2025-03-11T14:35:54-05:00 2024-06-30 954557617 Harrington Group CPAs LLP 2698 Mataro Street Pasadena CA 91107 990 2023-07-01 951644040 QueensCare QUEE 3236694305 950 South Grand Avenue 2nd Fl Sou Los Angeles CA 90015 Barbara B Hines President/CEO 3236694305 2025-03-11 1 1 Sean E Cain CPA P01612986 6264036801 2023 2025-03-06 01:10:19Z Barbara B Hines 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 21415576 0 X www.queenscare.org X 1936 CA As a faith-based organization, QueensCare strives to provide, directly and in collaboration with others, accessible quality healthcare for low-income individuals and families residing in Los Angeles County. 15 14 50 2 0 0 1403554 257996 104252 209004 5350881 6937060 5280097 5629976 12138784 13034036 4518002 5847001 0 0 3649346 4719851 0 0 0 11395479 10316332 19562827 20883184 -7424043 -7849148 458003000 496164000 12068000 13002000 445935000 483162000 X QueensCare provides a continuum of quality health and hospital care to the medically underserved (indigent, uninsured, underinsured) residents of Los Angeles County. 0 1 2250000 To further the organization's exempt purpose of providing medical care to the underprivileged and indigent residents of Los Angeles County, QueensCare provides medical care support services including inpatient, outpatient, nursing, outreach, mobile dental, mobile vision, and mental healthcare services in coordination with the services provided by QueensCare Health Centers. 7800925 240000 QueensCare operates jointly with QueensCare Health Centers a network of 5 freestanding family healthcare centers in areas of Los Angeles County that are medically underserved. The health centers provide services to all patients without regard to ability to pay. Each health center 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. The five health centers provide over 100,000 visits per year, serving over 26,000 patients. 7568359 5607001 209004 QueensCare operates four divisions. 1) Direct Healthcare Division, comprised of the following: a) QueensCare Mobile Dental Program which provides dental treatment to low income children and adults at LAUSD campuses and community sites across Los Angeles. The USC Ostrow School of Dentistry includes the program as one of its pediatric dental rotation options. In FYE 2024, QueensCare served 1,437 patients, and completed 5,590 procedures in 2,611 appointments. b) QueensCare Mobile Vision Program (MVP) which provides vision services to low-income communities throughout Los Angeles. MVP provided services at 45 LAUSD campuses in FYE 2024. A total of 12,958 students/patients were screened, 2,041 prescriptions written and 2,038 glasses were provided to the students at no cost. c) QueensCare Mental Health Program which provides mental health services to children and their families who have suffered trauma, depression, anxiety and other mental health conditions under a contract with Children's Hospital Los Angeles. d) Inpatient Healthcare Program which contracts with local non-profit acute care hospitals to provide approximately $5.9 million in inpatient care to medically indigent patients; and e) Through 12-31-23 Q-QHC Healthcare Partners, a partnership with QueensCare Health Centers, a federally qualified health center, to provide primary care to approximately 26,000 low income, underserved patients in LA County. 2) QueensCare Health and Faith Partnership (QHFP) provides immunizations, testing, screenings for hypertension, diabetes, osteoporosis and other medical conditions, case management, and nutrition and disease management instruction at the various partner sites including, churches, food pantries, synagogues, senior centers, and schools. QHFP provided case management services to 10,100 low-income community members, linking them to needed medical and social services in the community. QHFP participated in 64 health fairs and 31 TB, hearing, and vision screening events, totaling 157 combined health fairs, flu clinics, and screening events. QHFP administered 622 flu vaccines and 4 COVID-19 vaccines. 3) The Pastoral Care Division provides spiritual care to inpatients and staff at Hollywood Presbyterian Medical Center (HPMC). During FYE 2024 the chaplains completed 18,804 visits with patients. 4) The Charitable Division reviewed and approved 61 grants totaling $3.6 million. 17619284 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 99 0 1 50 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 CA X X Faith Lee Vice President 3236694345 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 Alan Cushman Chair 10.00 X X 10000 0 0 Frances Inman Vice Chair 10.00 X X 7250 0 0 Barry Peterson Secretary 10.00 X X 4250 0 0 Steven Aronoff Director 2.00 X 7500 0 0 Edward Avila Director 2.00 X 7250 0 0 Joseph Bui Director 2.00 X 0 0 0 Haley English Director 2.00 X 4750 1250 0 Javier Guerena Director 2.00 4.00 X 8000 0 0 Jeff Hermann Director 2.00 2.00 X 0 0 0 Rev Michael Mata Director 4.00 X 5000 0 0 Allan Michelena Director 2.00 4.00 X 3250 1000 0 Gene A Nuziard Director 1.00 1.00 X 0 0 0 Denise Partamian Forgette Director 2.00 2.00 X 9750 750 0 Bettie J Woods Director 2.00 X 6000 0 0 Barbara B Hines CEO 38.00 2.00 X X 528804 0 41434 Faith Lee CFO (Q) 40.00 X 195918 0 28484 Santa F Russell Parish Nurse 40.00 X 124173 0 7747 Marina Snitman Chief Operating Officer (QHC) 40.00 X 152070 0 2609 Maryam Sesay Director of Operations 40.00 X 127014 0 12606 Ana E Murillo Parish Nurse 40.00 X 124671 0 7859 Simidyan Araksi Director of Administration 40.00 X 117912 0 19448 1443562 3000 120187 14 0 1 0 Goldman Sachs & Co LLC 2121 Avenue of the Stars Suite 260 Los Angeles CA 90067 Investment Mgmt. 1398974 USC School of Dentistry 1149 S Hill Street Ste H550 Los Angeles CA 90015 Pediatric Dentistry 489220 T2 Tech Group LLC 21250 Hawthorne Blvd Suite 425 Torrance CA 90503 Consulting 412094 Guy Rounsdaville Jr 948 Tournament Drive Hillsborough CA 94010 Legal Services 120000 G & L Partners LLC 4310 Sierra Woods Court Charlotte NC 28216 Consulting 110000 5 255000 2996 257996 Mental Health Project 124100 209004 209004 209004 7739790 3318600 4421190 4421190 4421190 12000000 5062940 6937060 6937060 6937060 Retained real estate 900099 1137542 1137542 Other income 900099 71244 71244 1208786 13034036 209004 0 12567036 5607001 5607001 240000 240000 886751 92504 794247 2719304 2053254 666050 138244 109852 28392 730079 464120 265959 245473 162236 83237 937780 555246 382534 338092 99171 238921 51800 51800 670669 650011 20658 118582 58482 60100 47968 29029 18939 488284 314206 174078 312228 144318 167910 11832 11147 685 64818 19528 45290 159871 130106 29765 214145 25642 188503 Inpatient healthcare se 4461427 4461427 K-1 Expenses - Q/QHC He 2250000 2250000 Other expense 188836 142004 46832 20883184 17619284 3263900 0 4920000 1920000 98941000 28977000 72004000 69964000 295722988 420361000 83726012 100000 1630000 3819000 458003000 496164000 7653000 6009000 2617000 2894000 1798000 4099000 12068000 13002000 X 445935000 483162000 445935000 483162000 458003000 496164000 -7849148 45076148 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 20878000 20878000 75027000 27357665 47669335 273000 75056 197944 693000 602106 90894 2070000 942173 1127827 69964000 Workers compensation liability 1393000 Right-of-use liability 2706000 4099000 X Part X, Line 2: The Organization is exempt from taxation under Internal Revenue Code Section 501(c)(3) and California Revenue and Taxation Code Section 23701d. Generally accepted accounting principles provide 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 that all of the positions taken by the Organization in its federal and state exempt organization tax returns are more likely than not to be sustained upon examination. The Organization returns are subject to examination by federal and state taxing authorities, generally for three and four years, respectively, after they are filed. 1 Alliance for a Better Community 1541 Wilshire Blvd Suite 430 Los Angeles CA 90017 311760082 501(c)3 60000 0 To provide funding for health related materials/services provided by organization. Blind Children's Center 4120 Marathon Street Los Angeles CA 90029 951656369 501(c)3 50000 0 To fund outpatient healthcare services. Braille Institute of America 741 North Vermont Avenue Los Angeles CA 90029 951641426 501(c)3 15000 0 To fund outpatient healthcare services. California Hospital Medical Center 1401 South Grand Avenue Los Angeles CA 90015 954310407 501(c)3 566140 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Cancer Support Community-Greater San Gabriel Valley 331 West Sierra Madre Blvd Sierra Madre CA 91024 954201985 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Cancer Support Community-Los Angeles 1990 South Bundy Drive Suite 100 Los Angeles CA 90025 330287070 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. CASA of Los Angeles 201 Centre Plaza Drive Suite 1100 Monterey Park CA 91754 953890446 501(c)3 65000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. CAST 3580 Wilshire Blvd 900-37 Los Angeles CA 90010 100008533 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Catholic Charities of Los Angeles 1531 James M Wood Boulevard Los Angeles CA 900150095 951690973 501(c)3 30000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Children's Burn Foundation 5000 Van Nuys Blvd Suite 210 Sherman Oaks CA 91403 953954352 501(c)3 30000 0 To fund outpatient healthcare services. Children's Hospital Los Angeles 4650 Sunset Blvd Los Angeles CA 90027 951690977 501(c)3 179626 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Children's Institute 2121 West Temple Street Los Angeles CA 90026 951641424 501(c)3 100000 0 To fund outpatient healthcare services. Claris Health 11500 Olympic Blvd Suite 570 Los Angeles CA 90064 954806856 501(c)3 85000 0 To fund outpatient healthcare services. Covenant House California 1325 North Western Avenue Hollywood CA 90027 133391210 501(c)3 50000 0 To fund outpatient healthcare services. Eisner Health 1530 South Olive Street Los Angeles CA 90028 951690966 501(c)3 250000 0 To fund outpatient healthcare services. Esperanza Community Housing Corporation 3655 South Grand Avevnue Suite 280 Los Angeles CA 90007 954230345 501(c)3 100000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. FEAST 3655 S Grand Ave Suite 210 Los Angeles CA 90007 464312265 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Glendale Adventist Medical Center 1509 Wilson Terrace Glendale CA 91206 951816017 501(c)3 42295 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Glendale Memorial Hospital and Health Center 1420 South Central Avenue Glendale CA 91204 941196203 501(c)3 44588 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Grossman Burn Foundation 23679 Calabasas Road Suite 270 Calabasas CA 91302 205984978 501(c)3 20000 0 To fund outpatient healthcare services. Harvest Home 2118 Wilshire Blvd PMB 358 Santa Monica CA 90403 954079490 501(c)3 50000 0 To fund outpatient healthcare services. Healing California 919 South Fremont Ave Suite 338 Alhambra CA 910834742 822805752 501(c)3 40000 0 To fund outpatient healthcare services. HealthRIGHT 360 1563 Mission Street San Francisco CA 94103 946129071 501(c)3 20000 0 To fund outpatient healthcare services. Hillsides 815 Colorado Blvd Suite 300 Los Angeles CA 90041 951644002 501(c)3 60000 0 To fund outpatient healthcare services. Hollywood Community Housing Corporation 5020 Santa Monica Boulevard Los Angeles CA 90029 954198215 501(c)3 36000 0 To fund health related services provided AIDS patients. Homeboy Industries 130 West Bruno Street Los Angeles CA 90012 954800735 501(c)3 50000 0 To fund outpatient healthcare services. House Institute Foundation 1127 Wilshire Blvd Suite 1620 Los Angeles CA 90017 462883905 501(c)3 100000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Jewish Free Loan Association 6505 Wilshire Blvd Suite 715 Los Angeles CA 90048 951691014 501(c)3 60000 0 To provide funding for health related materials/services provided by organization. John Tracy Center 2160 West Adams Boulevard Los Angeles CA 90018 951642393 501(c)3 60000 0 To fund outpatient healthcare services. KHEIR Clinic 3727 West 6th Street Suite 210 Los Angeles CA 90020 954074660 501(c)3 82000 0 To fund outpatient healthcare services. KHEIR Clinic 3727 West 6th Street Suite 210 Los Angeles CA 90020 954074660 501(c)3 75000 0 To fund vehicle purchased to transport patients to/from residence and hospitals/doctors' offices. Korean American Women's Association 1932 10th Avenue Los Angeles CA 90018 593782665 501(c)3 10000 0 To provide funding for health related materials/services provided by organization. Los Angeles General Medical Center 1200 North State Street Los Angeles CA 90033 956000927 501(c)3 183193 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Los Angeles Trust for Children's Health 333 South Beaudry Avenue 29th Floor Los Angeles CA 90017 954262448 501(c)3 100000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Mental Health Advocacy Services 801 North Brand Blvd Suite 240 Glendale CA 91203 953371166 501(c)3 50000 0 To provide funding for health related materials/services provided by organization. My Friend's Place PO Box 3867 Los Angeles CA 90078 954834034 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Northeast Community Clinics 2550 W Main Street Suite 301 Alhambra CA 91801 952687213 501(c)3 25000 0 To fund outpatient healthcare services. Olive Crest 2130 East 4th Street Suite 200 Santa Ana CA 92705 952877102 501(c)3 100000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Pepperdine University 24255 Pacific Coast Highway Malibu CA 90263 951644037 501(c)3 50000 0 To fund outpatient healthcare services. Pico Union Project 1153 Valencia Street Los Angeles CA 90015 812010806 501(c)3 40000 0 To fund outpatient healthcare services. PIH Health Good Samaritan Hospital 1225 Wilshire Boulevard Los Angeles CA 90017 951656366 501(c)3 55000 0 To fund vehicle purchased to transport patients to/from residence and hospitals/doctors' offices. PIH Health Good Samaritan Hospital 1225 Wilshire Boulevard Los Angeles CA 90017 951656366 501(c)3 510851 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Power of Sight Foundation 14425 Chase Street Panorama City CA 91402 874509925 501(c)3 10000 0 To fund outpatient healthcare services. Program for Torture Victims 3550 Wilshire Blvd Suite 1906 Los Angeles CA 90010 954492477 501(c)3 75000 0 To fund outpatient healthcare services. Project Angel Food 922 Vine Street Los Angeles CA 90038 954115863 501(c)3 100000 0 To fund outpatient healthcare services. Project Angel Food 922 Vine Street Los Angeles CA 90038 954115863 501(c)3 50000 0 To fund vehicle purchased to transport patients to/from residence and hospitals/doctors' offices. Providence Trinity Care Hospice Foundation 5315 Torrance Boulevard Suite B1 Torrance CA 90503 330261016 501(c)3 20000 0 To fund outpatient healthcare services. Salvation Army The Divisional Headquarters 16941 Keegan Avenue Carson CA 90746 941156347 501(c)3 55000 0 To fund health related services provided AIDS patients. Sherman Oaks Hospital 4929 Van Nuys Blvd Los Angeles CA 91403 202546649 501(c)3 7898 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. South Central LAMP 892 E 48th Street Los Angeles CA 90011 954571388 501(c)3 35000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. The Flow 2305 Canyon Drive Los Angeles CA 90068 920321371 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. The People Concern 2116 Arlington Avenue Suite 100 Los Angeles CA 90018 956143865 501(c)3 150000 0 To fund outpatient healthcare services. UCLA Ronald Reagan Medical Center 757 Westwood Plaza Los Angeles CA 90095 956006143 501(c)3 40257 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Uncommon Good 211 West Foothill Boulevard Claremont CA 91711 954792792 501(c)3 25000 0 To fund outpatient healthcare services. Union Rescue Mission 545 South San Pedro Street Los Angeles CA 90013 951709293 501(c)3 20000 0 To fund outpatient healthcare services. USC Herman Ostrow School of Dentistry 925 West 34th Street Los Angeles CA 90089 951642394 501(c)3 25000 0 To fund outpatient healthcare services. USC Suzanne Dvorak-Peck School of Social Work 1150 South Olive Street 25th Floor Los Angeles CA 90015 951642394 501(c)3 80000 0 To fund outpatient healthcare services. USC Verdugo Hills Hospital 1812 Verdugo Boulevard Glendale CA 91208 953247823 501(c)3 85000 0 To fund outpatient healthcare services. Venice Family Clinic 604 Rose Avenue Venice CA 90291 952769432 501(c)3 100000 0 To fund outpatient healthcare services. ViaCare Community Health Center 501 South Atlantic Boulevard East Los Angeles CA 90022 800699156 501(c)3 150000 0 To fund outpatient healthcare services. Villa Esperanza Services 2116 East Villa Street Pasadena CA 91107 952148860 501(c)3 45000 0 To fund outpatient healthcare services. Wellnest 3031 South Vermont Avenue Los Angeles CA 90007 951690974 501(c)3 100000 0 To fund outpatient healthcare services. weSPARK Cancer Support Center 14724 Ventura Blvd Suite 101 Sherman Oaks CA 91403 954785462 501(c)3 60000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Westmont Counseling Center 1704 W Manchester Ave Suite 202A Los Angeles CA 90047 821236510 501(c)3 25000 0 To fund outpatient healthcare services. White Memorial Medical Center 1720 Ceasar E Chavez Ave Los Angeles CA 90033 953760201 501(c)3 375304 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. White Memorial Medical Center 1720 Ceasar E Chavez Ave Los Angeles CA 90033 953760201 501(c)3 62000 0 To fund vehicle purchased to transport patients to/from residence and hospitals/doctors' offices. White Memorial Medical Center-Montebello 309 W Beverly Blvd Montebello CA 90640 237429685 501(c)3 26753 0 To fund emergency room services provided to uninsured patients residing in Los Angeles. Worksite Wellness LA 5955 South Western Avenue Los Angeles CA 90047 550802354 501(c)3 50000 0 To provide health related education or outreach to underserved populations residing in Los Angeles. Young & Healthy 136 W Peoria St Pasadena CA 91103 954527969 501(c)3 75000 0 To fund outpatient healthcare services. 73 0 John Joseph Brandlin Scholarship 24 240000 N/A Part I, Line 2: QueensCare monitors the use of grants it makes by requiring each grantee to supply QueensCare with regular reports that describe how such grantee is using QueensCare's grant funds. In addition, QueensCare often visits a grantee's premises to ensure that the grantee is conducting programs that further QueensCare's charitable mission. QueensCare also requires each grantee to provide QueensCare with a copy of their annual financial reports. X X X X X X 0 0 0 0 0 0 0 0 0 Barbara B Hines CEO 528804 0 0 0 0 0 29011 0 12423 0 570238 0 0 0 Faith Lee CFO (Q) 195918 0 0 0 0 0 12379 0 16105 0 224402 0 0 0 Marina Snitman Chief Operating Officer (QHC) 152070 0 0 0 0 0 2587 0 22 0 154679 0 0 0 Gary Grubbs Former Officer 120000 Gary Grubbs former QueensCare CFO is receiving $120,000 per year paid to G&L Partners LLC for financial and business consulting services, which he is member of. 0 Form 990, Part III, line 3 QueensCare ended its partnership with QueensCare Health Centers as of December 31, 2023. It continues to provide the direct healthcare services described in Part III, line 4a and works with several other non-profit agencies serving low income residents across Los Angeles County. Form 990, Part VI, Section A, line 6 St. 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. Form 990, Part VI, Section A, line 7a In its capacity as QueensCare's sole corporate member, St. Joseph's Health Support Alliance has the authority to appoint each of the members of QueensCare's Board of Directors. Form 990, Part VI, Section A, line 7b St. Joseph's Health Support Alliance, as QueensCare's sole corporate member, has the right to approve certain fundamental transactions, such as amendments to bylaws, QueensCare's Articles of Incorporation or resolutions to dissolve QueensCare's corporate existence. Form 990, Part VI, Section B, line 11b Following 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. Form 990, Part VI, Section B, line 12c The organization's Board members, corporate officers, and staff are subject to a written conflicts of interest 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 annually by: (i) discussing such issues at its meeting; (ii) requiring all covered persons to provide written certification of their compliance with the policy; and (iii) carefully reviewing all material transactions to identify potential or real conflicts. Form 990, Part VI, Section B, line 15 A Compensation Committee comprised of independent Board members formulates a proposed compensation level for the CEO by reviewing recommendation of an independent compensation consultant and 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 were last undertaken by the Compensation Committee in May 2024 and its findings and recommendations with regard to the CEO's compensation level were approved by the Board in September 2024. Additionally, a Compensation Committee reviews and determines the salary of the CFO. Form 990, Part VII, Section A: Director Jay Guerena devoted approximately 2 hours of his time per week to related organizations; QueensCare Health Centers (QHC) and St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for QHC and SJHSA. Director Allan Michelena devoted approximately 2 hours of his time per week to related organizations; QueensCare Health Centers (QHC) and St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for QHC and SJHSA. Director Denise Partamian Forgette devoted approximately 2 hours of her time per week to related organizations, St. Joseph's Health Support Alliance (SJHSA) in her capacity as Director for SJHSA. CAO Eloisa Perard devoted approximately 5 hours of her time per week to QQHC in her capacity as QHC's CEO. Director Gene Nuziard devoted approximately 1 hour of his time per week to a related organization, St. Joseph's Health Support Alliance (SJHSA) in his capacity as Director for SJHSA. Form 990, Part VI, Section C, line 19 The organization's annual information return (Form 990) is available on a third-party website (GuideStar). The organization 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. Bridge Street 1525 Bridge Street Yuba CA 95993 951644040 Rental Real Estate CA 829434 7827817 QueensCare Airway Diego LLC 10132 Airway Road San Diego CA 92154 951644040 Rental Real Estate CA 1924150 16530154 QueensCare QLV - HD LLC 855 Dorrell Lane Las Vegas NV 89086 951644040 Rental Real Estate NV 708161 11780067 QueensCare QLV - INO LLC 6880 North 5th Street Las Vegas NV 89084 951644040 Rental Real Estate NV 157847 3439915 QueensCare QLV - HDR LLC 861 South Rainbow Blvd Las Vegas NV 89145 951644040 Rental Real Estate NV 1071110 19512650 QueensCare QOR - FXG LLC 20750 Brinson Blvd Bend OR 97701 951644040 Rental Real Estate OR 483797 10936974 QueensCare Q-Vermont LLC 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 951644040 Healthcare CA -10694 10889 QueensCare Q-Hollywood LLC 950 South Grand Avenue 2nd Fl South Los Angeles CA 90015 951644040 Healthcare CA 234227 -5425214 QueensCare St Joseph's Health Support Alliance 950 South Grand Ave 2nd Fl South Los Angeles CA 90015 940831115 to support QueensCare CA 501(c)(3) Line 12d, III-O 0 QQHC Healthcare Partners 950 South Grand Ave 2nd Fl South Los Angeles CA 90015 260502255 To operate and manage Healthcare Clinics CA N/A Related 2250000 0 1 0.40000 0 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0 QQHC HEALTHCARE PARTNERS B 2250000 ACCRUAL ST JOSEPH'S HEALTH SUPPORT ALLIANCE C 255000 ACCRUAL ST JOSEPH'S HEALTH SUPPORT ALLIANCE Q 18000 ACCRUAL QUEENSCARE HEALTH CENTER O 65554 ACCRUAL QUEENSCARE HEALTH CENTER P 54650 ACCRUAL QUEENSCARE HEALTH CENTER Q 740757 ACCRUAL QUEENSCARE HEALTH CENTER K 231660 ACCRUAL QUEENSCARE HEALTH CENTER (included in transaction Q) N ACCRUAL