FURP.ORG / PUBLIC DATA EXPLORER

JWCH INSTITUTE INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
JWCH INSTITUTE INC (EIN 95-2289916)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-15
IRS object ID
201811359349309741
Schema version
2016v3.0
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)
Return2018-05-15T15:05:07-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN330700332PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1VASQUEZ & CO LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1801 S GRAND AVE STE 400AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90017ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN952289916EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JWCH INSTITUTE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlJWCHBusinessNameControlTxt
Phone3232014516PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE LAMPersonNm
Person TitleCFOPersonTitleTxt
Phone3232014516PhoneNum
Signature2018-05-15SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLYNN D BOSTERPreparerPersonNm
PTINP00440365PTIN
Phone2138731700PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEANNE LAMPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$47,470,193GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.JWCHINSTITUTE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee637TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$13,610,259PYContributionsGrantsAmt
CY Contributions Grants$19,499,943CYContributionsGrantsAmt
PY Program Service Revenue$18,608,885PYProgramServiceRevenueAmt
CY Program Service Revenue$24,135,920CYProgramServiceRevenueAmt
PY Investment Income$607PYInvestmentIncomeAmt
CY Investment Income$615CYInvestmentIncomeAmt
PY Other Revenue$1,713,018PYOtherRevenueAmt
CY Other Revenue$3,793,956CYOtherRevenueAmt
PY Total Revenue$33,932,769PYTotalRevenueAmt
CY Total Revenue$47,430,434CYTotalRevenueAmt
PY Grants And Similar Paid$593,865PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$557,710CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$20,127,579PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$27,436,103CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$53,709CYTotalFundraisingExpenseAmt
PY Other Expenses$11,054,070PYOtherExpensesAmt
CY Other Expenses$14,651,127CYOtherExpensesAmt
PY Total Expenses$31,775,514PYTotalExpensesAmt
CY Total Expenses$42,644,940CYTotalExpensesAmt
PY Revenues Less Expenses$2,157,255PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,785,494CYRevenuesLessExpensesAmt
Total Assets BOY$21,486,378TotalAssetsBOYAmt
Total Assets EOY$27,012,608TotalAssetsEOYAmt
Total Liabilities BOY$11,404,398TotalLiabilitiesBOYAmt
Total Liabilities EOY$12,145,134TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$10,081,980NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$14,867,474NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$9,311,546ExpenseAmt
Revenue$11,819,185RevenueAmt
DescJWCH WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH - PROVIDED 46,773 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 6,863 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$15,326,535ExpenseAmt
Revenue$15,430,458RevenueAmt
DescJWCH - OTHER CLINIC - THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT AND MENTAL HEALTH SERVICES WILL BE PROVIDED IN THE SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 19,118 MEDICAL VISITS TO 3,094 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 3,129 PATIENTS 14,059 MEDICAL VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$5,684,422ExpenseAmt
Revenue$5,684,420RevenueAmt
DescBPHC-HEALTH CARE CENTER CLUSTER - THE FEDERAL SECTION 330 GRANT ALLOWS FOR JWCH'S PARTICIPATION AS A FEDERALLY QUALIFIED HEALTH CENTER. THIS PROGRAM PROVIDES A BASE GRANT FOR INDIGENT CARE VISITS TO UNINSURED PERSONS IN JWCH'S HOMELESS AND COMMUNITY HEALTH CENTERS. PROVIDED UNDER THIS PROGRAM ARE PRIMARY CARE, DIAGNOSTICS, REPRODUCTIVE HEALTH SERVICES, PREVENTION AND EDUCATION AND ACCESS TO MEDICAL SPECIALISTS. ALL AGES ARE SERVED WITH THIS FUNDING.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$12,102,225ExpenseAmt
Revenue$11,798,522RevenueAmt
DescAIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. THE SPECIAL PROJECTS OF NATIONAL SIGNIFICANCE (SPNS) ENSURES LINKAGE OF HIV POSITIVE WOMEN IN CARE AS WELL AS OTHER SUPPORT SERVICES.JWCH CLINIC AT BELL GARDENS - PROVIDED 21,201 VISITS TO 3,966 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.RECUPERATIVE CARE - PROVIDES 24-HOUR CARE FOR HOMELESS PERSONS WHO ARE RECOVERING FROM AN ILLNESS OR INJURY AND DISCHARGED FROM LOCAL HOSPITALS. A TOTAL OF 80 BEDS ARE AVAILABLE DAILY, INCLUDING THREE MEALS AND ASSISTANCE WITH WOUND CARE, BENEFITS ACCESS AND CASE MANAGEMENT SERVICES. IN TOTAL, 29,200 BED DAYS ARE AVAILABLE FOR HOMELESS PERSONS WHO WOULD OTHERWISE SPEND TIME RECOVERING ON THE STREETS. POST DISCHARGE FROM RECUPERATIVE CARE, THE PROGRAM SEEKS TO FIND MORE PERMANENT SOLUTIONS FOR PATIENTS INCLUDING PLACEMENT IN TRANSITIONAL AND PERMANENT HOUSING LOCATIONS.JWCH LYNWOOD PRIMARY CARE CLINIC - PROVIDED 20,012 VISITS TO 3,525 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.JWCH NORWALK CLINIC - PROVIDED 25,537 VISITS TO 4,080 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.INFORMATION & EDUCATION - TARGETS YOUTH THAT ARE PREGNANT OR PARENTING AND PROVIDES THEM WITH SUPPORT NEEDED TO STAY IN SCHOOL, WHILE TAKING CARE OF THEMSELVES AND THEIR CHILDREN AND AT THE SAME TIME AVOIDING ANY FURTHER UNINTENDED PREGNANCY. THE PROGRAM CONNECTS YOUTH TO REPRODUCTIVE HEALTH CARE AND OTHER MEDICAL SERVICES IN A JWCH CLINIC. YOUTH IN PROBATION AND ALTERNATIVE SCHOOLS ARE THE PRIMARY FOCUS OF THE PROGRAM AS WELL AS ANY OTHER HIGH RISK YOUTH THAT SEEK SERVICES FROM THE INFORMATION & EDUCATION PROGRAM.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT THE LAMP COMMUNITY. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.JWCH P.A.T.H/VERMONT CLINIC - PROVIDED 9,503 VISITS TO 2,109 HOMELESS PATIENTS. THE JWCH VERMONT CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.CHIP-CDC - JWCH'S CHIP PROGRAM OR (COMPREHENSIVE HIV PREVENTION PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. THE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$12,102,225TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$11,798,522TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$42,424,728TotalProgramServiceExpensesAmt
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 EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
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 Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document102IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee637EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANNE LAMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3232014516PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line15650 JILLSON STREETAddressLine1Txt
CityCOMMERCECityNm
State AbbreviationCAStateAbbreviationCd
ZIP90040ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
KATHLEEN J HOUSE
SECRETARY2.00Yes (X)Yes (X)$0$0$0
KARL SCOTT
BOARD MEMBER1.00Yes (X)$0$0$0
SHEILA EATON
BOARD MEMBER1.00Yes (X)$0$0$0
LAWRENCE FERNANDEZ JR
VICE CHAIR2.00Yes (X)Yes (X)$0$0$0
KEITH TERASAKI MD
CHAIRMAN2.00Yes (X)Yes (X)$0$0$0
EDUARDO SAUCEDO
BOARD MEMBER1.00Yes (X)$0$0$0
SILVIA L HERNANDEZ
BOARD MEMBER1.00Yes (X)$0$0$0
MARIA PADRON
BOARD MEMBER1.00Yes (X)$0$0$0
TOM GRODE
BOARD MEMBER1.00Yes (X)$0$0$0
JOE CASTEL
BOARD MEMBER1.00Yes (X)$0$0$0
HERBERT TORRENCE
BOARD MEMBER1.00Yes (X)$0$0$0
ALVARO BALLESTEROS
CEO40.00Yes (X)$254,056$0$17,103
JEANNE LAM
CFO40.00Yes (X)$155,732$0$11,312
ANDY IRIE
SECRETARY40.00Yes (X)$138,194$0$11,218
PAUL GREGERSON
CMO40.00$329,248$0$15,518Yes (X)
PHILIP LE
ASSOCIATE MEDICAL DIRECTOR40.00$241,145$0$15,250Yes (X)
LUCIEN ALEXANDRE
PHYSICIAN40.00$224,924$0$11,949Yes (X)
BIN G PAI
PHYSICIAN40.00$212,749$0$13,204Yes (X)
PAWEL KASZUBOWSKI
PHYSICIAN40.00$200,193$0$8,917Yes (X)
ROBILA ASHFAQ
PHYSICIAN40.00$191,665$0$10,926Yes (X)
DENNIS BLEAKLEY
PHYSICIAN40.00$177,760$0$12,779Yes (X)
MILEIDYS GOMEZ GONZALEZ
PHYSICIAN40.00$168,448$0$7,565Yes (X)
JOHN K JONES
PHYSICIAN32.00$154,538$0$6,189Yes (X)
DANIEL J TURNER-LLOVERAS
PHYSICIAN40.00$145,646$0$2,506Yes (X)
BLANCA ALMEIDA
PHYSICIAN32.00$144,955$0$10,958Yes (X)
THANH CHU
PHYSICIAN ASSISTANT40.00$142,906$0$11,143Yes (X)
MARIA LOPEZ
PHYSICIAN ASSISTANT40.00$142,103$0$9,499Yes (X)
TIFFANY JUNG
NURSE PRACTITIONER40.00$141,392$0$7,972Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,165,654TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$184,008TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K31IndivRcvdGreaterThan100KCnt
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
USC SCHOOL OF DENTISTRY
1149 S HILL ST STE H550LOS ANGELESCA90015DENTAL SERVICES$428,694
THE SALVATION ARMY-BELL SHELTER
5600 RICKENBACKER RD BLDG 1-EBELLCA90201SUBCONTRACTOR FOR RECUPERATIVE CARE$319,451
BIENESTAR HUMAN SERVICES INC
5326 EAST BEVERLY BLVDLOS ANGELESCA90022SUBCONTRACTOR$220,545
PARVEEN KAUR MD
111 SOUTH ORANGE GROVE BLVD APT 2PASADENACA91105HIV SERVICES$211,670
WESTWAYS STAFFING SERVICES INC
PO BOX 203152DALLASTX75320TEMPORARY STAFFING$185,272
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K28CntrctRcvdGreaterThan100KCnt
Government Grants$18,483,398GovernmentGrantsAmt
All Other Contributions$1,016,545AllOtherContributionsAmt
Total Contributions$19,499,943TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROGRAM SERVICE INCOME900099$19,963,008$19,963,008
PHARMACY REVENUE900099$4,172,912$4,172,912
FieldValueIRS element (for citing)
Total Program Service Revenue$24,135,920TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$615TotalRevenueColumnAmt
Exclusion$615ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$102,540FundraisingGrossIncomeAmt
Fundraising Direct Expenses$39,759FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$62,781TotalRevenueColumnAmt
Exclusion$62,781ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMISCELLANEOUSDesc
Business621110BusinessCd
Total Revenue Column$3,731,175TotalRevenueColumnAmt
Related Or Exempt Func Income$3,731,175RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,731,175OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$47,430,434TotalRevenueColumnAmt
Related Or Exempt Func Income$27,867,095RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$63,396ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$557,710TotalAmt
Program Services$557,710ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,448,652TotalAmt
Program Services$1,374,864ProgramServicesAmt
Management And General$1,073,788ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,779,316TotalAmt
Program Services$20,005,608ProgramServicesAmt
Management And General$773,708ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$567,593TotalAmt
Program Services$514,210ProgramServicesAmt
Management And General$53,383ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,726,409TotalAmt
Program Services$1,564,037ProgramServicesAmt
Management And General$162,372ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,914,133TotalAmt
Program Services$1,734,105ProgramServicesAmt
Management And General$180,028ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,529,087TotalAmt
Program Services$3,027,410ProgramServicesAmt
Management And General$454,477ManagementAndGeneralAmt
Fundraising$47,200FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$689,350TotalAmt
Program Services$547,312ProgramServicesAmt
Management And General$138,221ManagementAndGeneralAmt
Fundraising$3,817FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$122,171TotalAmt
Program Services$116,858ProgramServicesAmt
Management And General$5,305ManagementAndGeneralAmt
Fundraising$8FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$147,678TotalAmt
Program Services$117,647ProgramServicesAmt
Management And General$30,031ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$665,345TotalAmt
Program Services$517,152ProgramServicesAmt
Management And General$148,193ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$274,174TotalAmt
Program Services$60,510ProgramServicesAmt
Management And General$213,664ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL & LABORATORY$4,281,240$4,281,240
LEASES$1,358,742$1,307,129$51,613
PATIENT WELFARE$783,304$780,016$646$2,642
OTHER EXPENSES$778,200$342,409$435,791

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,021,836TotalAmt
Program Services$5,576,511ProgramServicesAmt
Management And General-$3,554,717ManagementAndGeneralAmt
Fundraising$42FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$42,644,940TotalAmt
Program Services$42,424,728ProgramServicesAmt
Management And General$166,503ManagementAndGeneralAmt
Fundraising$53,709FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$514,630BOYAmt
EOY$1,217,042EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,502,342BOYAmt
EOY$5,889,787EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$4,671,102BOYAmt
EOY$7,045,637EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$97,699BOYAmt
EOY$95,345EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$78,209BOYAmt
EOY$66,374EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$16,295,217LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,683,633LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$12,498,807BOYAmt
EOY$12,611,584EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$123,589BOYAmt
EOY$86,839EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,486,378BOYAmt
EOY$27,012,608EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,100,527BOYAmt
EOY$2,633,459EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$316,357BOYAmt
EOY$304,712EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$7,202,210BOYAmt
EOY$6,779,188EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,785,304BOYAmt
EOY$2,427,775EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$11,404,398BOYAmt
EOY$12,145,134EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,356,871BOYAmt
EOY$14,259,357EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$725,109BOYAmt
EOY$608,117EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,081,980BOYAmt
EOY$14,867,474EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,486,378BOYAmt
EOY$27,012,608EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,785,494ReconcilationRevenueExpnssAmt
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)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,459,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,721,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,040,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,717,558CurrentTaxYearMinus1YearAmt
Current Tax Year$19,562,724CurrentTaxYearAmt
Total$74,501,531TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,459,202CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,721,864CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,040,183CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$13,717,558CurrentTaxYearMinus1YearAmt
Current Tax Year$19,562,724CurrentTaxYearAmt
Total$74,501,531TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$74,501,531PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$66CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$207CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$944CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$607CurrentTaxYearMinus1YearAmt
Current Tax Year$615CurrentTaxYearAmt
Total$2,439TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$215,870CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$412,225CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$620,723CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,605,719CurrentTaxYearMinus1YearAmt
Current Tax Year$3,731,175CurrentTaxYearAmt
Total$6,585,712TotalAmt
FieldValueIRS element (for citing)
Total Support$81,089,682TotalSupportAmt
Gross Receipts Rltd Activities$62,518,368GrossReceiptsRltdActivitiesAmt
Public Support CY1700.91880PublicSupportCY170Pct
Public Support PY1700.95590PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,269,757InvestmentCostOrOtherBasisAmt
Book Value$3,269,757BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$3,645,243InvestmentCostOrOtherBasisAmt
Depreciation$423,315DepreciationAmt
Book Value$3,221,928BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$5,216,208InvestmentCostOrOtherBasisAmt
Depreciation$605,748DepreciationAmt
Book Value$4,610,460BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$4,024,277InvestmentCostOrOtherBasisAmt
Depreciation$2,654,570DepreciationAmt
Book Value$1,369,707BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$139,732InvestmentCostOrOtherBasisAmt
Book Value$139,732BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,611,584TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
PAYROLL AND RELATED LIABILITIES$2,191,706
LINE OF CREDIT$236,069
FieldValueIRS element (for citing)
Total Liability$2,427,775TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$47,430,434TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$47,430,434RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$47,430,434TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$42,644,940TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$42,644,940ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$42,644,940TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2012.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1WESLEY BENEFIT DINNEREvent1Nm
Gross Receipts Event1$102,540GrossReceiptsEvent1Amt
Gross Revenue Event1$102,540GrossRevenueEvent1Amt
Non Cash Prizes Event1$540NonCashPrizesEvent1Amt
Food And Beverage Event1$28,422FoodAndBeverageEvent1Amt
Entertainment Event1$2,730EntertainmentEvent1Amt
Other Direct Expenses Event1$8,067OtherDirectExpensesEvent1Amt
Gross Receipts Total$102,540GrossReceiptsTotalAmt
Gross Revenue Total Events$102,540GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$540NonCashPrizesTotalEventsAmt
Food And Beverage Total Events$28,422FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,730EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$8,067OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$39,759DirectExpenseSummaryEventsAmt
Net Income Summary$62,781NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
WEINGART CENTER ASSOCIATION
565 S SAN PEDRO STREETLOS ANGELESCA90013956054617501 (C)(3)$88,797BOOKSUBSTANCE ABUSE PROGRAM
HERMAN OSTROW SCHOOL OF DENTISTRY OF USC
1149 S HILL ST STE H550LOS ANGELESCA90015951642394$230,868BOOKDENTAL SERVICE
BIENESTAR HUMAN SERVICES INC
5326 EAST BEVERLY BLVDLOS ANGELESCA90022954505737501 (C)(3)$220,545BOOKHIV SERVICES
COVENANT HOUSE CALIFORNIA
1325 N WESTERN AVENUEHOLLYWOODCA90027133391210501 (C)(3)$17,500BOOKHIV SERVICES
FieldValueIRS element (for citing)
Total501c3 Org3Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
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 (14 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
ALVARO BALLESTEROS
CEO$244,036$0$7,500$0$2,520$0$10,600$0$6,503$0$271,159$0$0$0
JEANNE LAM
CFO$148,232$0$7,500$0$0$0$6,816$0$4,496$0$167,044$0$0$0
PAUL GREGERSON
CMO$318,148$0$7,500$0$3,600$0$10,600$0$4,918$0$344,766$0$0$0
PHILIP LE
ASSOCIATE MEDICAL DIRECTOR$241,145$0$0$0$0$0$10,329$0$4,921$0$256,395$0$0$0
LUCIEN ALEXANDRE
PHYSICIAN$224,924$0$0$0$0$0$7,066$0$4,883$0$236,873$0$0$0
BIN G PAI
PHYSICIAN$212,749$0$0$0$0$0$8,283$0$4,921$0$225,953$0$0$0
PAWEL KASZUBOWSKI
PHYSICIAN$200,193$0$0$0$0$0$6,372$0$2,545$0$209,110$0$0$0
ROBILA ASHFAQ
PHYSICIAN$191,665$0$0$0$0$0$6,005$0$4,921$0$202,591$0$0$0
DENNIS BLEAKLEY
PHYSICIAN$177,760$0$0$0$0$0$7,858$0$4,921$0$190,539$0$0$0
MILEIDYS GOMEZ GONZALEZ
PHYSICIAN$168,448$0$0$0$0$0$4,981$0$2,584$0$176,013$0$0$0
JOHN K JONES
PHYSICIAN$154,538$0$0$0$0$0$5,872$0$317$0$160,727$0$0$0
BLANCA ALMEIDA
PHYSICIAN$144,955$0$0$0$0$0$6,037$0$4,921$0$155,913$0$0$0
THANH CHU
PHYSICIAN ASSISTANT$142,906$0$0$0$0$0$6,222$0$4,921$0$154,049$0$0$0
MARIA LOPEZ
PHYSICIAN ASSISTANT$142,103$0$0$0$0$0$4,578$0$4,921$0$151,602$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 AND ITS ATTACHMENTS ARE REVIEWED BY THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. THE EXTENT OF THE REVIEW INCLUDES A LINE-BY-LINE REVIEW OF THE FORM 990. THE REVIEW IS BASED ON GUIDANCE PROVIDED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS. THE FINAL FORM 990 IS THEN PRESENTED TO THE FULL BOARD OF DIRECTORS FOR FINAL REVIEW PRIOR TO SUBMISSION.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND EXECUTIVE MANAGEMENT OF THE ORGANIZATION ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. EACH BOARD MEMBER AND MEMBER OF THE EXECUTIVE MANAGEMENT STAFF SIGNS A CONFLICT OF INTEREST STATEMENT. A CONFLICT OF INTEREST POLICY WAS REVIEWED AND HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, AND IS IMPLEMENTED AT THE BOARD MANAGEMENT LEVEL. TRAINING ON THE POLICY WAS ALSO CONDUCTED. DETERMINATIONS OF POTENTIAL CONFLICT OF INTEREST ARE MADE AT THE BOARD LEVEL AND AT THE EXECUTIVE STAFF LEVEL. IF POTENTIAL CONFLICT IS IDENTIFIED, AGENCY POLICY DICTATES THAT THE SUBJECT INDIVIDUAL SHALL REMOVE THEMSELVES FROM DISCUSSIONS REGARDING THE MATTER AT HAND. ALL CONFLICTS WILL BE DOCUMENTED IN MINUTES OF THE GOVERNING BOARD. ANNUALLY, THE JWCH CONFLICT OF INTEREST POLICY IS REVIEWED BY THE BOARD OF DIRECTORS AS PART OF THE ANNUAL REVIEW OF POLICIES AND PROCEDURES.
FORM 990, PART VI, SECTION B, LINE 15THE JWCH BOARD OF DIRECTORS SETS-UP A COMPENSATION COMMITTEE TO EVALUATE THE CEO'S SALARY BASED ON THE FOLLOWING: AND EXTENSIVE ANNUAL PERFORMANCE REVIEW IS UNDERTAKEN BY THE BOARD OF DIRECTORS VIA THIS COMMITTEE, WITH INPUT BY THE WHOLE BOARD. SHOULD A SALARY INCREASE BE WARRANTED, THE PERFORMANCE EVALUATION IS USED TOGETHER WITH SALARY COMPARISONS OF OTHER COMMUNITY HEALTH CENTERS PROVIDED BY THE CALIFORNIA PRIMARY CARE ASSOCIATION AND THE LOCAL COMMUNITY CLINIC ACCOSIATION TO REVIEW COMPARATIVE COMPENSATION LEVELS. A DETERMINATION IS THEN MADE BASED ON BOTH AND BROUGHT TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL PRIOR TO IMPLEMENTATION OF ANY SALARY CHANGES. THE BOARD OF DIRECTORS ONLY SETS THE SALARY FOR THE CEO. THE BOARD OF DIRECTORS REVIEW AND APPROVE A SALARY COMPENSATION GRADE SCHEDULE FOR ALL OTHER AGENCY STAFF, INCLUDING CFO. THIS COMPENSATION GRADE SCHEDULE IS PERIODICALLY REVIEWED BY THE BOARD OF DIRECTORS SO THAT SALARIES OF AGENCY STAFF IS CONSISTENT WITH INDUSTRY STANDARDS. THE SETTING OF SALARIES FOR STAFF OTHER THAN THE CEO IS DELEGATED TO THE CEO AND HIS DESIGNEES TOGETHER WITH HUMAN RESOURCES ACCORDING TO THE AFOREMENTIONED SALARY SCHEDULE.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.