2023-08-23T16:16:46-05:00 2021-12-31 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-01-01 954067758 ST JOHN'S COMMUNITY HEALTH % ELIZABETH MEISLER STJO 3235411600 808 W 58TH STREET LOS ANGELES CA 90037 ELIZABETH MEISLER CFO 3235411600 2022-11-15 true ELIZABETH MEISLER 999009999 Krystal K Creach P01248198 4178658701 2 2021 2023-04-26 12:10:37Z X X JAMES MANGIA 808 W 58TH STREET LOS ANGELES CA 90037 133112962 false X WWW.WELLCHILD.ORG X 1993 CA ST. JOHN'S PROVIDES HIGH-QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL AND BEHAVIORAL HEALTH CARE AS WELL AS ENABLING SERVICES. 11 11 1182 11 0 24700858 48254093 74363654 84857798 38381 1071 0 0 99102893 133112962 1550557 1242632 0 0 53507866 69862546 376668 451708 832502 34967941 56454452 90403032 128011338 8699861 5101624 72019151 79729504 33743058 36351787 38276093 43377717 X TO IMPROVE COMMUNITY HEALTH AND REDUCE HEALTH DISPARITIES BY DELIVERING HIGH QUALITY, COMPREHENSIVE SERVICES AND IMPACTING HEALTH AND SOCIAL POLICY. false false 96304166 70429226 THE REVENUE REPORTED ON LINE 4A IS EXCLUSIVE OF GRANT AND CONTRIBUTION REVENUE FROM PART VIII, LINE 1H IN ACCORDANCE WITH IRS INSTRUCTION. IF GRANT AND CONTRIBUTION REVENUE WERE INCLUDED IN THE ALLOCATION, REVENUE REPORTED WOULD INCREASE LINE 4A BY $32,298,422. SEE SCHEDULE O FOR ADDITIONAL INFORMATION. 11203475 7843951 THE REVENUE REPORTED ON LINE 4B IS EXCLUSIVE OF GRANT AND CONTRIBUTION REVENUE FROM PART VIII, LINE 1H IN ACCORDANCE WITH IRS INSTRUCTION. IF THE GRANT AND CONTRIBUTION REVENUE WERE INCLUDED IN THE ALLOCATION, THE REVENUE REPORTED WOULD INCREASE LINE 4B BY $1,431,151. COMPREHENSIVE DENTAL SERVICES INCLUDE PRIMARY AND PREVENTIVE ORAL HEALTH CARE FOR CHILDREN AND ADULTS: X-RAYS, CLEANINGS AND EXAMS, FILLINGS, SEALANTS, FLUORIDE TREATMENT, PERIODONTAL TREATMENT, ORTHODONTIC SCREENINGS, AND DENTAL HEALTH EDUCATION. DENTAL SERVICES HAD 58,416 PATIENT VISITS IN 2021. 3866083 2697057 THE REVENUE REPORTED ON LINE 4C IS EXCLUSIVE OF GRANT AND CONTRIBUTION REVENUE FROM PART VIII, LINE 1H IN ACCORDANCE WITH IRS INSTRUCTION. IF THE GRANT AND CONTRIBUTION REVENUE WERE INCLUDED IN THE ALLOCATION, THE REVENUE REPORTED WOULD INCREASE LINE 4C BY $1,326,725. COMPREHENSIVE BEHAVIORAL HEALTH SERVICES FOR CHILDREN AND ADULTS INCLUDE: TESTING AND EVALUATION; CRISIS INTERVENTION COUNSELING; INDIVIDUAL, GROUP AND FAMILY PSYCHOTHERAPY; CASE MANAGEMENT; AND MEDICATION-ASSISTED THERAPY. BEHAVIORAL HEALTH SERVICES HAD 15,650 PATIENT VISITS IN 2021. 4921061 1242632 3887564 116294785 true true false true false false false false false false true false false false true false true false false false false false false true false false false true false true true false false false false false false false false false false true false false false false false false false false true 345 0 true 1182 true false false false false false true true false false false false false false X 11 11 true false false false false false false true true false false true true true true true true true false false CA X ELIZABETH MEISLER 3235411613 808 W 58TH STREET LOS ANGELES CA 90037 JAMES MANGIA CEO AND PRESIDENT 40.0 0.0 X 742464 0 14047 ANITHA LAKSHMI MULLANGI CHIEF MEDICAL OFFICER 40.0 0.0 X 399578 0 23814 MICHAEL BERAL DIRECTOR OF DENTAL CLINIC 40.0 0.0 X 310930 0 14047 ELIZABETH MEISLER CFO 40.0 0.0 X 296279 0 16833 SUSHANT BANDARPALLE REGIONAL MEDICAL DIRECTOR 40.0 0.0 X 276807 0 14067 ELENA FERNANDEZ CHIEF OF PROGRAMS 40.0 0.0 X 268085 0 22186 ROLANDO BARAHONA CHIEF DEVELOPMENT OFFICER 40.0 0.0 X 279142 0 8180 SAIFEI WU FAMILY PRACTICE PHYSICIAN 40.0 0.0 X 258290 0 21894 MOHSEN JAMEI PHYSICIAN 40.0 0.0 X 253759 0 24600 CINDY NAKHLA OB/GYN 40.0 0.0 X 262570 0 12549 PADMA VENKATARAMAN INTERNAL MEDICINE PHYSICIAN 40.0 0.0 X 273701 0 0 MATTHEW WELZENBACH REGIONAL MEDICAL DIRECTOR 40.0 0.0 X 251495 0 9704 TIMOTHY NEIMAN CHIEF ADMINISTRATIVE OFFICER 40.0 0.0 X 250791 0 8786 SAGHAR SABER INTERNAL MEDICINE PHYSICIAN 40.0 0.0 X 236771 0 8216 MARIO CHAVEZ DIRECTOR OF GOVT AFFAIRS 40.0 0.0 X 212833 0 8180 ANA BARAHONA CHIEF OPERATIONS OFFICER 40.0 0.0 X 194617 0 8180 BILL DAWE TREASURER 1.0 0.0 X X 0 0 0 LILIA GARCIA CHAIR 1.0 0.0 X X 0 0 0 LEONOR GUZMAN BOARD MEMBER 1.0 0.0 X 0 0 0 MARTHA ORTIZ BOARD MEMBER 1.0 0.0 X 0 0 0 PATRICIA ESCAMILLA VICE CHAIR 1.0 0.0 X X 0 0 0 JOANNA MIMI CHOI MD SECRETARY 1.0 0.0 X X 0 0 0 LIN TIEN BOARD MEMBER 1.0 0.0 X 0 0 0 CECILIA SIBLEY BOARD MEMBER 1.0 0.0 X 0 0 0 SANDRA WEATHERSBY BOARD MEMBER 1.0 0.0 X 0 0 0 CARMEN J COLE BOARD MEMBER 1.0 0.0 X 0 0 0 CHRISTOPHER CALLAHAN BOARD MEMBER 1.0 0.0 X 0 0 0 4768112 0 215283 118 false true false AEROTEK INC 3689 COLLECTION CTR DR CHICAGO IL 60693 RECRUITMENT SERVICES 4329787 KADIMA SECURITY SERVICES INC PO BOX 262056 ENCINO CA 91426 SECURITY SERVICES 3122877 FOUNDATION LABORATORY 1716 WEST HOLT AVENUE POMONA CA 917683333 MEDICAL LAB SERVICES 2107503 KORE1 LLC 530 Technology Drive 150 IRVINE CA 92618 TEMPORARY STAFF SVCS 1904285 ECLINICAL WORKS LLC PO BOX 847950 BOSTON MA 002847950 BILLING SOFTWARE 1267005 88 40932092 7322001 2572468 48254093 PATIENT SERVICE REVENUE 624100 62818710 62818710 CAPITATION/PREMIUM REVENUE 624100 20607011 20607011 OTHER REVENUE 624100 1119869 1119869 EHR INCENTIVE REVENUE 624100 312208 312208 84857798 1071 1071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 133112962 84857798 1071 X 1242632 1242632 0 0 0 3631045 1590713 2040332 0 54465354 50857560 3423892 183902 688677 630272 56075 2330 6631341 6034330 575641 21370 4446129 4017699 414320 14110 0 373165 373165 92592 92592 0 451708 451708 0 18707953 17199831 1355032 153090 263344 260104 3240 2195096 1858902 334458 1736 6130541 5653345 477196 0 7336785 6798974 537811 377149 338833 38306 10 0 2020104 1808068 211114 922 368597 20635 347962 0 1967330 1792199 175131 590484 391205 199279 MEDICAL SUPPLIES & DRUGS 15362813 15362813 LICENSES, DUES, SUBSCRIPTIONS 420871 284071 133476 3324 REPAIRS & MAINTENANCE 161920 152599 9321 RECRUITING & RETENTION 85708 85708 128011338 116294785 10884051 832502 13955411 15664226 11800909 11705243 3432033 5937919 7586591 14571157 0 0 0 0 0 0 319561 422063 1151254 568920 37699121 14551144 23991158 23147977 0 0 0 0 0 0 6820002 6839502 2962232 872497 72019151 79729504 13495184 12417596 0 0 1023208 0 4638318 4522066 0 0 0 0 10504448 10081826 0 0 4081900 9330299 33743058 36351787 X 36134447 42345210 2141646 1032507 38276093 43377717 72019151 79729504 5101624 X false true X true true true X 14737189 15435195 20928543 24700858 48254093 124055878 0 0 14737189 15435195 20928543 24700858 48254093 124055878 0 124055878 27266 103683 190955 38381 1071 361356 0 0 124417234 326730713 0.99710 0.99547 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false true false true false SCHEDULE C, PART II-B, LINE 1(I) OTHER LOBBYING ACTIVITIES: THE ORGANIZATION PAYS DUES TO THE CALIFORNIA PRIMARY CARE ASSOCIATION (CPCA) AND THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS (NACHC). A PORTION OF THESE DUES MAY BE ATTRIBUTABLE TO LOBBYING PURPOSES. SCHEDULE C, PART II-B, LINES 1(B) & (G) DIRECT CONTACT WITH LEGISLATORS: THE CEO ENGAGED REMOTELY WITH LAC DPH AND STATE GOVERNMENT REGARDING COVID PROGRESS UPDATES AND COVID-RELATED PATIENT ADVOCACY. 2948376 2948376 21635464 8054740 13580724 4772141 744163 4027978 7275455 5752241 1523214 1067685 1067685 23147977 0 DUE TO 3RD PARTY PAYERS 5917799 CONTINGENT NOTE PAYABLE 3412500 9330299 134433501 211400 2085810 2297210 132136291 976671 976671 133112962 128222738 211400 211400 128011338 128011338 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1 BUT NOT ON FORM 990, PART VIII, LINE 12: $ 2,085,810 NET ASSETS RELEASED FROM RESTRICTION SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 976,671 TEMPORARILY RESTRICTED CONTRIBUTIONS X X X X X X X true KIMBERLEY SLEDER GRANTMAKING false 193785 PRIYANTHIE DESILVA GRANTMAKING false 165360 TINA CHRISTOPULOS GRANTMAKING false 92563 451708 true BLACK AIDS INSTITUTE 1833 WEST 8TH STREET SUITE 200 LOS ANGELES CA 90057 954742741 501(C)(3) 141690 SUPPORT EAST VALLEY COMMUNITY HEALTH CENTER INC 420 S GLENDORA AVENUE WEST COVINA CA 91790 237068586 501(C)(3) 100000 SUPPORT EL PROYECTO DEL BARRIO INC 8932 WOODMAN AVENUE ARLETA CA 91331 952662606 501(C)(3) 100000 SUPPORT HOMIES UNIDOS INC 2105 BEVERLY BLVD LOS ANGELES CA 90057 954740768 501(C)(3) 69262 SUPPORT JWCH INSTITUTE INC 5650 JILLSON STREET COMMERCE CA 90040 952289916 501(C)(3) 100000 SUPPORT PROGRAM FOR TORTURE VICTIMS 3550 WILSHIRE BLVD SUITE 1906 LOS ANGELES CA 90010 954492477 501(C)(3) 76109 SUPPORT SOUTH CENTRAL FAMILY HEALTH CENTER 4425 SOUTH CENTRAL AVE LOS ANGELES CA 90011 953877793 501(C)(3) 100000 SUPPORT SUNRISE COMMUNITY OUTREACH CENTER INC 2105 BEVERLY BLVD LOS ANGELES CA 90057 208444001 501(C)(3) 42907 SUPPORT THE ANTI-RECIDIVISM COALITION (ARC) 1320 E 7TH ST SUITE 260 LOS ANGELES CA 90021 462140915 501(C)(3) 151981 SUPPORT THE CHILDREN'S CLINIC 701 EAST 28TH STREET SUITE 200 LONG BEACH CA 90806 951643332 501(C)(3) 100000 SUPPORT VENICE FAMILY CLINIC 604 ROSE AVE VENICE CA 90291 952769432 501(C)(3) 100000 SUPPORT STRATEGIC ACTIONS FOR A JUST ECONOMY 152 WEST 32ND STREET LOS ANGELES CA 90007 931226092 501(C)(3) 160683 SUPPORT 12 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: CASH DONATIONS ARE MOSTLY MADE TO MEMBERS OF THE SOUTHSIDE COALITION, A GROUP OF NON-PROFITS WHICH RESIDE IN AND SERVE THE SOUTH LOS ANGELES POPULATION. THE ORGANIZATION HAS MISSION ALIGNED ALLIANCES WITH SOUTHSIDE COALITION MEMBERS AND A FEW OTHER LOCAL NON-PROFITS, WITH THE GOAL OF PROVIDING ALL ASPECTS OF CARE TO THE LOCAL POPULATION, INCLUDING PRIMARY AND PREVENTIVE CARE AND ENABLING SERVICES. GRANTS WERE MADE TO THESE ORGANIZATIONS FOR THE FOLLOWING PURPOSES: -SUBSTANCE USE DISORDER & COUNSELING FOR TRANSGENDER INDIVIDUALS -HOUSING FOR LOW-INCOME LA COUNTY RESIDENTS -HIV & HIV CASE MANAGEMENT SERVICES -UNACCOMPANIED MINORS -PATIENT ADVICE REGARDING IMMIGRATION, TENANT RIGHTS AND MEDI-CAL ENROLLMENT LEGAL ADVICE -CPSP HOME VISIT PILOT FOR POST NATAL CARE -TRANSGENDER SERVICES/VICTIM ADVOCATES CASE MANAGEMENT -PEDIATRIC SERVICES STRATEGIC ACTIONS FOR A JUST ECONOMY WAS PROVIDED FUNDS FOR LEGAL ADVOCACY FOR LOW-INCOME LA COUNTY RESIDENT HOUSING, IN CONJUNCTION WITH ANOTHER TAX-EXEMPT ORGANIZATION. X X X X X false false false false false false false true false JAMES MANGIA CEO AND PRESIDENT 452464 0 290000 0 0 0 5867 0 8180 0 756511 0 0 0 ELIZABETH MEISLER CFO 284555 0 11724 0 0 0 5867 0 10966 0 313112 0 0 0 ANITHA LAKSHMI MULLANGI CHIEF MEDICAL OFFICER 399578 0 0 0 0 0 5867 0 17947 0 423392 0 0 0 MICHAEL BERAL DIRECTOR OF DENTAL CLINIC 310930 0 0 0 0 0 5867 0 8180 0 324977 0 0 0 ROLANDO BARAHONA CHIEF DEVELOPMENT OFFICER 279142 0 0 0 0 0 0 0 8180 0 287322 0 0 0 SUSHANT BANDARPALLE REGIONAL MEDICAL DIRECTOR 276807 0 0 0 0 0 5851 0 8216 0 290874 0 0 0 ELENA FERNANDEZ CHIEF OF PROGRAMS 268085 0 0 0 0 0 5867 0 16319 0 290271 0 0 0 MATTHEW WELZENBACH REGIONAL MEDICAL DIRECTOR 251495 0 0 0 0 0 9704 0 0 0 261199 0 0 0 TIMOTHY NEIMAN CHIEF ADMINISTRATIVE OFFICER 250791 0 0 0 0 0 606 0 8180 0 259577 0 0 0 MARIO CHAVEZ DIRECTOR OF GOVT AFFAIRS 212833 0 0 0 0 0 0 0 8180 0 221013 0 0 0 PADMA VENKATARAMAN INTERNAL MEDICINE PHYSICIAN 273701 0 0 0 0 0 0 0 0 0 273701 0 0 0 CINDY NAKHLA OB/GYN 262570 0 0 0 0 0 0 0 12549 0 275119 0 0 0 MOHSEN JAMEI PHYSICIAN 253759 0 0 0 0 0 5792 0 18808 0 278359 0 0 0 SAIFEI WU FAMILY PRACTICE PHYSICIAN 258290 0 0 0 0 0 5344 0 16550 0 280184 0 0 0 SAGHAR SABER INTERNAL MEDICINE PHYSICIAN 236771 0 0 0 0 0 0 0 8216 0 244987 0 0 0 ANA BARAHONA CHIEF OPERATIONS OFFICER 194617 0 0 0 8180 202797 0 SCHEDULE J, PART I, LINE 7 NONFIXED PAYMENTS: IN RECOGNITION OF NEARLY 25 YEARS OF SERVICE, THE BOARD APPROVED A CEO RETIREMENT PLAN IN LATE 2015 FOR FUTURE YEARS. THE BOARD USED SALARIES AND BENEFITS OF VARIOUS OTHER SIMILAR ORGANIZATIONS FOR COMPARISON TO ARRIVE AT A COMPETITIVE RETIREMENT PACKAGE. THIS AMOUNT WAS $190,000 AND INCLUDED IN TAXABLE COMPENSATION. IN ADDITION, IN 2021 THE BOARD APPROVED A BONUS FOR THE CEO OF $100,000 RELATED TO A COVID-19 VACCINATION INITIATIVE PLUS INFUSION THERAPY, PAXLOVID, AND OTHER INITIATIVES. IN 2021, THE CFO RECEIVED A BONUS BASED ON EXTRAORDINARY WORK AND EFFORTS IN DELIVERING NEARLY 400,000 COVID VACCINATIONS IN 2021, THE HIGHEST NUMBER FOR ANY FQHC IN THE UNITED STATES. THE CFO RECEIVED $10,000 (NET AFTER PAYROLL TAXES). A CALIFORNIA MUNICIPAL FINANCE AUTHORITY 201563466 13048TK36 2017-07-12 5469514 REFINANCE EXISTING BONDS, LOWER IN false false false A 600000 0 5469514 164878 0 0 105000 174251 0 0 5025385 0 2017 false true true true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true X 15665 1996830 FMV X PPE 634271 575638 FMV false true false SCHEDULE M, PART I, COLUMN (B) NUMBER OF CONTRIBUTIONS: THE NUMBER OF CONTRIBUTIONS IS THE NUMBER OF UNITS RECEIVED. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION: THE MISSION OF ST. JOHN'S COMMUNITY HEALTH IS TO IMPROVE COMMUNITY HEALTH AND REDUCE HEALTH DISPARITIES BY DELIVERING HIGH QUALITY, COMPREHENSIVE SERVICES AND IMPACTING HEALTH AND SOCIAL POLICY. VISION STATEMENT: ST. JOHN'S COMMUNITY HEALTH WILL BE A LEADER, CATALYST, AND MODEL FOR THE BEST CARE; LONG-TERM COMMUNITY HEALTH IMPROVEMENTS; AND SUSTAINABLE, HEALTH-ENHANCING SYSTEMS AND STRUCTURES IN LOS ANGELES. ST. JOHN'S IS AN INDEPENDENT 501(C)(3) ORGANIZATION THAT WAS FOUNDED IN 1964 AS A SMALL, VOLUNTEER-OPERATED PEDIATRIC CLINIC. OVER THE LAST FIVE DECADES, THE ORGANIZATION HAS EXPANDED TO BECOME ONE OF THE MOST SIGNIFICANT AND COMPREHENSIVE SAFETY-NET PROVIDERS IN LOS ANGELES COUNTY, PROVIDING CARE TO ALL LIFECYCLES. OUR NETWORK NOW INCLUDES TWENTY FEDERALLY QUALIFIED HEALTH CENTERS THAT SPAN THE BREADTH OF CENTRAL AND SOUTH LOS ANGELES AND COMPTON. ST. JOHN'S PROVIDES PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES; OB/GYN CARE; STD, HIV AND HEPATITIS C SCREENING AND TREATMENT; PEP AND PREP SERVICES; HEALTH CARE PROGRAMMING FOR SPECIAL POPULATIONS THAT INCLUDE UNACCOMPANIED MINORS, TRANSGENDER ADULTS, REENTRY, RESIDENTS OF PUBLIC HOUSING, CHILDREN WITH SPECIAL NEEDS, AND CHILDREN AND ADULTS EXPERIENCING HOMELESSNESS; HEALTH EDUCATION; OUTREACH; AND CASE MANAGEMENT FOR ALMOST 450,000 PATIENT VISITS EACH YEAR. IN PARTNERSHIP WITH LOCAL COMMUNITY-BASED ORGANIZATIONS, ST. JOHN'S DELIVERS A WIDE RANGE OF SERVICES THAT ARE RESPONSIVE TO COMMUNITY NEEDS. FORM 990, PART III, LINE 4A PROGRAM SERVICE ACCOMPLISHMENTS: MEDICAL SERVICES INCLUDE PRIMARY AND PREVENTIVE MEDICAL CARE FOR CHILDREN AND ADULTS; WELL BABY AND CHILD EXAMS; IMMUNIZATIONS; ASTHMA CARE; SCREENING, TREATMENT AND MGT OF CHRONIC CONDITIONS; PHYSICAL EXAMS AND ROUTINE SCREENINGS; FAMILY PLANNING; PRENATAL AND POST DELIVERY CARE; STD, HIV, AND HCV SCREENING AND TREATMENT; DIABETIC CARE; ACUPUNCTURE; PODIATRY; DIAGNOSTIC AND LAB PROCEDURES; AND PHARMACY. MEDICAL SERVICES HAD 285,840 PATIENT VISITS IN 2021. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: THE REVENUE REPORTED ON LINE 4D IS EXCLUSIVE OF GRANT AND CONTRIBUTION REVENUE FROM PART VIII, LINE 1H IN ACCORDANCE WITH IRS INSTRUCTION. IF THE GRANT AND CONTRIBUTION REVENUE WERE INCLUDED IN THE ALLOCATION, THE REVENUE REPORTED WOULD INCREASE LINE 4D BY $10,710,564. IN SUPPORT OF OUR PRIMARY AND PREVENTIVE MEDICAL, DENTAL, AND BEHAVIORAL HEALTH SERVICES, ST. JOHN'S OFFERS THE FOLLOWING ANCILLARY SERVICES: INSURANCE BENEFITS COUNSELING AND ENROLLMENT, CASE MANAGEMENT, HEALTH EDUCATION, YOUTH DEVELOPMENT PROGRAMS, PARENTING WORKSHOPS, COMMUNITY RESOURCE SERVICES, AND REENTRY SERVICES FOR FORMERLY INCARCERATED. THESE ANCILLARY SERVICES WERE PROVIDED TO 81,658 PATIENT VISITS IN 2021. FORM 990, PART VI, SECTION B, LINE 11B 990 REVIEW POLICY: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING THE ORIGINAL RETURN, THE ORGANIZATION'S TOP MANAGEMENT REVIEWED THE 990. THE AMENDED RETURN WAS REVIEWED WITH THE FINANCE COMMITTEE AND FULL BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: ST. JOHN'S COMMUNITY HEALTH DIRECTORS, OFFICERS, AND COMMITTEE MEMBERS SHALL NOT PROFIT PERSONALLY FROM THEIR POSITION WITH ST. JOHN'S, AND SHALL NOT BRING THEIR INTERESTS INTO CONFLICT OR COMPETITION WITH THE INTERESTS OF THE ORGANIZATION. CONFLICTS OF INTEREST SHALL INCLUDE ALL ACTUAL, APPARENT AND POTENTIAL CONFLICTS. EACH YEAR, ALL ST. JOHN'S BOARD MEMBERS SHALL SUBMIT A STATEMENT TO THE BOARD DISCLOSING ALL ORGANIZATIONS, FIRMS, OR ENTERPRISES WHICH COULD BE CONSTRUED AS RELATED TO THE INTEREST OF ST. JOHN'S , IN WHICH THE ST. JOHN'S BOARD MEMBERS, OR PERSONS CLOSE TO HIM/HER, HAS A MATERIAL FINANCIAL INTEREST OR IN WHICH HE/SHE SERVES AS A DIRECTOR, OFFICER OR ADVISOR. ANY ST. JOHN'S BOARD MEMBER AWARE OF ANY TRANSACTION OR CONTRACT BEING CONSIDERED BY ST. JOHN'S WHICH PUTS HIS/HER INTEREST IN POSSIBLE CONFLICT WITH THE ORGANIZATION'S INTERESTS SHALL NOTIFY THE BOARD OF DIRECTORS, COMMITTEE, OR OTHER DECISION MAKERS, OF THE POSSIBLE CONFLICT. THE MATERIAL FACTS AS TO THE TRANSACTION AND THE ST. JOHN'S BOARD MEMBER'S INTEREST SHALL BE FULLY DISCLOSED, AND SHALL BE PROMPTLY RECORDED IN THE BOARD OR COMMITTEE MINUTES. ANY ST. JOHN'S BOARD MEMBER WITH A POSSIBLE CONFLICT OF INTEREST SHALL ABSTAIN FROM VOTING ON THAT MATTER. THE MINUTES OF THE MEETING SHALL REFLECT THE EXISTENCE OF ANY SUCH CONFLICT AND THAT THE ST. JOHN'S BOARD MEMBER DID NOT VOTE OR PARTICIPATE IN THE MATTER IN QUESTION. UPON BEING INFORMED OF A POSSIBLE CONFLICT OF ANY ST. JOHN'S BOARD MEMBER, NO OTHER ST. JOHN'S BOARD MEMBER SHALL APPROVE ANY TRANSACTION UNLESS THAT ST. JOHN'S BOARD MEMBER BELIEVES, IN GOOD FAITH, THAT THE TRANSACTION IS JUST, REASONABLE AND FAVORABLE TO ST. JOHN'S. CORPORATE OFFICERS AND KEY EMPLOYEES ARE ALSO REQUIRED TO ANNUALLY DISCLOSE ANY CONFLICTS OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION REVIEW: THE COMPENSATION OF THE CEO WAS REVIEWED IN 2016 BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. THE ORGANIZATION ENGAGED AN INDEPENDENT ACCOUNTING FIRM, ZUEHLS LEGASPI, TO EVALUATE THE CEO'S COMPENSATION AND MAKE A RECOMMENDATION TO THE GOVERNING BODY. THE INDEPENDENT FIRM CONDUCTED THEIR EVALUATION THROUGH CONSULTING SURVEYS OF INDUSTRY STANDARDS FOR EMPLOYEE POSITIONS, INCLUDING THE COMPENSATION AND BENEFITS SURVEY OF THE CENTER FOR NONPROFIT MANAGEMENT AND THE COMPENSATION AND BENEFITS SURVEY FOR THE CALIFORNIA PRIMARY CARE ASSOCIATION. IN ADDITION, RESEARCH WAS CONDUCTED ON SALARY RANGES AND PAY SCALES AT OTHER COMPARABLE COMMUNITY CLINIC OPERATIONS IN LOS ANGELES THROUGH FORM 990S AND INTERVIEWS. THE REVIEW WAS DOCUMENTED IN THE BOARD MINUTES OF THE EXECUTIVE SESSION. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST TO BE VIEWED AT THE ORGANIZATION'S ADMINISTRATIVE OFFICE OR VIA MAIL. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP: ROLANDO BARAHONA, KEY EMPLOYEE, AND ANA BARAHONA, KEY EMPLOYEE, HAVE A FAMILY RELATIONSHIP. FORM 990, ITEM B, AMENDED RETURN EXPLANATION THE FORM 990 IS BEING AMENDED TO UPDATE THE RETURN TO THE FINAL AUDIT REPORT WHICH WAS FINALIZED AFTER THE RETURN WAS FILED. CHANGES MADE INCLUDE THE FOLLOWING: FORM 990, PART III, LINES 4A-4D: ALLOCATION OF REVENUE FORM 990, PART VIII, LINES 1E, 1F, 1G, AND 1H: GRANT AND CONTRIBUTION REVENUE FORM 990, PART VIII, LINE 2A: PATIENT SERVICE REVENUE FORM 990, PART X, LINES 3, 4, 15, 17, 23, 27, AND 28: BALANCE SHEET FORM 990, PART XI, LINE 8: PRIOR PERIOD ADJUSTMENT SCHEDULE A, PART II, LINES 1 AND 11: PUBLIC SUPPORT SCHEDULE SCHEDULE B, PART I, NO. 3: CONTRIBUTOR AMOUNT SCHEDULE D, PART XI, LINES 1, 2D, AND 4B: RECONCILIATION OF REVENUE PER AUDITED FINANCIAL STATEMENTS WITH REVENUE PER RETURN SCHEDULE M, LINE 20: NONCASH CONTRIBUTION AMOUNT SCHEDULE M, LINE 20: NONCASH CONTRIBUTION AMOUNT IN ADDITION, THE BOARD WAS PROVIDED THE AMENDED FORM 990 PRIOR TO FILING AND THEREFORE FORM 990, PART VI, SECTION B, LINE 11B HAS BEEN CHANGED ALONG WITH THE CORRESPONDING NARRATIVE IN SCHEDULE O. FORM 990 PART IX LINE 11G DESCRIPTION:PURCHASED SERVICES TOTAL FEES:9478777 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACTED SERVICES TOTAL FEES:6796111 FORM 990 PART IX LINE 11G DESCRIPTION:LABORATORY FEES TOTAL FEES:2333050 FORM 990 PART IX LINE 11G DESCRIPTION:RADIOLOGY FEES TOTAL FEES:100015