Form 990 for tax year 2023

Filed by JWCH INSTITUTE INC.

Totals

Total revenue: $146,231,727
Total expenses: $132,275,851
Contributions and grants received: $52,856,636
Grants paid: $130,069
Program service revenue: $92,451,630
Investment income: $829,405
Other revenue: $94,056
Total assets, end of year: $137,730,666
Total liabilities, end of year: $41,074,142
Net assets or fund balances, end of year: $96,656,524
Program services expenses (Part IX): $119,926,650
Management and general expenses: $12,238,218
Fundraising expenses: $110,983
Program service expenses (Part III): $119,926,650

Program services were 90.7% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

1c · Fundraising events

$164,909
1e · Government grants (contributions)

$47,710,164
1f · All other contributions, gifts and grants

$4,981,563
1g · Noncash contributions included above

$1,590,000
2a · Program service revenue: PATIENT SERVICES, NET

total $82,091,340 · related or exempt $82,091,340
2b · Program service revenue: PHARMACY REVENUES

total $7,113,988 · related or exempt $7,113,988
2c · Program service revenue: IPA REVENUES

total $2,248,336 · related or exempt $2,248,336
2d · Program service revenue: OTHER PROGRAM REVENUE

total $997,966 · related or exempt $997,966
3 · Investment income

total $829,405 · excluded $829,405
6a · Gross rents

real property $94,056
6b · Less rental expenses

real property $0
6c · Rental income or loss

real property $94,056
6d · Net rental income or loss

total $94,056 · excluded $94,056
8a · Fundraising events: gross income

$110,983
8a · Fundraising events: contributions included on line 1c

$164,909
8b · Fundraising events: direct expenses

$110,983
8c · Net income from fundraising events

total $0

Functional expenses

Part IX, the statement of functional expenses.

1 · Grants to domestic organizations and governments

total $130,069 · program services $130,069
5 · Compensation of officers, directors and key employees

total $4,417,487 · program services $4,089,117 · management and general $328,370
7 · Other salaries and wages

total $70,868,133 · program services $65,929,602 · management and general $4,938,531
8 · Pension plan contributions

total $1,939,851 · program services $1,631,589 · management and general $308,262
9 · Other employee benefits

total $7,872,267 · program services $6,621,284 · management and general $1,250,983
10 · Payroll taxes

total $5,728,667 · program services $4,818,324 · management and general $910,343
11b · Fees: legal

total $260,497 · program services $238,206 · management and general $20,303 · fundraising $1,988
11c · Fees: accounting

total $121,501 · program services $111,104 · management and general $9,470 · fundraising $927
11g · Fees: other

total $12,818,587 · program services $11,721,662 · management and general $999,075 · fundraising $97,850
12 · Advertising and promotion

total $71,588 · program services $42,363 · management and general $29,198 · fundraising $27
13 · Office expenses

total $2,468,800 · program services $2,026,623 · management and general $437,918 · fundraising $4,259
14 · Information technology

total $411,780 · program services $338,028 · management and general $73,042 · fundraising $710
16 · Occupancy

total $3,750,903 · program services $3,446,879 · management and general $304,024
17 · Travel

total $334,946 · program services $288,430 · management and general $46,516
19 · Conferences, conventions and meetings

total $212,227 · program services $147,798 · management and general $64,381 · fundraising $48
20 · Interest

total $846,100 · program services $500,688 · management and general $345,087 · fundraising $325
22 · Depreciation, depletion and amortization

total $2,007,817 · program services $1,755,065 · management and general $252,752
23 · Insurance

total $663,621 · program services $774 · management and general $662,847
24a · Other expenses: MEDICAL AND LABORATORY

total $10,940,238 · program services $10,940,238
24b · Other expenses: PATIENT WELFARE

total $2,464,784 · program services $2,464,784
24c · Other expenses: REPAIRS AND MAINTENANCE

total $831,577 · program services $684,085 · management and general $147,492
24d · Other expenses: FEES

total $720,704 · program services $432,116 · management and general $285,769 · fundraising $2,819
24e · All other expenses

total $2,393,707 · program services $1,567,822 · management and general $823,855 · fundraising $2,030

Balance sheet

Part X, book values.

1 · Cash, non-interest-bearing

beginning of year $9,254,717 · end of year $7,216,780
2 · Savings and temporary cash investments

beginning of year $23,587,713 · end of year $24,400,654
3 · Pledges and grants receivable

beginning of year $7,996,899 · end of year $8,809,139
4 · Accounts receivable

beginning of year $23,149,486 · end of year $27,533,910
8 · Inventories for sale or use

beginning of year $848,317 · end of year $267,883
9 · Prepaid expenses and deferred charges

beginning of year $135,593 · end of year $281,532
10a · Land, buildings and equipment: cost or other basis

$64,181,465
10b · Land, buildings and equipment: accumulated depreciation

$11,098,880
10c · Land, buildings and equipment, net

beginning of year $40,814,602 · end of year $53,082,585
14 · Intangible assets

beginning of year $6,061,731 · end of year $5,661,019
15 · Other assets

beginning of year $6,974,511 · end of year $10,477,164
17 · Accounts payable and accrued expenses

beginning of year $3,327,891 · end of year $3,395,101
19 · Deferred revenue

beginning of year $1,848,493 · end of year $656,861
23 · Secured mortgages and notes payable

beginning of year $19,425,958 · end of year $22,768,112
25 · Other liabilities

beginning of year $11,571,867 · end of year $14,254,068
27 · Net assets without donor restrictions

beginning of year $79,656,187 · end of year $93,841,248
28 · Net assets with donor restrictions

beginning of year $2,993,173 · end of year $2,815,276

Mission and programs · 2023

Mission

THE SPECIFIC PURPOSES OF THIS ORGANIZATION ARE:(A) TO PROVIDE OUTPATIENT PRIMARY HEALTH SERVICE IN UNDERSERVED AREAS AND/OR FOR MEDICALLY UNDERSERVED POPULATIONS AS A COMMUNITY CLINIC. (B) TO DEVELOP, PROMOTE, AND MANAGE HEALTH CARE FACILITIES, SERVICES, AND PROGRAMS WITH AN EMPHASIS ON COMPREHENSIVE HEALTH CARE, PREVENTATIVE MEDICINE, AND HEALTH MAINTENANCE. (C) TO EDUCATE THE PUBLIC ON THE PRINCIPLES OF HEALTH PROTECTION AND PROMOTE OTHER PROJECTS IN THE INTEREST OF THE PUBLIC'S HEALTH. (D) TO ENGAGE IN ANCILLARY MEDICAL, REHABILITATION, AND RESIDENTIAL TREATMENT PROGRAMS FOR UNDERSERVED POPULATIONS.(E) TO PROMOTE MUTUALLY ACCEPTABLE AND SATISFYING RELATIONSHIPS BETWEEN THE ORGANIZATION AND OTHER PROVIDERS OF HEALTH CARE TO DEVELOP AN EFFICIENT AND EFFECTIVE DELIVERY OF HEALTH CARE. (F) TO PARTICIPATE IN AND COOPERATE WITH ANY GOVERNMENTAL AGENCY OR OTHER ORGANIZATION ENGAGED IN SIMILAR OR LIKE ACTIVITIES. (G) TO ENGAGE IN SUCH OTHER ACTIVITIES AS DIRECTED BY THE BOARD.

Activities or mission (Part I)

TO IMPROVE THE HEALTH STATUS AND WELL BEING OF UNDERSERVED SEGMENTS OF THE POPULATION OF LOS ANGELES AREA THROUGH THE DIRECT PROVISION OR COORDINATION OF HEALTH CARE, HEALTH EDUCATION SERVICES AND RESEARCH.

JWCH INSTITUTE, INC., DBA WESLEY HEALTH CENTERS (JWCH OR WESLEY) IS APPROVED AS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND PROVIDES A FULL CONTINUUM OF CARE FOR MEN, WOMEN AND CHILDREN IN THE LOS ANGELES AREA. THE SERVICES INCLUDE PRIMARY HEALTH CARE, BEHAVIORAL HEALTH CARE, HOMELESS HEALTH CARE, HIV SERVICES, ORAL HEALTH CARE, PHARMACY SERVICES, VISION CARE AND SUPPORTIVE SERVICES WHICH INCLUDES OUR CHRONIC DISEASE CASE MANAGEMENT, YOUTH SERVICES, HOUSING ASSISTANCE, HEALTH EDUCATION, NUTRITIONAL ASSISTANCE AND RESEARCH. THE WESLEY HEALTH CENTERS ARE PLACES OF EXCELLENCE FOR YOU AND YOUR FAMILY. THROUGH THE 17 AREA HEALTH CENTERS, THE ORGANIZATION PROVIDES COMPREHENSIVE MEDICAL CARE, PHYSICAL EXAMS, ROUTINE SCREENINGS AND TREATMENT OF INJURIES AND ILLNESSES FOR MEN, WOMEN, AND CHILDREN OF LOS ANGELES COUNTY.THE WEINGART CLINIC AT CENTER FOR COMMUNITY HEALTH PROVIDED 51,410 MEDICAL VISIT ASSESSMENTS TO LOW INCOME AND HOMELESS INDIVIDUALS. 7,445 PATIENTS RECEIVED HEALTH CARE SERVICES AT THE CLINIC INCLUDING PRIMARY CARE, X-RAYS, EKGS, FAMILY PLANNING, MALE WELLNESS, CASE MANAGEMENT, HIV TESTING, MENTAL HEALTH, AND DENTAL SERVICES.THE BELLFLOWER HEALTH CENTER PROVIDES PRIMARY CARE SERVICES TO LOW INCOME INDIVIDUALS REGARDLESS OF ABILITY TO PAY. ALL PRIMARY CARE SERVICES FOR FAMILIES, WOMEN AND CHILDREN WILL BE AVAILABLE. CASE MANAGEMENT, MENTAL HEALTH, AND OPTOMETRY SERVICES WILL BE PROVIDED ON SITE AS WELL AS ACCESS TO ELIGIBILITY ASSISTANCE FOR PUBLIC MEDICAL BENEFITS PROGRAMS. BELLFLOWER HEALTH CENTER PROVIDED 33,147 MEDICAL VISITS TO 6,549 PATIENTS. THE DOWNTOWN WOMEN'S CENTER CLINIC SERVES HOMELESS WOMEN AND PROVIDES PRIMARY HEALTH CARE SERVICES, REPRODUCTIVE HEALTH SERVICES, CANCER SCREENING AND ACCESS TO SPECIALTY CARE AND MENTAL HEALTH. THE JWCH CLINIC IS EMBEDDED IN THIS HOMELESS RESIDENTIAL FACILITY AND PROVIDED 292 PATIENTS 722 MEDICAL VISITS. THE DOWNEY CLINIC PROVIDED 26,866 MEDICAL VISITS TO 6,084 PATIENTS. SERVICES PROVIDED AT THE DOWNEY CLINIC INCLUDED PRIMARY CARE, FAMILY PLANNING SERVICES & PROCEDURES, BEHAVIORAL HEALTH SERVICES, COMPREHENSIVE PRENATAL SERVICES, OB/GYN SERVICES, PODIATRY, HIV/STD TESTING & TREATMENT, AND GERIATRIC PRIMARY CARE SERVICES. THE WESLEY HEALTH CENTERS-HACIENDA HEIGHTS PROVIDED 10,680 VISITS TO 2,124 PATIENTS. SERVICES OFFERED AT THE HACIENDA HEIGHTS CLINIC INCLUDED PRIMARY CARE, FAMILY & PEDIATRIC MEDICINE, CHIROPRACTIC SERVICES, REPRODUCTIVE HEALTH, OB/GYN, BEHAVIORAL HEALTH, SUBSTANCE ABUSE SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, AND LABORATORY SERVICES. THE WESLEY HEALTH CENTERS-LYNWOOD (NEW) PROVIDED 33,690 MEDICAL VISITS TO 5,756 PATIENTS. SERVICES OFFERED AT THE NEW LYNWOOD CLINIC INCLUDED PRIMARY CARE, FAMILY MEDICINE, DENTAL/ORAL HEALTH, BEHAVIORAL HEALTH, CHIROPRACTIC SERVICES, HIV/STD TESTING & TREATMENT, PREP SERVICES, PODIARY, AND LABORATORY.JWCH CLINIC AT BELL GARDENS PROVIDED 23,885 VISITS TO 4,669 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES.THE LYNWOOD PRIMARY CARE CLINIC PROVIDED 14,091 VISITS TO 3,615 PATIENTS RESIDING IN LYNWOOD AND THE SURROUNDING AREA OF COMPTON. BECAUSE THE MAJORITY OF THE CLINIC'S CLIENTELE ARE PEOPLE OF CHILDBEARING AGE, THEIR PRIMARY NEEDS INCLUDE FAMILY PLANNING SERVICES AND ACCESS TO ADEQUATE PRENATAL CARE. IN ADDITION, THE WOMEN ARE AT HIGH RISK OF CERVICAL CANCER, MAKING SCREENING AND TREATMENT OF SEXUALLY TRANSMITTED INFECTIONS AN IMPORTANT SERVICE AT THE CLINIC. THE FOLLOWING SERVICES ARE OFFERED: PHYSICAL/GYNECOLOGICAL EXAMINATIONS, SCREENING FOR CERVICAL AND BREAST CANCER, DIAGNOSIS AND TREATMENT OF SEXUALLY TRANSMITTED DISEASES, PREGNANCY TESTING AND REFERRALS FOR PRENATAL SERVICES, BIRTH CONTROL METHODS, DIAGNOSIS AND TREATMENT OF COMMON GYNECOLOGICAL PROBLEMS, HEALTH EDUCATION, REFERRALS FOR OTHER HEALTH AND SOCIAL SERVICES AS NEEDED.THE NORWALK CLINIC PROVIDED 35,817 VISITS TO 7,300 PATIENTS FOR MEDICAL SERVICES IN THE MOST INDIGENT AREA IN LA COUNTY. THE FOLLOWING SERVICES ARE OFFERED: FAMILY MEDICINE, FAMILY PLANNING, COMPREHENSIVE PRENATAL CARE, PEDIATRICS, OBSTETRICS, X-RAYS, EKGS, MALE WELLNESS SERVICES, HIV TESTING AND LABORATORY SERVICES. THE VERMONT CLINIC PROVIDED 37,513 VISITS TO 7,478 HOMELESS PATIENTS. THE CLINIC OFFERS MEDICAL SERVICES TO HOMELESS AND MEDICALLY INDIGENT PERSONS INCLUDING FAMILY MEDICINE, FAMILY PLANNING, CHILD HEALTH DISABILITY PREVENTION, PEDIATRICS, GERIATRIC PRIMARY CARE, EKGS. SPECIALTY REFERRALS, HIV TESTING, AND LABORATORY SERVICES.THE ANTELOPE VALLEY CLINICS CONSISTED OF WESLEY HEALTH CENTERS (LANCASTER), WESLEY HEALTH CENTERS (PALMDALE CENTRAL) AND WESLEY HEALTH CENTERS (PALMDALE EAST). THEY PROVIDED A COMBINED TOTAL OF 143,033 VISITS TO A TOTAL OF 37,586 PATIENTS. THE FOLLOWING SERVICES ARE OFFERED: PRIMARY HEALTH CARE, REPRODUCTIVE HEALTH, DENTAL & ORAL HEALTH, BEHAVIORAL HEALTH, PEDIATRICS, PODIATRY, ENDOCRINOLOGY, DERMATOLOGY, DRUG, ALCOHOL AND OPIOID DETOX SERVICES, LABORATORY SERVICES, AND SPECIALTY REFERRALS.

Expenses $81,301,153 · Revenue $90,559,820
RECUPERATIVE CARE PROGRAM. THE RECUPERATIVE CARE PROGRAM PROVIDES BED SPACE FOR 286 PATIENTS. PATIENTS MUST BE HOMELESS, HAVE AN ACUTE MEDICAL CONDITION, AND BE MEDICALLY AND PHYSICALLY STABLE. THIS RESPITE PROGRAM PROVIDES MEDICAL CARE, CASE MANAGEMENT, PERSONAL CARE, 3 MEALS PER DAY, ACCESS TO LONG-TERM HOUSING RESOURCES AND PLACEMENT, AND REUNIFICATION SERVICES FOR CLIENTS WHO HAVE FALLEN OUT OF TOUCH WITH THEIR FAMILY OR SUPPORT NETWORK. WESLEY ALSO PROVIDES THESE PATIENTS WITH TRANSPORTATION TO AND FROM MEDICAL VISITS AND TO SPECIALISTS AND OTHER SOCIAL SERVICES AGENCIES IN THE COUNTY. IN ADDITION TO THE NURSING CARE AVAILABLE IN RECUPERATIVE CARE, THE WEINGART CENTER AND BELL SHELTER SITES THAT HOUSE THE PROGRAM OFFER MANY OTHER SERVICES TO HELP BREAK THE CYCLE OF HOMELESSNESS, INCLUDING HOUSING PLACEMENT, SUBSTANCE ABUSE TREATMENT, HEALTH EDUCATION, AND COUNSELING SERVICES. RECUPERATIVE CARE PROGRAMS INCLUDE THE ZONAL AVENUE, MLK, AND THE SAN JULIAN OASIS CARE CENTERS.

Expenses $18,910,663 · Revenue $1,658,039
BPHC-HEALTH CARE CENTER CLUSTER. JWCH IS ONE OF THE LARGEST HOMELESS HEALTH CARE PROVIDERS IN LOS ANGELES COUNTY AND PROVIDES SPECIALIZED CARE AND PROGRAMMING AIMED AT CARING FOR THE UNIQUE NEEDS OF THE PATIENTS EXPERIENCING HOMELESSNESS. THE ORGANIZATION PROVIDES THESE SERVICES AT THE DEDICATED ONE-STOP-SHOP HOMELESS HEALTH CARE CLINICS, MINI-CLINICS CO-LOCATED WITHIN HOUSING, RECUPERATIVE CARE FACILITIES, AND THROUGH THE INNOVATIVE STREET MEDICINE PROGRAM WHICH TRAVELS BEYOND THE TRADITIONAL CLINIC WALLS TO DELIVER CARE RIGHT WHERE THE PATIENTS NEED IT. THE HOMELESS HEALTH LOCATIONS ARE FRIENDLY AND WELCOMING AND OFFER PATIENTS ACCESS TO THE FULL SUITE OF COMPREHENSIVE HEALTH CARE SERVICES AS WELL AS SPECIALIZED SERVICES SUCH AS FOOD PANTRY, SHOWER FACILITIES, MAIL ROOM, HOUSING NAVIGATION, AMONG OTHERS.

Expenses $6,449,441
AIDS PREVENTION & EDUCATION - PROVIDES PREVENTION, EDUCATION, AND REFERRALS TO TREATMENT AMONG HIGH RISK POPULATIONS. SUBSTANCE ABUSE TREATMENT - THE MINI 12 STEP HOUSE OFFERS RESIDENTIAL AND OUTPATIENT SUBSTANCE ABUSE TREATMENT FOR WOMEN AND WOMEN WITH CHILDREN FOR ALCOHOL AND DRUG ABUSE. THE PROGRAM OFFERS AN INTENSIVE RESIDENTIAL PROGRAM FOR WOMEN WHICH INVOLVES SUBSTANCE ABUSE TREATMENT IN INDIVIDUAL AND GROUP CLASSES, CASE MANAGEMENT, MENTAL HEALTH AND REFERRAL TO MEDICAL CARE AND COMMUNITY SUPPORT SERVICES. THE RESIDENTIAL PROGRAM CAN ACCOMODATE UP TO 31 WOMEN DAILY IN THIS 24-HOUR FACILITY. THE OUTPATIENT PROGRAM OFFERS A LONGER TERM PROGRAM FOR MEN AND WOMEN BASED ON THE 12 STEP PROGRAM OF ALCOHOL AND DRUG ABSTENTION. THE PROGRAM IS SUPPORTED BY NUMEROUS LOCAL AND STATE GRANTS SPECIFICALLY FOR ALCOHOL AND DRUG TREATMENT.OTHER PROGRAM SERVICES - PROVIDES EMERGENCY AND TRANSITIONAL HOUSING SERVICES TO PEOPLE LIVING WITH HIV/AIDS WITH 18 BEDS NIGHTLY LOCATED AT SRO HOUSING TRUST. THE SERVICES INCLUDE: COMPLETE PSYCHOSOCIAL ASSESSMENT, INDIVIDUAL CARE PLAN DEVELOPMENT, APPROPRIATE REFERRALS TO HOUSING, MENTAL HEALTH AND DRUG TREATMENT, MEALS AND NUTRITIONAL SUPPLEMENTATION, AND HYGIENE ITEMS AND CLOTHING. JWCH ALSO OPERATES A STREET MEDICINE TEAM AND TWO MOBILE MEDICAL UNITS WHICH PROVIDE CARE TO PERSONS ON THE STREETS.CARE - CDC - JWCH'S CARE PROGRAM OR (CULTURALLY-AFFIRMING, RESPONSIVE EMPOWERMENT PROJECT) PROVIDES HIV TESTING AND HEALTH EDUCATION ACTIVITIES TO PERSONS AT HIGH RISK OF ACQUIRING HIV IN SKID ROW. HE MAJORITY OF THE PARTICIPANTS ARE HOMELESS OR FORMERLY HOMELESS PERSONS, LIVING IN SHELTERS, MISSIONS AND ON THE STREETS. PARTICIPANTS ARE PROVIDED RAPID HIV TESTING, IMMEDIATE ACCESS TO MEDICAL SPECIALISTS AND EDUCATION TO ASSIST THEM IN HEALTHY LIVING.HIV CASE MANAGEMENT - PROVIDES HIV MEDICAL CARE THROUGH CASE MANAGEMENT, COUNSELING AND TESTING, PREVENTION EDUCATION, REFERRALS TO EMERGENCY AND TRANSITIONAL HOUSING.

Expenses $13,265,393 · Grants $130,069 · Revenue $233,771

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

ANNETTE SULLIVAN

BOARD MEMBER

Total calculated

$0

Hours/week

1
CHRISTOPHER EWING

BOARD MEMBER

Total calculated

$0

Hours/week

1
EDUARDO SAUCEDO

BOARD MEMBER

Total calculated

$0

Hours/week

1
HERBERT TORRANCE

BOARD MEMBER

Total calculated

$0

Hours/week

1
JOE CASTEL

SECRETARY

Total calculated

$0

Hours/week

1
KATHLEEN J HOUSE

VICE CHAIRPERSON

Total calculated

$0

Hours/week

2
KEITH TERASAKI MD

CHAIRPERSON

Total calculated

$0

Hours/week

2
LAWRENCE FERNANDEZ JR

BOARD MEMBER

Total calculated

$0

Hours/week

1
MARIA PADRON

BOARD MEMBER

Total calculated

$0

Hours/week

1
MARIE S TORRES PHD LCSW

BOARD MEMBER

Total calculated

$0

Hours/week

1
SHEILA SHIMA EATON

TREASURER

Total calculated

$0

Hours/week

2
SILVIA L HERNANDEZ

BOARD MEMBER

Total calculated

$0

Hours/week

1
TOM GRODE

BOARD MEMBER

Total calculated

$0

Hours/week

1
ALVARO BALLESTEROS

CEO

Total calculated

$501,848

From this org

$481,822

From related orgs

$0

Other

$20,026

Hours/week

40

Schedule J breakdown matched by us

Base

$446,422

Bonus

$21,000

Other

$14,400

Deferred

$13,200

Nontaxable benefits

$6,826

Filer's total

$501,848
ANDY IRIE

CHIEF ADMINISTRATIVE OFFICER

Total calculated

$234,311

From this org

$218,743

From related orgs

$0

Other

$15,568

Hours/week

40

Schedule J breakdown matched by us

Base

$214,743

Bonus

$1,000

Other

$3,000

Deferred

$8,742

Nontaxable benefits

$6,826

Filer's total

$234,311
JEANNE LAM

CFO

Total calculated

$281,333

From this org

$268,259

From related orgs

$0

Other

$13,074

Hours/week

40

Schedule J breakdown matched by us

Base

$267,259

Bonus

$1,000

Other

$0

Deferred

$10,455

Nontaxable benefits

$2,619

Filer's total

$281,333
ANA ORTIZ

CHIEF DENTAL OFFICER

Total calculated

$266,477

From this org

$249,052

From related orgs

$0

Other

$17,425

Hours/week

40

Schedule J breakdown matched by us

Base

$248,052

Bonus

$1,000

Other

$0

Deferred

$10,416

Nontaxable benefits

$7,009

Filer's total

$266,477
BENJAMIN MONROE

MEDICAL DIRECTOR/OB/GYN

Total calculated

$255,491

From this org

$240,405

From related orgs

$0

Other

$15,086

Hours/week

40

Schedule J breakdown matched by us

Base

$239,405

Bonus

$1,000

Other

$0

Deferred

$8,284

Nontaxable benefits

$6,802

Filer's total

$255,491
BRENDA L VELASQUEZ

CHIEF OPERATING OFFICER

Total calculated

$252,171

From this org

$235,344

From related orgs

$0

Other

$16,827

Hours/week

40

Schedule J breakdown matched by us

Base

$234,344

Bonus

$1,000

Other

$0

Deferred

$9,673

Nontaxable benefits

$7,154

Filer's total

$252,171
HAROLD GLEN SAN AGUSTIN

ASSO. MEDICAL DIRECTOR-HIV

Total calculated

$290,650

From this org

$271,860

From related orgs

$0

Other

$18,790

Hours/week

40

Schedule J breakdown matched by us

Base

$270,860

Bonus

$1,000

Other

$0

Deferred

$11,964

Nontaxable benefits

$6,826

Filer's total

$290,650
KIM TRAN

DIRECTOR OF QUALITY ASSURANCE

Total calculated

$229,488

From this org

$214,274

From related orgs

$0

Other

$15,214

Hours/week

40

Schedule J breakdown matched by us

Base

$208,474

Bonus

$1,000

Other

$4,800

Deferred

$8,472

Nontaxable benefits

$6,742

Filer's total

$229,488
LINDA AROUS

ASSOCIATE MEDICAL DIRECTOR

Total calculated

$290,358

From this org

$271,713

From related orgs

$0

Other

$18,645

Hours/week

40

Schedule J breakdown matched by us

Base

$270,713

Bonus

$1,000

Other

$0

Deferred

$11,819

Nontaxable benefits

$6,826

Filer's total

$290,358
PAUL GREGERSON

CMO

Total calculated

$450,019

From this org

$436,024

From related orgs

$0

Other

$13,995

Hours/week

40

Schedule J breakdown matched by us

Base

$431,424

Bonus

$1,000

Other

$3,600

Deferred

$13,200

Nontaxable benefits

$795

Filer's total

$450,019
PAUL ROUND

ASSO. MEDICAL DIRECTOR

Total calculated

$320,805

From this org

$311,779

From related orgs

$0

Other

$9,026

Hours/week

40

Schedule J breakdown matched by us

Base

$310,779

Bonus

$1,000

Other

$0

Deferred

$6,346

Nontaxable benefits

$2,680

Filer's total

$320,805
PHILIP LE

ASSOCIATE MEDICAL DIRECTOR

Total calculated

$320,416

From this org

$300,503

From related orgs

$0

Other

$19,913

Hours/week

40

Schedule J breakdown matched by us

Base

$299,503

Bonus

$1,000

Other

$0

Deferred

$12,575

Nontaxable benefits

$7,338

Filer's total

$320,416
TIEN DANG

CIO

Total calculated

$231,928

From this org

$215,937

From related orgs

$0

Other

$15,991

Hours/week

40

Schedule J breakdown matched by us

Base

$214,937

Bonus

$1,000

Other

$0

Deferred

$9,165

Nontaxable benefits

$6,826

Filer's total

$231,928
ARIEL MONSANTO GAVINO

MEDICAL DIRECTOR PSYCHIATRY

Total calculated

$406,007

From this org

$385,470

From related orgs

$0

Other

$20,537

Hours/week

40

Schedule J breakdown matched by us

Base

$384,470

Bonus

$1,000

Other

$0

Deferred

$13,200

Nontaxable benefits

$7,337

Filer's total

$406,007
JUHI AMREEN UDDIN

PHYSICIAN SPECIALIST PED

Total calculated

$262,999

From this org

$256,006

From related orgs

$0

Other

$6,993

Hours/week

40

Schedule J breakdown matched by us

Base

$255,006

Bonus

$1,000

Other

$0

Deferred

$6,350

Nontaxable benefits

$643

Filer's total

$262,999
LUCIEN ALEXANDRE

PHYSICIAN SPECIALIST

Total calculated

$278,973

From this org

$263,354

From related orgs

$0

Other

$15,619

Hours/week

40

Schedule J breakdown matched by us

Base

$262,354

Bonus

$1,000

Other

$0

Deferred

$8,918

Nontaxable benefits

$6,701

Filer's total

$278,973
OLUWAMUYIWA O BOLONDURO

PHYSICIAN SPECIALIST

Total calculated

$435,373

From this org

$421,459

From related orgs

$0

Other

$13,914

Hours/week

40

Schedule J breakdown matched by us

Base

$391,459

Bonus

$30,000

Other

$0

Deferred

$7,088

Nontaxable benefits

$6,826

Filer's total

$435,373
PAWEL KASZUBOWSKI

PHYSICIAN SPECIALIST

Total calculated

$264,415

From this org

$254,762

From related orgs

$0

Other

$9,653

Hours/week

40

Schedule J breakdown matched by us

Base

$253,762

Bonus

$1,000

Other

$0

Deferred

$8,183

Nontaxable benefits

$1,470

Filer's total

$264,415
ROBILA ASHFAQ

PHYSICIAN SPECIALIST

Total calculated

$282,841

From this org

$264,812

From related orgs

$0

Other

$18,029

Hours/week

40

Schedule J breakdown matched by us

Base

$263,812

Bonus

$1,000

Other

$0

Deferred

$11,203

Nontaxable benefits

$6,826

Filer's total

$282,841

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

3 · Compensation committee
3 · Compensation survey or study
3 · Approval by the board or compensation committee

Answered no

4a · Severance or change-of-control payment
4b · Supplemental nonqualified retirement plan
4c · Equity-based compensation arrangement
5a · Pay contingent on this organization's revenues
5b · Pay contingent on a related organization's revenues
6a · Pay contingent on this organization's net earnings
6b · Pay contingent on a related organization's net earnings
7 · Other non-fixed payments
8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

CALIFORNIA PRIMARY CARE ASSOCIATION

$100,000

TO SUPPORT COMMITTEE TO PROTECT PATIENT ACCESS TO CARE

Provenance

Return type: form_990
Tax year: 2023
Filed: 18 August 2025
IRS schema version: 2023v6.0
Source object: 202542309349301639

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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