2021-05-11T10:55:12-07:00 2020-06-30 472251777 CHW LLP 7797 N First Street Suite 15 Fresno CA 93720 990 2019-07-01 942502308 LIFELONG MEDICAL CARE LIFE 5109814100 2344 6th Street Berkeley CA 94710 David Vliet CEO 5107046010 2021-04-30 1 Jeremy Ware P00642659 5595495400 2021-04-01 2019 2022-09-23 18:48:47Z David Vliet 2344 6th Street Berkeley CA 94710 96080424 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 1157 0 0 0 27721533 35258843 63908553 56841388 253918 208858 3771379 3771335 95655383 96080424 0 0 0 0 65228894 69001695 0 0 622680 26271574 29279938 91500468 98281633 4154915 -2201209 92606076 95308611 31030650 35934394 61575426 59374217 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 76680271 0 52450746 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 220,147 VISITS TO OVER 60,000 PATIENTS. 0 0 0 76680271 1 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 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 1157 1 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 David Vliet 5109814100 2344 6th Street Berkeley CA 94710 David Vliet CEO 40 0 X 369935 0 50581 Michael Stacey CMO 40 0 X 344802 0 9555 Norman Banks Physician 40 0 X 245222 0 41278 Susan Ferguson Internal Medicine 40 0 X 240272 0 37273 Kanwar Singh CFO 40 0 X 221254 0 35388 Omoniyi Omotoso Internal Medicine 40 0 X 230016 0 25738 DL Poole CAO 40 0 X 231617 0 19500 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 1883118 0 219313 121 0 1 0 Desmond Carson 3629 Ridgewood Way Richmond CA 94806 Contracted Provider 291662 Brazell Carter 6303 Rockey Point Oakland CA 94605 Contracted Provider 250000 Emily Birenbaum 2947 Magnolia Street Berkeley CA 94705 Contracted Provider 137080 Michael Lenoir 1835 Manzanita Oakland CA 94611 Contracted Provider 138368 Anaya Construction 5153 Covert Drive Salida CA 95368 Construction 199437 5 0 0 158799 0 35077987 22057 20931 35258843 Net patient service revenue 621400 52450746 52450746 0 0 4390642 4390642 0 0 56841388 208858 0 0 208858 0 0 0 0 0 0 0 0 0 0 0 0 158799 3771335 3771335 0 0 3771335 96080424 60612723 0 208858 54756333 42233341 12283188 239804 14245362 10963385 3218956 63021 5969910 4036928 1932982 895356 539255 326483 29618 6420019 5323339 1095960 720 359522 244637 111454 3431 379257 379213 44 2262626 1971213 291413 0 387041 242082 144959 Contributed to Friends of Lifelong 3150027 3150027 0 0 Supplies 5203484 5120826 82658 0 4252696 2476025 1490585 286086 98281633 76680271 20978682 622680 38315192 34221077 2692709 7636134 6643160 6328740 5160037 6767709 593310 245319 213358 1389359 1105016 42581467 23778888 19490157 18802579 18670143 19640688 92606076 95308611 8574872 13352997 254200 286425 16281569 13036810 5920009 9258162 31030650 35934394 X 61575426 57292654 0 2081563 61575426 59374217 92606076 95308611 -2201209 X 0 1 X 1 1 1 X 19228207 20294760 24393109 27721533 32580833 124218442 19228207 20294760 24393109 27721533 32580833 124218442 124218442 1729 47684 153942 253918 457273 124675715 0.99633 0.99593 X 0 2299868 2299868 0 22163072 9717876 12445196 0 8406318 5550209 2856109 0 2492554 1507548 985006 0 7219655 7003255 216400 18802579 Other assets 19640688 19640688 Estimated third party settlements 9258162 9258162 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, 2020 and 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. Golf Tournament 133795 0 133795 0 0 52375 0 0 5081 Annual Gala 175016 0 175016 0 0 50582 0 0 41975 0 308811 0 308811 0 0 102957 0 0 47056 150013 158798 X 0 0 0 0 0 0 0 0 0 David Vliet CEO 369935 0 0 0 0 0 41500 0 9081 0 420516 0 0 0 Michael Stacey CMO 344802 0 23003 0 0 0 3490 0 6065 0 377360 0 0 0 Norman Banks Physician 241598 0 580 0 0 0 25980 0 3074 0 271232 0 0 0 Kanwar Singh CFO 221254 0 11869 0 0 0 29901 0 5489 0 268513 0 0 0 Omoniyi Omotoso Internal Medicine 230016 0 0 0 0 0 19500 0 6238 0 255754 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.