZON. CENTRAL AMERICA AND THE CARIBBEAN 0 0 INVESTMENT 550000 0 0 0 0 0 0 550000 0 550000 1 0 0 0 0 0 X X X X X 0 0 0 0 0 0 0 1 0 JULIE HUDMAN CEO (UNTIL JUNE 1, 2018) 202242 0 15000 0 0 0 10043 0 25073 0 252358 0 0 0 MURIEL NOUWEZEM INTERIM CHIEF EXECUTIVE OFFICER 217520 0 0 0 0 0 8707 0 6624 0 232851 0 0 0 DAVID LUNA CHIEF MEDICAL OFFICER 256546 0 0 0 0 0 8410 0 8805 0 273761 0 0 0 EMANUEL MKRTICHIAN CHIEF INFORMATION OFFICER 230872 0 0 0 0 0 2188 0 19275 0 252335 0 0 0 TINH VUONG PHYSICIAN 225561 0 0 0 0 0 7923 0 6624 0 240108 0 0 0 FARSHID FARAROOY PHYSICIAN 224545 0 0 0 0 0 6609 0 17150 0 248304 0 0 0 CHRISTOPHER BRYCHEL PHYSICIAN/CLINICAL CHAMPION 208574 0 0 0 0 0 0 0 8198 0 216772 0 0 0 SARAH MARTIN DOMB PSYCHIATRIST 209220 0 0 0 0 0 4178 0 88 0 213486 0 0 0 PART I, LINE 7 THE BOARD OF DIRECTOR APPROVED $15,000 DISCRETIONARY BONUS TO JULIE HUDMAN ON JANUARY 26, 2018. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTE IS COMPOSED OF 1) ROBERT BRODER, CO-CHAIR 2) RUSSELL ALEXANDER-OROZCO, CO-CHAIR 3) ANGELA JONES, VICE CHAIR 4) JOANNE DIETCH, SECRETARY 5) MICHAEL ZIERING, TREASURER FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PREPARED BY AN OUTSIDE CPA FIRM AND THEN REVIEWED AND APPROVED BY THE CEO AND INTERIM CEO. WHEN THE CEO AND COO/CFO HAVE COMPLETED THEIR REVIEW, THE RETURN IS PRESENTED TO THE FULL BOARD OF DIRECTORS BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUALLY, BOARD MEMBERS COMPLETE CONFLICT OF INTEREST DOCUMENTS AND SIGN THEM. THESE DOCUMENTS ARE FILED WITH THE EXECUTIVE OFFICE. ANY CONFLICTS THAT SHOULD ARISE ARE REVIEWED BY THE BOARD EXECUTIVE COMMITTEE OR THE CORPORATTE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS AN EXECUTIVE COMMITTEE THAT FUNCTIONS AS A COMPENSATION COMMITTEE WHICH HIRES AN INDEPENDENT CONSULTANT. THIS CONSULTANT PERFORMS SALARY SURVEYS FOR THE CHIEF EXECUTIVE OFFICER(S) AND OTHER KEY EMPLOYEES INDEPENDENTLY, WITHOUT PARTICIPATION OF INTERESTED PERSONS. THE COMPENSATION IS BASED UPON THESE SALARY SURVEYS AND SUBJECT TO BOARD APPROVAL. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: BAD DEBT EXPENSE -114,860. LAFC HOLLYWOOD CENTER ENDOWMENT CORP 8405 BEVERLY BLVD LOS ANGELES CA 90048 954323238 PROVIDE FINANCIAL SUPPORT TO LOS ANGELES FREE CLINIC CA 501(C)(3) LINE 12A, I THE LOS ANGELES FREE CLINIC 1 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 LAFC HOLLYWOOD CENTER ENDOWMENT CORP C 59004 COST