QUEENSCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
QUEENSCARE (EIN 95-1644040)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-15
IRS object ID
201301359349308895
Schema version
2011v1.2
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)
Timestamp2013-05-15T15:41:44-07:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1LUNDY FLEMING LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line12 BALA PLZ STE 300AddressLine1
CityBALA CYNWYDCity
StatePAState
ZIP Code190041512ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951644040EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1QUEENSCAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlQUEENameControl
Phone3236694304Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVENUEAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY C GRUBBSName
TitleCFOTitle
Phone3236694304Phone
Date Signed2013-05-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJOSEPH E LUNDYName
Phone6106607788Phone
Date Prepared2013-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARBARA B HINESNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVE STE 1002AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode
FieldValueIRS element (for citing)
Gross Receipts98984504GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.queenscare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1936YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionQUEENSCARE PROVIDES A CONTINUUM OF HIGH QUALITY MEDICAL AND HOSPITAL CARE TO THE MEDICALLY UNDERSERVED (INDIGENT, UNINSURED, UNDERINSURED) RESIDENTS OF LOS ANGELES COUNTY, CALIFORNIAActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees63TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI675198TotalGrossUBI
Contributions Grants Prior Year670000ContributionsGrantsPriorYear
Contributions Grants Current Year606482ContributionsGrantsCurrentYear
Program Service Revenue Prior Year367000ProgramServiceRevenuePriorYear
Program Service Revenue CY317763ProgramServiceRevenueCY
Investment Income Prior Year17698000InvestmentIncomePriorYear
Investment Income Current Year6660341InvestmentIncomeCurrentYear
Other Revenue Prior Year671000OtherRevenuePriorYear
Other Revenue Current Year429564OtherRevenueCurrentYear
Total Revenue Prior Year19406000TotalRevenuePriorYear
Total Revenue Current Year8014150TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year6595444GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9630795GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year3526328SalariesEtcPriorYear
Salaries Etc Current Year3487729SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year84509TotalFundrsngExpCurrentYear
Other Expense Prior Year7293125OtherExpensePriorYear
Other Expenses Current Year7577422OtherExpensesCurrentYear
Total Expenses Prior Year17414897TotalExpensesPriorYear
Total Expenses Current Year20695946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1991103RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-12681796RevenuesLessExpensesCY
Total Assets BOY398286000TotalAssetsBOY
Total Assets EOY383055000TotalAssetsEOY
Total Liabilities BOY9296000TotalLiabilitiesBOY
Total Liabilities EOY12135000TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY388990000NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY370920000NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionQUEENSCARE PROVIDES A CONTINUUM OF HIGHMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense6112620Expense
DescriptionQUEENSCARE OPERATES JOINTLY WITH QUEENSCARE FAMILY CLINICS TO PROVIDE A NETWORK OF SIX FREESTANDING FAMILY HEALTHCARE CLINICS IN AREAS OF LOS ANGELES COUNTY THAT ARE MEDICALLY UNDERSERVED. THE CLINICS PROVIDE SERVICES TO ALL PATIENTS WITHOUT REGARD TO ABILITY TO PAY. EACH CLINIC IS AN APPROVED MEDICAID AND MEDICARE PROVIDER. THE CLINICS PROVIDE FREE MEDICAL CARE FOR THOSE WHO DO NOT HAVE THE FINANCIAL RESOURCES OR COVERAGE BY HEALTH PLANS, INSURANCE, OR GOVERNMENT PROGRAMS. THE CLINICS PROVIDE PREVENTIVE, DIAGNOSTIC, AND FOLLOW-UP MEDICAL AND DENTAL CARE TO THE RESIDENTS OF LOW-INCOME COMMUNITIES. DURING 2011-2012, THE CLINICS SERVED APPROXIMATELY 32,000 PATIENTS WHICH ACCOUNTED FOR 122,000 VISITS. QUEENSCARE ALSO PROVIDES MOBILE VISION AND DENTAL PROGRAMS TO LOW-INCOME SCHOOL COMMUNITIES THROUGH LAUSD, THE LOCAL SCHOOL DISTRICT, WITH VISION SCREENINGS AND 4 MOBILE FULLY EQUIPPED DENTAL VANS. IN PARTNERSHIP WITH THE CLINICS, QUEENSCARE PROVIDES FUNDING FOR A PERINATAL SERVICE FOR HIGH-RISK PREGNANCIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense5191821Expense
DescriptionTO SUPPORT THE OPERATION OF THE QUEENSCARE FAMILY CLINICS AND TO FURTHER THE ORGANIZATION'S EXEMPT PURPOSE OF PROVIDING MEDICAL CARE TO THE UNDERPRIVILEGED AND INDIGENT RESIDENTS OF LOS ANGELES COUNTY, QUEENSCARE PROVIDES THE FOLLOWING MEDICAL CARE SUPPORT SERVICES IN COORDINATION WITH THE SERVICES PROVIDED BY THE CLINICS: INPATIENT AND OUTPATIENT HEALTHCARE SERVICES; CONTRACTS WITH SPECIALISTS TO PROVIDE ALL FIELDS OF MEDICAL CARE; AND PASTORAL CARE TO ALL FAITHS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense1884079Expense
Revenue317763Revenue
DescriptionQUEENSCARE HEALTH & FAITH PARTNERSHIP PROVIDES THE LARGEST PARISH NURSE PROGRAM IN CALIFORNIA. 18 FULL-TIME REGISTERED NURSES AND 4 STAFF PROVIDE IMMUNIZATIONS, HEALTH SCREENINGS, CARDIO-PULMONARY RESUSCITATION TRAINING, AND PARENTING CLASSES. THE PROGRAM IS ALSO DESIGNED TO PROVIDE POOR AND UNDERPRIVILEGED RESIDENTS OF LOS ANGELES COUNTY WITH INFORMATION REGARDING CANCER PREVENTION, PRENATAL CARE, NUTRITION, AND OTHER HEALTH EDUCATION PROGRAMS. THE PARTNERSHIP EXPANDED ITS SERVICES BY ESTABLISHDescription

Activity Other ActivityOther (3 entries)

ExpenseExpenseGrantsGrantsDescriptionDescription
207675207675QUEENSCARE ALSO CONTRIBUTES TO THE GENE AND MARILYN NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION NUZIARD SCHOLARSHIP PROGRAM FOR HEALTHCARE EDUCATION
268000268000QUEENSCARE ALSO CONTRIBUTES TO AIDS ORGANIZATIONS; VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED VARIOUS EDUCATION AND OUTREACH PROGRAMS DESIGNED
46944874576456QUEENSCARE PROVIDES THE FOLLOWING MEDICAL CARE SUPPORT SERVICES IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE IN COORDINATION WITH THE SERVICES PROVIDED BY THE
FieldValueIRS element (for citing)
Total Of Other Program Service Exp5170162TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt5052131TotalOfOtherProgramServiceGrnt
Total Program Service Expense18358683TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096117NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees63NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OtherfalseCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GARY C GRUBBS CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3236694304TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11300 N VERMONT AVE STE 1002AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90027ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MSGRJEREMIAH T MURPHY
CHAIRMAN2.00XX000
SEN NEWTON RUSSELL
DIRECTOR2.00X325000
JAY GUERENA
DIRECTOR2.00X592500
SISTER JUDY MURPHYCSJ
SECRETARY10.00XX113150141000
MARINA ARONOFF
DIRECTOR2.00X175000
STEVEN ARONOFF
DIRECTOR2.00X375000
JOAN SANDERS BAKER
DIRECTOR2.00X417500
ALLAN MICHELENA
DIRECTOR2.00X217500
GENE NUZIARD
DIRECTOR2.00X640000
LOIS SAFFIAN
DIRECTOR2.00X342500
BETTIE WOODS
DIRECTOR2.00X265000
RICHARD YOO MD
DIRECTOR2.00X150000
DENISE PARTMAIAN FORGETTE
DIRECTOR2.00X342500
DAVID WALSH
Director2.00X000
BARBARA B HINES
PRESIDENT & CEO20XX118643118669X
LEE E HUEY
FORMER CFO20X9804273367X
ALAN DE JONG
DIR RISK MGT40107374X
LELAND CHEW
DIR, I/T40117786X
GARY C GRUBBS
CFO20X1692216922
LIZ HOANG
Director, H.R.40101973X
WENDY BUTTS
Compliance Officer40101999X
FieldValueIRS element (for citing)
Total Reportable Comp From Org814314TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs223058TotalReportableCompFrmRltdOrgs
Number Individuals GT100 K6NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
FAITH LEE
3390 COUNTRY CLUB DRIVEGLENDALECA91208CONSULTING132388
SR JUDY MURPHYCSJ
341 STH WESTMORELAND AVELOS ANGELESCA90020CONSULTING108000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
Government Grants166200GovernmentGrants
All Other Contributions440282AllOtherContributions
Noncash Contributions166200NoncashContributions
Total Contributions606482TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMental Health & other programsDescription
Business Code624100BusinessCode
Total Revenue Column317763TotalRevenueColumn
FieldValueIRS element (for citing)
Total Program Service Revenue317763TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column12210014TotalRevenueColumn
Unrelated Business Revenue675198UnrelatedBusinessRevenue

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column6689TotalRevenueColumn
Related Or Exempt Function Income6689RelatedOrExemptFunctionIncome

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2413964Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2070953Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real343011Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column343011TotalRevenueColumn
Related Or Exempt Function Income343011RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities83349728Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities88899401Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-5549673Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-5549673TotalRevenueColumn
Related Or Exempt Function Income-5549673RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER INCOME9000017569875698
DISCONTINUED OPER90009941664166
FieldValueIRS element (for citing)
Total Other Revenue79864TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8014150TotalRevenueColumn
Related Or Exempt Function Income7338952RelatedOrExemptFunctionIncome
Unrelated Business Revenue675198UnrelatedBusinessRevenue

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5052131Total
Program Services5052131ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total4578664Total
Program Services4578664ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total868359Total
Program Services509810ProgramServices
Management And General322780ManagementAndGeneral
Fundraising35769Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total2104610Total
Program Services1618069ProgramServices
Management And General437801ManagementAndGeneral
Fundraising48740Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total110705Total
Program Services91802ProgramServices
Management And General18903ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total230516Total
Program Services196226ProgramServices
Management And General34290ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total173539Total
Program Services136443ProgramServices
Management And General37096ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total488241Total
Program Services488241ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total303990Total
Program Services85306ProgramServices
Management And General218684ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total109734Total
Program Services0ProgramServices
Management And General109734ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total418308Total
Program Services150315ProgramServices
Management And General267993ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total111056Total
Program Services58568ProgramServices
Management And General52488ManagementAndGeneral
Fundraising0Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total248923Total
Program Services73447ProgramServices
Management And General175476ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total9580Total
Program Services9257ProgramServices
Management And General323ManagementAndGeneral
Fundraising0Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total35236Total
Program Services14183ProgramServices
Management And General21053ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total4780772Total
Program Services4780772ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total110578Total
Program Services91583ProgramServices
Management And General18995ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total215032Total
Program Services85639ProgramServices
Management And General129393ManagementAndGeneral
Fundraising0Fundraising

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total745972Total
Program Services338227ProgramServices
Management And General407745ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total20695946Total
Program Services18358683ProgramServices
Management And General2252754ManagementAndGeneral
Fundraising84509Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17854000BOY
EOY12237000EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY220000BOY
EOY220000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY404000BOY
EOY813000EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis131210000LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19294000LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY115584000BOY
EOY111916000EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY224831000BOY
EOY221570000EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY38817000BOY
EOY36127000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY576000BOY
EOY172000EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY398286000BOY
EOY383055000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2762000BOY
EOY4024000EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY1840000BOY
EOY3551000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4142000BOY
EOY4094000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY552000BOY
EOY466000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY9296000BOY
EOY12135000EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY388335000BOY
EOY370265000EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY655000BOY
EOY655000EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY388990000BOY
EOY370920000EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY398286000BOY
EOY383055000EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-12681796ReconcilationRevenueExpenses
Reconcilation Other Changes-5388204ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii
Public Support Total1700PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Pertcentage1700PublicSupportPertcentage170
Public Support Total5090PublicSupportTotal509
Public Support Percentage5090PublicSupportPercentage509
Investment Income Percentage0InvestmentIncomePercentage

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance655000BeginningOfYearBalance
End Of Year Balance655000EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis24257000InvestmentCostOrOtherBasis
Book Value24257000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis104717000InvestmentCostOrOtherBasis
Depreciation17519000Depreciation
Book Value87198000BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis391000InvestmentCostOrOtherBasis
Depreciation63000Depreciation
Book Value328000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1845000InvestmentCostOrOtherBasis
Depreciation1712000Depreciation
Book Value133000BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings111916000TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
ALTERNATIVE MUTUAL FUND INV30995000F
CLOSELY HELD SECURITIES5132000F
FieldValueIRS element (for citing)
Total Of Book Value Securities36127000TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionWORKERS' COMPENSATION LIABILITYDescription
Amount$466,000Amount
FieldValueIRS element (for citing)
Total Of Amounts466000TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
Pt V Line 4QUEENSCARE INTENDS TO USE ITS ENDOWMENT FUNDS FOR HEALTHCARE RELATED ACTIVITIES.
Pt XQUEENSCARE HAS IDENTIFIED AND EVALUATED ITS SIGNIFICANT TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINS OPEN AND HAS DETERMINED THAT THERE IS NO MATERIAL UNRECOGNIZED BENEFIT OR LIABILITY TO BE RECORDED. THE OPEN TAX YEARS ARE THE YEARS ENDED JUNE 30, 2009 THROUGH JUNE 30 2012 FOR FEDERAL TAX
Pt XPURPOSES AND THE YEARS ENDED JUNE 30, 2008 THROUGH JUNE 30, 2012 FOR CALIFORNIA TAX PURPOSES. THERE HAVE BEEN NO MATERIAL CHANGES IN UNRECOGNIZED BENEFITS AS OF JUNE 30, 2012, NOR ARE ANY MATERIAL CHANGES ANTICIPATED IN THE 12 MONTHS FOLLOWING JUNE 30, 2012. THERE ARE NO RELATED TAX PENALTIES OR INTEREST, WHICH WOULD BE CLASSIFIED AS A TAX EXPENSE IN THE STATEMENT OF ACTIVITIES. FOR THE YEAR ENDED JUNE 30, 2012, THE ORGANIZATION INCURRED FRANCHISE TAX BOARD LIABILITY OF APPROXIMATELY $40,000 WHI

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (61 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantIRC SectionIRCSection
BROTMAN MEDICAL CENTER
3828 DELMAS TERRACECULVER CITYCA9023283042382343345HEALTHCARE SUPP
CALIFORNIA HOSPITAL
1401 S GRAND AVELOS ANGELESCA90015941196203167323HEALTHCARE SUPP501(C)(3)
CEDARS-SINAI MED CTR
8700 BEVERLY BLVDLOS ANGELESCA9004895164460036910HEALTHCARE SUPP501(C)(3)
CHILDREN'S HOSPITAL
4650 SUNSET BLVDLOS ANGELESCA90027951690977171109HEALTHCARE SUPP501(C)(3)
PROVIDENCE SAINT JOSEPH MED CTR
501 SO BUENA VISTA STREETBURBANKCA9150595167560048077HEALTHCARE SUPP501(C)(3)
GLENDALE MEMORIAL HOSPITAL
1420 SOUTH CENTRAL AVEGLENDALECA9120494119620346184HEALTHCARE SUPP501(C)(3)
GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLOS ANGELESCA90017951656366383670HEALTHCARE SUPP501(C)(3)
HOLLYWOOD PRESBYTERIAN
1300 N VERMONT AVELOS ANGELESCA90027300284087386510HEALTHCARE SUPP
LOS ANGELES COMMUNITY HOSP
4081 E OLYMPIC BLVDLOS ANGELESCA9002395469183984608HEALTHCARE SUPP
OLYMPIA MEDICAL CENTER
5900 W OLYMPIC BLVDLOS ANGELESCA9003642164309098047HEALTHCARE SUPP501(C)(3)
LACUSC MEDICAL CENTER
1200 N STATE ST INPT TOWER STE 1112LOS ANGELESCA90033956000927635980HEALTHCARE SUPP501(C)(3)
UCLA RON REAGAN MED CTR
757 WESTWOOD PLAZALOS ANGELESCA9009595600614360948HEALTHCARE SUPP501(C)(3)
WHITE MEMORIAL MED CTR
1720 CESAR E CHAVEZ AVELOS ANGELESCA9003395376020112871HEALTHCARE SUPP501(C)(3)
SHERMAN OAKS HOSPITAL
4929 VAN NUYS BLVD STE 325SHERMAN OAKSCA914032025466499086HEALTHCARE SUPP
GARFIELD MEDICAL CENTER
525 NORTH GARFIELD AVEMONTEREY PARKCA917545105191676057HEALTHCARE SUPP
ASSISTANCE LEAGUE
1370 NORTH ST ANDREWS PLACELOS ANGELESCA9002895164196050000HEALTHCARE SUPP501(C)(3)
ST VINCENT MEDICAL CENTER
2131 W 3RD STREETLOS ANGELESCA90057912154438106829HEALTHCARE SUPP501(C)(3)
PROJECT ANGEL FOOD
922 VINE STREETLOS ANGELESCA9003895411586360000HEALTHCARE SUPP501(C)(3)
ASIAN PACIFIC HEALTHCARE VENTURE
1530 HILLHURST AVENUE SUITE 200LOS ANGELESCA9002795417775285000HEALTHCARE SUPP501(C)(3)
JWCH INSTITUTE
1910 W SUNSET BLVD SUITE 650LOS ANGELESCA9002695228991685000HEALTHCARE SUPP501(C)(3)
LA CHRISTIAN HEALTH CENTERS
311 WINSTON STREETLOS ANGELESCA9001395431573485000HEALTHCARE SUPP501(C)(3)
SOUTH CENTRAL FAMILY HEALTH CENTER
4425 SOUTH CENTRAL AVENUELOS ANGELESCA9001195387779385000HEALTHCARE SUPP501(C)(3)
ST JOHN'S WELL CHILD & FAMILY CENTER
5701 SOUTH HOOVER STREETLOS ANGELESCA9003795406775885000HEALTHCARE SUPP501(C)(3)
VENICE FAMILY CLINIC
604 ROSE AVENUELOS ANGELESCA9029195276943285000HEALTHCARE SUPP501(C)(3)
ALLIANCE FOR HOUSING AND HEALING
825 COLORADO BLVD SUITE 100LOS ANGELESCA9004195414736475000HEALTHCARE SUPP501(C)(3)
ALZHEIMER'S ASSOCIATION
4221 WILSHIRE BLVD SUITE 400LOS ANGELESCA9001095371811925000HEALTHCARE SUPP501(C)(3)
AMERICAN HEART ASSOCIATION
816 S FIGUEROA STREETLOS ANGELESCA9001713561379725000HEALTHCARE SUPP501(C)(3)
BLIND CHILDREN'S CENTER
4120 MARATHON STREETLOS ANGELESCA9002995165636965000HEALTHCARE SUPP501(C)(3)
BREATHE LA
5858 WILSHIRE BLVD SUITE 300LOS ANGELESCA9003695164145142000HEALTHCARE SUPP501(C)(3)
CALIFORNIA HOSPITAL MEDICAL CENTER
1401 SOUTH GRAND AVENUELOS ANGELESCA9001595431040773000HEALTHCARE SUPP501(C)(3)
CANCER SUPPORT COMMUNITY
200 E DEL MAR BLVDPASADENACA9110595420198525000HEALTHCARE SUPP501(C)(3)
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BLVDLOS ANGELESCA9002795169097780000HEALTHCARE SUPP501(C)(3)
DOWNTOWN WOMEN'S CENTER
442 S SAN PEDRO STREETLOS ANGELESCA9001331159722340000HEALTHCARE SUPP501(C)(3)
ESPERANZA COMMUNITY HOUSING CORPORATION
2337 S FIGUEROA STREETLOS ANGELESCA9000795423034525000HEALTHCARE SUPP501(C)(3)
EXCEPTIONAL CHILDREN'S FOUNDATION
8740 W WASHINGTON BLVDCULVER CITYCA9023295169098840000HEALTHCARE SUPP501(C)(3)
FIVE ACRES
760 W MOUNTAIN VIEW STREETALTADENACA9100195164781035000HEALTHCARE SUPP501(C)(3)
HILLSIDES
940 AVENUE 64PASADENACA9110595164400235000HEALTHCARE SUPP501(C)(3)
JEWISH FREE LOAN ASSOCIATION
6505 WILSHIRE BLVDLOS ANGELESCA9004895169101465000HEALTHCARE SUPP501(C)(3)
JOHN TRACY CLINIC
806 W ADAMS BLVDLOS ANGELESCA9000795164239340000HEALTHCARE SUPP501(C)(3)
JUNIOR BLIND OF AMERICA
5300 ANGELES VISTA BLVDLOS ANGELESCA9004395167765940000HEALTHCARE SUPP501(C)(3)
KECK SCHOOL OF MEDICINE AT USC
1975 ZONAL AVENUE KAM 500LOS ANGELESCA90033951642394100000HEALTHCARE SUPP501(C)(3)
KHEIR CENTER
3727 W 6TH STREET SUITE 210LOS ANGELESCA90020954074660100000HEALTHCARE SUPP501(C)(3)
LITTLE SISTERS OF THE POOR
2100 SOUTH WESTERN AVENUESAN PEDROCA90732951972847100000HEALTHCARE SUPP501(C)(3)
MEND
10641 SAN FERNANDO ROADPACOIMACA9133123730633750000HEALTHCARE SUPP501(C)(3)
NO LIMITS
9801 WASHINGTON BLVD 2ND FLOORCULVER CITYCA9023295460304830000HEALTHCARE SUPP501(C)(3)
PF BRESEE FOUNDATION
184 S BIMINI PLACELOS ANGELESCA9000495379736325000HEALTHCARE SUPP501(C)(3)
PASADENA EDUCATIONAL FOUNDATION
351 SOUTH HUDSONSOUTH HUDSONCA9110923714945175000HEALTHCARE SUPP501(C)(3)
PEPPERDINE UNIVERSITY
24255 PACIFIC COAST HIGHWAYMALIBUCA9026395164403730000HEALTHCARE SUPP501(C)(3)
PROJECT KINDLE
28245 AVENUE CROCKER SUITE 104VALENCIACA9135547081412580000HEALTHCARE SUPP501(C)(3)
PROVIDENCE TRINITYCARE HOSPICE
5315 TORRANCE BLVDTORRANCECA9050333026101625000HEALTHCARE SUPP501(C)(3)
PROVINCE OF SAINT BARBARA
1500 34TH AVENUEOAKLANDCA9460120724249155000HEALTHCARE SUPP501(C)(3)
SALVATION ARMY
2737 SUNSET BLVDLOS ANGELESCA9002695165636068000HEALTHCARE SUPP501(C)(3)
ST ANNE'S MATERNITY HOME
155 N OCCIDENTAL BLVDLOS ANGELESCA9002695169130623500HEALTHCARE SUPP501(C)(3)
ST BARNABAS SENIOR SERVICES
675 SCARONDELET STREETLOS ANGELESCA9005795164143525000HEALTHCARE SUPP501(C)(3)
ST VINCENT MEALS ON WHEELS
2222 OCEAN VIEW AVENUE SUITE 114LOS ANGELESCA9005795369669365000HEALTHCARE SUPP501(C)(3)
UCLA CENTER FOR BEHAVIORAL & ADDICTION MEDICINE
10880 WILSHIRE BLVD SUITE 1800LOS ANGELESCA9002495225080168000HEALTHCARE SUPP501(C)(3)
UCLA MOBILE CLINIC PROJECT
11980 SAN VINCENTE BLVDLOS ANGELSCA9004995225080134000HEALTHCARE SUPP501(C)(3)
USC OSTROW SCHOOL OF DENTISTRY
925 W 34TH STREETLOS ANGELESCA9008995164239424028HEALTHCARE SUPP501(C)(3)
WORKSITE WELLNESS LA
5955 S WESTERN AVENUELOS ANGELESCA9004755080235475000HEALTHCARE SUPP501(C)(3)
YOUNG & HEALTHY
37 N HOLLISTON AVEPASADENACA9110695452796940000HEALTHCARE SUPP501(C)(3)
QUEENSCARE FAMILY CLINICS
1300 N VERMONT AVELOS ANGELESCA9002795370213693599HEALTHCARE SUPP501(C)(3)
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants54TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations7TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIPSTypeOfGrant
Number Of Recipients27NumberOfRecipients
Amount Of Cash Grant207675AmountOfCashGrant
Method Of ValuationN/AMethodOfValuation
Description Of Non Cash AssistanceN/ADescriptionOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV (7 entries)

IdentifierIdentifierExplanationExplanation
Pt I Line 2QUEENSCARE MONITORS THE USE OF GRANTS IT MAKES BY REQUIRING EACH
Pt I Line 2GRANTEE TO SUPPLY QUEENSCARE WITH REGULAR REPORTS THAT DESCRIBE HOW
Pt I Line 2SUCH GRANTEE IS USING QUEENSCARE'S GRANT FUNDS. IN ADDITION, QUEENSCARE
Pt I Line 2OFTEN VISITS A GRANTEE'S PREMISES TO ENSURE THAT THE GRANTEE IS
Pt I Line 2CONDUCTING PROGRAMS THAT FURTHER QUEENSCARE'S CHARITABLE MISSION.
Pt I Line 2QUEENSCARE ALSO REQUIRES EACH GRANTEE TO PROVIDE QUEENSCARE WITH A
Pt I Line 2COPY OF THEIR ANNUAL FINANCIAL REPORTS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgs
BARBARA B HINES
118643118669118643118669
LEE E HUEY
98042733679804273367

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierPt I Line 4aIdentifier
ExplanationFORMER CFO, LEE HUEY, RECEIVED A SEVERANCE PAYMENT OF $42,770 WHEN HE RESIGNEDExplanation

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions6NumberOfContributions
Noncash Contribs Rptd F990166200NoncashContribsRptdF990
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (88 entries)

IdentifierIdentifierExplanationExplanation
Pt V, Line 3bSt. Joseph's Health Support Alliance, a California
non-profit, nonstock, public benefit corporation
described in Section 501(c)(3) of the Internal Revenue
Code, is the sole corporate member of QueensCare.
Pt VI, Line 6St. Joseph's Health Support Alliance, a California
non-profit, nonstock, public benefit corporation
described in Section 501(c)(3) of the Internal Revenue
Code, is the sole corporate member of QueensCare.
Pt VI, Line 7aIn its capacity as QueensCare's sole corporate member,
St. Joseph's Health Support Alliance has the authority
to appoint, remove, and replace each of the members of
QueensCare's Board of Directors.
Pt VI, Line 7bSt. Joseph's Health Support Alliance, as QueensCare's
sole corporate member, has the right to approve certain
fundamental transactions, such as amendments to by-laws,
QueensCare's Articles of Incorporation or resolutions
to dissolve QueensCare's corporate existence.
Pt VI, Line 11aFollowing preparation of a final draft of the Form 990
by the organization's tax preparers, the organization's CEO
and CFO review, analyze and discuss the final draft
to better ensure its accuracy and completeness. After
the return is filed, the CEO and CFO review and discuss
material aspects and details of the return at the next
regularly scheduled meeting of the Board of Directors.
Pt VI, Line 12cThe organization's Board members, corporate officers, and
staff are subject to a written conflicts of interest
Form 990, Part III, Line 4dQUEENSCARE ALSO CONTRIBUTES TO THE GENE AND MARILYN 207675. 207675. 0. QUEENSCARE ALSO CONTRIBUTES TO AIDS ORGANIZATIONS; 268000. 268000. 0. QUEENSCARE PROVIDES THE FOLLOWING MEDICAL CARE SUPPORT SERVICES 4694487. 4576456. 0.
Form 990, Part IX, Line 24fPHARM & MEDICAL SUPPLIES 265158. 265158. 0. 0. REPAIR & MAINTENANCE 46672. 33457. 13215. 0. TAXES & LICENSES 340143. 4931. 335212. 0. SUBSCRIPTIONS 3868. 458. 3410. 0. OTHER EXPENSES 90131. 34223. 55908. 0.
policy. Pursuant to that policy, each such person is required to
identify any transaction with the organization in which
the person has (or may have) a financial interest. If a
conflict (or potential conflict) is identified, the Board,
excluding any involved Board members, carefully reviews
the terms of the transaction and makes a determination
as to whether the transaction is fair and reasonable
to the organization under all the facts and circumstances.
The organization monitors and enforces compliance with
this policy by: (i) discussing such issues at its annual
meeting; (ii) requiring all covered persons to annually
provide written certification of their compliance with
the policy; and (iii) carefully reviewing all material
transactions to identify potential or real conflicts.
Pt VI, Line 15A Compensation Committee comprised of independent Board
members formulates a proposed compensation level for
the CEO by reviewing general compensation data for similarly
situated organizations. Following such a review, the
Compensation Committee presents its findings and recommendations to the
Board at which Board members are provided with the opportunity to
ask questions. Based on the findings and recommendations
of the Compensation Committee, a Board vote is taken to
establish the new compensation level for the CEO.
Deliberations of the Compensation Committee and the Board are
recorded in the organization's minute book. The
evaluation, review, and recommendation process was last
undertaken by the Compensation Committee in June 2012
and its findings and recommendations with regard to the
CEO's compensation level were approved by the Board in
June 2012.
Pt VI, Line 19The organization's annual financial report is available
on a third-party website (GuideStar). The organizaion
provides copies of its governing documents, its conflict
of interest policy, as well as its three most recent
Forms 990 to any interested person that makes a request
for such documents.
Pt VII, Line 1aDirector Jay Guerena devoted approximately two hours of his
time per week to a related organization, QueensCare
Family Clinics(QFC), in his capacity as a Director of QFC.
Secretary Sr. Judy Murphy devoted approximately 10 hours of
her time per week to QFC in her capacity as QFC's Secretary. Sr.Murphy also
provided services to QueensCare as an independent
contractor for which she was compensated.
Director Allan Michelena devoted approximately 2 hours of
his time per week to QFC in his capacity as Chairman of
QFC's Board of Directors.
Director David Walsh devoted approximately two hours of his
time per week to QFC in his capacity as a Director of QFC.
CEO Barbara Hines devoted approximately 20 hours of her
time per week to QFC in her capacity as QFC's CEO.
Until his resignation during the year, Chief Financial Officer
Lee Huey devoted approximately 20 hours of his time per week
to QFC in his capacity as QFC's Chief Financial Officer.
QueensCare's new CFO, Gary Grubbs, also devoted approximately
20 hours of his time to QFC as its Chief Financial Officer.
Sch A, Pt IQueensCare is recognized as a hospital described in section
170(b)(1)(A)(iii) of the Internal Revenue Code because
its principal purpose is to provide medical care through
neighborhood medical clinics. QueensCare is not licensed
to operate a hospital.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (6 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
BRIDGE STREET-QC LLC
1525 BRIDGE STREETYUBA CITYCA95993951644040RENTAL REAL ESTATECA169145314085093NA
SCHILLING PLACE PROPERTY QC LLC
1441 SCHILLING PLACESALINASCA93901951644040RENTAL REAL ESTATECA334010939041463NA
SCHILLING PROPERTY QC-LLC
1488 1494 SCHILLING PLACESALINASCA93901951644040RENTAL REAL ESTATECA155333918651845NA
GREENFIELD APARTMENTS QC LLC
1640 S GREENFIELD CIRCLE NEGRAND RAPIDSMI49505951644040RENTAL REAL ESTATECA11430117072214NA
HPMB LLC
1300 N VERMONT AVENUELOS ANGELESCA90027951644040RENTAL REAL ESTATECA212398818060054NA
AIRWAY DIEGO LLC
10132 AIRWAY ROADSAN DIEGOCA92154951644040RENTAL REAL ESTATECA200719521569350NA

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
ST JOSEPH'S HEALTH SUPPORT ALLIANCE
1300 N VERMONT AVENUELOS ANGELESCA90027940831115TO SUPPORT QUEENSCARECA501(C)(3)11c III-FINAfalse
QUEENSCARE FAMILY CLINICS
1300 N VERMONT AVENUELOS ANGELESCA90027953702136PROVIDE MEDICAL SERV TO THE INDIGENTCA501(C)(3)3NAfalse
QUEEN OF ANGELS HOLLYWOOD PRESBYTERIAN FOUNDATION
1300 N VERMONT AVENUELOS ANGELESCA90027953403582TO SUPPORT QUEENSCARECA501(C)(3)11c III-FINAfalse
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
(1) ST JOSEPH'S HEALTH SUPPORT ALLIANCE
k24000ACCRUAL
(2) QUEENSCARE FAMILY CLINICS
n447373ACCRUAL
(3) QUEENSCARE FAMILY CLINICS
o625652ACCRUAL
(4) QUEENSCARE FAMILY CLINICS
p36378ACCRUAL

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