USC VERDUGO HILLS HOSPITAL: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
USC VERDUGO HILLS HOSPITAL (EIN 85-1634852)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-16
IRS object ID
202211369349305796
Schema version
2020v4.1
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)
Return2022-05-16T10:57:18-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SEAPORT BLVD SUITE 500AddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02210ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN851634852EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1VERDUGO HILLS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JASON KELL TREASURERInCareOfNm
Business Name ControlVERDBusinessNameControlTxt
Phone6179517000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11812 VERDUGO BOULEVARDAddressLine1Txt
CityGLENDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP912081407ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJASON KELLPersonNm
Person TitleTreasurer/CFOPersonTitleTxt
Phone2138211900PhoneNum
Signature2022-05-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJASONPersonFirstNm
Person LastKELLPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonGWEN SPENCERPreparerPersonNm
PTINP00641463PTIN
Phone6175305000PhoneNum
Preparation2022-05-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARMAND DORIANPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11510 SAN PABLO STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP900331029ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$75,528,918GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHTTP://WWW.USCVHH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2020FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers69TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$75,528,918CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$0PYTotalRevenueAmt
CY Total Revenue$75,528,918CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$21,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$46,793,900CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$0PYOtherExpensesAmt
CY Other Expenses$32,802,663CYOtherExpensesAmt
PY Total Expenses$0PYTotalExpensesAmt
CY Total Expenses$79,617,563CYTotalExpensesAmt
PY Revenues Less Expenses$0PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,088,645CYRevenuesLessExpensesAmt
Total Assets BOY$0TotalAssetsBOYAmt
Total Assets EOY$165,951,606TotalAssetsEOYAmt
Total Liabilities BOY$0TotalLiabilitiesBOYAmt
Total Liabilities EOY$156,610,806TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$0NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$9,340,800NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangeYes (true)SignificantChangeInd
Expense$54,729,165ExpenseAmt
Grant$21,000GrantAmt
Revenue$75,528,918RevenueAmt
DescHEALTH CARE SERVICES: TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE NONPROFIT USC VERDUGO HILLS HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA. CONTINUED IN SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Desc.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$54,729,165TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJASON KELL TREASURERPersonNm
Phone2138211900PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1UNIV GARDENS UGB203AddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90089ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerInd
ROD HANNERS
DIRECTOR2.054.5Yes (X)$0$1,352,213$58,380
SHAWN T SHEFFIELD
DIRECTOR2.040.0Yes (X)$0$868,947$67,800
STACY BRATCHER
SECRETARY UNTIL 8/27/202.044.0$0$868,698$50,691Yes (X)
CARL CHUDNOFSKY
DIRECTOR2.050.0Yes (X)$0$830,430$59,615
JOSEPH OUZOUNIAN
DIRECTOR2.050.5Yes (X)$0$728,062$67,855
STEVE L GIANNOTTA
DIRECTOR2.050.5Yes (X)$0$664,881$59,308
TAMARA CAPRETTA
DIRECTOR2.046.0Yes (X)$0$679,147$44,772
KEITH HOBBS
DIRECTOR/PRES UNTIL 3/12/2140.01.0Yes (X)$0$645,049$54,759Yes (X)
ARMAND DORIAN
DIRECTOR50.01.0Yes (X)$0$498,434$67,000
ERIC STRUCKO
DIRECTOR2.042.0Yes (X)$0$346,240$3,368
JEANNINE TAYLOR
SECRETARY AS OF 1/1/212.042.0$0$274,598$51,876Yes (X)
JASON KELL
TREASURER40.00.0$0$9,177$1,340Yes (X)
TODD ANDREWS
DIRECTOR2.00.0Yes (X)$0$0$0
ALEXANDRIA DARRAS
DIRECTOR2.00.0Yes (X)$0$0$0
TINA MARIE ITO
DIRECTOR2.01.0Yes (X)$0$0$0
HAPPY KHANNA
DIRECTOR2.01.0Yes (X)$0$0$0
SUNDER RAMANI
DIRECTOR2.00.0Yes (X)$0$0$0
DAVID SAGAL
DIRECTOR2.00.0Yes (X)$0$0$0
STEVE WILDER
DIRECTOR2.01.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$7,765,876TotReportableCompRltdOrgAmt
Total Other Compensation$586,764TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE900099$72,463,688$72,463,688
HOSPITAL QUALITY ASSURANCE FEE900099$1,435,903$1,435,903
OTHER REVENUE900099$1,629,327$1,629,327
FieldValueIRS element (for citing)
Total Program Service Revenue$75,528,918TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,528,918TotalRevenueColumnAmt
Related Or Exempt Func Income$75,528,918RelatedOrExemptFuncIncomeAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$21,000TotalAmt
Program Services$21,000ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,537,729TotalAmt
Management And General$1,537,729ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,337,431TotalAmt
Program Services$28,891,155ProgramServicesAmt
Management And General$4,446,276ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,410,000TotalAmt
Management And General$1,410,000ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,984,812TotalAmt
Program Services$6,051,500ProgramServicesAmt
Management And General$1,933,312ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,523,928TotalAmt
Program Services$1,992,157ProgramServicesAmt
Management And General$531,771ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$206,989TotalAmt
Management And General$206,989ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$25,255TotalAmt
Management And General$25,255ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,806,552TotalAmt
Program Services$1,553,804ProgramServicesAmt
Management And General$2,252,748ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$68,895TotalAmt
Management And General$68,895ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$155,550TotalAmt
Program Services$118,072ProgramServicesAmt
Management And General$37,478ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$11,136TotalAmt
Management And General$11,136ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,966,380TotalAmt
Program Services$745,497ProgramServicesAmt
Management And General$1,220,883ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$28,788TotalAmt
Program Services$24,666ProgramServicesAmt
Management And General$4,122ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,690TotalAmt
Management And General$11,690ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,882,048TotalAmt
Management And General$1,882,048ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$328,011TotalAmt
Management And General$328,011ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$10,333,845$9,243,367$1,090,478
NON MEDICAL SUPPLIES$938,731$771,745$166,986
PURCHASED SERVICES$3,516,856$2,559,481$957,375
EQUIPMENT MAINTENANCE$1,640,213$599,050$1,041,163

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,881,724TotalAmt
Program Services$2,157,671ProgramServicesAmt
Management And General$5,724,053ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$79,617,563TotalAmt
Program Services$54,729,165ProgramServicesAmt
Management And General$24,888,398ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$21,172,406EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$36,652,013EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,347,849EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$965,155EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$133,660,456LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$39,662,938LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$93,997,518EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$8,816,665EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$165,951,606EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,022,868EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,448,077EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$125,139,861EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$156,610,806EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$2,443,446EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$6,897,354EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$9,340,800EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$165,951,606EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$4,088,645ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$13,429,445OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,150,319OtherCostOrOtherBasisAmt
Book Value$16,150,319BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,880,734OtherCostOrOtherBasisAmt
Depreciation$13,285,411DepreciationAmt
Book Value$50,595,323BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$37,195,053OtherCostOrOtherBasisAmt
Depreciation$26,377,527DepreciationAmt
Book Value$10,817,526BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,434,350OtherCostOrOtherBasisAmt
Book Value$16,434,350BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$93,997,518TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
INTERCOMPANY RECEIVABLES$3,200
DUE FROM VERDUGO HILLS FOUND$51,465
BEN INTEREST IN VHF$8,762,000
FieldValueIRS element (for citing)
Total Book Value Other Assets$8,816,665TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
INTERCOMPANY DUE TO KMS$77,678,014
INTERCOMPANY DUE TO USC CARE$531,816
DUE TO USC$46,930,031
FieldValueIRS element (for citing)
Total Liability$125,139,861TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationVERDUGO HILLS HOSPITAL DOES NOT HAVE A FIN 48 FOOTNOTE AS ANY UNCERTAIN TAX POSITIONS WERE DEEMED IMMATERIAL.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,625,164TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,625,164NetCommunityBenefitExpnsAmt
Total Expense0.04630TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,067,430TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,857,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,210,096NetCommunityBenefitExpnsAmt
Total Expense0.10480TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,692,594TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,857,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,835,260NetCommunityBenefitExpnsAmt
Total Expense0.15110TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$21,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$21,000NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$15,713,594TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,857,333DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,856,260NetCommunityBenefitExpnsAmt
Total Expense0.15140TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,230TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,230NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,619TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,619NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,849TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,849NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,243,128BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$22,071,984ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$31,018,656CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,946,672MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1USC VERDUGO HILLS HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11812 VERDUGO BLVDAddressLine1Txt
CityGLENDALECityNm
State AbbreviationCAStateAbbreviationCd
ZIP91208ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.USCVHH.ORGWebsiteAddressTxt
State License930000173StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1VERDUGO HILLS HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (true)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLUSCVHH.ORG/GIVING/COMMUNITY-OUTREACHOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLUSCVHH.ORG/GIVING/COMMUNITY-OUTREACHStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
USC VERDUGO HILLS HOSPITALPART V, SECTION B, LINE 2: AS OF JANUARY 1, 2021, THE UNIVERSITY TRANSFERRED HOSPITAL OPERATIONS TO CONTROLLED AFFILIATES, WHICH ARE SEPARATE 501(C)(3) ORGANIZATIONS PREVIOUSLY FORMED FOR THIS PURPOSE AS DESCRIBED BELOW. IN 2019, THE UNIVERSITY ESTABLISHED USC HEALTH SYSTEM, AS A SEPARATE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATION ("USC HEALTH"), TO PROVIDE OVERSIGHT OF THE UNIVERSITY'S ACADEMIC MEDICAL ENTERPRISE AND AFFILIATED CLINICAL ACTIVITIES (I.E., KECK MEDICINE). THE UNIVERSITY IS THE SOLE CORPORATE MEMBER OKEF USC HEALTH. USC HEALTH'S PURPOSE INCLUDES OVERSEEING MANAGEMENT AND OPERATION OF THE UNIVERSITY'S HEALTH CARE OPERATIONS. USC HEALTH IS A TAX-EXEMPT ORGANIZATION DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. IN 2020, THE UNIVERSITY ESTABLISHED SEPARATE CALIFORNIA NONPROFIT PUBLIC BENEFIT CORPORATIONS CONTROLLED BY USC HEALTH TO OPERATE THE HOSPITALS, WHICH WERE PREVIOUSLY OPERATED AS DIVISIONS OF THE UNIVERSITY. EFFECTIVE JANUARY 1, 2021, WITH TRANSFER OF THE HOSPITAL LICENSES FROM THE UNIVERSITY: -KECK MEDICAL CENTER OF USC OPERATES BOTH KECK HOSPITAL AND NORRIS HOSPITAL, AND -USC VERDUGO HILLS HOSPITAL OPERATES VERDUGO HILLS HOSPITAL. USC HEALTH IS THE SOLE CORPORATE MEMBER OF, AND HAS CERTAIN RESERVED POWERS OVER, EACH OF KECK MEDICAL CENTER OF USC AND USC VERDUGO HILLS HOSPITAL. KECK MEDICAL CENTER OF USC AND USC VERDUGO HILLS HOSPITAL ARE EACH TAX-EXEMPT ORGANIZATIONS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FINANCIAL ACTIVITIES OF THE HOSPITALS MENTIONED ABOVE ARE REFLECTED IN USC'S FORM 990 FOR THE FIRST 6 MONTHS OF FY21 AND REPORTED ON SEPARATE FORMS 990 FOR EACH NEWLY FORMED ORGANIZATION FOR THE PERIOD JANUARY 1, 2021 THROUGH JUNE 30, 2021. PART V, SECTION B, LINE 5: TWELVE INTERVIEWS WERE COMPLETED FROM JANUARY TO MARCH 2019. COMMUNITY STAKEHOLDERS IDENTIFIED BY THE HOSPITAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND/OR REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY. INPUT WAS OBTAINED FROM THE LOS ANGELES DEPARTMENT OF PUBLIC HEALTH. THE IDENTIFIED STAKEHOLDERS WERE INVITED BY EMAIL TO PARTICIPATE IN A PHONE INTERVIEW. APPOINTMENTS FOR THE INTERVIEWS WERE MADE ON DATES AND TIMES CONVENIENT TO THE STAKEHOLDERS. AT THE BEGINNING OF EACH INTERVIEW, THE PURPOSE OF THE INTERVIEW IN THE CONTEXT OF THE NEEDS ASSESSMENT WAS EXPLAINED, THE STAKEHOLDERS WERE ASSURED THEIR RESPONSES WOULD REMAIN CONFIDENTIAL, AND CONSENT TO PROCEED WAS GIVEN. THE FOLLOWING INDIVIDUALS WITH PROMINENT ROLES IN THE COMMUNITY WERE INTERVIEWED: Rachel Abelson, Planned Parenthood of Pasadena and San Gabriel Valley Ara Airapetian, Comprehensive Community Health Centers Lucinda Guarino, YMCA of the Foothills Toyin Indehen, Comprehensive Community Health Centers Kimiko Kelly, Alzheimer's Association of Greater Los Angeles Mary Lynne Knighton, St. Dominic's Catholic Church, Eagle Rock Rachel Koonse, Cancer Support Community Pasadena Cristin Mondy, LA County Department of Public Health Christian Port, Planned Parenthood of Pasadena and San Gabriel Valley Paul Simon, LA County Department of Public Health Cody Smith, Glendale Fire Department Nayri Vartainian, YMCA of the Foothills INTERVIEW QUESTIONS FOCUSED ON THE FOLLOWING TOPICS: HEALTH ISSUES IN THE COMMUNITY - CHALLENGES AND BARRIERS PEOPLE FACE IN ADDRESSING THESE ISSUES - SOCIOECONOMIC, BEHAVIORIAL, OR ENVIRONMENTAL FACTORS CONTRIBUTING TO POOR HEALTH IN THE COMMUNITY - POTENTIAL RESOURCES TO ADDRESS THE IDENTIFIED HEALTH NEEDS, SUCH AS SERVICES PROGRAMS AND/OR COMMUNITY EFFORTS - ADDITIONAL COMMENTS AND CONCERNS COMMUNITY ENGAGEMENT KECK MEDICINE OF USC COMMISSIONED THE NATIONAL HEALTH FOUNDATION (NHF) TO CONDUCT A COMMUNITY ENVIRONMENTAL SCAN TO CREATE A MORE THREE-DIMENSIONAL PICTURE OF THE HOSPITAL COMMUNITIES, INCLUDING THEIR SOCIAL, ECONOMIC AND PHYSICAL BARRIERS TO HEALTHY LIVING, AND ENGAGE THE COMMUNITY FOR THEIR PERSPECTIVES ON THESE ISSUES. THE COMMUNITY ENGAGEMENT STRATEGY WAS DESIGNED TO GATHER COMMUNITY INPUT ON DISPARITIES WITHIN THE HOSPITAL'S SERVICE AREA, UNDERSTAND COMMUNITY RESOURCES, GAUGE GAPS IN SERVICES, CLARIFY AND ENHANCE THE COMMUNITY PROFILE AND PROVIDE RECOMMENDATIONS FOR STRATEGIES AND INVESTMENTS THAT COULD ADDRESS COMMUNITY CONCERNS AND HEALTH DISPARITIES. DATA COLLECTION OCCURRED IN THREE PHASES: COMMUNITY CANVASSING; FOCUS GROUPS; AND COMMUNITY STAKEHOLDER SURVEYS.
PART V, SECTION B, LINE 5 (CONTINUED):CANVASSING COMMUNITY CANVASSING OCCURRED AT FOUR LARGE EVENTS ACROSS THE HOSPITAL'S SERVICE AREA: SUNLAND-TUJUNGA FARMERS' MARKET; TWO COMMUNITY MOVIE NIGHTS HOSTED BY LOS ANGELES CITY COUNCIL MEMBER MONICA RODRIGUEZ (LOS ANGELES COUNCIL DISTRICT 7) AT RECREATION CENTERS IN SYLMAR AND LAKE VIEW TERRACE; AND AT "CONCERT IN THE PARK" AT VERDUGO HILLS PARK HOSTED BY THE CITY OF GLENDALE COMMUNITY SERVICE AND PARKS DEPARTMENT. CANVASSING QUESTIONS WERE: 1. WHAT DOES A HEALTHY COMMUNITY LOOK LIKE TO YOU? 2. WHAT STOPS YOU FROM ACHIEVING YOUR HIGHEST LEVEL OF HEALTH? 3. WHAT DOES YOUR COMMUNITY NEED TO BE HEALTHIER? THE CANVASSING EVENTS ENGAGED 71 RESIDENTS IN A SELF-SERVICE SURVEY WHERE THEY COULD WRITE AND PLACE ANSWERS TO THREE OPEN-ENDED QUESTIONS ON POSTER BOARDS. THIS SURVEY METHOD, BASED ON THE DOT SURVEY TECHNIQUE, WAS USED TO INCREASE ACCESS TO SURVEY QUESTIONS FOR PARTICIPANTS, SHOW TRANSPARENCY WITH COMMUNITY RESIDENTS, BE AN INTERACTIVE AND PARTICIPATORY ACTIVITY, AND INCREASE EASE FOR TALLYING ANSWERS. FOCUS GROUPS DURING CANVASSING EVENTS, LANGUAGE PREFERENCES FOR FOCUS GROUPS WERE DETERMINED AND COMMUNITY RESIDENTS WERE RECRUITED FOR FOCUS GROUPS PARTICIPATION. SIX (6) FOCUS GROUPS ENGAGED 65 PERSONS AND WERE CONDUCTED FROM JULY TO OCTOBER, 2018. FOCUS GROUPS WERE PRIMARILY HELD AT PARENT CENTERS IN ELEMENTARY AND MIDDLE SCHOOLS, PREDOMINANTLY ATTENDED BY PARENTS OF YOUNG CHILDREN. ONE FOCUS GROUP WAS HELD FOR SENIOR CITIZENS AT AN ADULT RECREATION COMPLEX AND ANOTHER CONSISTED OF HIGH SCHOOL YOUTH. EACH OF THESE LOCATIONS WAS CHOSEN FOR ITS EASE OF ACCESS TO COMMUNITY MEMBERS AND THE LIKELIHOOD THOSE NEIGHBORS WOULD BE WILLING TO PARTICIPATE. THE FOCUS GROUP QUESTIONS AIMED TO ENGAGE COMMUNITY RESIDENTS IN DISCUSSING CHALLENGES AND NEEDS FOR IMPROVING THEIR HEALTH. 1. WHAT THINGS IN YOUR COMMUNITY NEGATIVELY AFFECT YOUR HEALTH? HOW ARE THEY AFFECTING YOUR HEALTH? 2. WHAT DO YOU BELIEVE ARE THE MOST SIGNIFICANT HEALTH NEEDS FOR YOU AND MEMBERS OF YOUR COMMUNITY? 3. WHAT HEALTH RESOURCES ARE AVAILABLE IN YOUR COMMUNITY? HOW CAN THESE RESOURCES BETTER SERVE TO IMPROVE THE HEALTH OF YOUR COMMUNITY? 4. ARE YOU AWARE OF ANY RESOURCES IN THE COMMUNITY BEING PROVIDED BY THE HOSPITAL? WHAT WOULD YOU LIKE TO SEE THEM PROVIDE? STAKEHOLDER SURVEYS COMMUNITY STAKEHOLDERS WERE IDENTIFIED DURING COMMUNITY CANVASSING AND FOCUS GROUP RECRUITMENT. EXECUTIVE LEADERS IN COMMUNITY ORGANIZATIONS OR SCHOOLS, OR INDIVIDUALS HEAVILY INVOLVED IN ADDRESSING COMMUNITY ISSUES THROUGH LOCAL GOVERNMENT WERE IDENTIFIED AS QUALIFIED STAKEHOLDERS. THE RESPONDING STAKEHOLDERS REPRESENTED A BROAD RANGE OF INTEREST IN THE HOSPITAL'S SERVICES AREA AND INCLUDED NONPROFIT LEADERS, SCHOOL PRINCIPALS, POLICE DEPARTMENT REPRESENTATIVES AND LOCAL GOVERNMENT OFFICIALS. STAKEHOLDER SURVEYS WERE DEVELOPED AND DISSEMINATED ONCE CANVASSING AND FOCUS GROUP THEMES EMERGED. THE SURVEYS SUMMARIZED THE NEEDS AND CONCERNS OF COMMUNITY RESIDENTS, WHICH ALLOWED THE NHF TEAM TO ASK STAKEHOLDERS MORE DIRECT QUESTIONS REGARDING THE SEVERITY OF THE EMERGING ISSUES. STAKEHOLDERS WERE CONTACTED THROUGH EMAIL OR IN PERSON DURING CANVASSING EVENTS AND WERE ASKED TO PARTICIPATE IN AN ANONYMOUS ONLINE SURVEY BASED ON CONCERNS RAISED THROUGH COMMUNITY INPUT. THE ONLINE SURVEY WAS ADMINISTERED USING GOOGLE FORMS AND EMAILED TO STAKEHOLDERS WHO EXPRESSED INTEREST IN PARTICIPATING. THE SURVEY USED A LIKERT SCALE FORMAT AND ASKED STAKEHOLDERS TO RANK HOW STRONGLY THEY AGREED OR DISAGREED WITH COMMUNITY CONCERNS OR ISSUES BEING PRESENT IN THEIR COMMUNITY. STAKEHOLDERS WERE GIVEN THE OPPORTUNITY TO EXPLAIN OR EXPAND ON THEIR ANSWER WITH A FILL-IN SECTION BELOW EACH QUESTION. TWELVE STAKEHOLDERS RESPONDED TO THE SURVEY. PART V, SECTION B, LINE 11: THE SIGNIFICANT HEALTH NEEDS IDENTIFIED FROM THE 2019 CHNA WERE PRIORITIZED BY COMMUNITY STAKEHOLDERS THROUGH A STRUCTURED PROCESS USING DEFINED CRITERIA. THE 2019 IMPLEMENTATION STRATEGY ADOPTED BY USC VERDUGO HILLS HOSPITAL ACTIVELY ADDRESSES HEALTH NEEDS THAT WERE IDENTIFIED IN THE CHNA AS PRIORITY HEALTH NEEDS. USC VERDUGO HILLS HOSPITAL PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES WITH SPECIFIC PROGRAMS AND SERVICES. FOR EACH HEALTH NEED THE HOSPITAL PLANS TO ADDRESS, THE IMPLEMENTATION STRATEGY DESCRIBES: ACTIONS THE HOSPITAL INTENDS TO TAKE, INCLUDING PROGRAMS AND RESOURCES IT PLANS TO COMMIT, PLANNED COLLABORATION BETWEEN THE HOSPITAL AND COMMUNITY ORGANIZATIONS, AND ANTICIPATED IMPACTS OF THESE ACTIONS. IN ADDITION TO THE SPECIFIC STRATEGIES FOR THE SELECTED PRIORITY HEALTH NEEDS, USC VERDUGO HILLS HOSPITAL WILL INVESTIGATE THE DEVELOPMENT OF A COMMUNITY GRANTS PROGRAM TO PROVIDE FINANCIAL AND IN-KIND SUPPORT TO COMMUNITY ORGANIZATIONS ADDRESSING THESE NEEDS.
PART V, SECTION B, LINE 11 (CONTINUED):THE NEEDS THAT WILL BE ADDRESSED BY USC-Verdugo Hills HOSPITAL THROUGH ITS COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES ARE: - ACCESS TO HEALTH CARE - CHRONIC DISEASES - MENTAL HEALTH - PREVENTIVE PRACTICES - SENIOR HEALTH SELECTED ACTIVITIES AND PROGRAMS THAT HIGHLIGHT THE USC-VERDUGO HILLS HOSPITAL COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW. ACCESS TO CARE/PREVENTIVE CARE ACCESS TO CARE IS A KEY DETERMINANT OF HEALTH THAT PROVIDES PREVENTIVE MEASURES AND DISEASE MANAGEMENT, REDUCING THE LIKELIHOOD OF HOSPITALIZATIONS AND EMERGENCY ROOM ADMISSIONS. ROUTINE HEALTH CARE INCLUDES SCREENINGS, CHECK-UPS, AND COUNSELING TO PREVENT ILLNESS, DISEASE, OR OTHER HEALTH PROBLEMS. INDIVIDUALS, WHO RECEIVE SERVICES IN A TIMELY MANNER, HAVE A GREATER OPPORTUNITY TO PREVENT OR DETECT DISEASE DURING EARLIER, TREATABLE STAGES. RESPONSE TO NEED TRANSPORTATION LACK OF TRANSPORTATION IS A DOCUMENTED BARRIER TO ACCESSING HEALTH CARE SERVICES. THE HOSPITAL PROVIDED TAXI VOUCHERS, AMBULANCE SERVICES AND VAN TRANSPORTATION FOR LOW-INCOME PATIENTS AND FAMILIES WHO COULD NOT AFFORD TRANSPORTATION TO OBTAIN NEEDED HEALTH CARE SERVICES. CLINICAL SERVICES USC-VHH PROVIDED MEDICATIONS, MEDICAL SUPPLIES AND INFUSIONS FOR PERSONS WHO WERE INDIGENT AND COULD NOT AFFORD THESE MEDICALLY-NECESSARY RESOURCES. COMMUNITY CPR CLASSES AVAILABLE TO THE COMMUNITY INCLUDED INFANT CPR AND BASIC LIFE SUPPORT (BLS) TRAINING. FLU SHOTS USC-VHH ADMINISTERED FLU SHOTS AT ITS DRIVE-THROUGH FLU SHOT CLINIC. SUPPORT GROUPS AND WORKSHOPS SUPPORT GROUPS AND WORKSHOPS OFFERED BREAST FEEDING ADVICE AND SUPPORT TO NEW MOTHERS AS WELL AS FATHERS. THE SUPPORT GROUPS WERE FACILITATED BY A LACTATION SPECIALIST. CHRONIC DISEASES CHRONIC DISEASES ARE LONG-TERM MEDICAL CONDITIONS THAT TEND TO PROGRESSIVELY WORSEN. CHRONIC DISEASES, SUCH AS CANCER, HEART DISEASE, DIABETES AND LUNG DISEASE, ARE MAJOR CAUSES OF DISABILITY AND DEATH. CHRONIC DISEASES ARE ALSO THE MAJOR CAUSES OF PREMATURE ADULT DEATHS. RESPONSE TO NEED HEALTH EDUCATION THE HOSPITAL MADE HEALTH EDUCATION SESSIONS AVAILABLE TO THE PUBLIC. DOC TALK SESSIONS ADDRESSED A NUMBER OF DISEASE PREVENTION AND HEALTH AND WELLNESS TOPICS. COMMUNITY SUPPORT FINANCIAL SUPPORT WAS PROVIDED TO COMMUNITY ORGANIZATIONS THAT OFFERED CHRONIC DISEASE EDUCATION AND PREVENTION ACTIVITIES. MENTAL HEALTH GOOD MENTAL HEALTH IS ASSOCIATED WITH IMPROVED HEALTH OUTCOMES. INDICATORS AND CONTRIBUTORS TO POOR MENTAL HEALTH INCLUDE POVERTY AND LOW-LEVELS OF EDUCATION. THE NEED TO ACCESS MENTAL HEALTH SERVICES WAS NOTED AS A HIGH A PRIORITY AMONG COMMUNITY MEMBERS. RESPONSE TO NEED STEPPING STONES A GEROPSYCHIATRIC PROGRAM, STEPPING STONES IS DESIGNED TO HELP RELIEVE EMOTIONAL AND PERSONAL DISTRESS FOR INDIVIDUALS AGE 50 AND OLDER. THROUGH INPATIENT AND OUTPATIENT PROGRAMS, USC-VHH EMPLOYS A VARIETY OF THERAPEUTIC OPTIONS, INCLUDING MEDICAL MANAGEMENT, COGNITIVE BEHAVIORAL THERAPY, PSYCHOANALYSIS, ART, MUSIC AND MOVEMENT THERAPY TO HELP PATIENTS. STEPPING STONES ALSO WORKS TO HELP PATIENTS WITH DEMENTIA REGAIN THEIR MEMORIES THROUGH CREATIVE THERAPY METHODS AND ALLOW THEM TO MAINTAIN AS MUCH INDEPENDENCE AS POSSIBLE.
PART V, SECTION B, LINE 11 (CONTINUED):5TH ANNUAL SUICIDE AWARENESS AND PREVENTION CONFERENCE HOSTED A VIRTUAL SUICIDE AWARENESS AND PREVENTION CONFERENCE. THE EVENT BROUGHT TOGETHER A MULTIDISCIPLINARY TEAM OF PSYCHIATRISTS, NEUROLOGISTS, MENTAL HEALTH ADVOCATES, POLICYMAKERS AND COMMUNITY LEADERS TO DISCUSS THE UNDERLYING CAUSES AND RISK FACTORS FOR DEPRESSION AND SUICIDE, AS WELL AS IDENTIFY WAYS TO SAFELY DISCUSS SUCH ISSUES WITH LOVED ONES. BRAIN HEALTH FORUM HOSTED A VIRTUAL FORUM ON BRAIN HEALTH. TOPICS INCLUDED EXERCISE AND THE BRAIN, GENETICS OF ALZHEIMER'S DISEASE, PROTECTIVE EFFECTS OF SOCIAL CONNECTION, AND HEALTHY LIFESTYLE. COMMUNITY SUPPORT FINANCIAL SUPPORT WAS PROVIDED TO COMMUNITY ORGANIZATIONS THAT OFFERED MENTAL HEALTH EDUCATION AND PREVENTION ACTIVITIES. PROVIDED FUNDING FOR PSYCHIATRIC CARE FOR VULNERABLE PATIENTS WHO COULD NOT AFFORD THE TREATMENT. SENIOR HEALTH SENIORS MAY EXPERIENCE DISEASE AND DISABILITY AS A RESULT OF AGING. THE HOSPITAL SERVES A HIGH PERCENTAGE OF SENIORS MAKING SENIOR HEALTH A PRIORITY COMMUNITY HEALTH NEED. RESPONSE TO NEED COMMUNITY RESOURCE CENTER FOR AGING (CRCA) THE USC COMMUNITY RESOURCE CENTER FOR AGING HELPS OLDER ADULTS IMPROVE THEIR QUALITY OF LIFE BY PROVIDING ACCESS TO A ROBUST NETWORK OF RESOURCES, COMMUNITY-BASED SERVICES AND SUPPORT SYSTEMS THAT SPECIALIZE IN NAVIGATING THE UNIQUE CHALLENGES OF AGING. SERVICES ARE AVAILABLE TO ALL MEMBERS OF THE COMMUNITY, FREE OF CHARGE, INCLUDING FAMILY MEMBERS AND CAREGIVERS. PEOPLE CAN ALSO RECEIVE GUIDANCE NAVIGATING BOTH DAILY NEEDS, LIKE FOOD AND MEDICINE DELIVERY OR TRANSPORTATION, TO MAJOR LIFE DECISIONS LIKE LONG-TERM CARE OR ASSISTED LIVING. ACCESS TO THE CRCA IS FREE TO ANYONE IN THE COMMUNITY. OTHER HEALTH NEEDS WERE IDENTIFIED BUT ARE NOT SPECIFICALLY ADDRESSED IN THE IMPLEMENTATION STRATEGY. THESE INCLUDE: ECONOMIC INSECURITY, DENTAL CARE, OVERWEIGHT AND OBESITY, SEXUALLY TRANSMITTED INFECTIONS, SUBSTANCE USE AND MISUSE, AND TRANSPORTATION. WHILE THESE ISSUES ARE ADDRESSED ON A DAY-TO-DAY BASIS IN THE NORMAL COURSE OF OPERATIONS, THE HOSPITAL HAS CHOSEN NOT TO FOCUS THIS IMPLEMENTATION PLAN ON THESE OTHER NEEDS AS IT BELIEVES THAT IT CAN HAVE A GREATER IMPACT ON THE PRIORITY HEALTH NEEDS THAT WERE SELECTED. THESE OTHER HEALTH NEEDS ARE LESS ALIGNED WITH THE HOSPITAL'S STRATEGIC INITIATIVES.
PART V, SECTION B, LINE 16(A)-(C):HTTPS://USCVHH.ORG/PATIENTS-AND-VISITORS/FINANCIAL-INFORMATION PART V, SECTION B, LINE 16(J): PLEASE REFER TO PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE IN PART VI. PART V, SECTION B, LINE 20(E): THE HOSPITAL NOTIFIED INDIVIDUALS OF THE FINANCIAL ASSISTANCE POLICY IN COMMUNICATIONS WITH THE INDIVIDUALS REGARDING THE INDIVIDUALS' BILLS.

Supplemental Information Detail SupplementalInformationDetail (11 entries)

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PART I, LINE 3C:THE DISCOUNT AMOUNT IS BASED ON FAMILY INCOME COMPARED TO THE FEDERAL POVERTY LEVEL ("FPL") FOR THE CURRENT YEAR. PATIENTS WITH FAMILY INCOME UNDER 200% FPL WILL BE ELIGIBLE FOR FREE CARE FOR THE DATES OF SERVICES FOR WHICH AN APPLICATION IS COMPLETED. UNINSURED OR UNDER-INSURED PATIENTS WITH FAMILY INCOME BETWEEN 201% AND 350% FPL WILL BE ELIGIBLE FOR CARE AT A SLIDING SCALE DISCOUNT. UNINSURED PATIENTS WHOSE FAMILY INCOME EXCEEDS 350% OF THE FPL WILL RECEIVE THE COMPACT DISCOUNTED RATE. IF IT IS DETERMINED THAT THE FAMILY INCOME IS ABOVE 350% OF THE FPL, THE HOSPITAL MAY STILL CONSIDER THE PATIENT ELIGIBLE FOR FINANCIAL ASSISTANCE AND REQUIRE THE FOLLOWING INFORMATION BE PROVIDED: INDIVIDUAL OR FAMILY NET WORTH, INCLUDING ASSETS, BOTH LIQUID AND NON-LIQUID, LIABILITIES AND CLAIMS AGAINST ASSETS; EMPLOYMENT STATUS WILL BE CONSIDERED IN THE CONTEXT OF WHETHER THE LIKELIHOOD OF FUTURE EARNINGS WILL BE SUFFICIENT TO MEET THE COST OF PAYING FOR HEALTHCARE SERVICES WITHIN A REASONABLE PERIOD OF TIME; UNUSUAL EXPENSES OR LIABILITIES; AND ADDITIONAL INFORMATION AS REQUIRED FOR SPECIAL CIRCUMSTANCES.
PART I, LINE 7:THE AMOUNTS REPORTED IN PART I, LINE 7 FOLLOW THE FORM 990, SCHEDULE H INSTRUCTIONS BY ADDRESSING ALL PATIENT SEGMENTS. PART II, LINE 2: USC VERDUGO HILLS WORKFORCE DEVELOPMENT: USC-VHH PARTICIPATED IN COMMUNITY PROGRAMS THAT ENCOURAGED CAREERS IN THE HEALTH PROFESSIONS. 225 LOCAL HIGH SCHOOL STUDENTS FROM HIGH SCHOOLS IN LOS ANGELES PARTICIPATED IN A HEALTHCARE DAY OF DISCOVERY, A PROGRAM TO INTRODUCE HEALTH CARE CAREERS TO STUDENTS. USC VERDUGO HILLS ECONOMIC DEVELOPMENT: USC-VVH ACTIVELY SUPPORTED ISSUES IMPACTING COMMUNITY HEALTH AND SAFETY BY PARTNERING WITH THE CRESCENTA VALLEY CHAMBER OF COMMERCE, THE GLENDALE CHAMBER OF COMMERCE AND THE LA CANADA KIWANIS CLUB.
PART III, LINE 2:THE DETERMINATION OF CHARITY CARE GENERALLY SHOULD BE MADE AT THE TIME OF ADMISSION, OR SHORTLY THEREAFTER. HOWEVER, EVENTS AFTER DISCHARGE MAY CHANGE THE ABILITY OF THE PATIENT TO PAY. DESIGNATION AS CHARITY CARE WILL ONLY BE CONSIDERED AFTER ALL PAYMENT SOURCES HAVE BEEN EXHAUSTED. HOSPITAL CHARGES FOR PATIENT ACCOUNTS IDENTIFIED AS CHARITY CARE AT THE TIME OF ADMISSION OR SERVICE ARE NOT RECOGNIZED BY THE FACILITY AS NET REVENUES OR NET RECEIVABLES. IF PATIENT ACCOUNTS ARE IDENTIFIED AS CHARITY CARE SUBSEQUENT TO THE FACILITY RECOGNIZING THE CHARGES AS REVENUE, AN ADJUSTMENT IS REQUIRED TO CLASSIFY APPROPRIATELY THE REVENUE AND ANY BAD DEBT EXPENSE PREVIOUSLY RECORDED. PART III, LINE 4: NET PATIENT SERVICE REVENUE IS REPORTED AT ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD PARTY PAYORS, GOVERNMENT PROGRAMS AND OTHERS IN THE PERIOD IN WHICH SERVICES ARE PROVIDED. THE MAJORITY OF THE HOSPITAL SERVICES ARE RENDERED TO PATIENTS WITH COMMERCIAL OR MANAGED CARE INSURANCE, OR UNDER THE FEDERAL MEDICARE AND CALIFORNIA STATE MEDI-CAL PROGRAMS. REIMBURSEMENT FROM THESE VARIOUS PAYORS IS BASED ON A COMBINATION OF PROSPECTIVELY DETERMINED RATES, DISCOUNTS FROM CHARGES AND HISTORICAL COSTS. AMOUNTS RECEIVED UNDER THE MEDICARE PROGRAM ARE SUBJECT TO RETROACTIVE SETTLEMENTS BASED ON REVIEW AND FINAL DETERMINATION BY PROGRAM INTERMEDIARIES OR THEIR AGENTS. PROVISIONS FOR CONTRACTUAL ADJUSTMENTS AND RETROACTIVE SETTLEMENTS RELATED TO THOSE PAYORS ARE ACCRUED ON AN ESTIMATED BASIS IN THE PERIOD THE RELATED SERVICES ARE RENDERED AND ADJUSTED IN FUTURE PERIODS AS ADDITIONAL INFORMATION BECOMES KNOWN OR AS FINAL SETTLEMENTS ARE DETERMINED. THE ALLOWANCES FOR DOUBTFUL ACCOUNTS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING HISTORICAL BUSINESS AND ECONOMIC CONDITIONS. PERIODICALLY THROUGHOUT THE YEAR MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:THE MEDICARE SHORTFALL OF $8,946,672 REPORTED IN PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT BECAUSE THE RATES PAID BY MEDICARE DO NOT ACCURATELY REFLECT THE COST OF CARE PROVIDED BY THE HOSPITAL. ACCORDINGLY, THE HOSPITAL MUST SUBSIDIZE THE COST OF CARE PROVIDED TO MEDICARE BENEFICIARIES WITH OTHER REVENUES. THE COSTING METHODOLOGY USED TO CALCULATE MEDICARE ALLOWANCE COSTS OF CARE REPORTED ON PART III, LINE 6 WAS USING A COST-TO-CHARGE RATIO.
PART III, LINE 9B:AS PART OF THEIR MISSION, THE HOSPITAL PROVIDES SERVICES AND A BROAD ARRAY OF BENEFITS TO THE COMMUNITY. THE PATIENT ACCEPTANCE POLICY IS BASED ON THEIR MISSION STATEMENTS AND THEIR COMMUNITY SERVICES RESPONSIBILITIES. ACCORDINGLY, THE HOSPITAL ACCEPTS PATIENTS IN IMMEDIATE NEED OF CARE, REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL DOES NOT PURSUE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE BASED ON ESTABLISHED POLICIES OF THE HOSPITAL. THESE POLICIES DEFINE CHARITY SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS DUE FOR ALL OR A PORTION OF THE PATIENT'S BILL. SEE ALSO SCHEDULE H, PART III, LINE 4.
PART VI, LINE 2:NEEDS ASSESSMENT: IN ADDITION TO THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, HEALTH NEEDS ARE MONITORED BY: THE BOARD MEMBERS (WHO ARE COMMUNITY RESIDENTS) SHARE COMMUNITY HEALTH CONCERNS WHEN APPROPRIATE; COMMUNITY COMMENTS ON THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY ARE COLLECTED ON THE HOSPITAL WEBSITE AND ARE MONITORED BY THE COMMUNITY BENEFIT AND OUTREACH DEPARTMENT; AND EACH FACILITY IDENTIFIED ON PART V OF SCHEDULE H HAS SYSTEMS TO ENGAGE COMMUNITY MEMBERS TO PROVIDE ON COMMUNITY HEALTH CARE NEEDS. COMMUNITY INVOLVEMENT OCCURS AND FEEDBACK IS OBTAINED THROUGH SERVICE ON COMMITTEES, INPUT ON NEEDS ASSESSMENTS, TOWN HALL/LISTENING SESSIONS OR INPUT THROUGH SOCIAL MEDIA OUTLETS.
PART VI, LINE 3:PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THE HOSPITAL SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES WILL BE POSTED IN HIGH VOLUME INPATIENT AND OUTPATIENT AREAS OF THE HOSPITAL. NOTICES SHALL ALSO BE POSTED IN THE ADMITTING AND FINANCIAL SERVICES DEPARTMENTS. THE HOSPITAL SHALL PROVIDE PATIENTS WITH A WRITTEN DOCUMENT THAT CONTAINS INFORMATION ABOUT AVAILABILITY OF THE DISCOUNT PAYMENT AND CHARITY CARE POLICIES, INCLUDING INFORMATION ABOUT ELIGIBILITY, AS WELL AS CONTACT INFORMATION FOR A HOSPITAL EMPLOYEE OR OFFICE FROM WHICH THE PERSON MAY OBTAIN FURTHER INFORMATION ABOUT THESE POLICIES. THE NOTICE SHALL ALSO BE PROVIDED TO PATIENTS WHO RECEIVE OUTPATIENT CARE AND WHO MAY BE BILLED FOR THE CARE, BUT WHO WERE NOT ADMITTED. THE NOTICE SHALL BE PROVIDED IN ENGLISH, AND IN LANGUAGES OTHER THAN ENGLISH. THE LANGUAGES TO BE PROVIDED SHALL BE DETERMINED IN A MANNER SIMILAR TO THAT REQUIRED PURSUANT TO SECTION 12693.30 OF THE INSURANCE CODE (THRESHOLD LANGUAGES ARE SPANISH AND THOSE LANGUAGES SPOKEN BY 5% OF PATIENTS). DATA MAILERS SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS WILL CONTAIN INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM. WRITTEN CORRESPONDENCE TO THE PATIENT REQUIRED BY THIS ARTICLE SHALL ALSO BE IN THE LANGUAGE SPOKEN BY THE PATIENT, CONSISTENT WITH SECTION 12693.30 OF THE INSURANCE CODE AND APPLICABLE STATE AND FEDERAL LAW. AT USC VERDUGO HILLS HOSPITAL, THE FAIR PRICING POLICY IS DESCRIBED TO PATIENTS AND FAMILIES UPON REGISTRATION. THE POLICY IS POSTED AND FORMS ARE MAILED TO PATIENTS AT TIME OF INITIAL BILLING. THE HOSPITAL ALSO ASSISTS PATIENTS WITH UNDERSTANDING AND LINKING THEM TO MEDI-CAL.
PART VI, LINE 4:COMMUNITY INFORMATION: USC VERDUGO HILLS HOSPITAL USC VERDUGO HILLS HOSPITAL IS LOCATED AT 1812 VERDUGO BOULEVARD, GLENDALE, CALIFORNIA, 91208. THE HOSPITAL SERVES THE COMMUNITIES OF ALTADENA, EAGLE ROCK, GLENDALE, HIGHLAND PARK, LA CAADA, FLINTRIDGE, LA CRESCENTA, MONTROSE, PASADENA, SUNLAND, SYLMAR, TUJUNGA, GLASSELL PARK, LOS ANGELES, AND SUN VALLEY. THE POPULATION OF THE USC-VHH SERVICE AREA IS 666,468. CHILDREN AND YOUTH MAKE UP 20.1% OF SERVICE AREA POPULATION, 64.9% ARE ADULTS, AND 15.0% ARE SENIORS, 65 YEARS AND OLDER. THE SERVICE AREA HAS A HIGHER PERCENTAGE OF SENIORS THAN FOUND IN THE COUNTY (12.2%). ALMOST HALF OF THE POPULATION (45.9%) IS WHITE. AT 33% OF THE POPULATION, LATINOS OR HISPANICS ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA. ASIANS MAKE UP 14% OF THE POPULATION IN THE SERVICE AREA AND AFRICAN AMERICANS ARE 4% OF THE POPULATION. THE SERVICE AREA HAS A LARGER PERCENTAGE OF WHITES (45.9%) COMPARED TO THE COUNTY (26.7%) AND STATE (38.4%). AMONG AREA RESIDENTS, 13.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND BETWEEN 11.3% TO 12.1% OF SERVICE AREA CHILDREN ARE AT 200% OF FPL OR BELOW (LOW-INCOME). IN THE SERVICE AREA, 18.2% OF ADULTS ARE HIGH SCHOOL GRADUATES, AND 47.1% OF THE POPULATION IN THE SERVICE AREA HAS GRADUATED COLLEGE, HIGHER THAN THE RATE FOR THE COUNTY (37.7%) AND THE STATE (39.8%).
PART VI, LINE 5:THE GOVERNING BOARD IS COMPRISED OF MEMBERS OF THE COMMUNITIES SERVED, USC FACULTY AND STAFF, AND USC HEALTH SYSTEM EMPLOYEES. COMMUNITY MEMBERS ARE NOT COMPENSATED FOR THEIR TIME ON THE BOARD. EACH FACILITY IDENTIFIED IN PART V OF SCHEDULE H MAINTAINS AN OPEN MEDICAL STAFF EXCEPT IN THOSE INSTANCES WHEN A CLINICAL DEPARTMENT IS "CLOSED" IN ACCORDANCE WITH CALIFORNIA LAW FOR HOSPITAL-BASED SERVICES. AS A NONPROFIT ORGANIZATION, ANY SURPLUS OF FUNDS IS INVESTED BACK INTO PROVIDING HEALTH CARE SERVICES AND RESOURCES TO THE COMMUNITY, INCLUDING BUT NOT LIMITED TO NEW PATIENT CARE LOCATIONS AND EQUIPMENT, EXPANDED PROGRAMS AND SERVICES, AND THE TRAINING OF NURSES AND OTHER HEALTH PROFESSIONALS INCLUDING NUTRITION STUDENTS, HEALTH ADMINISTRATION STUDENTS AND OCCUPATIONAL AND PHYSICAL THERAPISTS. THE HOSPITAL PARTNERS WITH UNIVERSITIES TO PROVIDE CLINICAL TRAINING TO NURSING STUDENTS.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM: USC VERDUGO HILLS HOSPITAL (THE ORGANIZATION) WAS ORGANIZED TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE NONPROFIT USC VERDUGO HILLS HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF USC HEALTH SYSTEMS IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST-EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF VERDUGO HILLS HOSPITAL; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY VERDUGO MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF USC VERDUGO HILLS HOSPITAL, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF VERDUGO HILLS HOSPITAL. AS PART OF A UNIVERSITY-BASED MEDICAL CENTER, THE HOSPITAL PROVIDES EASY ACCESS FOR ITS PATIENTS TO THE BEST MEDICAL CARE AVAILABLE. THE HOSPITAL PROVIDES A FULL RANGE OF PERSONALIZED, QUALITY INPATIENT AND OUTPATIENT SERVICES TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. ITS INPATIENT CARE INCLUDES GEROPSYCHIATRIC CARE, INTENSIVE CARE, MEDICAL/SURGICAL, ORTHOPAEDICS, OBSTETRICS, TRANSITIONAL CARE, AND TELEMETRY. ITS OUTPATIENT SERVICES INCLUDE CARDIAC REHABILITATION, DIAGNOSTIC TESTING, EMERGENCY AND LIFE-THREATENING NEEDS OF ADULTS AND CHILDREN IN THE COMMUNITY. FAST-TRACK SERVICE IS AVAILABLE AROUND-THE-CLOCK FOR MINOR CASES. THE USC VERDUGO HILLS HOSPITAL PHYSICAL MEDICINE AND REHABILITATION DEPARTMENT SERVES THOSE WHO ARE IN NEED OF SUPPORT IN THE AREAS OF PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. THE HOSPITAL WILL SPEND 100% OF ITS TIME OPERATING THESE HOSPITAL FACILITIES AND FUNDS ITS ACTIVITIES THROUGH PATIENT REVENUE FROM SERVICES RENDERED TO PATIENTS AND FURNISHING OF THE HOSPITAL'S FACILITIES IN ACTIVITIES RELATED TO THE HOSPITAL'S EXEMPT PURPOSES. THE HOSPITAL IS ALSO ACTIVE IN COMMUNITY HEALTH EDUCATION, SPONSORING NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE LOCAL COMMUNITY. IN PARTICULAR, THE HOSPITAL SPONSORS A VARIETY OF CLASSES, SEMINARS, LECTURES, AND SCREENINGS EACH YEAR DEVOTED TO INCREASING PUBLIC AWARENESS OF HEALTHCARE. FOR EXAMPLE, THE HOSPITAL PROVIDES COMMUNITY EDUCATION AND TRAINING WITH RESPECT TO DISEASE PREVENTION AND HEALTH AND WELLNESS, INCLUDING INFANT CARE, CANCER TREATMENT, ART THERAPY, GERD, PAIN MANAGEMENT, ORGAN DONATION, CANCER, FITNESS, NUTRITION, SENIOR FALL PREVENTION, SUICIDE PREVENTION, CHILDBIRTH PREPARATION, AND ORTHOPAEDIC CARE. THE HOSPITAL ALSO OFFERS CPR AND FIRST AID CLASSES. THE HOSPITAL ALSO HAS A SERIES OF INITIATIVES DESIGNED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY, INCLUDING AN ANNUAL HEALTH AND WELLBEING FAIR, AN INFLUENZA IMMUNIZATION CLINIC, AND MAMMOGRAM SCREENINGS. KECK MEDICAL CENTER OF USC (THE ORGANIZATION) WAS ORGANIZED TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE ONE OR MORE NONPROFIT HOSPITALS, INCLUDING KECK HOSPITAL OF USC AND USC NORRIS CANCER HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA, KECK MEDICINE OF USC ("KECK MEDICINE"); TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF KECK MEDICINE IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF THE KECK SCHOOL OF MEDICINE OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY KECK MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF KECK MEDICINE, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF KECK MEDICINE. KECK IS A TERTIARY, QUATERNARY CARE HOSPITAL THAT PROVIDES CARE TO THE MOST ACUTELY ILL PATIENTS. ITS SPECIALTIES INCLUDE HEAD AND NECK ONCOLOGY, INPATIENT REHABILITATION, AND KIDNEY TRANSPLANT SERVICES, AMONG OTHERS. ITS INTERNATIONALLY RENOWNED PHYSICIANS CARE FOR PATIENTS, AND TEACH AND CONDUCT RESEARCH AT THE KECK SCHOOL OF MEDICINE OF USC, THE REGION'S FIRST MEDICAL SCHOOL. KECK PROVIDES INNOVATIVE CARE FOR COMPLEX MEDICAL AND SURGICAL ISSUES. HIGHLY TRAINED SPECIALISTS IN EACH AREA PROVIDE EVERY PATIENT WITH AN INDIVIDUALIZED, YET EXTENSIVE CARE PLAN. HUNDREDS OF CLINICAL TRIALS ARE CURRENTLY TAKING PLACE AT KECK AND ITS AFFILIATED RESEARCH INSTITUTIONS, GIVING PARTICIPANTS ACCESS TO NOVEL AND PROMISING THERAPIES THAT GENERALLY ARE NOT AVAILABLE ELSEWHERE. NORRIS IS ONE OF THE NATION'S FIFTY-ONE COMPREHENSIVE CANCER CENTERS, DEDICATED TO THE RESEARCH AND DEVELOPMENT OF APPROACHES TO THE PREVENTION, DIAGNOSIS, AND TREATMENT OF CANCER. IT IS ONE OF THE EIGHT ORIGINAL COMPREHENSIVE CANCER CENTERS DESIGNATED BY THE NATIONAL CANCER INSTITUTE AND HAS A MISSION TO TRANSLATE SCIENTIFIC DISCOVERIES INTO INNOVATIVE THERAPIES FOR ITS PATIENTS. NORRIS'S RESEARCH BREAKTHROUGHS HAVE LED THE WAY TO A GREATER UNDERSTANDING OF THE UNDERLYING CAUSES OF CANCER AND NEW METHODS OF PREVENTION, DETECTION AND TREATMENT. NORRIS FOCUSES ON THIRTEEN KEY AREAS OF CANCER TREATMENT: BREAST CANCER, GASTROINTESTINAL CANCER, GENETIC COUNSELING, GYNECOLOGICAL CANCERS, HEAD AND NECK CANCERS, HEMATOLOGY, LUNG CANCER, MELANOMA, NEURO-ONCOLOGY, RADIATION ONCOLOGY, SARCOMA, SKIN CANCER AND UROLOGIC ONCOLOGY. USING A MULTIDISCIPLINARY TEAM APPROACH, THE MORE THAN 250 DEDICATED PHYSICIANS AND SCIENTISTS OF NORRIS TREAT AND PREVENT CANCER BY DEVELOPING NEW THERAPIES, ENHANCING EXISTING PROTOCOLS AND PROVIDING PERSONALIZED, PRECISION CARE THAT IS THE MOST ADVANCED AVAILABLE. AS AN INTEGRAL PART OF A UNIVERSITY-BASED MEDICAL CENTER, NORRIS OFFERS ACCESS TO HUNDREDS OF INNOVATIVE CLINICAL TRIALS AND EXTENSIVE PATIENT EDUCATION, EMPOWERING PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR HEALTH CARE. PRECISION CARE THAT IS THE MOST ADVANCED AVAILABLE. AS AN INTEGRAL PART OF A UNIVERSITY-BASED MEDICAL CENTER, NORRIS OFFERS ACCESS TO HUNDREDS OF INNOVATIVE CLINICAL TRIALS AND EXTENSIVE PATIENT EDUCATION, EMPOWERING PATIENTS TO TAKE AN ACTIVE ROLE IN THEIR HEALTH CARE.
PART VI, LINE 7:STATE FILING OF COMMUNITY BENEFIT REPORT: A COMMUNITY BENEFIT REPORT IS FILED IN CALIFORNIA.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
FAMILY PROMISE OF THE VERDUGOS
PO BOX 7151BURBANKCA91510262458342501(C)(3)$9,500GENERAL SUPPORT
YMCA OF THE FOOTHILLS
1930 FOOTHILL BOULEVARDLA CANADAFLINTRIDGECA91011951976183501(C)(3)$10,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE IFormAndLineReferenceDesc
ExplanationPart I, Line 2: Funds were donated to nonprofit community groups and local organizations. The support of these organizations furthered the hospital's mission and addressed the community health needs identified through the CHNA. For a program or service to be considered a community benefit it must: improve access to health care; or enhance the health of the community; or advance medical or health care knowledge; or reduce the burden of government or other nonprofit community efforts. The hospital receives annual reports from the organizations it supports to track progress and ensure funds are used appropriately.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STACY BRATCHER
SECRETARY UNTIL 8/27/20$0$356,240$0$100,000$0$412,458$0$28,500$0$22,191$0$919,389$0$0
TAMARA CAPRETTA
DIRECTOR$0$514,769$0$123,809$0$40,569$0$28,500$0$16,272$0$723,919$0$0
CARL CHUDNOFSKY
DIRECTOR$0$714,829$0$0$0$115,601$0$28,500$0$31,115$0$890,045$0$0
ARMAND DORIAN
DIRECTOR$0$401,834$0$76,000$0$20,600$0$28,500$0$38,500$0$565,434$0$0
STEVE L GIANNOTTA
DIRECTOR$0$629,383$0$0$0$35,498$0$28,500$0$30,808$0$724,189$0$0
ROD HANNERS
DIRECTOR$0$885,888$0$228,243$0$238,082$0$28,500$0$29,880$0$1,410,593$0$0
KEITH HOBBS
DIRECTOR/PRES UNTIL 3/12/21$0$468,806$0$122,488$0$53,755$0$28,500$0$26,259$0$699,808$0$0
JOSEPH OUZOUNIAN
DIRECTOR$0$667,062$0$0$0$61,000$0$28,500$0$39,355$0$795,917$0$0
SHAWN T SHEFFIELD
DIRECTOR$0$650,304$0$144,520$0$74,123$0$28,500$0$39,300$0$936,747$0$0
ERIC STRUCKO
DIRECTOR$0$146,101$0$200,000$0$139$0$0$0$3,368$0$349,608$0$0
JEANNINE TAYLOR
SECRETARY AS OF 1/1/21$0$225,098$0$10,000$0$39,500$0$27,857$0$24,019$0$326,474$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 3:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RELIES ON THE UNIVERSITY OF SOUTHERN CALIFORNIA (USC), A RELATED ORGANIZATION, TO ESTABLISH THE COMPENSATION OF THE PRESIDENT. THE CEO OF KECK MEDICAL CENTER OF USC IS ALSO INVOLVED IN THE PROCESS DESCRIBED AS FOLLOWS. THE COMPENSATION IS DETERMINED ANNUALLY USING THE SAFE HARBOR PROCESS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-6. NAMELY, A COMMITTEE OF THE USC'S BOARD OF DIRECTORS TAKES THE FOLLOWING THREE STEPS: (1) IT ENSURES THAT NO MEMBER OF THE COMMITTEE HAS A CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT BEING REVIEWED, (2) IT LOOKS TO COMPARABILITY DATA AND SPECIALIZED COMPENSATION REPORTS (AND IN SOME CASES OPINIONS PREPARED FOR THE USC BY COMPENSATION CONSULTANTS WITH RESPECT TO SIMILARLY QUALIFIED INDIVIDUALS IN COMPARABLE POSITIONS AT SIMILARLY SITUATED UNIVERSITIES, AND (3) IT MAINTAINS A CONTEMPORANEOUS RECORD OF ITS DELIBERATIONS AND DECISIONS. SCHEDULE J, PART I, LINE 4A: STACEY BRATCHER RECEIVED $290,000 IN CONNECTION WITH HER RESIGNATION OF HER POSITION AND SEPARATION FROM THE UNIVERSITY OF SOURTHERN CALIFORNIA. THIS AMOUNT IS INCLUDED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4B: OTHER: IN 1994 USC CREATED A 457(F) SUPPLEMENTAL RETIREMENT PLAN TO PROVIDE MAKE-UP BENEFITS TO EMPLOYEES WHOSE COMPENSATION EXCEEDS THE EARNINGS LIMITATION FOR CONTRIBUTIONS TO THE USC DEFINED CONTRIBUTION RETIREMENT PLAN. AS OF JANUARY 1, 2005, THE PLAN WAS FROZEN AND PARTICIPANTS, WITH RESPECT TO FUTURE MAKE UP BENEFITS, WERE NO LONGER PERMITTED TO DEFER THESE BENEFITS. SCHEDULE J, PART II NONE OF THE OFFICERS AND DIRECTORS OF THIS ORGANIZATION RECEIVED ANY COMPENSATION FROM THE FILING ORGANIZATION DURING 2020. DURING 2020, THE INDIVIDUALS REPORTED ON SCHEDULE J, PART II WERE EMPLOYEES OF THE UNIVERSITY OF SOUTHERN CALIFORNIA ("USC"), A RELATED ORGANIZATION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 3:As of January 1, 2021, the University transferred hospital operations to controlled affiliates, which are separate 501(c)(3) organizations previously formed for this purpose as described below. In 2019, the University established USC Health System, as a separate California nonprofit public benefit corporation ("USC Health"), to provide oversight of the University's academic medical enterprise and affiliated clinical activities (i.e., Keck Medicine). The University is the sole corporate member of USC Health. USC Health's purpose includes overseeing management and operation of the University's health care operations. USC Health is a tax-exempt organization described in Section 501(c)(3) of the Internal Revenue Code. In 2020, the University established separate California nonprofit public benefit corporations controlled by USC Health to operate the Hospitals, which were previously operated as divisions of the University. Effective January 1, 2021, with transfer of the hospital licenses from The University: -Keck Medical Center of USC operates both Keck Hospital and Norris Hospital, and -USC Verdugo Hills Hospital operates Verdugo Hills Hospital. USC Health is the sole corporate member of, and has certain reserved powers over, each of Keck Medical Center of USC and USC Verdugo Hills Hospital. Keck Medical Center of USC and USC Verdugo Hills Hospital are each tax-exempt organizations described in Section 501(c)(3) of the Internal Revenue Code. The financial activities of the Hospitals mentioned above are reflected in USC's Form 990 for the first 6 months of FY21 and reported on separate Forms 990 for each newly formed organization for the period January 1, 2021 through June 30, 2021. FORM 990, PART I, LINE 1 AND PART III, LINE 1 AND 4A: PRIMARY ACTIVITY AND PROGRAM SERVICE ACCOMPLISHMENTS USC VERDUGO HILLS HOSPITAL (THE ORGANIZATION) WAS ORGANIZED ON JUNE 24, 2020 AS A CALIFORNIA NONPROFIT CORPORATION FOR EXCLUSIVELY CHARITABLE, SCIENTIFIC AND EDUCATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE, INCLUDING: TO ESTABLISH, EQUIP, MAINTAIN, AND OPERATE NONPROFIT USC VERDUGO HILLS HOSPITAL, AS PART OF THE INTEGRATED HEALTH CARE SYSTEM OF THE UNIVERSITY OF SOUTHERN CALIFORNIA; TO COORDINATE THE ACTIVITIES OF THE ORGANIZATION WITH OTHER ACTIVITIES OF USC HEALTH SYSTEMS IN A MANNER THAT ENHANCES THE ACCESSIBILITY, QUALITY AND COST-EFFECTIVENESS OF HEALTH CARE SERVICES RELATED TO THE COMMUNITIES SERVED BY THE ORGANIZATION, PROVIDES ASSOCIATED SERVICES INCLUDING, BUT NOT LIMITED TO, OUTPATIENT CARE AND EMERGENCY CARE, TO ALL PERSONS WITHOUT REGARD TO SEX, RACE, AGE, RELIGION, CREED, COLOR OR NATIONAL ORIGIN, SEXUAL ORIENTATION, OR PHYSICAL OR MENTAL DISABILITY, AND SUPPORTS THE EDUCATIONAL AND RESEARCH MISSIONS OF VERDUGO HILLS HOSPITAL; TO PARTICIPATE IN ACTIVITIES DESIGNED AND CARRIED ON TO PROVIDE AND IMPROVE THE GENERAL PUBLIC HEALTH AND HEALTH OF PATIENTS SERVED BY VERDUGO MEDICINE; AND IN FURTHERANCE OF THE PURPOSE, MISSION AND ACTIVITIES OF USC VERDUGO HILLS HOSPITAL, TO PROVIDE OTHER FORMS OF AID AND ASSISTANCE TO, FOR THE BENEFIT OF, OR IN CONNECTION WITH THE NONPROFIT COMPONENTS OF VERDUGO HILLS HOSPITAL. AS PART OF A UNIVERSITY-BASED MEDICAL CENTER, THE HOSPITAL PROVIDES EASY ACCESS FOR ITS PATIENTS TO THE BEST MEDICAL CARE AVAILABLE. THE HOSPITAL PROVIDES A FULL RANGE OF PERSONALIZED, QUALITY INPATIENT AND OUTPATIENT SERVICES TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. ITS INPATIENT CARE INCLUDES GEROPSYCHIATRIC CARE, INTENSIVE CARE, MEDICAL/SURGICAL, ORTHOPAEDICS, OBSTETRICS, TRANSITIONAL CARE, AND TELEMETRY. ITS OUTPATIENT SERVICES INCLUDE CARDIAC REHABILITATION, DIAGNOSTIC TESTING, EMERGENCY AND LIFE-THREATENING NEEDS OF ADULTS AND CHILDREN IN THE COMMUNITY. FAST-TRACK SERVICE IS AVAILABLE AROUND-THE-CLOCK FOR MINOR CASES. THE USC VERDUGO HILLS HOSPITAL PHYSICAL MEDICINE AND REHABILITATION DEPARTMENT SERVES THOSE WHO ARE IN NEED OF SUPPORT IN THE AREAS OF PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH THERAPY. THE HOSPITAL WILL SPEND 100% OF ITS TIME OPERATING THESE HOSPITAL FACILITIES AND FUNDS ITS ACTIVITIES THROUGH PATIENT REVENUE FROM SERVICES RENDERED TO PATIENTS AND FURNISHING OF THE HOSPITAL'S FACILITIES IN ACTIVITIES RELATED TO THE HOSPITAL'S EXEMPT PURPOSES. THE HOSPITAL IS ALSO ACTIVE IN COMMUNITY HEALTH EDUCATION, SPONSORING NUMEROUS OUTREACH PROGRAMS THROUGHOUT THE LOCAL COMMUNITY. IN PARTICULAR, THE HOSPITAL SPONSORS A VARIETY OF CLASSES, SEMINARS, LECTURES, AND SCREENINGS EACH YEAR DEVOTED TO INCREASING PUBLIC AWARENESS OF HEALTHCARE. FOR EXAMPLE, THE HOSPITAL PROVIDES COMMUNITY EDUCATION AND TRAINING WITH RESPECT TO DISEASE PREVENTION AND HEALTH AND WELLNESS, INCLUDING INFANT CARE, CANCER TREATMENT, ART THERAPY, GERD, PAIN MANAGEMENT, ORGAN DONATION, CANCER, FITNESS, NUTRITION, SENIOR FALL PREVENTION, SUICIDE PREVENTION, CHILDBIRTH PREPARATION, AND ORTHOPAEDIC CARE. THE HOSPITAL ALSO OFFERS CPR AND FIRST AID CLASSES. THE HOSPITAL ALSO HAS A SERIES OF INITIATIVES DESIGNED TO ADDRESS THE HEALTHCARE NEEDS OF THE COMMUNITY, INCLUDING AN ANNUAL HEALTH AND WELLBEING FAIR, AN INFLUENZA IMMUNIZATION CLINIC, AND MAMMOGRAM SCREENINGS.
FORM 990, PART VI, LINES 6, 7A AND 7BTHE SOLE CORPORATE MEMBER OF THE ORGANIZATION IS THE USC HEALTH SYSTEM, A CALIFORNIA TAX-EXEMPT ORGANIZATION. THE CORPORATE MEMBER HAS THE AUTHORITY TO APPROVE DIRECTORS ELECTED BY THE BOARD AND REMOVE DIRECTORS AND THE AUTHORITY TO APPROVE CHANGES TO THE BYLAWS. ACTIONS REQUIRING APPROVAL OF THE CORPORATE MEMBERS INCLUDE ANY CHANGES TO THE COMPOSITION OF THE BOARD OF DIRECTORS, BYLAW CHANGES, CERTAIN PROPERTY TRANSACTIONS, AND BUDGET APPROVAL.
FORM 990, PART VI, LINE 11(B):VERDUGO HILLS HOSPITAL'S FORM 990 IS REVIEWED AT SEVERAL LEVELS. THE HOSPITAL ENGAGES AN EXTERNAL PUBLIC ACCOUNTING FIRM TO ASSIST IN THE PREPARATION AND REVIEW OF ITS FORM 990 AND TO SIGN AS PAID PREPARER. AMONG THOSE WHO CONDUCT THE REVIEW OF THE FINAL FORM 990 AT THE HOSPITAL INCLUDE MANAGEMENT, EXTERNAL COUNSEL, AND THE AUDIT, COMPLIANCE, AND RISK COMMITTEE OF THE USC HEALTH SYSTEM. THE REVIEW OF FORM 990 IS CONDUCTED PRIOR TO IT BEING FILED AND A FINAL COPY OF THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS BEFORE IT IS FILED.
FORM 990, PART VI, LINE 12:AS A RELATED ORGANIZATION OF THE USC HEALTH SYSTEM, THE ORGANIZATION FOLLOWS THE HEALTH SYSTEM'S POLICIES INCLUDING THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS ALL INTERESTED PERSONS EMPLOYEES AND THEIR CLOSE RELATIONS. INTERESTED PERSONS WILL CONTINUE TO BE SUBJECT TO THE POLICY FOR FIVE YEARS AFTER CEASING TO BE AN INTERESTED PERSON. AN "INTERESTED PERSON" MEANS ANY DIRECTOR, MEMBER OF ANY COMMITTEE APPOINTED BY THE BOARD (WHETHER OR NOT SUCH PERSON IS A DIRECTOR), PRINCIPAL OFFICER, OR KEY EMPLOYEE WHO HAS A DIRECT OR INDIRECT FINANCIAL INTEREST IN A CONTEMPLATED TRANSACTION OR ARRANGEMENT. IN CONNECTION WITH ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST, AN INTERESTED PERSON MUST FULLY DISCLOSE THE EXISTENCE OF AND ALL MATERIAL FACTS RELATED TO THE FINANCIAL INTEREST THAT GIVES RISE TO THE ACTUAL OR POTENTIAL CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE MADE TO THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR OF SUCH OTHER COMMITTEE OF THE BOARD AS IS AUTHORIZED TO REVIEW SUCH TRANSACTION OR ARRANGEMENT REFERRED TO AS AN "APPROPRIATE COMMITTEE''. IF A DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, OR KEY EMPLOYEE BECOMES AWARE OF ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST RELATED TO ANOTHER DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, OR KEY EMPLOYEE, SUCH PERSON SHALL PROMPTLY BRING IT TO THE ATTENTION OF THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR OF AN APPROPRIATE COMMITTEE. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING OF THE BOARD OR APPROPRIATE COMMITTEE DURING THE DISCUSSION OF THE FINANCIAL INTEREST AND THE VOTE ON WHETHER A CONFLICT OF INTEREST EXISTS, WHICH SHALL BE DETERMINED BY A MAJORITY OF A DISINTERESTED QUORUM. THE REMAINING BOARD OR COMMITTEE MEMBERS (OR THE SOLE MEMBER IF THERE ARE NO DISINTERESTED DIRECTORS) SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. IF THE REMAINING BOARD OR COMMITTEE MEMBERS DETERMINE THAT THE FINANCIAL INTEREST OF AN INTERESTED PERSON DOES NOT CONSTITUTE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST, THE REVIEW PROCESS IS COMPLETE. IF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST HAS BEEN FOUND, THE BOARD OR COMMITTEE SHALL PROCEED AS FOLLOWS: THE INTERESTED PERSON SHALL BE EXCUSED FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT, PROVIDED THAT THE INTERESTED PERSON MAY WITH THE PERMISSION OR AT THE REQUEST OF THE PRESIDING OFFICER ADDRESS THE MEETING WITH RESPECT TO THE TRANSACTION OR ARRANGEMENT BEFORE LEAVING THE MEETING. THE BODY THAT CONSIDERS THE PROPOSED TRANSACTION OR ARRANGEMENT SHALL BE COMPOSED ENTIRELY OF INDIVIDUALS WITHOUT A CONFLICT OF INTEREST WITH RESPECT TO THE PROPOSED TRANSACTION OR ARRANGEMENT. THE BOARD OR APPROPRIATE COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE OF DISINTERESTED PERSONS TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT BEFORE VOTING ON SUCH TRANSACTION OR ARRANGEMENT. FURTHER, LEGAL COUNSEL MAY BE CONSULTED IF DESIRED BY THE BOARD OR COMMITTEE PRIOR TO CONSIDERING THE TRANSACTION OR ARRANGEMENT. THE BOARD OR AN APPROPRIATE COMMITTEE (EXCEPT AS PROVIDED BELOW), AFTER THE EXERCISE OF REASONABLE DUE DILIGENCE, MAY AUTHORIZE OR APPROVE A TRANSACTION OR ARRANGEMENT BY VOTE OF A MAJORITY OF THE DISINTERESTED DIRECTORS ON THE BOARD OR SUCH COMMITTEE AFTER MAKING THE DETERMINATIONS SET FORTH. IF A DIRECTOR HAS A MATERIAL FINANCIAL INTEREST IN A TRANSACTION OR ARRANGEMENT, THEN, THE TRANSACTION OR ARRANGEMENT MAY ONLY BE APPROVED BY ACTION TAKEN BY THE FULL BOARD, OR BY AN APPROPRIATE COMMITTEE. TO AUTHORIZE OR APPROVE A TRANSACTION OR ARRANGEMENT, THE BOARD OR APPROPRIATE COMMITTEE MUST DETERMINE THE FOLLOWING: THAT THE BOARD (OR APPROPRIATE COMMITTEE) HAS KNOWLEDGE OF ALL MATERIAL FACTS CONCERNING THE TRANSACTION OR ARRANGEMENT AND THE FINANCIAL OR OTHER INTEREST OF ANY INTERESTED PERSON IN SUCH TRANSACTION OR ARRANGEMENT; THAT THE BOARD (OR APPROPRIATE COMMITTEE) HAS OBTAINED AND RELIED ON APPROPRIATE DATA AS TO COMPARABILITY PRIOR TO MAKING ITS DETERMINATION, AS DESCRIBED IN SECTION 4958 OF THE CODE AND THE ACCOMPANYING TREASURY REGULATIONS; THAT THE BOARD (OR APPROPRIATE COMMITTEE) IS ACTING IN GOOD FAITH; THAT THE TRANSACTION OR ARRANGEMENT IS IN THE CORPORATION'S BEST INTEREST AND FOR ITS OWN BENEFIT; THAT THE TRANSACTION IS FAIR AND REASONABLE TO THE CORPORATION AT THE TIME THE CORPORATION WILL ENTER INTO IT; THAT, AFTER REASONABLE INVESTIGATION UNDER THE CIRCUMSTANCES, THE CORPORATION CANNOT OBTAIN A MORE ADVANTAGEOUS ARRANGEMENT WITH REASONABLE EFFORT UNDER THE CIRCUMSTANCES FROM A PERSON OR ENTITY THAT DOES NOT HAVE AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST; AND THAT THE BOARD (OR APPROPRIATE COMMITTEE) ADEQUATELY DOCUMENTED THE BASIS FOR ITS DETERMINATION CONCURRENTLY WITH MAKING THAT DETERMINATION, AS DESCRIBED IN SECTION 4958 OF THE CODE AND THE ACCOMPANYING TREASURY REGULATIONS. IF THE BOARD OR APPROPRIATE COMMITTEE HAS REASONABLE CAUSE TO BELIEVE ANY DIRECTOR, ANY MEMBER OF ANY COMMITTEE OF THE BOARD, ANY PRINCIPAL OFFICER, OR ANY KEY EMPLOYEE HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL INFORM THE DIRECTOR, MEMBER OF THE COMMITTEE, PRINCIPAL OFFICER, OR KEY EMPLOYEE OF THE BASIS FOR SUCH BELIEF AND AFFORD THE PERSON AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE DIRECTOR, MEMBER OF THE COMMITTEE, PRINCIPAL OFFICER, OR KEY EMPLOYEE'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE BOARD OR APPROPRIATE COMMITTEE DETERMINES THAT THE MEMBER HAS FAILED TO DISCLOSE A FINANCIAL INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. EACH DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, AND KEY EMPLOYEE SHALL ANNUALLY SIGN A STATEMENT THAT AFFIRMS SUCH PERSON: HAS RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE CONFLICT OF INTEREST POLICY, HAS AGREED TO COMPLY WITH THE CONFLICT OF INTEREST POLICY; UNDERSTANDS THAT THE CORPORATION IS CHARITABLE AND IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES; HAS AGREED TO PROMPTLY NOTIFY THE CHAIR OF THE BOARD, THE CHAIR OF THE EXECUTIVE COMMITTEE, OR THE CHAIR ON AN APPROPRIATE COMMITTEE OF ANY CONFLICT OF INTEREST HE OR SHE MAY HAVE RELATED TO ANY TRANSACTION OR ARRANGEMENT TO WHICH THE CORPORATION IS OR MAY BECOME A PARTY; AND, EACH DIRECTOR, COMMITTEE MEMBER, PRINCIPAL OFFICER, AND KEY EMPLOYEE WILL ANNUALLY EXECUTE A STATEMENT AFFIRMING EACH OF THESE ITEMS. FORM 990, PART VI, LINE 15: VERDUGO HILLS HOSPITAL FOLLOWED THE COMPENSATION POLICIES OF ITS RELATED ORGANIZATION, THE UNIVERSITY OF SOUTHERN CALIFORNIA, FOR THE FIRST SIX MONTHS OF THE FISCAL YEAR. THE INDIVIDUALS REPORTED ON PART VII ARE COMPENSATED BY THE UNIVERSITY. AS OF JANUARY 1, 2021 VERDUGO HILLS HOSPITAL RECEIVED ITS OWN TAX ID AND IS NOW A SEPARATE LEGAL ENTITY. GOING FORWARD VERDUGO HILLS HOSPITAL WILL REVIEW AND ESTABLISH COMPENSATION POLICIES OF ITS OFFICERS AND KEY EMPLOYEES.
FORM 990, PART VI, LINE 19:VERDUGO HILLS HOSPITAL'S BYLAWS AND FINANCIAL STATEMENTS/ANNUAL REPORT ARE AVAILABLE UPON REQUEST. FORM 990, PART VII, COLUMN (B): THE INDIVUDALS REPORTED AS RECEIVING COMPENSATION FROM A RELATED ORGANIZATION IN COLUMNS (E) AND (F) IN FORM 990, PART VII ARE EMPLOYEES AT THE UNIVERSITY OF SOUTHERN CALIFORNIA, A TAX EXEMPT RELATED ORGANIZATION. EACH OF THESE INDIVIDUALS HAS DEVOTED AN AVERAGE OF 40-50 HOURS PER WEEK TO THEIR POSITION AT THE UNIVERSITY OF SOUTHERN CALIFORNIA.
FORM 990, PART XI, LINE 9:NET ASSET ADJUSTMENT FOR HOSPITAL LICENSE TRANSFER FROM UNIVERSITY TO VERDUGO HILLS HOSPITAL: $13,429,445

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ICT PRODUCTIONS INC
C/O USC UGB203LOS ANGELESCA90089954843260EDUC. MEDIACA501(C)(3)12AUSCYes (true)
LORD FOUNDATION OF CALIFORNIA
C/O USC UGB203LOS ANGELESCA90089953168340USC SUPPORTCA501(C)(3)12AUSCYes (true)
DAVID X MARKS FOUNDATION
C/O USC UGB203LOS ANGELESCA90089956034304USC SUPPORTCA501(C)(3)12AUSCYes (true)
USC CARE MEDICAL GROUP INC
1510 SAN PABLO ST SUITE 649LOS ANGELESCA90033954540991MANAGED CARECA501(C)(3)10USCYes (true)
SURVIVORS OF SHOAH VISUAL HISTORY FDN
C/O USC 650 W 35TH STLOS ANGELESCA90089954474965EDUC. MEDIACA501(C)(3)7USCYes (true)
USC VERDUGO HILLS HOSPITAL FOUNDATION
1812 VERDUGO BLVDGLENDALECA91208953247823USC SUPPORTCA501(C)(3)12AVHHYes (true)
ALBEDO INSURANCE COMPANY IC
UNIVERSITY GARDENS UGB203LOS ANGELESCA90089851454978USC SUPPORTVT501(C)(3)12AUSCYes (true)
USC CAPTIVE INSURANCE COMPANY
UNIVERSITY GARDENS UGB203LOS ANGELESCA90089851454519USC SUPPORTVT501(C)(3)12AUSCYes (true)
GENERAL LIABILITY DEFENSE IC
UNIVERSITY GARDENS UGB203LOS ANGELESCA90089851472543USC SUPPORTVT501(C)(3)12AUSCYes (true)
USC HEALTH SYSTEM
1510 SAN PABLO STREETLOS ANGELESCA90089850666499USC SUPPORTCA501(C)(3)12BUSCYes (true)
KECK MEDICAL CENTER OF USC
1510 SAN PABLO STREETLOS ANGELESCA90033851644866HOSPITALCA501(C)(3)3USC HEALTHYes (true)
UNIVERSITY OF SOUTHERN CALIFORNIA
UNIVERSITY GARDENS UGB203LOS ANGELESCA90089951642394EDUCATIONCA501(C)(3)2NAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtUBI Code VUBICodeVAmtEINEIN
USCSCA SURGICAL HOLDINGS LLC
1510 SAN PABLO STLOS ANGELESCA90033HOLDING COMPACAUSC$0
KECK MED OF USC AND HENRY MAYO NEWHALL
1441 Eastlake AveLOS ANGELESCA90033HEALTHCARE SRVSCANA$0853779519

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxt
MAY ROBERTS DEWRIGHT TRUST
UNIVERSITY GARDENS - UGB203LOS ANGELESCA900898003956284845USC SUPPORTCAUSCT
INTEGRATED DIGITAL ASSET CORPORATION
UNIVERSITY GARDENS - UGB203LOS ANGELESCA9008980039546809043RD PARTY CONCAUSCC
CHARITABLE REMAINDER TRUST (402)
SEE PART VII FOR COLUMN CSEE PART VIICA90089FUNDRAISINGUSCT
POOLED INCOME FUND (1)
FUNDRAISINGCAUSCT
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KECK MEDICAL CENTER OF USC
P$250,000FMV
VERDUGO HILLS HOSPITAL FOUNDATION
S$668,215FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, LINE 4, COLUMN (C)FormAndLineReferenceDesc
ExplanationTHE LEGAL DOMICILES OF THE CHARITABLE REMAINDER TRUSTS INCLUDE: CA, CO, FL, GA, HI, IN, MA, NV, PA, AND WA.ExplanationTxt

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