2023-11-14T17:46:11-06:00 2022-12-31 910189318 MOSS ADAMS LLP 225 S LAKE AVE 900 PASADENA CA 91101 990 2022-01-01 954487664 COMMUNITY HEALTH COUNCILS INC COMM 3232959372 4335 W ADAMS BLVD 200 LOS ANGELES CA 90018 MICHELLE BURTON CHIEF EXECUTIVE OFFICER 3232959372 2023-11-13 1 MICHELLE BURTON 999009999 0 LAUREN A HAVERLOCK P00545829 3104770450 2023-11-13 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z RISING COMMUNITIES MICHELLE BURTON 4335 W ADAMS BLVD 200 LOS ANGELES CA 90018 23159417 0 X WWW.RISINGCOMMUNITIES.ORG X 1994 CA THE VISION OF COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES IS AN EQUITABLE WORLD IN WHICH ALL COMMUNITIES ARE EMPOWERED WITH COLLECTIVE DETERMINATION TO BUILD THE INFRASTRUCTURE AND SYSTEMS THAT ENSURE FULFILLING, HEALTHY LIVES FOR EVERYONE. THE MISSION IS TO CO-DEVELOP TRANSFORMATIONAL SOCIAL EQUITY MODELS AND SYSTEMS IN SERVICE TO BIPOC COMMUNITIES, TO HELP EACH PERSON THRIVE. 13 12 32 228 0 0 19263513 23020573 214575 138331 136 313 188131 200 19666355 23159417 13249485 17307154 0 0 2569332 3611666 57578 16337 668975 3078096 1965258 18954491 22900415 711864 259002 9369964 7350328 7376786 5098148 1993178 2252180 X COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES' MISSION IS TO CO-DEVELOP TRANSFORMATIONAL SOCIAL EQUITY MODELS AND SYSTEMS IN SERVICE TO BIPOC COMMUNITIES, TO HELP EACH PERSON THRIVE. 0 0 13871582 12347429 COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES PROVIDES FISCAL SPONSORSHIP SERVICE TO LA COUNTY DEPARTMENT OF PUBLIC HEALTH FOR THE COVID-19 OUTREACH AND VACCINE DISTRIBUTION SUPPORT SERVICES INITIATIVE. PROGRAM FUNDING COMES PRIMARILY FROM THE CENTERS FOR DISEASE CONTROL. 3622184 3622184 COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES PROVIDES PROGRAMMATIC AND FISCAL MANAGEMENT FOR REGION 2 OF THE FIRST 5 LA BEST START PROGRAM. PROGRAM FUNDING COMES PRIMARILY FROM THE STATE OF CALIFORNIA FROM TOBACCO TAXES. 1337541 1337541 138331 COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES PROVIDES PROGRAMATIC AND FISCAL MANAGEMENT TO LA COUNTY DEPARTMENT OF PUBLIC HEALTH CHILDREN'S HEALTH OUTREACH, ENROLLMENT, UTILIZATION AND RETENTION SERVICES. 2043367 CHC PROVIDES PROGRAMATIC AND FISCAL MANAGEMENT TO A PRIVATE FOUNDATION AND CHARITIES AS PARTNERS THAT PROVIDE SERVICES AND SUPPORT TO UNDERSERVED RESIDENTS OF SOUTH LA. 2043367 20874674 1 1 0 0 0 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 156 0 1 32 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MICHELLE BURTON 3232959372 4335 W ADAMS BLVD SUITE 200 LOS ANGELES CA 90018 VERONICA FLORES CEO 40.00 X X 290250 0 30274 JOHNNY DARNELL GRIGGS BOARD CHAIR 2.00 X X 0 0 0 LAVONNA LEWIS CO-CHAIR 2.00 X X 0 0 0 AMANDA KIM SECRETARY 2.00 X X 0 0 0 YASSER AMAN TREASURER 2.00 X X 0 0 0 MARICELA GOMEZ DIRECTOR 2.00 X 0 0 0 PAUL HERNANDEZ DIRECTOR 2.00 X 0 0 0 RAMONA ORTEGA DIRECTOR 2.00 X 0 0 0 SHANNON DAVIS BOARD MEMBER 2.00 X 0 0 0 SHMEL GRAHAM BOARD MEMBER 2.00 X 0 0 0 JENNA HORNSTOCK BOARD MEMBER 2.00 X 0 0 0 REBECCA RODRIGUEZ MD BOARD MEMBER 2.00 X 0 0 0 KATE TEWS BOARD MEMBER 2.00 X 0 0 0 LEAH MICHELLE BURTON DEPUTY CEO (STARTED 1/3/22) 40.00 X 190000 0 21863 ROGER SWEIS CFO (THROUGH 10/31/2022) 40.00 X 195000 0 4442 ANDREW TANG CONTROLLER (STARTED 12/5/22) 40.00 X 140000 0 200 DONALD STEVENS INTERIM CFO (STARTED 01/14/22) 40.00 X 297083 0 0 SEJAL PATEL VP INNOVATION & ECONOMIC DEVELOPTMENT 40.00 X 133000 0 10331 1245333 0 67110 6 0 1 0 0 20612587 2407986 23020573 CONTRACTS AND FEES 900099 138331 138331 138331 313 313 OTHER 900099 200 200 200 23159417 138331 0 513 17307154 17307154 1169112 566771 602341 1889502 1564639 324863 327083 228765 98318 225969 168224 8711 49034 16337 16337 1103211 559873 542075 1263 136523 67273 69250 166909 102865 64044 207791 129671 78120 5796 5796 37363 37363 EQUIPMENT AND MAINTENAN 153883 108841 45042 TELECOMMUNICATION 65699 31889 33810 SUPPLIES 61202 23125 38077 DUES AND SUBSCRIPTIONS 10326 5338 4988 16555 10246 6309 22900415 20874674 1356766 668975 3890566 3972685 4401200 2094879 800 0 21483 162040 211016 180195 0 30821 1055915 1089903 9369964 7350328 4756331 1374741 739449 2152652 1881006 1570755 7376786 5098148 X 1393178 841793 600000 1410387 1993178 2252180 9369964 7350328 259002 0 X 0 1 X 1 1 1 X 3063546 5280761 6752557 19263513 23020573 57380950 3063546 5280761 6752557 19263513 23020573 57380950 57380950 65 40 0 136 313 554 73240 114621 98769 188131 200 474961 57856465 138331 0.99180 0.98550 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 73,240. 2019 AMOUNT: $ 114,621. 2020 AMOUNT: $ 98,769. 2021 AMOUNT: $ 188,131. 2022 AMOUNT: $ 200. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 X 10925 10922 3 200091 169273 30818 30821 RESTRICTED CASH 558000 DEPOSITS 24624 OPERATING LEASE RIGHT-OF-USE (ROU) ASSETS 507279 1089903 LOAN PAYABLE 500000 OPERATING LEASE LIABILITY 512755 AGENCY PASS THROUGH FUNDS 558000 1570755 X 23159417 0 23159417 0 23159417 22900415 0 22900415 0 22900415 PART IV, LINE 2B: CHC ACCEPTS GRANTS AND CONTRIBUTIONS ON BEHALF OF ORGANIZATIONS FOR WHICH CHC LACKS THE RIGHT TO ALTER THE USE OF SUCH FUNDS. CHC'S ROLE IS STRICTLY AS A FISCAL SPONSOR AND SUPERVISOR TO PROJECTS RELATED TO THESE GRANTS AND CONTRIBUTIONS. AS A RESULT, THIS ACTIVITY IS RECORDED AS AGENCY TRANSACTIONS AND CONSIDERED A LIABILITY UNTIL PAID TO THE ORGANIZATION. PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT, TAX-EXEMPT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (THE "CODE") AND IS EXEMPT FROM FEDERAL INCOME AND STATE FRANCHISE TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE AND SIMILAR PROVISIONS OF THE CALIFORNIA FRANCHISE TAX CODE. THE ORGANIZATION DOES NOT ENGAGE IN ANY SIGNIFICANT UNRELATED TRADES OR BUSINESSES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS REQUIRED. U.S. GAAP PROVIDES ACCOUNTING AND DISCLOSURE GUIDANCE ABOUT POSITIONS TAKEN BY AN ORGANIZATION IN ITS TAX RETURNS THAT MIGHT BE UNCERTAIN. MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES ALL OF THE POSITIONS TAKEN BY THE THE ORGANIZATION ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. X X X X X 1 WHITNEY HACKLER 2007 ARGYLE AVE APT 2 LOS ANGELES CA 90068 CHCS GRANT WRITER CONSULTANT AND CONTRACTOR. DRAFTING RFPS, 0 38000000 9900 37990100 NEXT LEVEL CONSULTING 1068 W MILTON DRIVE GLENDORA CA 91741 CHCS GRANT WRITER CONSULTANT AND CONTRACTOR. DRAFTING RFPS, 0 0 6437 -6437 38000000 16337 37983663 CA 1 DOROTHY PILELILY OF THE NILE 5738 HILLCREST DR LOS ANGELES CA 90043 921325005 501(C)(3) 238033 0 N/A GENERAL SUPPORT SOUTH BAY CENTER FOR COUNSELING5LA NUEVO COMIENZO 540 N MARINE AVE WILMINGTON CA 90746 237360521 501(C)(3) 75002 0 N/A GENERAL SUPPORT COALITION FOR RESPONSIBLE COMMUNITY DEVELOPMENT 3101 S GRAND AVENUE LOS ANGELES CA 90007 202445113 501(C)(3) 207301 0 N/A GENERAL SUPPORT COMMUNITY REFLECTIONS 10020 SOUTH WESTERN AVE LOS ANGELES CA 90047 300796516 501(C)(3) 150751 0 N/A GENERAL SUPPORT COMPTON ADVOCATES COALITION 443 W SPRUCE ST COMPTON CA 90220 844418783 501(C)(3) 73060 0 N/A GENERAL SUPPORT DAD PROJECT 1547 S OGDEN DR LOS ANGELES CA 90019 811793087 501(C)(3) 166500 0 N/A GENERAL SUPPORT EXPERIENCE CHRISTIAN MINITRIES 1819 AVENIDA FELICIANO RANCO PALOS VERDES CA 90275 850965730 501(C)(3) 157835 0 N/A GENERAL SUPPORT SISTERS OF WATTS 1513 E 103RD ST LOS ANGELES CA 90002 810987519 501(C)(3) 207301 0 N/A GENERAL SUPPORT SOCIAL GOOD FUNDMID-CITY MEALS 12651 SAN PABLO AVE 5473 RICHMOND CA 94805 461323531 501(C)(3) 213839 0 N/A GENERAL SUPPORT WORKSITE WELLNESS 5050 COMMERCE DR BALDWIN PARK CA 91706 279560009 501(C)(3) 234066 0 N/A PROVIDE SERVICES TO UNINSURED CHILDREN, FAMILIES AND INDIVIDUALS IN LA COUNTY WHO MAY BE ELIGIBLE FOR MEDI-CAL, HEALTHY KIDS AND OTHER NO/LOW COST PROGRAMS PROVIDENCE LITTLE COMPANY OF MARY FOUNDATION 4101 TORRANCE BLVD TORRANCE CA 90501 510224944 501(C)(3) 525000 0 N/A GENERAL SUPPORT EAST VALLEY COMMUNITY HEALTH CENTER INC 420 S GLENDORA AVENUE WEST COVINA CA 91790 237068586 501(C)(3) 659234 0 N/A GENERAL SUPPORT SOLEDAD ENRICHMENT ACTION INC 222 N VIRGIL AVENUE LOS ANGELES CA 90004 954399127 501(C)(3) 795416 0 N/A GENERAL SUPPORT UNITED AMERICAN INDIAN INVOLVEMENT 1125 WEST 6TH STREET SUITE 103 LOS ANGELES CA 90017 952917933 501(C)(3) 439482 0 N/A GENERAL SUPPORT CLINICA MSR OSCAR A ROMERO 123 S ALVARADO STREET LOS ANGELES CA 90057 953881333 501(C)(3) 549654 0 N/A GENERAL SUPPORT VENICE 2000 DBA HELPER FOUNDATION INC 8632 S SEPULVEDA BLVD STE 204 LOS ANGELES CA 90045 845193018 501(C)(3) 300000 0 N/A GENERAL SUPPORT ST JOHN'S WELL CHILD AND FAMILY CENTER 808 W 58TH ST LOS ANGELES CA 90037 813742024 501(C)(3) 525000 0 N/A GENERAL SUPPORT EAST LOS ANGELES WOMEN'S CENTER 1431 S ATLANTIC BLVD LOS ANGELES CA 90022 510204577 501(C)(3) 900352 0 N/A GENERAL SUPPORT COMMUNITY BUILD INC 4305 DEGNAN BLVD STE 202 LOS ANGELES CA 90008 954375255 501(C)(3) 685000 0 N/A GENERAL SUPPORT COMMUNITY PARTNERSCW4P 1000 N ALAMEDA STREET SUITE 240 LOS ANGELES CA 90012 954302067 501(C)(3) 245167 0 N/A GENERAL SUPPORT PACIFIC OAKS COLLEGE 45 W EUREKA STREET PASADENA CA 91103 951716809 501(C)(3) 35985 0 N/A GENERAL SUPPORT THE CHILDREN'S CENTER OF THE ANTELOPE VALLEY 45111 FERN AVENUE LOS ANGELES CA 93524 954212759 501(C)(3) 500000 0 N/A GENERAL SUPPORT ASIAN PACIFIC POLICY AND PLANNING COUNCIL 905 E 8TH ST LOS ANGELES CA 90021 710879827 501(C)(3) 1046564 0 N/A GENERAL SUPPORT RESILIENT AGENCY 2429 RIVERDALE AVE LOS ANGELES CA 90031 824107473 501(C)(3) 300000 0 N/A GENERAL SUPPORT SOUTHERN CALIFORNIA CROSSROADS PO BOX 2474 DOWNEY CA 90242 824107473 501(C)(3) 600000 0 N/A GENERAL SUPPORT LACUSC MEDICAL CENTER FOUNDATION INC 1200 N STATE STREET SUITE 1008 LOS ANGELES CA 90033 954192908 501(C)(3) 500000 0 N/A GENERAL SUPPORT PUBLIC HEALTH FOUNDATION ENTERPRISES INC DBA HELUNA HEALTH 13300 CROSSROADS PARKWAY NORTH SUITE 450 CITY OF INDUSTRY CA 91746 952557063 501(C)(3) 469376 0 N/A GENERAL SUPPORT COACHMAN MOORE AND ASSOCIATES 1055 EAST COLORADO BOULEVARD 5TH FLOOR PASADENA CA 91106 474935013 501(C)(3) 180330 0 N/A GENERAL SUPPORT CHILDREN'S HOSPITAL LOS ANGELES 4650 SUNSET BLVD LOS ANGELES CA 90027 951690977 501(C)(3) 20000 0 N/A GENERAL SUPPORT LOS ANGELES AREA CHAMBER OF COMMERCE FOUNDATION 350 S BIXEL ST LOS ANGELES CA 90017 952597392 501(C)(3) 18750 0 N/A GENERAL SUPPORT LOCAL INITIATIVES SUPPORT CORPORATION 28 LIVERTY STREET 24TH FLOOR NEW YORK NY 10005 133030229 501(C)(3) 18750 0 N/A GENERAL SUPPORT INCLUSIVE ACTION FOR THE CITY 383 MADISON AVENUE 41ST FLOOR NEW YORK NY 10005 270584116 501(C)(3) 18750 0 N/A SUPPORT ONGOING EFFORTS TO BUILD INCLUSIVE SMALL BUSINESS INITIATIVE 32 0 PART I, LINE 2: COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES HOLDS EXPERTISE SURROUNDING FEDERAL COMPLIANCE REQUIREMENTS, INCLUSIVE OF INTERNAL CONTROLS TO SUPPORT PROGRAMMATIC AND FISCAL MANAGEMENT OF FUNDS. AS A FISCAL ADMINISTRATOR OF FEDERAL, STATE, AND LOCAL FUNDS, RC MAINTAINS CONTROLS, PROCEDURES, AND POLICIES TO MANAGE PROGRAMMATIC, ADMINISTRATIVE, AND FISCAL FUNCTIONS. SPECIFICALLY, RC HAS ESTABLISHED PROTOCOLS IN ACCORDANCE WITH FEDERAL CODE OF REGULATIONS 2 CFR PART 200 SUBPART D AS ITS STANDARD AND WORKS ALONGSIDE THE FUNDER AND SUBGRANTEES TO DETERMINE GUIDELINES SPECIFIC TO THAT GRANT. RC PROVIDES SUBCONTRACTORS/GRANTEES WITH BUDGET AND INVOICE TEMPLATES TO DETAIL EXPENSES AND BUDGET CATEGORIES. RC PROVIDES SUBGRANTEES WITH PRE-AWARD WORKSHOPS TO REVIEW TEMPLATES AND ONGOING MONITORING EXPECTATIONS. THE FOLLOWING SECTIONS WILL DETAIL EACH MONITORING PROCEDURE. X X X 0 0 0 0 0 0 0 0 0 VERONICA FLORES CEO 250000 0 40250 0 0 0 5412 0 24862 0 320524 0 0 0 DONALD STEVENS INTERIM CFO (STARTED 01/14/22) 297083 0 0 0 0 0 0 0 0 0 297083 0 0 0 LEAH MICHELLE BURTON DEPUTY CEO (STARTED 1/3/22) 180000 0 10000 0 0 0 1225 0 20638 0 211863 0 0 0 ROGER SWEIS CFO (THROUGH 10/31/2022) 180000 0 0 0 15000 0 525 0 3917 0 199442 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B OFFICERS AND BOARD MEMBERS REVIEW FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CHC CONTINUOUSLY MONITORS COMPLIANCE WITH ITS WRITTEN CONFLICT OF INTEREST POLICY VIA PERIODIC REVIEWS OF ITS DIRECTORS', PRINCIPAL OFFICERS', AND/OR MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS' AFFILIATIONS, ANNUAL STATEMENTS AND RECORDS OF PROCEEDINGS. ALL INTERESTED PERSONS ARE REQUIRED TO SUBMIT AN ANNUAL STATEMENT AFFIRMING THEIR RECEIPT AND UNDERSTANDING OF CHC'S CONFLICT OF INTEREST POLICY AND THEIR DUTY TO DISCLOSE ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 A HUMAN RESOURCES CONSULTING FIRM WAS CONTRACTED TO PROVIDE A SALARY ANALYSIS OF THE ORGANIZATIONS EXISTING OF JOB POSITIONS. THE CEO'S NEW SALARY WAS PRESENTED AND APPROVED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 COMMUNITY HEALTH COUNCILS, INC. DBA RISING COMMUNITIES MAKES ITS GOVERNING DOCUMENTS, POLICIES REGARDING CONFLICT OF INTERST AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH GUIDESTAR.COM. CHC SHARES INFORMATION ABOUT THE ORGANIZATION OPENLY AND COMPLETELY AND PROVIDES UPDATED REPORTS WITH INFORMATION ABOUT ITS MISSION, PROGRAMS, LEADERS, GOALS, ACCOMPLISHMENTS, AND NEEDS.