2023-10-09T17:53:37-05:00 2022-06-30 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2021-07-01 951690966 PEDIATRIC AND FAMILY MEDICAL CENTER DBA EISNER HEALTH PEDI 2137461037 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 WARREN J BRODINE PRESIDENT/CEO 2137475542 2023-10-06 1 WARREN BRODINE 999009999 REGINA PRINCE CPA P00576936 2138731700 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z WARREN J BRODINE 1530 S OLIVE ST LOS ANGELES CA 90015 61702476 0 X WWW.EISNERHEALTH.ORG X 1920 CA TOGETHER, WE IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. 9 9 540 38 0 0 17045650 11749730 48735240 49911868 21373 40878 0 0 65802263 61702476 0 0 0 0 35522797 36846885 0 0 508974 17052600 21717366 52575397 58564251 13226866 3138225 50940781 52380172 8899081 7840709 42041700 44539463 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 0 36390995 42652830 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 38,047.SEE SCHEDULE O 4387650 3492966 DENTAL CARE- PREVENTATIVE DENTAL EXAMS- DIAGNOSIS AND TREATMENT OF DENTAL AND GUM PROBLEMS- ORTHODONTIC SERVICESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 7,912. 3473275 3766072 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 6,151 (1,308 MENTAL HEALTH, 530 DIETARY, 1,911 OPTOMETRY, 2,382 ENABLING). 44251920 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 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 47 0 1 540 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 1.00 X X 0 0 0 IAN C WIENER ESQ TREASURER 1.00 0.00 X X 0 0 0 IRMA AVILA SECRETARY 1.00 0.00 X X 0 0 0 ALEJANDRA ROSAS BOARD MEMBER 1.00 0.00 X 0 0 0 VICTOR AGUIRRE BOARD MEMBER 1.00 0.00 X 0 0 0 RUPERT GRANT VICE CHAIRMAN 1.00 1.00 X X 0 0 0 ED MATHEWS CONSUMER VICE-CHAIR 1.00 0.00 X 0 0 0 KEVIN ROSSI IMMEDIATE PAST CHAIR 1.00 1.00 X 0 0 0 MARTINE SINGER BOARD MEMBER 1.00 0.00 X 0 0 0 WARREN J BRODINE PRESIDENT & CEO 40.00 1.00 X 359080 0 23249 CHONA DE LEON SR. VP/COO (RETD. 02/26/21) 40.00 0.00 X 106965 0 5580 SERGEY NAVOLNEV CFO 40.00 0.00 X 205770 0 21718 MONICA GUTIERREZ-MCCARTHY VP/COO (STARTED 03/29/21) 40.00 0.00 X 165780 0 20202 KAREN BOSTON DIRECTOR OF ADULTS 40.00 0.00 X 161005 0 5006 LUIS LOPEZ DIRECTOR OF PEDIATRICS 40.00 0.00 X 267570 0 13411 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 40.00 0.00 X 289085 0 27791 NATHANA LURVEY DIRECTOR OF OB/GYN 40.00 0.00 X 341973 0 8700 DANNY DAN PHYSICIAN (OB/GYN) 40.00 0.00 X 386381 0 10212 LILIAN MORRIS PHYSICIAN (OB/GYN) 40.00 0.00 X 355885 0 8700 ANTHONY PICKETT PHYSICIAN (OB/GYN) 24.00 0.00 X 282577 0 14928 NICOLAS DIKIO PHYSICIAN (OB/GYN) 40.00 0.00 X 284284 0 16997 AHMAD KHALIFA PHYSICIAN (OB/GYN) 40.00 0.00 X 281660 0 18372 3488015 0 194866 91 0 1 0 MEDICUS IT LLC 100 NORTH POINT CENTER EAST SUITE 1 ALPHARETTA GA 30022 IT SERVICES 564825 HEALTH INFORMATION TECHNOLOGY CARE LLC 1310 REDWOOD WAY SUITE 125 PETALUMA CA 94954 IT SERVICES 343699 GREG FACKTOR & ASSOCIATES 316 N ROSSMORE AVE STE 505 LOS ANGELES CA 90004 CONSULTING 305244 MGD 2000 JANITORIAL & BUILDING 5860 NATICK AVE SHERMAN OAKS CA 91411 BUILDING MAINTENANCE SERVICES 142949 DR ELLIS BEESLEY 1127 WILSHIRE BLVD 707 LOS ANGELES CA 90017 MEDICAL SERVICES 115818 11 8977119 2772611 263682 11749730 NET PATIENT SERVICE REVENUES 624190 38274099 38274099 CAPITATION 624190 6416196 6416196 MEDICAL CONTRACTUAL SERVICES 624190 4003107 4003107 PATIENT INCENTIVES 624190 1178551 1178551 OTHER PROGRAM REVENUE 624190 39915 39915 49911868 40878 40878 61702476 49911868 0 40878 X 2022885 1635786 363031 24068 29377873 23820699 5204949 352225 886986 677602 200480 8904 2247795 1822598 398247 26950 2311346 1855523 428572 27251 228777 149070 79381 326 97871 63772 33959 140 8316 8316 4764270 3141120 1613898 9252 53046 2195 50851 2442505 1710929 688046 43530 409143 50448 358302 393 4489054 2756877 1732177 489633 274587 214051 995 49324 22441 26233 650 54109 41806 12303 1247884 1213601 34283 1492551 1325453 167098 TEMPORARY LABOR 3559848 2319577 1235195 5076 MEDICAL SUPPLIES 855285 855285 SECURITY 349038 40743 308295 COMMUNITY/EMPLOYEE RELA 321395 118263 200645 2487 805317 353545 445045 6727 58564251 44251920 13803357 508974 635559 640724 12438924 23332897 2692682 1125597 17236186 5930550 580494 975524 764034 1120571 33530415 19456584 14992262 14073831 460279 4030117 869823 869823 270538 280538 50940781 52380172 6560747 6749996 1164742 11416 1173592 722469 0 356828 8899081 7840709 X 40391610 43776463 1650090 763000 42041700 44539463 50940781 52380172 3138225 -640462 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952246 952246 22247585 10392242 11855343 10330584 9064342 1266242 14073831 ESTIMATED AMOUNT DUE TO THIRD PARTY PAYERS 356828 356828 X 60524513 -640462 -396228 -1036690 61561203 8316 132957 141273 61702476 58555935 0 58555935 8316 8316 58564251 PART X, LINE 2: EISNER AND ITS AFFILIATE ARE NONPROFIT CORPORATIONS EXEMPT FROM THE PAYMENT OF INCOME TAXES UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701D. ACCORDINGLY, NO PROVISION HAS BEEN MADE FOR INCOME TAXES. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF ANY 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 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 BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION; THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. PART XI, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED MARKETABLE SECURITIES LOSS FROM AFFILIATES -396,228. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY REVENUE 132,957. X X X 0 0 0 0 0 0 0 0 0 DANNY DAN PHYSICIAN (OB/GYN) 384245 0 0 0 2136 0 8700 0 1512 0 396593 0 0 0 WARREN J BRODINE PRESIDENT & CEO 311197 0 36000 0 11883 0 23075 0 174 0 382329 0 0 0 LILIAN MORRIS PHYSICIAN (OB/GYN) 352489 0 548 0 2848 0 8700 0 0 0 364585 0 0 0 NATHANA LURVEY DIRECTOR OF OB/GYN 339125 0 0 0 2848 0 8700 0 0 0 350673 0 0 0 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 262085 0 27000 0 0 0 17700 0 10091 0 316876 0 0 0 NICOLAS DIKIO PHYSICIAN (OB/GYN) 284284 0 0 0 0 0 8700 0 8297 0 301281 0 0 0 AHMAD KHALIFA PHYSICIAN (OB/GYN) 281660 0 0 0 0 0 8700 0 9672 0 300032 0 0 0 ANTHONY PICKETT PHYSICIAN (OB/GYN) 282577 0 0 0 0 0 8538 0 6390 0 297505 0 0 0 LUIS LOPEZ DIRECTOR OF PEDIATRICS 224070 0 43500 0 0 0 8244 0 5167 0 280981 0 0 0 SERGEY NAVOLNEV CFO 180482 0 20000 0 5288 0 15182 0 6536 0 227488 0 0 0 MONICA GUTIERREZ-MCCARTHY VP/COO (STARTED 03/29/21) 163280 0 2500 0 0 0 12307 0 7895 0 185982 0 0 0 KAREN BOSTON DIRECTOR OF ADULTS 159385 0 1620 0 0 0 4875 0 131 0 166011 0 0 0 X 1 258682 REPLACEMENT COST X DENTAL EQUIPMENT 1 5000 REPLACEMENT COST 0 0 0 PART 1 COLUMN B THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990 PART III LINE 4A PEDIATRIC AND FAMILY MEDICAL CENTER, DOING BUSINESS AS EISNER HEALTH (EISNER OR THE CENTER), IS A FEDERALLY QUALIFIED NON-PROFIT COMMUNITY HEALTH CENTER DEDICATED TO IMPROVING THE PHYSICAL, SOCIAL, AND EMOTIONAL WELL-BEING OF PEOPLE IN THE COMMUNITIES THEY SERVE. EISNER PROVIDES A WIDE RANGE OF SERVICES TO LOW AND MODERATE-INCOME RESIDENTS OF LOS ANGELES COUNTY, REGARDLESS OF THEIR ABILITY TO PAY. IT IS ALSO CERTIFIED AS A MEDI-CAL PROVIDER AND PROVIDES PEDIATRIC AND ADULT SERVICES SUCH AS PRENATAL CARE, CHILDHOOD EDUCATION, DENTAL AND ANCILLARY SERVICES, INCLUDING AN ONSITE PHARMACY, AS WELL AS CASE MANAGEMENT AND SOCIAL WORK. EISNER ALSO OPERATES A FAMILY PRACTICE RESIDENCY PROGRAM IN COOPERATION WITH THE PROHEALTH PARTNERS AND DIGNITY HEALTH DBA CALIFORNIA HOSPITAL MEDICAL CENTER AND PROVIDES PROFESSIONAL MEDICAL OBSTETRICS/GYNECOLOGY (OB/GYN) SERVICES TO MARTIN LUTHER KING COMMUNITY HOSPITAL PATIENTS. 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 THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY COVERING THE BOARD OF DIRECTORS, OFFICERS AND EXECUTIVE MANAGEMENT. THIS CONFLICT OF INTEREST POLICY ESTABLISHES PROCEDURES TO IDENTIFY AND DEAL WITH THE CIRCUMSTANCES AND RELATIONSHIPS AFFECTING DIRECTORS AND MANAGERS OF EISNER THAT MAY GIVE RISE TO ACTUAL OR PERCEIVED CONFLICTS OF INTEREST. IT DOES SO BY: (A) IDENTIFYING SPECIFIC TYPES OF TRANSACTIONS AND RELATIONSHIPS WHICH ARE MOST LIKELY TO RAISE QUESTIONS OF CONFLICT OF INTEREST FOR SUCH INDIVIDUALS; AND (B) ESTABLISHING PROCEDURES FOR DISCLOSURE AND RESOLUTION OF POTENTIAL CONFLICTS THAT ARE DESIGNED TO: (1) PROTECT BOTH THE INDIVIDUALS SUBJECT TO THE POLICY AND EISNER FROM LEGAL AND OTHER COMPLICATIONS THAT MIGHT OTHERWISE ARISE; AND (2) PRESERVE THE ABILITY OF PERSONS SUBJECT TO THE POLICY TO EFFECTIVELY SERVE EISNER, NOTWITHSTANDING THE EXISTENCE OF OTHER RELATIONSHIPS BETWEEN SUCH INDIVIDUALS (OR CLOSE FAMILY MEMBERS) AND OTHER ORGANIZATIONS THAT MAY BE IDENTIFIED AS POTENTIAL CONFLICTING INTERESTS. THE EISNER'S BOARD OF DIRECTORS MUST APPROVE ANY TRANSACTION IN WHICH A DIRECTOR OR MANAGER OR A RELATED PERSON OR ORGANIZATION HAS A MATERIAL FINANCIAL INTEREST ACCORDING TO THE FOLLOWING PROCEDURE: 1. ANY DIRECTOR OR MANAGER WHO BECOMES AWARE THAT HE OR SHE (OR RELATED PERSON OR ORGANIZATION) HAS A MATERIAL FINANCIAL INTEREST IN ANY AGENCY TRANSACTION SHALL PROMPTLY NOTIFY EISNER'S PRESIDENT OR THE CHAIRMAN OF THE BOARD OF DIRECTORS. 2. THE PRESIDENT AND CHAIRMAN OF THE BOARD SHALL TAKE STEPS TO ASSURE THAT THE PROPOSED TRANSACTION IS NOT ENTERED INTO UNTIL SUCH TIME AS THE SPECIAL REVIEWER COMMITTEE (SRC) OR BOARD OF DIRECTORS HAS REVIEWED AND APPROVED THE TRANSACTION AND ANY NECESSARY CONSULTATION WITH LEGAL COUNSEL HAVE BEEN OBTAINED. 3. THE INDIVIDUAL HAVING SUCH CONFLICT SHALL MAKE FULL DISCLOSURE TO THE SRC OR THE BOARD OF THE MATERIAL FACTS OF THE TRANSACTION AND HIS OR HER INTEREST (OR THE INTEREST OF ANY RELATED PERSON OR ORGANIZATION THEREIN PRIOR TO ACTION BY THE SRC OR BOARD WITH RESPECT TO SUCH TRANSACTION. 4. BEFORE APPROVING SUCH TRANSACTION, THE SRC OR BOARD SHALL DETERMINE IN GOOD FAITH, AFTER REASONABLE INVESTIGATION THAT THE TRANSACTION IS FAIR AND REASONABLE; EISNER COULD NOT HAVE OBTAINED A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES; AND THE TRANSACTION IS IN THE BEST INTEREST OF EISNER. 5. THE SRC OR THE BOARD MUST THEN APPROVE THE TRANSACTION BY A MAJORITY OF VOTE OF THE SRC OR THE BOARD MEMBERS THEN IN OFFICE, WITHOUT COUNTING THE VOTE OF ANY INTERESTED DIRECTOR. THE CONSEQUENCES OF ANY VIOLATION MAY RESULT IN THE TAKING OF APPROPRIATE DISCIPLINARY ACTION UP TO AND INCLUDING DISCHARGE FROM THE BOARD OR EMPLOYMENT. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HAS A PROCESS FOR REVIEWING AND APPROVING THE COMPENSATION OF THE CEO AND OTHER OFFICERS AND KEY EMPLOYEES ON A REGULAR BASIS TO DETERMINE IT IS FAIR AND REASONABLE WITH THE GOAL OF RETAINING EMPLOYEES AT COMPENSATION LEVELS WITHIN APPROPRIATE MARKET RANGE. THE GOVERNANCE COMMITTEE OF THE BOARD RELIED ON A COMPENSATION STUDY CONDUCTED BY AN INDEPENDENT VALUATION FIRM IN DETERMINING THEIR RECOMMENDATIONS. THE RESULTS OF THE STUDY WERE PRESENTED TO THE FULL BOARD BY THE GOVERNANCE COMMITTEE, AND THE FULL BOARD VOTED ON THE COMPENSATION OFFERED TO THE CEO, CFO, AND OTHER KEY EMPLOYEES. THE ORGANIZATION'S BOARD OF DIRECTORS CONTEMPORANEOUSLY DOCUMENTED ITS DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS, INCLUDING WHO WAS PRESENT, HOW THEY VOTED, A DESCRIPTION OF THE COMPARABILITY DATA AND HOW IT WAS OBTAINED. 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 1,503,404. MANAGEMENT AND GENERAL EXPENSES 800,576. FUNDRAISING EXPENSES 3,290. TOTAL EXPENSES 2,307,270. PAYROLL PROCESSING FEE: PROGRAM SERVICE EXPENSES 188,496. MANAGEMENT AND GENERAL EXPENSES 41,600. FUNDRAISING EXPENSES 2,791. TOTAL EXPENSES 232,887. CONSULTANTS: PROGRAM SERVICE EXPENSES 1,449,220. MANAGEMENT AND GENERAL EXPENSES 771,722. FUNDRAISING EXPENSES 3,171. TOTAL EXPENSES 2,224,113. FORM 990, PART IX, LINE 24E LAB & X-RAY EXPENSES: PROGRAM SERVICE EXPENSES 206,434. MANAGEMENT AND GENERAL EXPENSES 109,928. FUNDRAISING EXPENSES 451. TOTAL EXPENSES 316,813. SUBSCRIPTION: PROGRAM SERVICE EXPENSES 39,106. MANAGEMENT AND GENERAL EXPENSES 254,283. FUNDRAISING EXPENSES 5,003. TOTAL EXPENSES 298,392. TAXES & LICENSES: PROGRAM SERVICE EXPENSES 85,974. MANAGEMENT AND GENERAL EXPENSES 28,048. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 114,022. MISCELLANEOUS EXPENSES: PROGRAM SERVICE EXPENSES 2,429. MANAGEMENT AND GENERAL EXPENSES 41,221. FUNDRAISING EXPENSES 43. TOTAL EXPENSES 43,693. EQUIPMENT REPAIRS: PROGRAM SERVICE EXPENSES 19,602. MANAGEMENT AND GENERAL EXPENSES 11,565. FUNDRAISING EXPENSES 1,230. TOTAL EXPENSES 32,397. PEDIATRIC AND FAMILY MEDICAL FOUNDATION 1530 S OLIVE STREET LOS ANGELES CA 90015 954116680 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 12B, II EISNER HEALTH 1 PLUNUM HEALTH 1530 S OLIVE STREET LOS ANGELES CA 90015 831653397 SUPPORTING ORGANIZATION CA 501(C)(3) LINE 12A, I EISNER HEALTH 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 PEDIATRIC AND FAMILY MEDICAL FOUNDATION C 132957 BOOK PLUNUM HEALTH Q 201419 BOOK