PEDIATRIC AND FAMILY MEDICAL CENTER: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- PEDIATRIC AND FAMILY MEDICAL CENTER (EIN 95-1690966)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-10-09
- IRS object ID
- 202342829349302009
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-10-09T17:53:37-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 330700332 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VASQUEZ COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 655 N CENTRAL AVE STE 1550 | AddressLine1Txt |
| City | GLENDALE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91203 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951690966 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEDIATRIC AND FAMILY MEDICAL CENTER | BusinessNameLine1Txt |
| Business Name Line2 | DBA EISNER HEALTH | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PEDI | BusinessNameControlTxt |
| Phone | 2137461037 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1530 SOUTH OLIVE STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WARREN J BRODINE | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 2137475542 | PhoneNum |
| Signature | 2023-10-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WARREN | PersonFirstNm |
| Person Last | BRODINE | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | REGINA PRINCE CPA | PreparerPersonNm |
| PTIN | P00576936 | PTIN |
| Phone | 2138731700 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | WARREN J BRODINE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1530 S OLIVE ST | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $61,702,476 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.EISNERHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1920 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TOGETHER, WE IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE AND COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 540 | TotalEmployeeCnt |
| Total Volunteers | 38 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $17,045,650 | PYContributionsGrantsAmt |
| CY Contributions Grants | $11,749,730 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $48,735,240 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $49,911,868 | CYProgramServiceRevenueAmt |
| PY Investment Income | $21,373 | PYInvestmentIncomeAmt |
| CY Investment Income | $40,878 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $65,802,263 | PYTotalRevenueAmt |
| CY Total Revenue | $61,702,476 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $35,522,797 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $36,846,885 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $508,974 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $17,052,600 | PYOtherExpensesAmt |
| CY Other Expenses | $21,717,366 | CYOtherExpensesAmt |
| PY Total Expenses | $52,575,397 | PYTotalExpensesAmt |
| CY Total Expenses | $58,564,251 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $13,226,866 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $3,138,225 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $50,940,781 | TotalAssetsBOYAmt |
| Total Assets EOY | $52,380,172 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $8,899,081 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,840,709 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $42,041,700 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,539,463 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $36,390,995 | ExpenseAmt |
| Revenue | $42,652,830 | RevenueAmt |
| Desc | 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 | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,387,650 | ExpenseAmt |
| Revenue | $3,492,966 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,473,275 | ExpenseAmt |
| Revenue | $3,766,072 | RevenueAmt |
| Desc | 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). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $44,251,920 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 47 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 540 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SERGEY NAVOLNEV | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2137475542 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1530 SOUTH OLIVE STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90015 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| STANLEY P BERKMAN | |||||||||
| CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| IAN C WIENER ESQ | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| IRMA AVILA | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALEJANDRA ROSAS | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| VICTOR AGUIRRE | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RUPERT GRANT | |||||||||
| VICE CHAIRMAN | 1.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ED MATHEWS | |||||||||
| CONSUMER VICE-CHAIR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN ROSSI | |||||||||
| IMMEDIATE PAST CHAIR | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTINE SINGER | |||||||||
| BOARD MEMBER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WARREN J BRODINE | |||||||||
| PRESIDENT & CEO | 40.00 | 1.00 | Yes (X) | $359,080 | $0 | $23,249 | |||
| CHONA DE LEON | |||||||||
| SR. VP/COO (RETD. 02/26/21) | 40.00 | 0.00 | Yes (X) | $106,965 | $0 | $5,580 | |||
| SERGEY NAVOLNEV | |||||||||
| CFO | 40.00 | 0.00 | Yes (X) | $205,770 | $0 | $21,718 | |||
| MONICA GUTIERREZ-MCCARTHY | |||||||||
| VP/COO (STARTED 03/29/21) | 40.00 | 0.00 | Yes (X) | $165,780 | $0 | $20,202 | |||
| KAREN BOSTON | |||||||||
| DIRECTOR OF ADULTS | 40.00 | 0.00 | $161,005 | $0 | $5,006 | Yes (X) | |||
| LUIS LOPEZ | |||||||||
| DIRECTOR OF PEDIATRICS | 40.00 | 0.00 | $267,570 | $0 | $13,411 | Yes (X) | |||
| DEBORAH LERNER | |||||||||
| VP CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $289,085 | $0 | $27,791 | Yes (X) | |||
| NATHANA LURVEY | |||||||||
| DIRECTOR OF OB/GYN | 40.00 | 0.00 | $341,973 | $0 | $8,700 | Yes (X) | |||
| DANNY DAN | |||||||||
| PHYSICIAN (OB/GYN) | 40.00 | 0.00 | $386,381 | $0 | $10,212 | Yes (X) | |||
| LILIAN MORRIS | |||||||||
| PHYSICIAN (OB/GYN) | 40.00 | 0.00 | $355,885 | $0 | $8,700 | Yes (X) | |||
| ANTHONY PICKETT | |||||||||
| PHYSICIAN (OB/GYN) | 24.00 | 0.00 | $282,577 | $0 | $14,928 | Yes (X) | |||
| NICOLAS DIKIO | |||||||||
| PHYSICIAN (OB/GYN) | 40.00 | 0.00 | $284,284 | $0 | $16,997 | Yes (X) | |||
| AHMAD KHALIFA | |||||||||
| PHYSICIAN (OB/GYN) | 40.00 | 0.00 | $281,660 | $0 | $18,372 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,488,015 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $194,866 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 91 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MEDICUS IT LLC | |||||
| 100 NORTH POINT CENTER EAST SUITE 1 | ALPHARETTA | GA | 30022 | IT SERVICES | $564,825 |
| HEALTH INFORMATION TECHNOLOGY CARE LLC | |||||
| 1310 REDWOOD WAY SUITE 125 | PETALUMA | CA | 94954 | IT SERVICES | $343,699 |
| GREG FACKTOR & ASSOCIATES | |||||
| 316 N ROSSMORE AVE STE 505 | LOS ANGELES | CA | 90004 | CONSULTING | $305,244 |
| MGD 2000 JANITORIAL & BUILDING | |||||
| 5860 NATICK AVE | SHERMAN OAKS | CA | 91411 | BUILDING MAINTENANCE SERVICES | $142,949 |
| DR ELLIS BEESLEY | |||||
| 1127 WILSHIRE BLVD 707 | LOS ANGELES | CA | 90017 | MEDICAL SERVICES | $115,818 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 11 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $8,977,119 | GovernmentGrantsAmt |
| All Other Contributions | $2,772,611 | AllOtherContributionsAmt |
| Noncash Contributions | $263,682 | NoncashContributionsAmt |
| Total Contributions | $11,749,730 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUES | 624190 | $38,274,099 | $38,274,099 |
| CAPITATION | 624190 | $6,416,196 | $6,416,196 |
| MEDICAL CONTRACTUAL SERVICES | 624190 | $4,003,107 | $4,003,107 |
| PATIENT INCENTIVES | 624190 | $1,178,551 | $1,178,551 |
| OTHER PROGRAM REVENUE | 624190 | $39,915 | $39,915 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $49,911,868 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,878 | TotalRevenueColumnAmt |
| Exclusion | $40,878 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,702,476 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,911,868 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $40,878 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,022,885 | TotalAmt |
| Program Services | $1,635,786 | ProgramServicesAmt |
| Management And General | $363,031 | ManagementAndGeneralAmt |
| Fundraising | $24,068 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,377,873 | TotalAmt |
| Program Services | $23,820,699 | ProgramServicesAmt |
| Management And General | $5,204,949 | ManagementAndGeneralAmt |
| Fundraising | $352,225 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $886,986 | TotalAmt |
| Program Services | $677,602 | ProgramServicesAmt |
| Management And General | $200,480 | ManagementAndGeneralAmt |
| Fundraising | $8,904 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,247,795 | TotalAmt |
| Program Services | $1,822,598 | ProgramServicesAmt |
| Management And General | $398,247 | ManagementAndGeneralAmt |
| Fundraising | $26,950 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,311,346 | TotalAmt |
| Program Services | $1,855,523 | ProgramServicesAmt |
| Management And General | $428,572 | ManagementAndGeneralAmt |
| Fundraising | $27,251 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,777 | TotalAmt |
| Program Services | $149,070 | ProgramServicesAmt |
| Management And General | $79,381 | ManagementAndGeneralAmt |
| Fundraising | $326 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,871 | TotalAmt |
| Program Services | $63,772 | ProgramServicesAmt |
| Management And General | $33,959 | ManagementAndGeneralAmt |
| Fundraising | $140 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,316 | TotalAmt |
| Management And General | $8,316 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,764,270 | TotalAmt |
| Program Services | $3,141,120 | ProgramServicesAmt |
| Management And General | $1,613,898 | ManagementAndGeneralAmt |
| Fundraising | $9,252 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,046 | TotalAmt |
| Program Services | $2,195 | ProgramServicesAmt |
| Management And General | $50,851 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,442,505 | TotalAmt |
| Program Services | $1,710,929 | ProgramServicesAmt |
| Management And General | $688,046 | ManagementAndGeneralAmt |
| Fundraising | $43,530 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,143 | TotalAmt |
| Program Services | $50,448 | ProgramServicesAmt |
| Management And General | $358,302 | ManagementAndGeneralAmt |
| Fundraising | $393 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,489,054 | TotalAmt |
| Program Services | $2,756,877 | ProgramServicesAmt |
| Management And General | $1,732,177 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,633 | TotalAmt |
| Program Services | $274,587 | ProgramServicesAmt |
| Management And General | $214,051 | ManagementAndGeneralAmt |
| Fundraising | $995 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,324 | TotalAmt |
| Program Services | $22,441 | ProgramServicesAmt |
| Management And General | $26,233 | ManagementAndGeneralAmt |
| Fundraising | $650 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,109 | TotalAmt |
| Program Services | $41,806 | ProgramServicesAmt |
| Management And General | $12,303 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,884 | TotalAmt |
| Program Services | $1,213,601 | ProgramServicesAmt |
| Management And General | $34,283 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,492,551 | TotalAmt |
| Program Services | $1,325,453 | ProgramServicesAmt |
| Management And General | $167,098 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| TEMPORARY LABOR | $3,559,848 | $2,319,577 | $1,235,195 | $5,076 |
| MEDICAL SUPPLIES | $855,285 | $855,285 | ||
| SECURITY | $349,038 | $40,743 | $308,295 | |
| COMMUNITY/EMPLOYEE RELA | $321,395 | $118,263 | $200,645 | $2,487 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $805,317 | TotalAmt |
| Program Services | $353,545 | ProgramServicesAmt |
| Management And General | $445,045 | ManagementAndGeneralAmt |
| Fundraising | $6,727 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,564,251 | TotalAmt |
| Program Services | $44,251,920 | ProgramServicesAmt |
| Management And General | $13,803,357 | ManagementAndGeneralAmt |
| Fundraising | $508,974 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $635,559 | BOYAmt |
| EOY | $640,724 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,438,924 | BOYAmt |
| EOY | $23,332,897 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,692,682 | BOYAmt |
| EOY | $1,125,597 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,236,186 | BOYAmt |
| EOY | $5,930,550 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $580,494 | BOYAmt |
| EOY | $975,524 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $764,034 | BOYAmt |
| EOY | $1,120,571 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $33,530,415 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,456,584 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,992,262 | BOYAmt |
| EOY | $14,073,831 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,279 | BOYAmt |
| EOY | $4,030,117 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $869,823 | BOYAmt |
| EOY | $869,823 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $270,538 | BOYAmt |
| EOY | $280,538 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,940,781 | BOYAmt |
| EOY | $52,380,172 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,560,747 | BOYAmt |
| EOY | $6,749,996 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,164,742 | BOYAmt |
| EOY | $11,416 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,173,592 | BOYAmt |
| EOY | $722,469 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $356,828 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,899,081 | BOYAmt |
| EOY | $7,840,709 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,391,610 | BOYAmt |
| EOY | $43,776,463 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,650,090 | BOYAmt |
| EOY | $763,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,041,700 | BOYAmt |
| EOY | $44,539,463 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,940,781 | BOYAmt |
| EOY | $52,380,172 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $3,138,225 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$640,462 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $952,246 | OtherCostOrOtherBasisAmt |
| Book Value | $952,246 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,247,585 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,392,242 | DepreciationAmt |
| Book Value | $11,855,343 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,330,584 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,064,342 | DepreciationAmt |
| Book Value | $1,266,242 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $14,073,831 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ESTIMATED AMOUNT DUE TO THIRD PARTY PAYERS | Desc |
| Amt | $356,828 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $356,828 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $60,524,513 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$640,462 | NetUnrealizedGainsInvstAmt |
| Other Revenue | -$396,228 | OtherRevenueAmt |
| Revenue Not Reported | -$1,036,690 | RevenueNotReportedAmt |
| Revenue Subtotal | $61,561,203 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $8,316 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $132,957 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $141,273 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $61,702,476 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $58,555,935 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $58,555,935 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $8,316 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $8,316 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $58,564,251 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DANNY DAN | ||||||||||||||
| PHYSICIAN (OB/GYN) | $384,245 | $0 | $0 | $0 | $2,136 | $0 | $8,700 | $0 | $1,512 | $0 | $396,593 | $0 | $0 | $0 |
| WARREN J BRODINE | ||||||||||||||
| PRESIDENT & CEO | $311,197 | $0 | $36,000 | $0 | $11,883 | $0 | $23,075 | $0 | $174 | $0 | $382,329 | $0 | $0 | $0 |
| LILIAN MORRIS | ||||||||||||||
| PHYSICIAN (OB/GYN) | $352,489 | $0 | $548 | $0 | $2,848 | $0 | $8,700 | $0 | $0 | $0 | $364,585 | $0 | $0 | $0 |
| NATHANA LURVEY | ||||||||||||||
| DIRECTOR OF OB/GYN | $339,125 | $0 | $0 | $0 | $2,848 | $0 | $8,700 | $0 | $0 | $0 | $350,673 | $0 | $0 | $0 |
| DEBORAH LERNER | ||||||||||||||
| VP CHIEF MEDICAL OFFICER | $262,085 | $0 | $27,000 | $0 | $0 | $0 | $17,700 | $0 | $10,091 | $0 | $316,876 | $0 | $0 | $0 |
| NICOLAS DIKIO | ||||||||||||||
| PHYSICIAN (OB/GYN) | $284,284 | $0 | $0 | $0 | $0 | $0 | $8,700 | $0 | $8,297 | $0 | $301,281 | $0 | $0 | $0 |
| AHMAD KHALIFA | ||||||||||||||
| PHYSICIAN (OB/GYN) | $281,660 | $0 | $0 | $0 | $0 | $0 | $8,700 | $0 | $9,672 | $0 | $300,032 | $0 | $0 | $0 |
| ANTHONY PICKETT | ||||||||||||||
| PHYSICIAN (OB/GYN) | $282,577 | $0 | $0 | $0 | $0 | $0 | $8,538 | $0 | $6,390 | $0 | $297,505 | $0 | $0 | $0 |
| LUIS LOPEZ | ||||||||||||||
| DIRECTOR OF PEDIATRICS | $224,070 | $0 | $43,500 | $0 | $0 | $0 | $8,244 | $0 | $5,167 | $0 | $280,981 | $0 | $0 | $0 |
| SERGEY NAVOLNEV | ||||||||||||||
| CFO | $180,482 | $0 | $20,000 | $0 | $5,288 | $0 | $15,182 | $0 | $6,536 | $0 | $227,488 | $0 | $0 | $0 |
| MONICA GUTIERREZ-MCCARTHY | ||||||||||||||
| VP/COO (STARTED 03/29/21) | $163,280 | $0 | $2,500 | $0 | $0 | $0 | $12,307 | $0 | $7,895 | $0 | $185,982 | $0 | $0 | $0 |
| KAREN BOSTON | ||||||||||||||
| DIRECTOR OF ADULTS | $159,385 | $0 | $1,620 | $0 | $0 | $0 | $4,875 | $0 | $131 | $0 | $166,011 | $0 | $0 | $0 |
Schedule M IRS990ScheduleM
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $258,682 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | REPLACEMENT COST | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | DENTAL EQUIPMENT | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | REPLACEMENT COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | 0 | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART 1 COLUMN B | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING IN PART I, COLUMN (B), THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (1) |
| PLUNUM HEALTH | ||||||||||
| 1530 S OLIVE STREET | LOS ANGELES | CA | 90015 | 831653397 | SUPPORTING ORGANIZATION | CA | 501(C)(3) | LINE 12A, I | EISNER HEALTH | Yes (1) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PEDIATRIC AND FAMILY MEDICAL FOUNDATION | ||
| C | $132,957 | BOOK |
| PLUNUM HEALTH | ||
| Q | $201,419 | BOOK |
Comments