2021-05-13T21:08:25-05:00 2020-06-30 330700332 VASQUEZ & CO LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2019-07-01 951690966 PEDIATRIC & FAMILY MEDICAL CENTER DBA EISNER HEALTH PEDI 2137475542 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 WARREN J BRODINE PRESIDENT/CEO 2137475542 2021-05-07 1 LYNN D BOSTER P00440365 2138731700 2019 2022-09-23 18:48:47Z WARREN J BRODINE 1530 S OLIVE STREET LOS ANGELES CA 90015 54185931 0 X WWW.EISNERHEALTH.ORG X 1920 CA IMPROVE THE PHYSICAL, SOCIAL, AND EMOTIONAL WELL-BEING OF LOS ANGELES FAMILIES. 9 9 565 0 0 0 6052474 6701819 44048097 47234521 3706 4325 264928 226992 50369205 54167657 0 0 0 0 34659981 35428324 0 0 167960 15375646 16861532 50035627 52289856 333578 1877801 33752523 43286777 6909724 14552265 26842799 28734512 X EISNER HEALTH IS A QUALITY-FOCUSED, FEDERALLY QUALIFIED NONPROFIT COMMUNITY HEALTH CENTER DEDICATED TO IMPROVING THE PHYSICAL, SOCIAL, AND EMOTIONAL WELL-BEING OF PEOPLE IN THE COMMUNITIES WE SERVE, REGARDLESS OF INCOME. 0 1 32993042 39864864 MEDICAL CARE- PHYSICAL EXAMS- IMMUNIZATIONS- GYNECOLOGY SERVICES- COUNSELING- PREVENTATIVE MEDICINE- DIAGNOSIS AND MANAGEMENT OF ACUTE AND CHRONIC DISEASES- DIAGNOSIS AND CARE DURING PREGNANCY- OFFICE DERMATOLOGY TOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 41,218. 4304817 3807805 DENTAL CARE- PREVENTATIVE DENTAL EXAMS- DIAGNOSIS AND TREATMENT OF DENTAL AND GUM PROBLEMS- ORTHODONTIC SERVICESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 9,572. 3434545 3616160 MENTAL HEALTH CARE, PHARMACEUTICAL SERVICES, AND OPTOMETRY SERVICES- INDIVIDUAL THERAPY- FAMILY THERAPY- GROUP THERAPY- CASE MANAGEMENT- WORKSHOPS- PARENTING CLASSES- DISPENSING PHARMACEUTICALS TO PATIENTS- SUPPLYING CLINICAL DEPARTMENTS- OPTOMETRY SERVICES, DIETARY SERVICES, OTHER ENABLING SERVICES TOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 5,108 (953 MENTAL HEALTH, 456 DIETARY, 1,074 OPTOMETRY, 2,625 ENABLING). 40732404 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 51 0 1 565 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 CA X SERGEY NAVOLNEV 2137475542 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 STANLEY P BERKMAN CHAIRMAN 1.00 X X 0 0 0 IAN C WIENER ESQ TREASURER 1.00 X X 0 0 0 IRMA AVILA SECRETARY 1.00 X X 0 0 0 ALEJANDRA ROSAS BOARD MEMBER 1.00 X 0 0 0 VICTOR AGUIRRE BOARD MEMBER 1.00 X 0 0 0 RUPERT GRANT VICE CHAIRMAN 1.00 1.00 X 0 0 0 ED MATHEWS CONSUMER VICE-CHAIR 1.00 X X 0 0 0 KEVIN ROSSI IMMEDIATE PAST CHAIR 1.00 1.00 X 0 0 0 MARTINE SINGER BOARD MEMBER 1.00 X 0 0 0 WARREN J BRODINE PRESIDENT & CEO 40.00 X 305881 0 24693 CHONA DE LEON VP/COO 40.00 X 267736 0 25641 SERGEY NAVOLNEV CFO 40.00 X 117784 0 9868 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 40.00 X 277034 0 20186 KAREN BOSTON DIRECTOR OF ADULTS 40.00 X 205427 0 12729 LUIS LOPEZ DIRECTOR OF PEDIATRICS 40.00 X 285142 0 14694 NATHANA LURVEY DIRECTOR OF OB/GYN 40.00 X 266895 0 9431 DANNY DAN PHYSICIAN (OB/GYN) 40.00 X 290124 0 14694 AHMAD KHALIFA PHYSICIAN (OB/GYN) 40.00 X 274392 0 14694 ANTHONY PICKETT PHYSICIAN (OB/GYN) 40.00 X 327849 0 14694 NICOLAS DIKIO PHYSICIAN (OB/GYN) 40.00 X 266121 0 14690 LILIAN MORRIS PHYSICIAN (OB/GYN) 40.00 X 284406 0 11248 3168791 0 187262 85 0 1 0 RPS CAPITAL INVESTMENTS 15477 VENTURA BLVD STE 202 SHERMAN OAKS CA 91403 OFFICE RENT 896949 HEALTH INFORMATION TECHNOLOGY CARE LLC 1310 REDWOOD WAY STE 125 PETALUMA CA 94954 IT SERVICES 597171 SP IV LOKER I LLC 600 WASHINGTON AVE STE 1100 ST LOUIS MO 63101 OFFICE RENT 443615 GRAND AVENUE MEDICAL JOINT VENTURE 135 N LOS ROBLES STE 600 PASADENA CA 91101 OFFICE RENT 427465 PEOPLE 20 GLOBAL LLC PO BOX 31001-1288 PASADENA CA 91110 TEMPORARY LABOR 392058 11 4630197 2071622 6701819 PATIENT SERVICE FEES 624110 46049047 46049047 PATIENT INCENTIVES 624110 1185474 1185474 47234521 4325 4325 72500 18274 54226 54226 OTHER INCOME 900099 172766 172766 172766 54167657 47407287 0 58551 X 1725899 1725899 30791082 25711421 4987977 91684 894842 729873 162372 2597 2016501 1690756 319797 5948 1554 1554 5361283 2797561 2521757 41965 72102 72102 2444088 2260942 183146 56638 42699 13939 82538 44567 37971 1440636 1440636 394564 264496 130068 SUPPLIES 1963897 1662811 300282 804 MEDICAL SUPPLIES 921960 921960 MAINTENANCE AGREEMENT 669426 157014 512412 MILEAGE & PARKING 636774 459922 175896 956 2816072 821847 1970219 24006 52289856 40732404 11389492 167960 304994 6465905 515613 2164707 1725633 1432867 13019662 15383690 328668 321035 584459 588171 32479020 16949533 16004337 15529487 127813 252036 869823 869823 271521 279056 33752523 43286777 5111822 5654858 1797902 1773500 0 7123907 6909724 14552265 X 25480299 28073887 1362500 660625 26842799 28734512 33752523 43286777 1877801 13912 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952246 952246 22074484 8876045 13198439 9401529 8035052 1366477 50761 38436 12325 15529487 PAYCHECK PROTECTION PROGRAM LOAN PAYABLE 5590000 LINE OF CREDIT PAYABLE 1500000 OBLIGATION FROM ASSET ACQUISITION 33907 7123907 X 54180015 13912 13912 54166103 1554 1554 54167657 52288302 0 52288302 1554 1554 52289856 PART X, LINE 2: THE CORPORATION QUALIFIES AS A TAX EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE 23701D. THE CORPORATION HAS EVALUATED ITS 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 CORPORATIONS CONTINUED QUALIFICATION AS A TAX-EXEMPT ORGANIZATION AND WHETHER THERE ARE UNRELATED BUSINESS INCOME ACTIVITIES THAT WOULD BE TAXABLE. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS WILL MORE LIKELY THAN NOT (>50%) BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURE OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE CORPORATION FILES INFORMATION RETURNS IN THE US FEDERAL JURISDICTION AND THE STATE OF CALIFORNIA. WITH FEW EXCEPTIONS, THE CORPORATION IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE 2015. X PROMISE OF CARE 72500 72500 18274 72500 72500 18274 18274 54226 0 0 0 0 0 0 0 0 0 WARREN J BRODINE PRESIDENT & CEO 305881 0 0 0 0 0 18399 0 6294 0 330574 0 0 0 CHONA DE LEON VP/COO 267736 0 0 0 0 0 19347 0 6294 0 293377 0 0 0 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 277034 0 0 0 0 0 17400 0 2786 0 297220 0 0 0 KAREN BOSTON DIRECTOR OF ADULTS 205427 0 0 0 0 0 6435 0 6294 0 218156 0 0 0 LUIS LOPEZ DIRECTOR OF PEDIATRICS 285142 0 0 0 0 0 8400 0 6294 0 299836 0 0 0 NATHANA LURVEY DIRECTOR OF OB/GYN 266895 0 0 0 0 0 8007 0 1424 0 276326 0 0 0 DANNY DAN PHYSICIAN (OB/GYN) 290124 0 0 0 0 0 8400 0 6294 0 304818 0 0 0 AHMAD KHALIFA PHYSICIAN (OB/GYN) 274392 0 0 0 0 0 8400 0 6294 0 289086 0 0 0 ANTHONY PICKETT PHYSICIAN (OB/GYN) 327849 0 0 0 0 0 8400 0 6294 0 342543 0 0 0 NICOLAS DIKIO PHYSICIAN (OB/GYN) 266121 0 0 0 0 0 8400 0 6290 0 280811 0 0 0 LILIAN MORRIS PHYSICIAN (OB/GYN) 284406 0 0 0 0 0 8400 0 2848 0 295654 0 0 0 FORM 990, PART III, LINE 3 WE HAD SEVERAL SIGNIFICANT CHANGES OCCUR AT THE TAIL-END OF FISCAL 2019-2020 DRIVEN BY THE COVID-19 PANDEMIC. WE WERE FORCED TO CLOSE ALL OUR SCHOOL-BASED LOCATIONS. WE HAD TO REDUCE OUR DENTAL SERVICES TO EMERGENCY ONLY (WE HAVE SINCE RESTORED THE SERVICE OFFERING, BUT AT A REDUCED CAPACITY). AND WE HAD TO SHUT DOWN OUR OPTOMETRY & DERMATOLOGY FOR SEVERAL MONTHS BETWEEN APRIL AND JUNE 2020. ON THE OTHER HAND, WE BEGAN TO OFFER TELEHEALTH SERVICES, INCLUDING VIDEO-BASED AND TELEPHONIC MODALITIES. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS REVIEWED BY THE CFO, THEN IT IS GIVEN TO ALL BOARD MEMBERS FOR FINAL REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ANNUAL QUESTIONAIRES ARE GIVEN TO ALL DIRECTORS AND OFFICERS. THE GOVERNANCE COMMITTEE THEN REVIEWS THE QUESTIONAIRE TO ENSURE THE COMPLIANCE OF THE CONFLICT OF INTEREST POLICY. IF A CONFLICT ARISES, IT IS RESOLVED THROUGH BOARD DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15 THE GOVERNANCE COMMITTEE USES INDEPENDENT CONSULTANT AND A COMPENSATION SURVEY STUDY IN ORDER TO DETERMINE THE COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION IS DETERMINED, IT IS PRESENTED TO THE ENTIRE BOARD FOR APPROVAL INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G OUTSIDE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 2,670,204. MANAGEMENT AND GENERAL EXPENSES 2,499,137. FUNDRAISING EXPENSES 41,501. TOTAL EXPENSES 5,210,842. PAYROLL PROCESSING FEE: PROGRAM SERVICE EXPENSES 127,357. MANAGEMENT AND GENERAL EXPENSES 22,620. FUNDRAISING EXPENSES 464. TOTAL EXPENSES 150,441. PEDIATRIC & FAMILY MEDICAL FOUNDATION 1530 S OLIVE STREET LOS ANGELES CA 90015 954116680 TO HOLD & INVEST ASSETS ON BEHALF OF PEDIATRIC & FAMILY MEDICAL CENTER CA 501(C)(3) LINE 12C, III-FI N/A 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 PEDIATRIC & FAMILY MEDICAL FOUNDATION C 107540 BOOK