2018-11-14T17:29:30-06:00 2017-12-31 420714325 RSM US LLP 515 S FLOWER STREET 17TH FLOOR LOS ANGELES CA 90071 990 2017-01-01 954298276 HEALTH CARE LA IPA HEAL 8187020100 4195 E THOUSAND OAKS BLVD NO 235 THOUSAND OAKS CA 91362 IRIS WEIL EXECUTIVE DIRECTOR 8187020100 2018-11-08 1 YONG ZHANG P01249785 2133304800 108.171.131.188 2018-11-08 09:47:58 PS P B7298F6847743AAC78CC1472ADD4E07D17DA476A B7298F6847743AAC78CC1472ADD4E07D17DA476A 2017 2019-02-21 02:37:17Z KIMBERLY WYARD 4195 E THOUSAND OAKS BLVD NO 235 THOUSAND OAKS CA 91362 328175927 0 X WWW.HEALTHCARELA.ORG X 1990 CA HEALTH CARE LA IPA'S (HCLA) MISSION IS TO PROVIDE COMMUNITY-BASED PROVIDERS IN LOS ANGELES COUNTY WITH A MANAGED, INTEGRATED HEALTHCARE DELIVERY SYSTEM TO SERVE THEIR COMMUNITIES IN AN ORGANIZED, EFFICIENT, COMPASSIONATE AND FINANCIALLY RESPONSIBLE MANNER. 15 15 0 62 0 0 0 0 289787405 327062623 0 0 1098790 1113304 290886195 328175927 0 0 0 0 170505 188903 0 0 0 266536830 330384392 266707335 330573295 24178860 -2397368 133573545 131918930 97989045 98731798 35584500 33187132 X HEALTH CARE LA IPA'S (HCLA) MISSION IS TO PROVIDE COMMUNITY-BASED PROVIDERS IN LOS ANGELES COUNTY WITH A MANAGED, INTEGRATED HEALTHCARE DELIVERY SYSTEM TO SERVE THEIR COMMUNITIES IN AN ORGANIZED, EFFICIENT, COMPASSIONATE AND FINANCIALLY RESPONSIBLE MANNER. 0 0 297637289 328175927 HCLA OPERATES AN INDEPENDENT PRACTICE ASSOCIATION MADE UP OF NON-PROFIT HEALTH CENTERS THAT PROVIDE MEDICAL SERVICES, ESPECIALLY TO LOW INCOME AND MEDICALLY UNDERSERVED POPULATIONS IN LOS ANGELES COUNTY. HCLA CONTRACTS WITH OVER 38 FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND COMMUNITY CLINICS THROUGHOUT LOS ANGELES COUNTY TO PROVIDE COORDINATED HEALTHCARE TO THE UNDERSERVED POPULATION IN THEIR COMMUNITIES, INCLUDING: (1) POST DISCHARGE CARE COORDINATION ON THE FRAIL ELDERLY PATIENTS. CASE MANAGERS ARE ASSIGNED TO PATIENTS WITH COPD, CHF, AND OTHER CHRONIC DISEASE CONDITIONS. (2) IN HOME HEALTH ASSESSMENT EXAMS TO SENIOR PATIENTS WHO HAVE NOT BEEN SEEN BY A PRIMARY PROVIDER WITHIN SIX MONTHS OF ENROLLMENT. A NURSE PRACTITIONER PERFORMS A HEALTH ASSESSMENT AND ROUTINE LABS. RESULTS ARE SHARED WITH PRIMARY PHYSICIAN FOR FOLLOW UP VISIT. (3)PROGRAMS THAT PROVIDE ADDITIONAL ASSISTANCE TO THE COMMUNITY CLINICS, SUCH AS PROVIDING HEALTH CENTERS WITH THE NECESSARY TRAINED PERSONNEL TO ASSIST WITH MEETING THE TRIPLE AIM OF THE AFFORDABLE CARE ACT: THE RIGHT CARE, AT THE RIGHT SETTING, FOR THE MOST AFFORDABLE COST; AND TO SERVE AS THE PRINCIPAL APPLICANT AND RECIPIENT OF GRANTS AND OTHER FUNDS FOR PROGRAMS THAT REQUIRE THE PARTICIPATION OF TWO OR MORE OF THE NONPROFIT HEALTH CENTERS. 297637289 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 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 2926 0 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 0 0 0 CA X CORY VINSON-VESTAL 8187020100 4195 E THOUSAND OAKS BLVD STE 235 THOUSAND OAKS CA 91362 KIMBERLY WYARD DIRECTOR & PRESIDENT 2.00 X X 0 0 0 BARBARA HINES DIRECTOR & VICE-PRESIDENT 2.00 X X 0 0 0 JANN HAMILTON LEE DIRECTOR 2.00 X 0 0 0 RICHARD VELOZ DIRECTOR & TREASURER 2.00 X X 0 0 0 L JINA LEE LAWLER DIRECTOR 2.00 X 0 0 0 ALICIA MARDINI DIRECTOR 2.00 X 0 0 0 PAULA WILSON DIRECTOR & SECRETARY 2.00 X X 0 0 0 KAZUE SHIBATA DIRECTOR 2.00 X 0 0 0 JIM MANGIA DIRECTOR 2.00 X 0 0 0 AL BALLESTEROS DIRECTOR 2.00 X 0 0 0 ANITA ZAMORA DIRECTOR 2.00 X 0 0 0 CLIFF SHIEPE DIRECTOR 2.00 X 0 0 0 MARGARET MARTINEZ DIRECTOR 2.00 X 0 0 0 CHONA DE LEAON DIRECTOR 2.00 X 0 0 0 RODERICK SEAMSTER MD DIRECTOR 2.00 X 0 0 0 IRIS WEIL EXECUTIVE DIRECTOR 20.00 X 188903 0 24310 DEREK SCHNEIDER CFO 2.00 X 0 0 0 188903 0 24310 1 0 1 0 MEDPOINT MANAGEMENT 6400 CANOGA AVE STE 163 WOODLAND HILLS CA 91367 ADMINISTRATION SERVICES 36805903 UNICARE PHARMACY INC 301 S FAIR OAKS AVE PASADENA CA 91105 PHARMACY 11018716 BEVERLY RADIOLOGY MEDICAL GROUP 4334 CENTRAL AVE RIVERSIDE CA 92506 RADIOLOGY 5299068 UNITED MEDICAL IMAGING HEALTHCARE 15825 LAGUNA CANYON RD IRVINE CA 92618 RADIOLOGY 4481390 QUEST DIAGNOSTICS 500 S VIRGIL AVE STE 202 LOS ANGELES CA 90010 LABORATORY 4066176 10 HEALTH PLAN CAPITATION 624110 304722569 304722569 SHARED RISK AND PERFORMANCE INCEN 624110 22340054 22340054 327062623 OTHER INCOME 624110 1113304 1113304 1113304 328175927 328175927 0 0 188903 188903 32747103 32747103 312729 312729 FEE FOR SERVICE SPECIAL 190142337 190142337 PRIMARY CARE AND SPECIA 63425563 63425563 SHARED RISK POOL AND PA 25238403 25238403 REINSURANCE PREMIUMS 11078779 11078779 7439478 7439478 330573295 297637289 32936006 0 127663396 123753363 5745475 7992481 164674 173086 133573545 131918930 97989045 98731798 97989045 98731798 X 35584500 33187132 35584500 33187132 133573545 131918930 -2397368 0 X 0 1 X 1 0 X 270006486 290886195 32817592 593710273 270006486 290886195 32817592 593710273 0 0 0 593710273 270006486 290886195 32817592 593710273 X SCH A: PART III, SEC. B, LINE 14 WHILE THE ORGANIZATION WAS ESTABLISHED IN 1990, THIS IS ONLY ITS THIRD ANNUAL TAX FILING AS AN EXEMPT ORGANIZATION. BEFORE 2015, THE ORGANIZATION WAS A FOR-PROFIT ENTITY FILING A FEDERAL FORM 1120 CORPORATE TAX RETURN. 0 X 328175927 0 328175927 0 328175927 330573295 0 330573295 0 330573295 PART X, LINE 2: EXPLANATION FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 THE COMPANY ACCOUNTS FOR INCOME TAXES IN ACCORDANCE WITH FASB INTERPRETATION NO. 48, AN INTERPRETATION OF FASB STATEMENT NO. 109, WHICH HAS BEEN INCORPORATED IN ASC 740. THOUGH THE COMPANY HAS BEEN ESTABLISHED AS A NONPROFIT MUTUAL BENEFIT CORPORATION FOR LEGAL PURPOSES, THIS STATUS DOES NOT AUTOMATICALLY MAKE THE COMPANY A TAX-EXEMPT ORGANIZATION. HOWEVER, AS A RESULT OF THE CHANGE IN THE COMPANY'S CLASSIFICATION FROM A NONPROFIT CORPORATION TO A QUALIFIED 501(C)(3) NONPROFIT ORGANIZATION, THE COMPANY IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 2370(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. THIS EXEMPTION IS FOR ALL INCOME TAXES EXCEPT THOSE ASSESSED ON UNRELATED BUSINESS TAXABLE INCOME, IF ANY. IN ORDER TO MAINTAIN THAT STATUS, THE COMPANY IS PRECLUDED FROM MAKING CERTAIN EXPENDITURES, PRINCIPALLY IN SUPPORT OF POLITICAL PARTIES. MANAGEMENT BELIEVES THAT NO SUCH EXPENDITURES HAVE BEEN MADE. THE COMPANY IS NOT A PRIVATE FOUNDATION. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50 PERCENT LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED, AS DESCRIBED ABOVE, IS REFLECTED AS A LIABILITY FOR UNRECOGNIZED TAX BENEFITS IN THE ACCOMPANYING BALANCE SHEETS, ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. UPON ADOPTION AND AS OF DECEMBER 31, 2017 AND 2016, THE COMPANY HAS ADDRESSED UNCERTAINTY IN ITS INCOME TAX POSITION UNDER THIS GUIDANCE, AND THERE ARE NO UNRECOGNIZED/DERECOGNIZED TAX BENEFITS THAT REQUIRE AN ACCRUAL. FORMS 990 AND 990-T FILED BY THE COMPANY, ARE SUBJECT TO EXAMINATION BY THE IRS UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN AND FOUR YEARS FOR CALIFORNIA. THE SAME STATUTE OF LIMITATION APPLIES TO FORMS 1120 FILED IN PREVIOUS YEARS BEFORE THE COMPANY OBTAINED ITS EXEMPT STATUS. MANAGEMENT BELIEVES FORMS 1120 HAVE BEEN FILED APPROPRIATELY. FORMS 1120 FILED BY THE COMPANY ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEARS ENDED DECEMBER 31, 2013 AND PRIOR, AND DECEMBER 31, 2012, FOR THE STATE. 0 0 0 0 0 0 0 0 0 IRIS WEIL EXECUTIVE DIRECTOR 188903 0 0 0 0 0 0 0 24310 0 213213 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 MEDPOINT MANAGEMENT, AN INDEPENDENT CONTRACTOR, PERFORMS MANAGEMENT DUTIES FOR HEALTH CARE LA, IPA, INCLUDING, BUT NOT LIMITED TO, PLANNING AND EXECUTING BUDGETS OR FINANCIAL OPERATIONS, SUPERVISING EXEMPT OPERATIONS, AND NEGOTIATING AND ADMINISTRATING PLAN CONTRACTS AND PROVIDER CONTRACTS. IT ALSO HANDLES CLAIMS PROCESSING, AND ELIGIBILITY AND BENEFITS MANAGEMENT. FORM 990, PART VI, SECTION B, LINE 11B INFORMATION FOR THE COMPLETION OF THE TAX RETURN WAS GATHERED BY HEALTHCARE LA, IPA'S ACCOUNTING DEPARTMENT. THE ACCOUNTING FIRM, RSM US LLP, PREPARED THE TAX RETURN AND IT WAS REVIEWED BY THE CFO PRIOR TO ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C MONITORING OF THE CONFLICT OF INTEREST POLICY IS CONDUCTED THROUGH AN ANNUAL POLICY REVIEW. ALL MEMBERS OF THE BOARD AND BOARD-APPOINTED COMMITTEES MUST ANNUALLY DISCLOSE ACTUAL AND POTENTIAL CONFLICTS OF INTEREST BY COMPLETING A DISCLOSURE STATEMENT, AND SHALL UPDATE SUCH DISCLOSURES AS NEW INFORMATION BECOMES AVAILABLE THAT COULD MATERIALLY AFFECT THE INDIVIDUAL'S STATED INTERESTS. THE CHAIR OF THE BOARD, IN CONSULTATION WITH THE EXECUTIVE DIRECTOR AND/OR THE EXECUTIVE COMMITTEE AND/OR THE ETHICS COMMITTEE, SHALL REVIEW ALL DISCLOSED POTENTIAL CONFLICTS OF INTEREST BEFORE MAKING BOARD COMMITTEE ASSIGNMENTS. A HCLA BOARD OR COMMITTEE MEMBER MUST DISCLOSE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST AT A MEETING IF THE MEETING WILL INVOLVE A DISCUSSION OR DECISION REGARDING A CONTRACT IN WHICH THE BOARD OR COMMITTEE MEMBER OR A RELATED PARTY OF THAT INDIVIDUAL HAS AN INTEREST THAT SHOULD BE DISCLOSED. A HCLA BOARD OR COMMITTEE MEMBER SHALL EXCUSE HIMSELF OR HERSELF FROM DISCUSSING OR VOTING ON MATTERS THAT HE OR SHE BELIEVES PRESENT SUCH UNRESOLVED CONFLICTS OR POTENTIAL CONFLICTS OR, IF THE CONFLICT IS ONE THAT MAY BE WAIVED, SHALL DISCLOSE ALL MATERIAL FACTS. THE BOARD OR COMMITTEE OR ITS CHAIR IN HIS, HER, OR ITS DISCRETION MAY ALSO REQUIRE A BOARD OR COMMITTEE MEMBER TO BE EXCLUDED FROM THAT PORTION OF A MEETING OR THE DISCLOSURE OF DOCUMENTS OR OTHER HCLA INFORMATION SO LONG AS THE BOARD DEEMS THERE TO BE SUFFICIENT ACTUAL OR POTENTIAL CONFLICT TO WARRANT SUCH EXCLUSION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.