2012-04-10T19:11:02-05:00 2011-06-30 GREEN HASSON & JANKS LLP 10990 WILSHIRE BLVD 16TH FLOOR LOS ANGELES CA 900243929 990 2010-07-01 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 2012-03-27 1 PATRIZIA C COPPING 3108731600 2010 2016-02-24 21:20:13Z EISNER PEDIATRICS & FAMILY MED CENTE CARL E COAN 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 19076939 0 X WWW.PEDCENTER.ORG X 1920 CA IMPROVE THE PHYSICAL, SOCIAL & EMOTIONAL WELL-BEING OF LOS ANGELES FAMILIES 11 11 292 0 0 0 2759804 3544029 16185648 15391779 34939 9248 136997 131883 19117388 19076939 0 0 0 0 13978687 14721064 0 0 438955 4696389 4258895 18675076 18979959 442312 96980 16418586 17089107 1624053 2197594 14794533 14891513 X 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 10887903 12104929 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 24,953. 2200324 2041982 DENTAL CARE- PREVENTATIVE DENTAL EXAMS- DIAGNOSIS AND TREATMENT OF DENTAL AND GUM PROBLEMS- ORTHODONTIC SERVICESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 7,676. 2087351 1149771 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 95097 MENTAL HEALTH CARE- INDIVIDUAL THERAPY - FAMILY THERAPY - GROUP THERAPY - CASE MANAGEMENT - WORKSHOPS - PARENTING CLASSESTOTAL NUMBER OF PATIENTS SERVED DURING THE YEAR WAS 165. 95097 15175578 1 1 0 0 0 0 0 0 0 1 0 0 0 1 0 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 0 1 28 0 292 1 0 0 0 0 0 0 0 0 X 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 236802 0 51994 CHONA DE LEON 40.00 X 222154 0 24976 DEBORAH LERNER 40.00 X 189120 0 23096 LAILA AL-MARAYATI 40.00 X 206346 0 23811 LAWRENCE YEE 40.00 X 194275 0 23517 LUIS LOPEZ 40.00 X 193977 0 23316 IAN TILLEY 40.00 X 154338 0 9309 BECKY MURPHY 40.00 X 147726 0 20273 1544738 0 200292 18 0 1 0 QUEST DIAGNOSTICS 8511 FALLBROOK AVE 2ND FLOOR WEST HILLS CA 91304 LAB SERVICES 194243 MAGUIRE THOMAS PARTNERS 240 W VENICE BLVD LOS ANGELES CA 90015 PARKING SERVICES 165855 ALL'S WELL PO BOX 29048 GLENDALE CA 912099048 TEMPORARY LABOR 126436 3 11875 2333404 1198750 3544029 PATIENT SERVICE FEES 624110 15375474 15375474 PHARMACY INCOME 900099 16305 16305 15391779 9248 9248 9000 9000 9000 9000 DEBT FORGIVENESS 900099 95000 95000 MISCELLANEOUS INCOME 900099 27883 27883 122883 19076939 15391779 0 141131 670645 558592 101249 10804 11430540 9520696 1725708 184136 346357 270881 55112 20364 1333802 1110947 201369 21486 939720 784393 139803 15524 69908 69908 42494 42494 662495 443964 60380 158151 16546 8226 5745 2575 241704 171697 60779 9228 176271 140032 35936 303 277043 194810 82233 191815 154582 34998 2235 45394 25151 19778 465 7927 7927 623929 623929 200103 166744 33359 MEDICAL SUPPLIES 884221 800291 77948 5982 BAD DEBT 317017 317017 BUILDING MAINTENANCE 66851 12628 54223 SUBSCRIPTIONS 58835 20395 36398 2042 CLINIC MAINTENANCE 55482 32463 23019 320860 135157 180043 5660 18979959 15175578 3365426 438955 1026869 42907 1691665 1455529 324210 687696 1829977 2992515 76649 49131 17638147 5959886 11317038 11678261 83667 77000 68511 106068 16418586 17089107 1432553 1368146 734028 190000 95000 1500 420 1624053 2197594 X 14543451 14274182 251082 617331 14794533 14891513 16418586 17089107 96980 0 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 952246 952246 13362935 3928362 9434573 2981626 1693612 1288014 341340 337912 3428 11678261 DEPOSITS AND ADVANCES 420 420 19076939 18979959 96980 0 96980 19076939 0 19076939 0 19076939 18979959 0 18979959 0 18979959 X X 0 0 0 0 0 0 0 0 0 CARL E COAN 186267 0 50535 0 0 0 0 0 51994 0 288796 0 0 0 CHONA DE LEON 180068 0 42086 0 0 0 0 0 24976 0 247130 0 0 0 DEBORAH LERNER 164095 0 25025 0 0 0 0 0 23096 0 212216 0 0 0 LAILA AL-MARAYATI 193344 0 13002 0 0 0 0 0 23811 0 230157 0 0 0 LAWRENCE YEE 164835 0 29440 0 0 0 0 0 23517 0 217792 0 0 0 LUIS LOPEZ 169113 0 24864 0 0 0 0 0 23316 0 217293 0 0 0 IAN TILLEY 128002 0 26336 0 0 0 0 0 9309 0 163647 0 0 0 BECKY MURPHY 147726 0 0 0 0 0 0 0 20273 0 167999 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. FINANCIAL STATEMENTS AND REPORTING FORM 990, PART XII, LINE 2C NO CHANGES WERE MADE TO THE FINANCIAL STATEMENT REPORTING PROCESS. PEDIATRIC & 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 0