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PEDIATRIC AND FAMILY MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PEDIATRIC AND FAMILY MEDICAL CENTER (EIN 95-1690966)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-10
IRS object ID
201201019349300240
Schema version
2010v3.4
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

FieldValueIRS element (for citing)
Timestamp2012-04-10T19:11:02-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1GREEN HASSON & JANKS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110990 WILSHIRE BLVD 16TH FLOORAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code900243929ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951690966EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC & FAMILY MEDICAL CENTER DBABusinessNameLine1
Business Name Line2EISNER PEDIATRIC & FAMILY MEDICAL CENTERBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlPEDINameControl
Phone2137461037Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11530 SOUTH OLIVE STREETAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90015ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCARL E COANName
TitlePRESIDENT/CEOTitle
Phone2137461037Phone
Date Signed2012-03-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NamePATRIZIA C COPPINGName
Phone3108731600Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1EISNER PEDIATRICS & FAMILY MED CENTEBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonCARL E COANNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11530 SOUTH OLIVE STREETAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90015ZIPCode
FieldValueIRS element (for citing)
Gross Receipts19076939GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PEDCENTER.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1920YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionIMPROVE THE PHYSICAL, SOCIAL & EMOTIONAL WELL-BEING OF LOS ANGELES FAMILIESActivityOrMissionDescription
Nbr Voting Members Governing Body11NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees292TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2759804ContributionsGrantsPriorYear
Contributions Grants Current Year3544029ContributionsGrantsCurrentYear
Program Service Revenue Prior Year16185648ProgramServiceRevenuePriorYear
Program Service Revenue CY15391779ProgramServiceRevenueCY
Investment Income Prior Year34939InvestmentIncomePriorYear
Investment Income Current Year9248InvestmentIncomeCurrentYear
Other Revenue Prior Year136997OtherRevenuePriorYear
Other Revenue Current Year131883OtherRevenueCurrentYear
Total Revenue Prior Year19117388TotalRevenuePriorYear
Total Revenue Current Year19076939TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year13978687SalariesEtcPriorYear
Salaries Etc Current Year14721064SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year438955TotalFundrsngExpCurrentYear
Other Expense Prior Year4696389OtherExpensePriorYear
Other Expenses Current Year4258895OtherExpensesCurrentYear
Total Expenses Prior Year18675076TotalExpensesPriorYear
Total Expenses Current Year18979959TotalExpensesCurrentYear
Revenues Less Expenses Prior Year442312RevenuesLessExpensesPriorYear
Revenues Less Expenses CY96980RevenuesLessExpensesCY
Total Assets BOY16418586TotalAssetsBOY
Total Assets EOY17089107TotalAssetsEOY
Total Liabilities BOY1624053TotalLiabilitiesBOY
Total Liabilities EOY2197594TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY14794533NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY14891513NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionEISNER 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense10887903Expense
Revenue12104929Revenue
DescriptionMEDICAL 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 24,953.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense2200324Expense
Revenue2041982Revenue
DescriptionDENTAL CARE- PREVENTATIVE DENTAL EXAMS- DIAGNOSIS AND TREATMENT OF DENTAL AND GUM PROBLEMS- ORTHODONTIC SERVICESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 7,676.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense2087351Expense
Revenue1149771Revenue
DescriptionEARLY 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 THERAPYDescription

Activity Other ActivityOther

FieldValueIRS element (for citing)
Revenue95097Revenue
DescriptionMENTAL HEALTH CARE- INDIVIDUAL THERAPY - FAMILY THERAPY - GROUP THERAPY - CASE MANAGEMENT - WORKSHOPS - PARENTING CLASSESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 165.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Rev95097TotalOfOtherProgramServiceRev
Total Program Service Expense15175578TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees292NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members11NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1EUGENE VEKSLERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2137461037TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11530 SOUTH OLIVE STAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90015ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
LOREN KOSMONT
MEMBER1.00X000
NORMA IBARRA
MEMBER1.00X000
CARMELA GALVAN
MEMBER1.00X000
VICTOR AGUIRRE
MEMBER1.00X000
ROBYN HILL-AVERY
MEMBER1.00X000
KEVIN ROSSI
MEMBER1.00X000
ALEJANDRA ROSAS
MEMBER1.00X000
JENNIFER LYNCH
CHAIRPERSON1.00X000X
DAVID CHERNEK
VICE CHAIR1.00X000X
EDWARD MATTHEWS
SECRETARY1.00X000X
JEFFREY WANG
TREASURER1.00X000X
CARL E COAN
PRESIDENT/CEO40.00236802051994X
CHONA DE LEON
VICE PRESIDENT/COO40.00222154024976X
DEBORAH LERNER
CMO40.00189120023096X
LAILA AL-MARAYATI
PHYSICIAN40.00206346023811X
LAWRENCE YEE
PHYSICIAN40.00194275023517X
LUIS LOPEZ
PHYSICIAN40.00193977023316X
IAN TILLEY
PHYSICIAN40.0015433809309X
BECKY MURPHY
CLINICAL DIRECTOR40.00147726020273X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1544738TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation200292TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
QUEST DIAGNOSTICS
8511 FALLBROOK AVE 2ND FLOORWEST HILLSCA91304LAB SERVICES194243
MAGUIRE THOMAS PARTNERS
240 W VENICE BLVDLOS ANGELESCA90015PARKING SERVICES165855
ALL'S WELL
PO BOX 29048GLENDALECA912099048TEMPORARY LABOR126436
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Federated Campaigns11875FederatedCampaigns
Government Grants2333404GovernmentGrants
All Other Contributions1198750AllOtherContributions
Total Contributions3544029TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT SERVICE FEES6241101537547415375474
PHARMACY INCOME9000991630516305
FieldValueIRS element (for citing)
Total Program Service Revenue15391779TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column9248TotalRevenueColumn
Exclusion$9,248ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real9000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real9000Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column9000TotalRevenueColumn
Exclusion$9,000ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
DEBT FORGIVENESS90009995000$95,000
MISCELLANEOUS INCOME90009927883$27,883
FieldValueIRS element (for citing)
Total Other Revenue122883TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column19076939TotalRevenueColumn
Related Or Exempt Function Income15391779RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$141,131ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total670645Total
Program Services558592ProgramServices
Management And General101249ManagementAndGeneral
Fundraising10804Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total11430540Total
Program Services9520696ProgramServices
Management And General1725708ManagementAndGeneral
Fundraising184136Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total346357Total
Program Services270881ProgramServices
Management And General55112ManagementAndGeneral
Fundraising20364Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1333802Total
Program Services1110947ProgramServices
Management And General201369ManagementAndGeneral
Fundraising21486Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total939720Total
Program Services784393ProgramServices
Management And General139803ManagementAndGeneral
Fundraising15524Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total69908Total
Management And General69908ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total42494Total
Management And General42494ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total662495Total
Program Services443964ProgramServices
Management And General60380ManagementAndGeneral
Fundraising158151Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total16546Total
Program Services8226ProgramServices
Management And General5745ManagementAndGeneral
Fundraising2575Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total241704Total
Program Services171697ProgramServices
Management And General60779ManagementAndGeneral
Fundraising9228Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total176271Total
Program Services140032ProgramServices
Management And General35936ManagementAndGeneral
Fundraising303Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total277043Total
Program Services194810ProgramServices
Management And General82233ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total191815Total
Program Services154582ProgramServices
Management And General34998ManagementAndGeneral
Fundraising2235Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total45394Total
Program Services25151ProgramServices
Management And General19778ManagementAndGeneral
Fundraising465Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total7927Total
Management And General7927ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total623929Total
Program Services623929ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total200103Total
Program Services166744ProgramServices
Management And General33359ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES884221800291779485982
BAD DEBT317017317017
BUILDING MAINTENANCE668511262854223
SUBSCRIPTIONS5883520395363982042
CLINIC MAINTENANCE554823246323019

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total320860Total
Program Services135157ProgramServices
Management And General180043ManagementAndGeneral
Fundraising5660Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total18979959Total
Program Services15175578ProgramServices
Management And General3365426ManagementAndGeneral
Fundraising438955Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1026869BOY
EOY42907EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1691665BOY
EOY1455529EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY324210BOY
EOY687696EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1829977BOY
EOY2992515EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76649BOY
EOY49131EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis17638147LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5959886LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY11317038BOY
EOY11678261EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY83667BOY
EOY77000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68511BOY
EOY106068EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16418586BOY
EOY17089107EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY1432553BOY
EOY1368146EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
EOY734028EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY190000BOY
EOY95000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1500BOY
EOY420EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1624053BOY
EOY2197594EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY14543451BOY
EOY14274182EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY251082BOY
EOY617331EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY14794533BOY
EOY14891513EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16418586BOY
EOY17089107EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses96980ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis952246OtherCostOrOtherBasis
Book Value952246BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13362935OtherCostOrOtherBasis
Depreciation3928362Depreciation
Book Value9434573BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2981626OtherCostOrOtherBasis
Depreciation1693612Depreciation
Book Value1288014BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis341340OtherCostOrOtherBasis
Depreciation337912Depreciation
Book Value3428BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11678261TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDEPOSITS AND ADVANCESDescription
Amount$420Amount
FieldValueIRS element (for citing)
Total Of Amounts420TotalOfAmounts
Total Revenue19076939TotalRevenue
Total Expenses18979959TotalExpenses
Excess Or Deficit For Year96980ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS96980ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt19076939TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal19076939RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99019076939TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt18979959TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal18979959ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99018979959TotalExpensesPerForm990

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CARL E COAN
18626705053500000519940288796000
CHONA DE LEON
18006804208600000249760247130000
DEBORAH LERNER
16409502502500000230960212216000
LAILA AL-MARAYATI
19334401300200000238110230157000
LAWRENCE YEE
16483502944000000235170217792000
LUIS LOPEZ
16911302486400000233160217293000
IAN TILLEY
1280020263360000093090163647000
BECKY MURPHY
1477260000000202730167999000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11THE FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING.
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 12C
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 B, LINE 15
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
FINANCIAL STATEMENTS AND REPORTINGNO CHANGES WERE MADE TO THE FINANCIAL STATEMENT REPORTING PROCESS.FORM 990, PART XII, LINE 2C

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1PEDIATRIC & FAMILY MEDICAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11530 S OLIVE STAddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90015ZIPCode
FieldValueIRS element (for citing)
EIN954116680EIN
Primary ActivitiesTO HOLD AND INVEST ASSETS ON BEHALF OF PEDIATRIC & FAMILY MEDICAL CENTERPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity Status509(A)(3) TYPE IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg