2024-05-12T18:35:20-05:00 2023-06-30 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2022-07-01 951690966 PEDIATRIC AND FAMILY MEDICAL CENTER DBA EISNER HEALTH PEDI 2137461037 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 MONICA GUTIERREZ-MCCARTHY INTERIM CEO/COO 2137461037 2024-05-09 1 MONICA GUTIERREZ-MCCARTHY 999009999 0 REGINA PRINCE CPA P00576936 2138731700 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MONICA GUTIERREZ-MCCARTHY 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 63827391 0 X WWW.EISNERHEALTH.ORG X 1920 CA TOGETHER, WE IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. 10 10 509 59 0 0 11749730 13127819 49911868 50060881 40878 554103 0 0 61702476 63742803 0 0 0 0 36846885 37415308 0 0 679335 21717366 28923398 58564251 66338706 3138225 -2595903 52380172 63663979 7840709 21815791 44539463 41848188 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 39549002 43311808 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.SEE SCHEDULE O 5059862 3379316 DENTAL CARE- PREVENTATIVE DENTAL EXAMS- DIAGNOSIS AND TREATMENT OF DENTAL AND GUM PROBLEMS- ORTHODONTIC SERVICESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 7,180. 3757216 3369757 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 6,430 (1,378 MENTAL HEALTH, 610 DIETARY, 2,308 OPTOMETRY, 2,143 ENABLING). 48366080 1 1 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 78 0 1 509 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 10 10 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 2137461037 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 CHRIS ISOLA BOARD MEMBER 1.00 1.00 X 0 0 0 WARREN J BRODINE PRESIDENT & CEO 40.00 1.00 X 385635 0 22813 SERGEY NAVOLNEV CFO 40.00 1.00 X 229351 0 22758 MONICA GUTIERREZ-MCCARTHY VP/COO 40.00 0.00 X 248558 0 30095 LEWIS GREGORY DIRECTOR OF ADULTS 40.00 0.00 X 216850 0 17258 LUIS LOPEZ DIRECTOR OF PEDIATRICS 40.00 0.00 X 301878 0 15265 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 40.00 0.00 X 286972 0 31498 NATHANA LURVEY DIRECTOR OF OB/GYN 40.00 0.00 X 392802 0 9150 DANNY DAN PHYSICIAN (OB/GYN) 40.00 0.00 X 297243 0 10682 LILIAN MORRIS PHYSICIAN (OB/GYN) 40.00 0.00 X 349102 0 9150 ANTHONY PICKETT PHYSICIAN (OB/GYN) 24.00 0.00 X 244159 0 14300 HARRIS JEFFREY PHYSICIAN (OB/GYN) 40.00 0.00 X 267810 0 8514 AHMAD KHALIFA PHYSICIAN (OB/GYN) 40.00 0.00 X 273498 0 21542 3493858 0 213025 91 0 1 0 MEDICUS IT LLC 100 NORTH POINT CENTER EAST SUITE 1 ALPHARETTA GA 30022 IT SERVICES 1118375 MD SOLUTIONS MEDICAL CORPORATION INC 28049 SMYTH DRIVE VALENCIA CA 91355 DERMA SERVICES 763653 PRO HEALTH PARTNERS A MEDICAL GROUP IN 5150 E PACIFIC COAST HWY LONG BEACH CA 90804 CONTRACTED PROVIDER 536022 GREG FACKTOR & ASSOCIATES 316 N ROSSMORE AVE STE 505 LOS ANGELES CA 90004 CONSULTING 526359 QUEST DIAGNOSTICS PO BOX 912411 PASADENA CA 91110 PATIENT LAB SERVICES 246106 16 154912 8299944 4672963 326817 13127819 NET PATIENT SERVICE REVENUES 624190 39920858 39920858 CAPITATION 624190 6373584 6373584 MEDICAL CONTRACT SERVICES 624190 2053411 2053411 INCENTIVES 624190 1683888 1683888 OTHER PROGRAM REVENUES 624190 29140 29140 50060881 554103 554103 84588 154912 84588 0 63742803 50060881 0 554103 X 2210884 1758192 422246 30446 29536348 23547718 5579492 409138 870618 654971 205167 10480 2497591 1991193 471801 34597 2299867 1823556 444383 31928 1802461 1802461 183722 122010 61562 150 27169 27169 9230266 6161428 3058134 10704 67003 67003 3329565 2560721 763362 5482 502177 67331 429279 5567 4840907 2731355 2109552 522093 244653 275900 1540 61665 25127 29511 7027 15720 14599 1121 1476979 1425106 51873 4040596 3860281 180315 MEDICAL SUPPLIES 910666 910666 SUBSCRIPTIONS 456863 43338 410824 2701 COMMUNITY/EMPLOYEE RELA 419350 47679 256695 114976 SECURITY EXPENSE 416047 33308 382739 620149 342848 262702 14599 66338706 48366080 17293291 679335 640724 1852736 23332897 26021923 1125597 1819127 5930550 5153151 975524 1035447 1120571 1321035 33283053 20102583 14073831 13180470 4030117 4555565 869823 869823 280538 7854702 52380172 63663979 6749996 10018611 11416 753840 722469 356828 11043340 7840709 21815791 X 43776463 39444478 763000 2403710 44539463 41848188 52380172 63663979 -2595903 448372 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952246 952246 21300452 10810829 10489623 11030355 9291754 1738601 13180470 EQUITIES MUTUAL FUNDS 4555565 F 4555565 DEPOSITS 186752 RIGHT-OF-USE ASSETS - OPERATING LEASES 7276333 RIGHT-OF-USE ASSETS - CAPITAL LEASES 391617 7854702 ESTIMATED AMOUNT DUE TO THIRD PARTY PAYERS 2786842 OBLIGATION UNDER OPERATING LEASES 7859819 OBLIGATION UNDER CAPITAL LEASES 396679 11043340 X 63783042 448372 -279494 168878 63614164 27169 101470 128639 63742803 66311537 543744 543744 65767793 27169 543744 570913 66338706 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. THE ORGANIZATION'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION FOR ALL TAX YEARS ENDED ON OR AFTER DECEMBER 31, 2019 WITH REGARD TO ALL TAX POSITIONS AND RESULTS REPORTED. PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON TRANSITION OF ASC 842 - CAPITAL LEASE -543,744. UNREALIZED INCOME ON SECURITIES FROM AFFILIATES 264,250. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTERCOMPANY REVENUE 101,470. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON TRANSITION OF ASC842-CAPITAL LEASE 543,744. PART XII, LINE 4B - OTHER ADJUSTMENTS: LOSS ON TRANSITION OF ASC 842 - CAPITAL LEASE 543,744. SUNSET SKYLINE SOCIAL 239500 154912 84588 4000 35399 800 44389 239500 154912 84588 4000 35399 800 44389 84588 0 X X X 0 0 0 0 0 0 0 0 0 WARREN J BRODINE PRESIDENT & CEO 336484 0 6127 0 43024 0 22650 0 163 0 408448 0 0 0 NATHANA LURVEY DIRECTOR OF OB/GYN 352093 0 0 0 40709 0 9150 0 0 0 401952 0 0 0 LILIAN MORRIS PHYSICIAN (OB/GYN) 306980 0 0 0 42122 0 9150 0 0 0 358252 0 0 0 DEBORAH LERNER VP CHIEF MEDICAL OFFICER 253278 0 0 0 33694 0 18150 0 13348 0 318470 0 0 0 LUIS LOPEZ DIRECTOR OF PEDIATRICS 189095 0 78809 0 33974 0 9150 0 6115 0 317143 0 0 0 DANNY DAN PHYSICIAN (OB/GYN) 255120 0 0 0 42123 0 8996 0 1686 0 307925 0 0 0 AHMAD KHALIFA PHYSICIAN (OB/GYN) 233616 0 0 0 39882 0 8720 0 12822 0 295040 0 0 0 MONICA GUTIERREZ-MCCARTHY VP/COO 204274 0 0 0 44284 0 16746 0 13349 0 278653 0 0 0 HARRIS JEFFREY PHYSICIAN (OB/GYN) 224483 0 0 0 43327 0 8040 0 474 0 276324 0 0 0 ANTHONY PICKETT PHYSICIAN (OB/GYN) 202040 0 0 0 42119 0 7618 0 6682 0 258459 0 0 0 SERGEY NAVOLNEV CFO 188350 0 0 0 41001 0 15888 0 6870 0 252109 0 0 0 LEWIS GREGORY DIRECTOR OF ADULTS 172873 0 0 0 43977 0 6745 0 10513 0 234108 0 0 0 X 1 2774 QUOTED SELLING PRICE X 1 324043 REPLACEMENT COST 0 0 0 PART I COLUMN B THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990 PART III LINE 4A 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. 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 36,632. 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 WILL 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 HAS BEEN OBTAINED. 3. THE INDIVIDUAL HAVING SUCH CONFLICT WILL 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 TEMPORARY LABOR: PROGRAM SERVICE EXPENSES 2,662,227. MANAGEMENT AND GENERAL EXPENSES 1,343,270. FUNDRAISING EXPENSES 3,284. TOTAL EXPENSES 4,008,781. CONSULTANT: PROGRAM SERVICE EXPENSES 1,589,699. MANAGEMENT AND GENERAL EXPENSES 802,109. FUNDRAISING EXPENSES 1,961. TOTAL EXPENSES 2,393,769. OUTSIDE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,717,809. MANAGEMENT AND GENERAL EXPENSES 866,748. FUNDRAISING EXPENSES 2,119. TOTAL EXPENSES 2,586,676. PAYROLL PROCESSING: PROGRAM SERVICE EXPENSES 191,693. MANAGEMENT AND GENERAL EXPENSES 46,007. FUNDRAISING EXPENSES 3,340. TOTAL EXPENSES 241,040. 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 0 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 101470 BOOK PLUNUM HEALTH Q 252245 BOOK