2023-07-27T12:42:36-05:00 2022-06-30 953001179 WINDES INC PO BOX 87 LONG BEACH CA 908010087 990 2021-07-01 475552178 PACIFIC NEUROSCIENCE INSTITUTE FOUNDATION PACI 3105827450 2125 ARIZONA AVE SANTA MONICA CA 90404 MELISSA B COLEMAN ESQ VICE PRESIDENT 3105827450 2023-07-21 1 MELISSA COLEMAN ESQ 999009999 DONITA M JOSEPH P00286656 5624351191 2023-07-20 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z MELISSA B COLEMAN ESQ 2125 ARIZONA AVE SANTA MONICA CA 90404 7389883 0 X WWW.PACIFICNEUROSCIENCEINSTITUTE.ORG X 2015 CA TO PROMOTE ADVANCES IN NEUROSCIENCE CLINICAL CARE THROUGH NOVEL RESEARCH, EDUCATION AND TRAINING. 11 8 26 16 0 0 3212573 7387579 0 0 131 90 0 2214 3212704 7389883 0 0 0 0 4882661 6072814 0 0 886945 3800242 4302258 8682903 10375072 -5470199 -2985189 44018934 39198617 4397777 3311523 39621157 35887094 X TO FUNDAMENTALLY ADVANCE NEUROSCIENCE CLINICAL CARE THROUGH NOVEL TREATMENT APPROACHES THAT OPTIMIZE BRAIN HEALTH AND QUALITY OF LIFE, TO TRAIN THE NEXT GENERATION OF NEUROSCIENTISTS AND CLINICIANS, AND TO EDUCATE PATIENTS AND THE COMMUNITY AT LARGE ON VITAL NEUROSCIENCE ISSUES. 1 0 4281552 THE PACIFIC BRAIN HEALTH CENTER IS DEDICATED TO PROVIDING COMPREHENSIVE AND HOLISTIC CARE TO PATIENTS WITH DEMENTIA AND ASSOCIATED NEUROLOGICAL DISORDERS, AS WELL AS PROBLEMS OF MEMORY LOSS, DEPRESSION, ANXIETY AND ADDICTION. 1364277 TRIP: A CLINICAL AND RESEARCH PROGRAM FOR PATIENTS WITH DIAGNOSED BEHAVIORAL DISORDERS AND THE USE OF PSYCHOLEDICS IN TREATING THOSE DISORDERS. 2477390 OTHER PROGRAMMATIC CENTERS OF EXCELLENCE (HEAD AND NECK ONCOLOGY, FACIAL PAIN AND PARALYSIS, MOVEMENT DISORDERS, STROKE, AND SKULL BASE TUMORS). 921734 BRAIN TUMOR CENTER: A CLINICAL AND RESEARCH PROGRAM THAT STUDIES THE UTILIZATION OF DIVERSE ENDOSCOPIC SURGICAL APPROACHES AND THE IMPACT ON PATIENT OUTCOMES. 921734 9044953 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 32 0 1 26 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 8 1 0 0 0 1 1 1 1 0 0 0 1 1 1 1 0 0 0 0 0 CA X HOWARD R KRAUSS 3105827450 2125 ARIZONA AVENUE SANTA MONICA CA 90404 DANIEL F KELLY MD PRESIDENT AND CEO 1.00 2.00 X X 0 0 0 CHESTER F GRIFFITHS MD CHAIRPERSON 1.00 2.00 X X 0 0 0 HOWARD R KRAUSS MD CFO 1.00 1.00 X X 0 0 0 SANTOSH KESARI MD SEC. & BOARD MEMBER UNTIL 11/2021 1.00 1.00 X X 0 0 0 DONNA TUTTLE BOARD MEMBER 1.00 1.00 X 0 0 0 CAROLE SCHWARTZ BOARD MEMBER UNTIL 11/2021 1.00 1.00 X 0 0 0 JAE GOODMAN BOARD MEMBER UNTIL 11/2021 1.00 1.00 X 0 0 0 CARLA MANN WOODS BOARD MEMBER UNTIL 11/2021 1.00 X 0 0 0 BLAINE LOURD BOARD MEMBER UNTIL 11/2021 1.00 X 0 0 0 GARNI BARKHOUDARIAN MD BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 NEIL MARTIN MD BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 TOM GEISER BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 ROGER WACKER BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 TED SCHNEIDER BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 MARY ELLEN KANOFF BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 LISA NESBITT BOARD MEMBER STARTING 11/2021 1.00 1.00 X 0 0 0 MELISSA COLEMAN VICE PRESIDENT 40.00 X 375972 0 28554 JAYA GILL CLINICAL RESEARCH MANAGER 40.00 X 155844 0 13273 JENNIFER BRAMEN SR. RESEARCH SCIENTIST 40.00 X 110224 0 21485 RITA JETHANI DIRECTOR OF MARKETING AND 40.00 X 127455 0 5464 MELANIE LAMPA DIRECTOR OF RESEARCH OPS AND ADMIN 40.00 1.00 X 146073 0 11893 915568 0 80669 5 0 1 0 ROSENBERG & PICK 12100 WILSHIRE BLVD SUITE 560 LOS ANGELES CA 90025 LEGAL SERVICES 207725 1 7387579 7387579 90 90 OTHER INCOME 900099 2214 2214 2214 7389883 0 0 2304 X 407127 382886 24241 5136550 4830710 305840 48787 45882 2905 322150 302969 19181 158200 148780 9420 158449 158449 94869 94869 1113037 206779 26943 879315 140753 133115 7638 209363 207729 1634 178915 168261 10654 RESEARCH EXPENSE 2026502 2013131 13371 COMMUNITY OUTREACH AND 170467 159209 11258 OTHER EXPENSES 112784 106338 6446 DUES AND SUBSCRIPTIONS 97119 85846 3643 7630 10375072 9044953 443174 886945 839020 574778 708484 984269 45228 31430 945583 381695 492906 563888 41933296 37044252 44018934 39198617 734270 627640 3663507 2683883 4397777 3311523 X -2604216 -1157158 42225373 37044252 39621157 35887094 44018934 39198617 X -2985189 -748874 X 0 1 X 1 0 X 3003853 7001807 3595309 3212573 7387579 24201121 3003853 7001807 3595309 3212573 7387579 24201121 215921 23985200 82 211 125 131 90 639 2214 2214 24203974 55018 0.99100 0.98130 X FORM 990, SCHEDULE A, PART II, COLUMN (C) THE ORGANIZATION FILED A 2020 SHORT-YEAR FORM 990 WITH A CHANGE OF ACCOUNTING PERIOD (TAX YEAR BEGINNING JANUARY 1, 2020 AND ENDING JUNE 30, 2020). THE 2019 YEAR INFORMATION REPORTED ON SCHEDULE A, PART II, COLUMN C IS REPORTING THIS SHORT-PERIOD 2020 INFORMATION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 266683 83115 183568 118263 76751 41512 560637 221829 338808 563888 BENEFICIAL INTEREST IN ASSETS HELD BY AFFILIATE 37044252 37044252 X 6641009 0 6641009 748874 748874 7389883 10375072 0 10375072 0 10375072 PART X, LINE 2: THE FOUNDATION IS EXEMPT FROM TAXATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3) AND CALIFORNIA REVENUE AND TAXATION CODE SECTION 23701(D). IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD'S (FASB) ACCOUNTING STANDARDS CODIFICATION TOPIC NO. 740, UNCERTAINTY IN INCOME TAXES, THE FOUNDATION RECOGNIZES THE IMPACT OF TAX POSITIONS IN THE FINANCIAL STATEMENTS IF THAT POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT, BASED ON THE TECHNICAL MERITS OF THE POSITION. DURING THE YEAR ENDED JUNE 30, 2022, THE FOUNDATION PERFORMED AN EVALUATION OF UNCERTAIN TAX POSITIONS AND DID NOT NOTE ANY MATTERS THAT WOULD REQUIRE RECOGNITION IN THE FINANCIAL STATEMENTS OR WHICH MIGHT HAVE AN EFFECT ON ITS TAX-EXEMPT STATUS. THE STATUTE OF LIMITATIONS FOR FEDERAL AND CALIFORNIA STATE PURPOSES IS GENERALLY THREE AND FOUR YEARS, RESPECTIVELY. PART XI, LINE 4B - OTHER ADJUSTMENTS: CHANGE IN BENEFICIAL INTEREST 748,874. X X 0 0 0 0 0 0 0 0 0 MELISSA COLEMAN VICE PRESIDENT 313972 0 62000 0 0 0 9424 0 19130 0 404526 0 0 0 JAYA GILL CLINICAL RESEARCH MANAGER 155844 0 0 0 0 0 6234 0 7039 0 169117 0 0 0 MELANIE LAMPA DIRECTOR OF RESEARCH OPS AND ADMIN 146073 0 0 0 0 0 4382 0 7511 0 157966 0 0 0 PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP INC OWNED BY 4 OFFICERS OF THE FOUNDATION 3130020 THE ORGANIZATION CONTRACTED WITH PNIMG, INC. TO PROVIDE RESEARCH AND ADMINISTRATIVE SERVICES TO THE ORGANIZATION. 0 FORM 990, PART III, LINE 2 COMMENCEMENT OF MEMORY TRAINING CLASSES IN THE SPRING OF 2021 WHICH LED TO THE LAUNCH OF THE PNIF LIFESTYLE PROGRAM IN AUGUST 2022 FORM 990, PART VI, SECTION A, LINE 2 THE OFFICERS AND DIRECTORS OF THE ORGANIZATION ARE ALSO: I) MEMBERS AND MANAGERS IN PACIFIC NEUROSCIENCE INSTITUTE, LLC; AND II) SHAREHOLDERS, OFFICERS AND DIRECTORS IN A PROFESSIONAL MEDICAL CORPORATION (PACIFIC NEUROSCIENCE INSTITUTE MEDICAL GROUP, INC.). FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO MEMBERS: PACIFIC NEUROSCIENCE INSTITUTE, LLC AND SAINT JOHN'S HEALTH CENTER FOUNDATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS ELECT THE GOVERNING BODY OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B PNIF CREATED A FORMAL AFFILIATION AGREEMENT BETWEEN ITSELF AND THE PNI MEDICAL GROUP, WHERE PNIF COMPENSATE PNIMG EMPLOYED PHYSICIANS FOR THEIR ADMINISTRATIVE LEADERSHIP SERVICES AND RESEARCH/EDUCATION SERVICES THROUGH PAYMENT TO PNIMG TO THE DOCTORS. (THE DIRECTORSHIPS AND STIPENDS). THEN WE CREATED A SUBCONTRACT WITH EACH PHYSICIAN FOR THIS COMPENSATION. FORM 990, PART VI, SECTION A, LINE 8B THIS QUESTION IS NOT APPLICABLE SINCE THE ORGANIZATION HAS NO COMMITTEES FORMED. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS DISTRIBUTED TO ALL MEMBERS OF THE BOARD CONTEMPORANEOUSLY WITH ITS FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S GOVERNING BODY PERIODICALLY REVIEWS ACTIVITIES IN WHICH IT AND MEMBERS OF ITS GOVERNING BODY ARE PARTICIPATING TO ENSURE THAT ANY AND ALL ARRANGEMENTS (AND ESPECIALLY THOSE WHICH MAY APPEAR TO POSE A CONFLICT OF INTEREST) ARE PROPERLY DOCUMENTED AND REFLECT REASONABLE AND SUPPORTABLE ECONOMIC COMPONENTS SO AS TO NOT RESULT IN INUREMENT, IMPERMISSIBLE PRIVATE BENEFITS OR EXCESS BENEFIT TRANSACTIONS. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 206,779. MANAGEMENT AND GENERAL EXPENSES 26,943. FUNDRAISING EXPENSES 879,315. TOTAL EXPENSES 1,113,037. FORM 990, PART XI, LINE 9: OTHER CHANGES IN NET ASSETS OR FUND BALANCES -748,874. SAINT JOHN'S HEALTH CENTER FOUNDATION 2121 SANTA MONICA BLVD SANTA MONICA CA 90404 956100079 NON-PROFIT - FUNDRAISING CA 501(C)(3) LINE 7 0 PACIFIC NEUROSCIENCE INSTITUTE LLC 11645 WILSHIRE BLVD 6TH FL LOS ANGELES CA 90064 472490586 MANAGEMENT/INVESTMENT CA N/A N/A 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 0 1 1 0 0