2011-05-13T16:18:38-05:00 2010-06-30 GREEN HASSON & JANKS LLP 10990 WILSHIRE BLVD 16th FLOOR LOS ANGELES CA 900243929 990 2009-07-01 951690966 Pediatric & Family Medical Center dba Eisner Pediatric & Family Medical Center PEDI 2137461037 1530 South Olive Street Los Angeles CA 90015 Carl E Coan 2137461037 2011-05-12 1 PATRIZIA C COPPING 3108731600 2009 2016-02-24 21:20:13Z EISNER PEDIATRICS & FAMILY MED CENTE Carl E Coan 1530 S OLIVE ST los angeles CA 90014 19117388 0 X www.pedcenter.org X 1920 CA improve the physical, social & emotional well-being of los angeles families 11 11 292 7 0 0 2701949 2759804 16368766 16185648 23368 34939 134483 136997 19228566 19117388 0 0 13367146 13978687 0 613435 4757988 4696389 18125134 18675076 1103432 442312 16075768 16418586 1723547 1624053 14352221 14794533 Eisner Pediatric & Family Medical Center is a quality-focused, community health center dedicated to improving the physical, social and emotional well-being of low and moderate income residents of downtown and central los angeles, regardless of their ability to pay. 0 0 10574187 13338465 Medical Care- Physical Exams - Immunizations - Gynecology Services - Counseling - Preventative Medicine- Diagnosis and Management of Acute and Chronic Diseases- Diagnosis and Care During Pregnancy- Office DermatologyTotal number of patients served during the year was 23,403. 2039262 1993692 dental care- Preventative Dental Exams- Diagnosis and Treatment of Dental and Gum Problems- Orthodontic ServicesTotal number of patients served during the year was 7,038. 1365527 813544 Early intervention services- Preschool for Special-Needs Children- Individual Educational Programming- In-Home Services- Parent Education- Developmental Assessments- Occupational Therapy- Speech and Language Therapy- Behavior Modification Therapy 1287187 39947 Mental Health Care- Individual Therapy - Family Therapy - Group Therapy - Case Management - Workshops - Parenting Classestotal number of patients served during the year was 223. Speech/Language Department & PharmacySpeech & Language department works with children to improve speech capabilities. Pharmacy is an external department that dispenses 340B drugs. 1287187 39947 15266163 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 27 0 292 1 0 0 0 0 0 0 0 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X Eugene Veksler 2137461037 1530 South Olive St Los Angeles CA 90015 LOREN KOSMONT 1.00 X 0 0 0 NORMA IBARRA 1.00 X 0 0 0 CARMELA GALVAN 1.00 X 0 0 0 VICTOR AGUIRRE 1.00 X 0 0 0 ROBYN HILL-AVERY 1.00 X 0 0 0 KEVIN ROSSI 1.00 X 0 0 0 ALEJANDRA ROSAS 1.00 X 0 0 0 JENNIFER LYNCH 1.00 X X 0 0 0 DAVID CHERNEK 1.00 X X 0 0 0 EDWARD MATTHEWS 1.00 X X 0 0 0 JEFFREY WANG 1.00 X X 0 0 0 CARL E COAN 40.00 X 242557 0 52203 CHONA DE LEON 40.00 X 199216 0 23939 TATYANA KLOCHKO 40.00 X 134980 0 19813 DEBORAH LERNER 40.00 X 182038 0 22353 LUIS LOPEz 40.00 X 210884 0 23083 lAWRENCE YEE 40.00 X 190138 0 22207 Ian Tilley 40.00 X 157322 0 20633 LAILA AL-MARYATI 40.00 X 139802 0 22559 eliZABETH FORD 40.00 X 122313 0 18357 1579250 0 225147 22 0 1 0 Quest Diagnostics 8511 Fallbrook Ave 2nd Floor West Hills CA 91304 Lab services 164953 Maguire Thomas Partners 240 W Venice Blvd Los angeles CA 90015 parking services 142848 National Building Services 13050 Tom White Way Unit B Norwalk CA 90650 Cleaning Service 101102 3 11250 2240709 507845 2759804 Patient Service fees 624110 16041544 16041544 Pharmacy income 900099 144104 144104 16185648 34939 34939 5000 5000 5000 5000 debt forgiveness 900099 95000 95000 miscellaneous income 900099 36997 36997 131997 19117388 16185648 0 171936 803156 707580 72795 22781 10913286 9614595 989137 309554 289825 231536 38573 19716 1053083 927765 95447 29871 919337 796846 90935 31556 128215 79828 27005 21382 51050 51050 644504 433060 95450 115994 23896 9178 4818 9900 244001 182626 55896 5479 163364 133869 21100 8395 263135 183609 79526 184247 155479 26973 1795 49929 25973 18617 5339 393 393 600811 600811 188625 150654 27838 10133 medical supplies 872905 789328 78764 4813 bad debt 670169 670169 Clinic Maintenance 144959 35099 109860 building upkeep 104349 34475 68482 1392 subscriptions 77972 27428 45263 5281 283865 146424 127387 10054 18675076 15266163 2795478 613435 582832 1026869 1740960 1691665 251612 324210 2259291 1829977 29743 76649 16659662 5342624 11079893 11317038 90333 83667 41104 68511 16075768 16418586 1437047 1432553 285000 190000 1500 1500 1723547 1624053 X 14100609 14543451 251612 251082 14352221 14794533 16075768 16418586 X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952246 952246 13237138 3461064 9776074 2128938 1544291 584647 341340 337269 4071 11317038 deposits and advances 1500 1500 19117388 18675076 442312 0 442312 19117388 0 19117388 0 19117388 18675076 0 18675076 0 18675076 X 0 0 0 0 0 0 0 0 0 CARL E COAN 195988 0 25000 0 21569 0 0 0 52203 0 294760 0 0 0 CHONA DE LEON 167151 0 15200 0 16865 0 0 0 23939 0 223155 0 0 0 TATYANA KLOCHKO 134980 0 0 0 0 0 0 0 19813 0 154793 0 0 0 DEBORAH LERNER 154029 0 5000 0 23009 0 0 0 22353 0 204391 0 0 0 LUIS LOPEz 178949 0 0 0 31935 0 0 0 23083 0 233967 0 0 0 lAWRENCE YEE 177633 0 0 0 12505 0 0 0 22207 0 212345 0 0 0 Ian Tilley 140406 0 6500 0 10416 0 0 0 20633 0 177955 0 0 0 LAILA AL-MARYATI 139802 0 0 0 0 0 0 0 22559 0 162361 0 0 0 Form 990, Part VI, Section B, line 11 the form 990 is given to all board members for review prior to filing. Form 990, Part VI, Section B, line 12c Annual questionnaires are given to all directors and officers. the governance committee then reviews the questionnaires 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 an 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 then it is presented to the entire board for approval. 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 XI, Line 2C Financial Statements and Reporting no changes were made to the financial statement reporting process. Pedicatric & Family Medical Foundation 1530 S Olive St Los angeles CA 90015 954116680 To hold and invest assets on behalf of pediatric & family medical center CA 501(c)(3) 509(a)(3) type I N/A 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0