2018-05-15T14:09:56-05:00 2017-06-30 951777440 Green Hasson & Janks LLP 10990 Wilshire Blvd 16th Floor Los Angeles CA 900243929 990 2016-07-01 952539105 The Los Angeles Free Clinic LOSA 3236538622 8405 Beverly Boulevard Los Angeles CA 90048 Muriel Nouwezem CFO 3236538622 2018-05-15 1 Lizbeth Nevarez P01399868 3108731600 2016 2022-09-23 18:48:47Z The Saban Community Clinic Julie Hudman 8405 Beverly Boulevard Los Angeles CA 90048 21363235 0 X www.sabancommunityclinic.org X 1967 CA TO PROVIDE QUALITY HEALTH CARE AND HUMAN SERVICES FOR THE UNDERSERVED & VULNERABLE IN OUR community 13 13 275 119 0 0 7088947 8368142 12639489 11129738 -184792 340909 70193 46858 19613837 19885647 50000 0 0 0 13219830 15813221 0 0 754824 5698577 6805181 18968407 22618402 645430 -2732755 22941751 22729301 1899324 3820764 21042427 18908537 X THE LOS ANGELES FREE CLINIC (DBA SABAN FREE 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 15242410 6959746 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. 2686980 4169992 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. 1928755 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. 836415 EDUCATION AND OUTREACH -THE EDUCATION AND OUTREACH DEPARTMENT PROVIDES HEALTH EDUCATION TO PEOPLE OF ALL AGES, AT ALL THREE CLINIC SITES AS WELL AS AT COMMUNITY MEETINGS, HEALTH FAIRS AND OTHER PUBLIC EVENTS, WITH A SPECIAL FOCUS ON health insurance coverage enrollement. EDUCATION STAFF ALSO CONDUCTS HIV TESTING AND COUNSELING. 836415 20694560 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 1 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 1 1 0 0 1 29 0 1 275 1 0 0 0 0 0 0 0 0 0 0 X 13 13 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 0.00 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 julie hudman Chief Executive Officer 40.00 1.00 X 244192 0 7457 muriel nouwezem CFO/COO 40.00 0.00 X 197986 0 13251 David Luna Chief Medical Officer 40.00 0.00 X 246764 0 14445 Tinh Vuong Associate Medical Director 40.00 0.00 X 225102 0 15330 Imanuel Khalili Physician 40.00 0.00 X 197079 0 25920 Oswald Chan Physician 40.00 0.00 X 195354 0 25361 Farshid Fararooy Physician 40.00 0.00 X 190679 0 20456 Van Anh Dastur Dental Director 40.00 0.00 X 190604 0 13698 1687760 0 135918 16 0 1 0 OCHIN 1881 SW NAITO PARKWAY PORTLAND OR 97201 EPIC SYSTEM MAINTENANCE 382230 1 1090 47669 5769605 2549778 5856 8368142 Patient Service Revenue 900099 11129738 11129738 11129738 277574 277574 1540923 1477588 63335 63335 63335 0 1090 0 0 miscellaneous 900099 27970 27970 Settlement Proceeds 900099 18888 18888 46858 19885647 11129738 0 387767 751990 698872 29974 23144 12438352 11548778 501479 388095 161556 153049 4935 3572 1433791 1358287 43801 31703 1027532 956714 39395 31423 156492 156492 66100 66100 61080 61080 1185914 970422 132381 83111 1066934 934134 80374 52426 668546 648946 6800 12800 1051898 944858 18163 88877 66569 51258 14425 886 245 230 4 11 518476 505059 4525 8892 307450 298886 3570 4994 Program Supplies 1142330 1114967 4779 22584 laboratory services 363328 363328 Equipment and Facility 149819 146772 741 2306 22618402 20694560 1169018 754824 349333 379131 4640 3859 685115 575689 4026201 3191719 38273 43860 240351 329512 11158822 5034819 6062350 6124003 10161247 10568823 1257315 1345391 116926 167314 22941751 22729301 1860947 2397537 16526 95247 21851 0 0 1327980 1899324 3820764 X 9657622 7413136 11306522 11417118 78283 78283 21042427 18908537 22941751 22729301 X -2732755 713687 -114822 X 0 1 X 1 1 1 X 6089343 7776781 7527046 7088947 8368142 36850259 6089343 7776781 7527046 7088947 8368142 36850259 36850259 552134 504203 647136 453678 277574 2434725 31424 60615 16721 77526 46858 233144 39518128 50380803 0.93250 0.92790 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10717603 1060445 497845 11280203 11785906 -544162 524141 10717603 12151450 41783 212340 619667 11785906 11795048 36500 680234 360332 12151450 11402552 500000 529124 629128 7500 11795048 0.00690 0.99310 0 0 1407981 1407981 7096637 3634872 3461765 119187 24572 94615 2171007 1375375 795632 364010 364010 6124003 1345391 F 1345391 Contracts reserve 1327980 1327980 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. X X X X X 0 0 0 0 0 0 0 0 0 julie hudman Chief Executive Officer 244192 0 0 0 0 0 5891 0 1566 0 251649 0 0 0 muriel nouwezem CFO/COO 197986 0 0 0 0 0 6592 0 6659 0 211237 0 0 0 David Luna Chief Medical Officer 246764 0 0 0 0 0 7786 0 6659 0 261209 0 0 0 Tinh Vuong Associate Medical Director 225102 0 0 0 0 0 9241 0 6089 0 240432 0 0 0 Imanuel Khalili Physician 197079 0 0 0 0 0 8809 0 17111 0 222999 0 0 0 Oswald Chan Physician 195354 0 0 0 0 0 8457 0 16904 0 220715 0 0 0 Farshid Fararooy Physician 190679 0 0 0 0 0 8423 0 12033 0 211135 0 0 0 Van Anh Dastur Dental Director 190604 0 0 0 0 0 7795 0 5903 0 204302 0 0 0 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 coo/cfo. 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 HR 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 -114,822. 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