2025-05-14T15:47:09-05:00 2024-06-30 330700332 VASQUEZ & COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2023-07-01 208191393 H STREET CLINIC INC HSTR 9093810803 2700 SOUTH GRAND AVE LOS ANGELES CA 90007 KENNETH M ORDUNA CEO 9093810803 2025-05-13 1 0 REGINA PRINCE CPA P00576936 2138731700 2023 2025-03-06 01:10:19Z KENNETH M ORDUNA 2700 SOUTH GRAND AVE LOS ANGELES CA 90007 4594967 0 X N/A X 2006 CA H STREET'S MISSION IS TO ADDRESS THE UNMET HEALTHCARE NEEDS OF UNDERSERVED AND HOMELESS POPULATIONS IN SAN BERNARDINO AND RIVERSIDE COUNTIES THROUGH THE PROVISION OF AFFORDABLE, CULTURALLY APPROPRIATE, HIGH-QUALITY, ANDACCESSIBLE HEALTH CARE SERVICES. 10 10 57 10 0 0 1479693 5927 4159035 4584630 0 0 0 4410 5638728 4594967 0 0 0 0 3179652 1976753 0 0 0 2052195 1891466 5231847 3868219 406881 726748 2547027 3906824 3888761 4521810 -1341734 -614986 X THE ROLE AND MISSION OF H STREET CLINIC, INC. ("CORPORATION") IS TO PROVIDE:A. HIGH-QUALITY, COST-EFFECTIVE, ACCESSIBLE AND EFFICIENT HEALTH CARE SERVICES TO LOCAL AND SURROUNDING MEDICALLY UNDERSERVED POPULATIONS;B. A MEDICAL STAFF AND PERSONNEL CONSISTING OF CULTURALLY SENSITIVE AND MULTI-LINGUAL INDIVIDUALS FOR COMPREHENSIVE PATIENT COMMUNICATION;C. A SETTING WHICH UTILIZES ADVANCED FACILITIES AND MEDICAL TECHNOLOGIES IN PROVIDING OPTIMUM CARE; ANDD. AN ENVIRONMENT WHICH ASPIRES TO ACHIEVE SIGNIFICANT, MEASURABLE IMPROVEMENTS IN THE MORBIDITY AND MORTALITY STATISTICS OF ITS PATIENT POPULATION BY MEANS OF PREVENTIVE CARE SERVICES AND APPROPRIATE HEALTH INTERVENTIONS. 0 0 3160617 4584630 THE CLINIC PROVIDED A FULL RANGE OF SERVICES WHICH INCLUDE MEDICAL, DENTAL, VISION, MENTAL HEALTH, WOMEN'S HEALTH, OBSTETRICS AND GYNECOLOGY SERVICES, NUTRITION, HEALTH EDUCATION, SOCIAL SUPPORT, PHARMACY, LABORATORY, AND X-RAY SERVICES. THE CLINIC ADDRESSED THE UNMET HEALTHCARE NEEDS OF UNDERSERVED AND HOMELESS POPULATIONS IN SAN BERNARDINO AND RIVERSIDE COUNTIES AND SERVED APPROXIMATELY 7,899 PATIENTS DURING THE FISCAL YEAR. 3160617 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 1 0 0 0 1 17 0 1 57 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 CA X MARIA MEDINA 2135365815 2700 SOUTH GRAND AVE LOS ANGELES CA 90007 CRYSTAL LAUTRUP BOARD MEMBER 2.00 1.00 X 0 0 0 FRANK YBARRA BOARD MEMBER 2.00 1.00 X 0 0 0 JAMES MACKEY BOARD CHAIR 2.00 1.00 X X 0 0 0 KAYRETHA HALE WILLIS BOARD MEMBER 2.00 1.00 X 0 0 0 MARY WINNERS BOARD VICE CHAIR 2.00 1.00 X X 0 0 0 NANCY OCHOA BOARD MEMBER 2.00 1.00 X 0 0 0 OSCAR LOPEZ BOARD MEMBER 2.00 1.00 X 0 0 0 RICHARD MAYER BOARD TREASURER 2.00 1.00 X X 0 0 0 VICTOR GARCIA BOARD MEMBER 2.00 1.00 X 0 0 0 WANDA THOMPSON BOARD SECRETARY 2.00 1.00 X X 0 0 0 CHUKWUKA CHIDI A CHIEF FINANCIAL OFFICER 2.00 40.00 X 0 274356 47256 KENNETH M ORDUNA CHIEF EXECUTIVE OFFICER 2.00 40.00 X 0 455936 0 ABDOULAYE DIOP CHIEF MEDICAL OFFICER 2.00 40.00 X 0 346755 0 ELEANOR PEREZ CHIEF ADMINISTRATIVE OFFICER 2.00 40.00 X 0 290400 37131 AUTUMN COBBS PHYSICIAN 40.00 0.00 X 152621 0 0 FAREEHA ASIF SIAL PHYSICIAN 40.00 0.00 X 151335 0 0 RAVISHANKAR NEHRU KOPPADA PHYSICIAN 40.00 0.00 X 234538 0 0 SEJAD ZAID AL-TAHAN PHYSICIAN 40.00 0.00 X 276500 0 0 VANESSA CHARMEIN OLTON PHYSICIAN 40.00 0.00 X 254017 0 0 1069011 1367447 84387 6 0 1 0 JAVIER R RIOS A PROFESSIONAL CORPOR 9939 MAGNOLIA AVE RIVERSIDE CA 92503 CONTRACTED OBGYN 122780 1 5927 5927 PATIENT REVENUE, NET 621400 2425199 2425199 CAPITATION 621400 1357438 1357438 INCENTIVES 621400 801993 801993 4584630 OTHER REVENUES 621400 4410 4410 4410 4594967 4584630 0 4410 X 1739504 1722374 17130 114148 102740 11408 123101 121889 1212 121273 105969 15304 181413 104394 77019 93 45 48 666664 484785 181879 29466 16029 13437 2192 494 1698 16269 16269 101758 66143 35615 37846 27043 10803 BAD DEBTS 296020 3673 292347 MEDICAL COSTS 261956 261956 SETTLEMENT EXPENSES 150000 131006 18994 DUES & SUBSCRIPTIONS 13544 4051 9493 12972 8026 4946 3868219 3160617 707602 0 109640 439161 6903 1176921 2383637 4996 5000 680316 305829 268976 374487 979591 704539 2547027 3906824 221707 157650 3667054 4364160 3888761 4521810 X -1341734 -614986 -1341734 -614986 2547027 3906824 726748 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 331656 122584 209072 115587 77338 38249 233073 105907 127166 374487 DEPOSITS AND OTHER ASSETS 19988 RIGHT OF USE ASSETS 684551 704539 DUE TO RELATED TAX-EXEMPT ENTITY 2249681 THIRD PARTY SETTLEMENTS PAYABLE 1395073 LEASE LIABILITIES 719406 4364160 X 35633346 31038379 31038379 4594967 0 4594967 36892655 33024436 33024436 3868219 0 3868219 PART X, LINE 2: THE ORGANIZATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE (IRC) SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D AND ARE GENERALLY NOT SUBJECT TO INCOME TAXES. H-STREET IS FURTHER DESCRIBED IN IRC SECTIONS 509(A)(1) AND 170(B)(1)(A)(III) AS A HOSPITAL. BOTH ENTITIES, HOWEVER, ARE SUBJECT TO INCOME TAXES ON UNRELATED TRADE OR BUSINESS INCOME, IF ANY, REALIZED IN CONNECTION WITH BUSINESS ACTIVITIES THAT ARE REGULARLY CARRIED ON AND NOT RELATED TO ITS PRIMARY MISSION OR PURPOSE. IN THE OPINION OF MANAGEMENT, ANY NET INCOME FROM AN UNRELATED TRADE OR BUSINESS IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. ACCORDINGLY, A PROVISION FOR FEDERAL OR STATE INCOME TAXES IS NOT RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. U.S. GAAP PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAVE EVALUATED THEIR TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN AUDIT BY TAXING AUTHORITIES AT THE FEDERAL AND STATE LEVELS. THE PRIMARY TAX POSITIONS EVALUATED RELATE TO THE ORGANIZATION'S CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION INCLUDING WHETHER THERE ARE SUBSTANTIAL UNRELATED TRADE OR BUSINESS INCOME ACTIVITIES OR MATERIAL INCOME TAX. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS, BASED ON THE TECHNICAL MERITS OF THE POSITION, WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S INFORMATION RETURNS REMAIN SUBJECT TO EXAMINATION GENERALLY FOR THREE AND FOUR YEARS AFTER THEY WERE FILED FOR FEDERAL AND STATE, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: INCOME OF RELATED TAX-EXEMPT ORGANIZATION 31,038,379. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES OF RELATED TAX-EXEMPT ORGANIZATION 33,024,436. 0 0 0 0 0 0 0 0 0 KENNETH M ORDUNA CHIEF EXECUTIVE OFFICER 0 352598 0 95201 0 8137 0 0 0 0 0 455936 0 0 ABDOULAYE DIOP CHIEF MEDICAL OFFICER 0 300000 0 39832 0 6923 0 0 0 0 0 346755 0 0 ELEANOR PEREZ CHIEF ADMINISTRATIVE OFFICER 0 240000 0 50400 0 0 0 37131 0 0 0 327531 0 0 CHUKWUKA CHIDI A CHIEF FINANCIAL OFFICER 0 222498 0 46724 0 5134 0 47256 0 0 0 321612 0 0 SEJAD ZAID AL-TAHAN PHYSICIAN 275000 0 500 0 1000 0 0 0 0 0 276500 0 0 0 VANESSA CHARMEIN OLTON PHYSICIAN 246627 0 0 0 7390 0 0 0 0 0 254017 0 0 0 RAVISHANKAR NEHRU KOPPADA PHYSICIAN 230000 0 0 0 4538 0 0 0 0 0 234538 0 0 0 AUTUMN COBBS PHYSICIAN 122546 0 0 0 30075 0 0 0 0 0 152621 0 0 0 FAREEHA ASIF SIAL PHYSICIAN 133263 0 0 0 18072 0 0 0 0 0 151335 0 0 0 PART I, LINE 3 EXECUTIVE COMPENSATION, INCLUDING PERFORMANCE BASED COMPENSATION, IS REVIEWED AND DETERMINED BY THE RELATED ORGANIZATION'S EXECUTIVE COMMITTEE OF THE BOARD, OR THE COMPENSATION SUBCOMMITTEE IN THE CASE OF THE CEO'S COMPENSATION. THE APPLICABLE COMMITTEE USED COMPARABILITY DATA OBTAINED FROM THE CALIFORNIA PRIMARY CARE ASSOCIATION WHICH IS PREPARED BY AN INDEPENDENT THIRD PARTY. THE DATA REPRESENTS WHAT 125 SIMILARLY SITUATED ORGANIZATIONS BASED ON LOCATION, BUDGET AND SIZE, PAY EXECUTIVES FOR FUNCTIONALLY COMPARABLE POSITIONS. THE APPLICABLE COMMITTEE COLLECTS THE COMPARABLE COMPENSATION DATA, DEBATES THE ISSUE, AND USES IT TOGETHER WITH THE ORGANIZATIONS STRATEGY AND THE EXECUTIVES QUALIFICATIONS TO MAKE COMPENSATION RECOMMENDATIONS TO THE FULL BOARD OF DIRECTORS FOR APPROVAL BY VOTING. THE FINDINGS OF THE APPLICABLE COMMITTEE, TOGETHER WITH THE RELATED ORGANIZATION'S BOARD'S CONSIDERATION AND APPROVAL AND RECORDED IN THE RELATED ORGANIZATION'S MEETING MINUTES. THIS PROCESS IS REPEATED ANNUALLY FOR THE PURPOSE OF MAKING ADJUSTMENTS TO COMPENSATION OR THE AWARD OF PERFORMANCE BASED COMPENSATION. FORM 990, PART VI, SECTION B, LINE 11B H STREET CLINIC'S CFO AND CEO REVIEW THE FORM 990, SUBSEQUENTLY FORM 990 COMPLETE WITH SCHEDULES IS THEN PROVIDED TO THE FULL BOARD BEFORE FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY THAT COVERS ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES (COVERED PERSONS). POLICIES DEVELOPED BY THE BOARD OF DIRECTORS TO ENSURE COMPLIANCE WITH THE POLICY INCLUDE THE COMPLETION OF AN ANNUAL CONFLICT OF INTEREST DISCLOSURE QUESTIONNAIRE TO DISCLOSE ANY ON-GOING RELATIONSHIPS AND INTERESTS THAT MAY PRESENT ACTUAL OR POTENTIAL CONFLICTS OF INTEREST. IF THE BOARD IDENTIFIES ANY POTENTIAL OR ACTUAL CONFLICT OF INTEREST, SUCH PERSONS ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS IN THE TRANSACTION. DUTY TO SELF-DISCLOSE. AN INTERESTED PERSON IS REQUIRED TO MAKE AN APPROPRIATE DISCLOSURE OF ALL MATERIAL FACTS, INCLUDING THE EXISTENCE OF ANY FINANCIAL INTEREST, AT ANY TIME THAT ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST ARISES. THIS DISCLOSURE OBLIGATION INCLUDES INSTANCES IN WHICH AN INTERESTED PERSON WHO IS A DIRECTOR KNOWS OF THE POTENTIAL FOR A SELF-DEALING TRANSACTION, OR A TRANSACTION INVOLVING COMMON DIRECTORSHIP RELATED TO HIS OR HER INTERESTS. IT ALSO INCLUDES INSTANCES IN WHICH THE INTERESTED PERSON PLANS NOT TO ATTEND A MEETING OF THE BOARD OR A BOARD COMMITTEE WITH GOVERNING BOARD-DELEGATED POWERS AT WHICH HE OR SHE HAS REASON TO BELIEVE THAT THE BOARD OR COMMITTEE WILL ACT REGARDING A MATTER ABOUT WHICH HE OR SHE MAY HAVE A CONFLICT. DISCLOSURE OF CONFLICTS OF OTHERS. IF AN INTERESTED PERSON BECOMES AWARE OF ANY POTENTIAL SELF-DEALING OR COMMON DIRECTORSHIP TRANSACTION OR OTHER CONFLICT OF INTEREST INVOLVING ANOTHER INTERESTED PERSON, HE OR SHE SHOULD REPORT IT. EVALUATION OF POTENTIAL CONFLICT. THE ORGANIZATION HAS A STRUCTURED PROCESS IN EVALUATING POTENTIAL OR ACTUAL CONFLICTS OF INTEREST WITH THE FOLLOWING STEPS: (1) INTERESTED PERSONS MUST DISCLOSE THE POTENTIAL CONFLICT TO THE GENERAL COUNSEL, THE CHAIRMAN OF THE BOARD, OR THE PRESIDENT AND CEO, RESPECTIVELY. (2) THE GENERAL COUNSEL WILL ASSESS ANY IMPACT OF THE CONFLICT. (3) IF NECESSARY, THE GENERAL COUNSEL WILL DISCUSS THE CONFLICT AND PROPOSED REMEDIAL ACTION WITH THE CHAIRMAN OF THE BOARD, OR THE PRESIDENT AND CEO. AFTER DISCLOSURE OF ALL MATERIAL FACTS AND ANY FOLLOW-UP DISCUSSION WITH THE INTERESTED PERSON WITH A POTENTIAL CONFLICT, A DETERMINATION IS MADE ABOUT WHETHER A MATERIAL FINANCIAL INTEREST, SELF-DEALING TRANSACTION OR OTHER KIND OF CONFLICT EXISTS. IF IT IS DETERMINED THAT AN ACTUAL CONFLICT OF INTEREST EXISTS WHICH ALSO CONSTITUTES A SELF-DEALING TRANSACTION, THEN THE TRANSACTION OR MATTER IN QUESTION CAN ONLY BE AUTHORIZED IF APPROVED BY A VOTE OF A MAJORITY OF THE DIRECTORS IN OFFICE, WITH ANY INTERESTED DIRECTOR ABSTAINING. A TRANSACTION IN WHICH AN ACTUAL CONFLICT OF INTEREST EXISTS BUT IS NOT A SELF-DEALING TRANSACTION MUST RECEIVE PRIOR APPROVAL BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS OF COMMITTEE MEMBERS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT. PROCEDURES FOR ADDRESSING A CONFLICT OF INTEREST. PRIOR TO VOTING ON A CONTRACT, TRANSACTION OR MATTER IN WHICH AN ACTUAL CONFLICT OF INTEREST IS FOUND TO EXIST, THE BOARD OR COMMITTEE WILL FOLLOW THESE PROCEDURES: (A) THE INTERESTED PERSON MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING AT WHICH SUCH TRANSACTION IS BEING CONSIDERED, BUT AFTER THE PRESENTATION, HE OR SHE WILL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING THE POSSIBLE CONFLICT OF INTEREST. (B) THE CHAIRPERSON OF THE BOARD OR COMMITTE MAY, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT. (C) AFTER EXERCISING DUE DILIGENCE, THE BOARD OR COMMITTEE WILL DETERMINE WHETHER THE CORPORATION COULD OBTAIN WITH REASONABLE EFFORTS A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO CONFLICT OF INTEREST. (D) IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE BOARD OR COMMITTEE WILL DETERMINE WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST, FOR ITS OWN BENEFIT, AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE BOARD SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO TRANSACTION OR ARRANGEMENT. VIOLATIONS OF THE CONFLICT OF INTEREST POLICY. IF THE BOARD HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT WILL INFORM THE INTERESTED PERSON OF THE BASIS FOR SUCH BELIEF AND AFFORD THE INTEREST PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE INTERESTED PERSON'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD DETERMINES THE INTERESTED PERSON HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT WILL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL RECORDS ARE MADE AVAILABLE UPON REQUEST DURING NORMAL BUSINESS HOURS ON LOCATION AT THE ORGANIZATION'S ADDRESS AS LISTED ON PAGE ONE OF THE 990 FORM. HOWEVER, CURRENT TAX LAW DOES NOT REQUIRE THAT THE CONFLICT OF INTEREST POLICY, THE GOVERNING DOCUMENTS OR THE FINANCIAL STATEMENTS BE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART IX, LINE 11G PAYROLL PROCESSING FEES: PROGRAM SERVICE EXPENSES 174. MANAGEMENT AND GENERAL EXPENSES 4,027. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,201. CONTRACTED MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 95,802. MANAGEMENT AND GENERAL EXPENSES 10,212. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 106,014. CONTRACTED CONSULTING SERVICES: PROGRAM SERVICE EXPENSES 9,993. MANAGEMENT AND GENERAL EXPENSES 1,065. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,058. FORM 990, PART IX, LINE 24E BUSINESS TAXES & LICENSES: PROGRAM SERVICE EXPENSES 8,026. MANAGEMENT AND GENERAL EXPENSES 4,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,972. CENTRAL NEIGHBORHOOD HEALTH FOUNDATION 2700 SOUTH GRAND AVE LOS ANGELES CA 90007 752986675 MEDICAL SERVICES CA 501(C)(3) LINE 7 N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 CENTRAL NEIGHBORHOOD HEALTH FOUNDATION P 1091995 COST