2020-06-30T10:52:53-07:00 2019-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2018-07-01 942502308 LIFELONG MEDICAL CARE LIFE 5109814100 2344 6th Street Berkeley CA 94710 Kanwar Singh CFO 5107046010 2020-06-04 1 Jeremy Ware P00642659 5595495400 2020-05-31 172.58.35.242 2018 2020-09-22 18:59:49Z Kanwar Singh 2344 6th Street Berkeley CA 94710 95655383 0 X www.lifelongmedical.org X 1996 CA LifeLong Medical Care provides high-quality health and social services to underserved people of all ages; creates models of care for the elderly, people with disabilities and families; and advocates for continuous improvements in the health of our communities. 15 15 1095 0 0 0 24393109 27721533 64033212 63908553 153942 253918 2341435 3771379 90921698 95655383 0 0 0 0 58907973 65228894 0 0 651206 22657693 26271574 81565666 91500468 9356032 4154915 115921844 92606076 54588988 31030650 61332856 61575426 TO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES, CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES, AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES. 0 0 71262666 0 59432976 TO PROVIDE HIGH QUALITY MEDICAL, HEALTH AND SOCIAL SERVICES TO UNDERSERVED PEOPLE OF ALL AGES; CREATE MODELS OF CARE FOR THE ELDERLY AND PEOPLE WITH DISABILITIES; AND TO ADVOCATE FOR CONTINUOUS IMPROVEMENTS IN THE HEALTH OF ITS COMMUNITIES. DURING THE FISCAL YEAR, LIFELONG PROVIDED 256,391 VISITS TO OVER 66,580 PATIENTS. 0 0 0 71262666 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 270 0 1 1095 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Kanwar Singh 5109814100 2344 6th Street Berkeley CA 94710 James Johnson Jr Board Chair 1 0 X 0 0 0 John Jenkins Vice Chair 1 0 X 0 0 0 Gloria Flores Secretary 1 0 X 0 0 0 Philip Kamlarz Treasurer 1 0 X 0 0 0 Ron Alder Board member 1 0 X 0 0 0 Robin Betts Board member 1 0 X 0 0 0 Patricia Carson Sussman Board member 1 0 X 0 0 0 Sharlana Turner Board member 1 0 X 0 0 0 Judith Turiel Board member 1 0 X 0 0 0 Rachel Tobey Board member 1 0 X 0 0 0 Edgar Quiroz Board member 1 0 X 0 0 0 Chris Kiefer Board member 1 0 X 0 0 0 Robbie Hurtado Board member 1 0 X 0 0 0 Janet Howley Board member 1 0 X 0 0 0 Tasha Henneman Board member 1 0 X 0 0 0 Marty Lynch CEO 40 0 X 420287 0 49643 Kanwar Singh CFO 40 0 X 240132 0 24695 Omoniyi Omotoso Internal Medicine 40 0 X 247314 0 23792 DL Poole CAO 40 0 X 232208 0 19000 Susan Ferguson Internal Medicine 40 0 X 231834 0 32829 Norman Banks Physician 40 0 X 245222 0 41278 Kim Ceci Associate Medical Director 40 0 X 227919 0 458 1844916 0 191695 96 0 1 0 Desmond Carter 3629 Ridgewood Way Richmond CA 94806 Contracted Provider 303200 Brazell Carter 3109 Monterey Oakland CA 94602 Contracted Provider 231087 Emily Birenbaum 3497 Magnolia Street Berkeley CA 94705 Contracted Provider 132135 Michael Lenoir 1835 Manzanita Oakland CA 94611 Contracted Provider 133620 4 0 0 0 0 24832954 2888579 20662 27721533 Net patient service revenue 621400 59432976 59432976 0 0 4475577 4475577 0 0 63908553 253918 0 0 253918 0 0 0 0 0 0 0 0 0 0 0 0 0 Gain on NMTC transaction 621400 2428789 2428789 0 0 1342590 2550518 0 -1207928 3771379 95655383 68887860 0 -954010 51680134 40155138 11268581 256415 2382529 1851210 519498 11821 7237450 5623453 1578088 35909 3928781 3052638 856650 19493 71372 18856 52516 36573 36573 8234101 7291146 901259 41696 49596 5242 12906 31448 1717289 951796 742893 22600 2341396 1209035 1104961 27400 5773667 4833338 939131 1198 166961 98493 67686 782 238535 163183 74926 426 553591 553571 20 2615133 2234797 380336 288192 191802 96390 Supplies 3169981 2727629 441574 778 Professional Fees 295664 134147 158941 2576 719523 167192 353667 198664 91500468 71262666 19586596 651206 30098693 38315192 30733538 2692709 2755248 6643160 6240511 5160037 524552 245319 1142221 1389359 41159723 21669566 25736542 19490157 18690539 18670143 115921844 92606076 8113783 8574872 254200 38895932 16281569 7579273 5920009 54588988 31030650 X 59668095 58701202 1664761 2874224 0 0 61332856 61575426 115921844 92606076 X 4154915 0 0 0 0 -3912345 X 0 1 X 1 1 1 X 20964323 19228207 20294760 24393109 27721533 112601932 20964323 19228207 20294760 24393109 27721533 112601932 112601932 2352 1729 47684 153942 253918 459625 113061557 0.99593 0.99796 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1715434 1715434 0 22149346 0 22149346 0 9233645 0 9233645 0 7884706 0 7884706 0 176592 21669566 -21492974 19490157 Other assets 17609682 Estimated third party settlements 1060461 18670143 Estimated third party settlements 5920009 5920009 X Schedule D, Part X, Line 2 Income Taxes - LifeLong has been recognized by the Internal Revenues Service as a non-profit corporation as described in Sec. 501(c)(3) of the Internal Revenue Code (IRC) and is exempt from federal and state income taxes on related income pursuant to Sec. 501(a) of the IRC and California Revenue and Taxation Code Sec. 23701(d). The Organization utilizes a two-step approach to recognizing and measuring uncertain tax positions. The first step is to evaluate the tax position for recognition by determining if the weight of available evidence indicates it is more likely than not that the position will be sustained on audit. The second step is to measure the tax benefit as the largest amount, which is more than 50% likely of being realized upon ultimate settlement. As of June 30, 2019, there were no liabilities recorded for unrecognized tax benefits related to tax positions taken in the current year. LifeLong's returns are subject to examination by federal and state taxing authorities generally for three years after they are filed however, there are currently no audits for tax periods in progress. X 0 0 0 0 0 0 0 0 0 Norman Banks Physician 341209 0 5416 0 0 0 34135 0 7143 0 387903 0 0 0 DL Poole CAO 232208 0 11000 0 0 0 19000 0 0 0 262208 0 0 0 Kanwar Singh CFO 240132 0 11765 0 0 0 18200 0 6495 0 276592 0 0 0 Marty Lynch CEO 420286 0 26000 0 0 0 44000 0 5643 0 495929 0 0 0 Kim Ceci Associate Medical Director 227919 0 0 0 0 0 0 0 458 0 228377 0 0 0 Susan Ferguson Internal Medicine 231834 0 0 0 0 0 25000 0 7829 0 264663 0 0 0 Form 990, Part VI, Section B, Line 11b THE FORM 990 IS MADE AVAILABLE TO ALL BOARD MEMBERS AND IS REVIEWED BY THE FINANCE COMMITTEE, IF TIMING PERMITS, PRIOR TO FILING. Form 990, Part VI, Section B, Line 12c THE PROCEDURES TAKEN TO MONITOR AND ENFORCE CONFLICT OF INTEREST IS BASED UPON REQUESTING SIGNED DECLARATIONS FROM BOARD MEMBERS ANNUALLY AND SELF-REPORTING FOR BOARD AND EMPLOYEES. Form 990, Part VI, Section B, Line 15 PERIODIC MARKET STUDIES ARE COMPLETED TO EVALUATE PAY FOR THE POSITION WITHIN OUR AREA ANNUAL EVALUATIONS ARE COMPLETED BY THE SUPERVISING PERSON BOARD REVIEWS CEO'S PERFORMANCE AND DETERMINES COMPENSATION CEO ALSO REVIEWS MARKET RATE INFORMATION FOR THE CFO AND RECOMMENDS ANNUAL COMPENSATION THE CFO'S SALARY IS REVIEWED AND APPROVED BY THE BOARD AS REQUIRED IN CALIFORNIA'S INTEGRITY ACT. Form 990, Part VI, Section C, Line 19 Available upon request. Form 990, Part XI, Line 9 Net asset transferred to Friends of Lifelong, EIN: ; as that organization will be filing its own ongoing 990 informational return.