2025-05-09T16:49:52-05:00 2024-06-30 330700332 VASQUEZ COMPANY LLP 655 N CENTRAL AVE STE 1550 GLENDALE CA 91203 990 2023-07-01 954116680 PEDIATRIC AND FAMILY MEDICAL FOUNDATION PEDI 2137461037 1530 S OLIVE STREET LOS ANGELES CA 90015 MONICA GUTIERREZ-MCCARTHY PRESIDENT AND CEO 2137475542 2025-05-08 1 1 REGINA PRINCE CPA P00576936 2138731700 2023 2025-03-06 01:10:19Z MONICA GUTIERREZ-MCCARTHY 1530 SOUTH OLIVE ST LOS ANGELES CA 90015 54293 0 X N/A X 1987 CA TO OPERATE EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF THE GOALS AND OBJECTIVES OF THE PEDIATRIC AND FAMILY MEDICAL CENTER. 9 9 0 11 0 0 0 0 0 0 44188 54293 0 0 44188 54293 101470 112000 0 0 0 0 0 0 0 14102 14917 115572 126917 -71384 -72624 2297043 2581706 0 0 2297043 2581706 THE SPECIFIC PURPOSES OF THIS CORPORATION IS TO OPERATE EXCLUSIVELY FOR THE BENEFIT AND SUPPORT OF THE GOALS AND OBJECTIVES OF PEDIATRIC AND FAMILY MEDICAL CENTER. 0 0 112000 112000 DURING THE YEAR, THE ORGANIZATION SUPPORTED PEDIATRIC AND FAMILY MEDICAL CENTER, DBA: EISNER HEALTH, WHICH IS A FREE STANDING LICENSED COMMUNITY CLINIC AND CERTIFIED AS A MEDI-CAL PROVIDER. 112000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 9 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 CA X SERGEY NAVOLNEV 2137475542 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 ALEXIS DEGENFELDER BOARD CHAIR UNTIL FY 2024 1.00 0.00 X X 0 0 0 JOSHUA ENGLANDER BOARD CHAIR 1.00 0.00 X X 0 0 0 RUPERT GRANT BOARD TREASURER 1.00 1.00 X X 0 0 0 CHRIS ISOLA BOARD SECRETARY 1.00 1.00 X X 0 0 0 KEVIN B KROEKER ESQ BOARD MEMBER 1.00 0.00 X 0 0 0 STAN BERKMAN BOARD MEMBER 1.00 1.00 X 0 0 0 KEVIN ROSSI MD BOARD MEMBER 1.00 1.00 X 0 0 0 PEJMAN SALIMPOUR BOARD MEMBER 1.00 0.00 X 0 0 0 TRENT STAMP BOARD MEMBER 1.00 0.00 X 0 0 0 SHIREEN MOTIVALA BOARD MEMBER UNTIL FY 2024 1.00 0.00 X 0 0 0 ERIKA L SOCKACI BOARD MEMBER 1.00 0.00 X 0 0 0 WARREN J BRODINE PRESIDENT/CEO UNTIL 3/15/24 1.00 40.00 X 0 400425 30194 MONICA GUITERREZ-MCCARTHY PRESIDENT & CEO 0.25 40.00 X 0 288372 33374 SERGEY NAVOLNEV CFO 0.25 40.00 X 0 259364 23929 0 948161 87497 0 0 1 0 0 54293 54293 54293 0 0 54293 112000 112000 14917 14917 126917 112000 14917 0 2297043 2581706 2297043 2581706 0 0 X 2297043 2581706 2297043 2581706 2297043 2581706 -72624 357287 0 X 0 1 X 1 0 X X 1 PEDIATRIC AND FAMILY MEDICAL CENTER 951690966 3 1 126917 0 1 126917 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE A, SECTION C TYPE II SUPPORTING ORGANIZATION THE PEDIATRIC AND FAMILY MEDICAL FOUNDATION (FOUNDATION) IS ORGANIZED TO OPERATE EXCLUSIVELY FOR THE BENEFIT OF AND TO SUPPORT THE GOALS AND OBJECTIVES OF PEDIATRIC AND FAMILY MEDICAL CENTER, DBA: EISNER HEALTH. THE BYLAWS OF THE FOUNDATION PROVIDE IN PART AS FOLLOWS: "FOUNDATION IS RESPONSIBLE FOR RAISING THE RESOURCES NECESSARY TO SUPPORT THE OPERATIONS OF EISNER . . . . . AND IS ALSO RESPONSIBLE FOR OVERSEEING EISNER'S INVESTMENTS." THE FOUNDATION IS OPERATED, SUPERVISED, MANAGED, AND CONTROLLED IN CONNECTION WITH EISNER HEALTH. AND ACCORDINGLY, EISNER HEALTH'S AUDITED FINANCIAL STATEMENTS ARE PREPARED ON A CONSOLIDATED BASIS INCLUDING THE FOUNDATION'S ACTIVITIES. FOUR OF THE FOUNDATION'S BOARD MEMBERS (11 FOR PART OF THE YEAR, AND NINE AT YEAR END) ARE ALSO ON THE SUPPORTED ORGANIZATION'S BOARD. THE PRESIDENT & CEO OF THE FOUNDATION IS ALSO THE PRESIDENT AND CEO OF EISNER HEALTH. THE CFO OF THE FOUNDATION IS ALSO THE CFO OF EISNER HEALTH. THE CHAIRMAN OF EISNER HEALTH IS ON THE BOARD OF THE FOUNDATION. THE TREASURER OF THE FOUNDATION IS THE VICE CHAIR OF EISNER HEALTH. THE SECRETARY OF THE FOUNDATION IS ON THE BOARD OF EISNER HEALTH, AND THE IMMEDIATE PAST CHAIR OF EISNER HEALTH IS ON THE FOUNDATION'S BOARD. PER THE BYLAWS, THE EXECUTIVE COMMITTEE MAY EXERCISE ALL THE AUTHORITY OF THE BOARD IN THE MANAGEMENT OF BUSINESS AND AFFAIRS OF THE FOUNDATION BETWEEN MEETINGS OF THE BOARD. IN ADDITION TO SHARING BOARD MEMBERS, KEY LEADERSHIP POSITIONS OVERLAP BETWEEN THE FOUNDATION AND ITS SUPPORTED ORGANIZATION. ALL OF THE FOUNDATION'S DAY-TO-DAY OPERATIONAL AND FINANCIAL ACTIVITIES ARE HANDLED ENTIRELY BY EISNER HEALTH'S KEY MANAGEMENT TEAM. ACCORDINGLY, THE FOUNDATION IS RESPONSIVE TO THE NEEDS REQUIREMENTS OF EISNER HEALTH AND QUALIFIES AS A TYPE II SUPPORTING ORGANIZATION. 0 X 64407229 357287 64010566 64367853 39376 14917 14917 54293 69527725 69527725 69527725 0 14917 112000 126917 126917 PART X, LINE 2: THE ORGANIZATION 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 IS, HOWEVER, SUBJECT TO INCOME TAXES ON UNRELATED TRADE OR BUSINESS INCOME, IF ANY, REALIZED IN CONNECTION WITH BUSINESS ACTIVITIES THAT ARE REGULARLY CARRIED ON AND NOT RELATED TO ITS PRIMARY MISSION OR PURPOSE. IN THE OPINION OF MANAGEMENT, ANY NET INCOME FROM AN UNRELATED TRADE OR BUSINESS IS NOT MATERIAL TO THE FINANCIAL STATEMENTS TAKEN AS A WHOLE. ACCORDINGLY, A PROVISION FOR FEDERAL OR STATE INCOME TAXES IS NOT RECORDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP) PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE ORGANIZATION HAS EVALUATED ITS TAX POSITIONS AND THE CERTAINTY AS TO WHETHER THOSE POSITIONS WILL BE SUSTAINED IN THE EVENT OF AN 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 UNDER IRC SECTION 501(C)(3) INCLUDING WHETHER THERE ARE SUBSTANTIAL UNRELATED TRADE OR BUSINESS INCOME ACTIVITIES. MANAGEMENT HAS DETERMINED THAT ALL INCOME TAX POSITIONS, BASED ON THE TECHNICAL MERITS OF THE POSITION, WILL MORE-LIKELY-THAN-NOT BE SUSTAINED UPON POTENTIAL AUDIT OR EXAMINATION. THEREFORE, NO DISCLOSURES OF UNCERTAIN INCOME TAX POSITIONS ARE REQUIRED. THE ORGANIZATION'S INCOME TAX RETURNS REMAIN SUBJECT TO EXAMINATION GENERALLY FOR THREE AND FOUR YEARS AFTER THEY WERE FILED FOR FEDERAL AND STATE, RESPECTIVELY. PART XI, LINE 2D - OTHER ADJUSTMENTS: PROGRAM SERVICE REVENUE OF SUPPORTED ORGANIZATION 62,391,223. INVESTMENT INCOME OF SUPPORTED ORGANIZATION 1,619,343. PART XII, LINE 2D - OTHER ADJUSTMENTS: PROGRAM EXPENSES OF SUPPORTED ORGANIZATION 69,527,725. PART XII, LINE 4B - OTHER ADJUSTMENTS: SUPPORTING ORGANIZATION EXPENSES 112,000. 1 PEDIATRIC AND FAMILY MEDICAL CENTER 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 501(C)(3) 112000 0 BOOK TO SUPPORT GOALS AND OBJECTIVES OF EISNER HEALTH. 1 0 PART I, LINE 2: AS A SECTION 509(A)(3) SUPPORTING ORGANIZATION, THE FOUNDATION IS ORGANIZED AND OPERATED EXCLUSIVELY FOR THE BENEFIT OF PEDIATRIC AND FAMILY MEDICAL CENTER (MEDICAL CENTER) TO WHOM IT MAKES GRANTS. THE FOUNDATION IS SUPERVISED AND CONTROLLED BY THE MEDICAL CENTER BY HAVING CONTROL AND MANAGEMENT OF THE FOUNDATION VESTED IN THE SAME PERSONS THAT CONTROL AND MANAGE THE MEDICAL CENTER. 1 0 0 0 0 0 0 0 0 WARREN J BRODINE PRESIDENT/CEO UNTIL 3/15/24 0 400425 0 0 0 0 0 23400 0 6794 0 430619 0 0 MONICA GUITERREZ-MCCARTHY PRESIDENT & CEO 0 288372 0 0 0 0 0 17931 0 15443 0 321746 0 0 SERGEY NAVOLNEV CFO 0 259364 0 0 0 0 0 16794 0 7135 0 283293 0 0 PART I, LINE 3 THE FOUNDATION DOES NOT UNDERTAKE ANY COMPENSATION PROCEDURES BECAUSE THE FOUNDATION DOES NOT COMPENSATE ANY EMPLOYEES. THE OFFICERS ARE COMPENSATED BY THE RELATED ORGANIZATION, PEDIATRIC & FAMILY MEDICAL CENTER. THE GOVERNANCE COMMITTEE OF THE RELATED ORGANIZATION 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, IT IS THEN PRESENTED TO THE ENTIRE BOARD FOR APPROVAL INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. PART I, LINE 4A WARREN J. BRODINE RECEIVED $187,683 AS PART OF A SEVERANCE ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS GIVEN TO ALL BOARD MEMBERS FOR REVIEW PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12 THE FOUNDATION FOLLOWS ITS SUPPORTED ORGANIZATION'S CONFLICT OF INTEREST POLICY. ANNUAL QUESTIONAIRES ARE GIVEN TO ALL DIRECTORS AND OFFICERS. THE GOVERNANCE COMMITTEE OF EISNER HEALTH THEN REVIEWS THE QUESTIONAIRES TO ENSURE THE COMPLIANCE OF THE CONFLICT OF INTEREST POLICY OF EISNER HEALTH. IF A CONFLICT ARISES, IT IS RESOLVED THROUGH BOARD DISCUSSION. FORM 990, PART VI, SECTION B, LINE 15 THE FOUNDATION HAS NO PAID OFFICERS OR KEY EMPLOYEES, AND THUS, THE BOARD HAS NOT ADOPTED POLICIES AND PROCEDURES FOR DETERMINING THE COMPENSATION OF SUCH POSITIONS. THE OFFICERS ARE COMPENSATED BY THE RELATED ORGANIZATION, PEDIATRIC & FAMILY MEDICAL CENTER. THE GOVERNANCE COMMITTEE OF THE RELATED ORGANIZATION USES AN INDEPENDENT CONSULTANT AND A COMPENSATION SURVEY STUDY IN ORDER TO DETERMINE THE COMPENSATION FOR ITS OFFICERS, AND KEY EMPLOYEES. ONCE THE COMPENSATION IS DETERMINED, IT IS THEN PRESENTED TO THE ENTIRE BOARD FOR APPROVAL INDEPENDENTLY, WITHOUT THE PARTICIPATION OF INTERESTED PERSONS. THE PROCEDURES MEET THE REBUTTABLE PRESUMPTION OF REASONABLENESS REQUIREMENTS UNDER THE INTERMEDIATE SANCTIONS REGULATIONS. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE UPON REQUEST. PEDIATRIC AND FAMILY MEDICAL CENTER 1530 SOUTH OLIVE STREET LOS ANGELES CA 90015 951690966 COMMUNITY CLINIC CA 501(C)(3) LINE 3 N/A 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 PEDIATRIC AND FAMILY MEDICAL CENTER B 112000 BOOK