2016-11-22T12:37:06-06:00 2015-12-31 420714325 RSM US LLP 515 S FLOWER STREET 41ST FLOOR LOS ANGELES CA 90071 990 2015-01-26 954298276 HEALTH CARE LA IPA HEAL 8187020100 23679 CALABASAS ROAD NO 348 CALABASAS CA 91302 KIMBERLY WYARD PRESIDENT 8187020100 2016-11-22 1 WAYNE HARDER P00294296 2133304800 2015 2017-02-10 21:41:12Z X X KIMBERLY WYARD 23679 CALABASAS ROAD NO 348 CALABASAS CA 91302 270006486 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 15 0 0 0 243173369 269236485 0 710329 770001 243883698 270006486 0 0 74143 0 0 243561531 259255585 243561531 259329728 322167 10676758 81819194 152078243 81105937 140672603 713257 11405640 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 231632445 270006486 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 CONTRACT 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. 231632445 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 2838 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 23679 CALABASAS ROAD STE 348 CALABASAS CA 91302 KIMBERLY WYARD DIRECTOR & PRESIDENT 2.00 X X 0 0 0 WILLIAM HOBSON DIRECTOR & VICE-PRESIDENT 2.00 X X 0 0 0 JEFFREY BUJER DIRECTOR & TREASURER 2.00 X X 0 0 0 BARBARA HINES DIRECTOR & SECRETARY 2.00 X X 0 0 0 HERB SCHULTZ DIRECTOR 2.00 X 0 0 0 JANN HAMILTON LEE DIRECTOR 2.00 X 0 0 0 RICHARD VELOZ DIRECTOR 2.00 X 0 0 0 L JINA LEE LAWLER DIRECTOR 2.00 X 0 0 0 ELIZABETH FORER DIRECTOR 2.00 X 0 0 0 ALICIA MARDINI DIRECTOR 2.00 X 0 0 0 RISE K PHILLIPS DIRECTOR 2.00 X 0 0 0 PAULA WILSON DIRECTOR 2.00 X 0 0 0 NIK GUPTA DIRECTOR 2.00 X 0 0 0 KAZUE SHIBATA DIRECTOR 2.00 X 0 0 0 JIM MANGIA DIRECTOR 2.00 X 0 0 0 IRIS WEIL EXECUTIVE DIRECTOR 20.00 X 74173 0 0 DEREK SCHNEIDER CFO 2.00 X 0 0 0 74173 0 0 0 0 0 0 MEDPOINT MANAGEMENT 6400 CANOGA AVE STE 163 WOODLAND HILLS CA 91367 PROVIDING ADMINISTRATION SERVICES IN THE 25571807 1 HEALTH PLAN CAPITATION 624110 233704624 233704624 SHARED RISK AND PERFORMANCE INCEN 624110 35531861 35531861 269236485 OTHER INCOME 624110 770001 770001 770001 270006486 270006486 0 0 74143 74143 27623140 27623140 282610 282610 FEE FOR SERVICE SPECIAL 125239246 125239246 PRIMARY CARE AND SPECIA 44713353 44713353 SHARED RISK POOL AND PA 42833460 42833460 REINSURANCE PREMIUMS 3556475 3556475 15007301 15007301 259329728 231632445 27697283 0 80376434 149603893 1391418 2312859 16072 161491 35270 0 81819194 152078243 81081437 140672603 24500 81105937 140672603 X 0 0 0 0 713257 11405640 713257 11405640 81819194 152078243 X 10676758 15625 X 0 1 X 1 0 X 270006486 270006486 270006486 270006486 0 0 0 270006486 270006486 270006486 X PART III THE ORGANIZATION RECEIVED ITS EXEMPTION FROM THE IRS EFFECTIVE JANUARY 26, 2015. AS SUCH, THIS IS ITS FIRST FORM 990 FILING AND IT IS FILING A SHORT-YEAR RETURN. 0 X 270006486 0 270006486 0 270006486 259337371 7643 7643 259329728 0 259329728 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. SINCE INCEPTION, THE COMPANY HAS NOT QUALIFIED UNDER THE CLASSIFICATION OF A TAX-EXEMPT ORGANIZATION. EFFECTIVE JANUARY 26, 2015, THE COMPANY'S APPLICATION WITH IRS AND THE STATE WAS APPROVED, TO CHANGE ITS ENTITY CLASSICIZATION FROM A FOR-PROFIT CORPORATION TO A QUALIFIED NONPROFIT ORGANIZATION THAT IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND SECTION 23701(D) OF THE CALIFORNIA REVENUE AND TAXATION CODE. THEY ARE IN THE PROCESS OF RECEIVING FORMAL APPROVAL BY THE STATE, HOWEVER STATE LAW PROVIDES THAT THE EFFECTIVE DATE FOR CALIFORNIA EXEMPT STATUS SHALL BE NO LATER THAN THE EFFECTIVE DATE OF THE ORGANIZATION'S RECOGNITION FOR FEDERAL EXEMPT STATUS. THEREFORE, ONCE APPROVED, HEALTH CARE LA'S EFFECTIVE DATE FOR CALIFORNIA TAX EXEMPT STATUS WILL BE THE SAME AS THE EFFECTIVE DATE FOR FEDERAL PURPOSES 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. FORMS 990 AND 990-T FILED BY THE COMPANY ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE 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, 2011 AND PRIOR, DECEMBER 31, 2010 FOR THE STATE. 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 11 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. FORM 990, PART XI, LINE 9: OTHER ADJUSTMENTS 15,625.