2022-11-15T14:03:19-06:00 2021-12-31 954659692 LUCAS HORSFALL MURPHY & PINDROH LLP 299 N EUCLID AVENUE 2ND FLOOR PASADENA CA 91101 990 2021-01-01 954434428 HUNTINGTON MEDICAL FOUNDATION HUNT 6263978306 100 W CALIFORNIA BLVD PASADENA CA 91105 TIMOTHY ALBERT MD EXECUTIVE MED. DIR. 6263978306 2022-11-15 1 TIMOTHY ALBERT MD 999009999 MICHAEL P AMERIO P00914537 6267445100 2022-11-11 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z DBA HUNTINGTON HEALTH PHYSICIANS RAJINDER TAKHAR 100 W CALIFORNIA BLVD PASADENA CA 91105 42291573 0 X WWW.HUNTINGTONHEALTHPHYSICIANS.ORG X 1993 CA PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY. 12 5 179 0 0 0 836878 1159636 36102963 41131937 0 0 0 0 36939841 42291573 0 0 0 0 11431871 12435875 0 0 0 36637060 36695970 48068931 49131845 -11129090 -6840272 17195320 12982525 48458933 51086410 -31263613 -38103885 X PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBLITY. 0 0 29773556 28455741 HUNTINGTON MEDICAL FOUNDATION'S ("FOUNDATION") ACTIVITY IN PUBLIC HEALTH EDUCATION AND DELIVERY OF COMMUNITY MEDICAL SERVICES AROUND THE SAN GABRIEL VALLEY. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 9501110 10179658 HUNTINGTON MEDICAL FOUNDATION PROVIDES BREAST HEALTH, CANCER SCREENING AND DIAGNOSIS SERVICES THROUGH THE JIM & ELEANOR RANDALL BREAST CENTER, LOCATED AT THE HUNTINGTON PAVILION IN PASADENA. SERVICES INCLUDE MAMMOGRAPHY, ULTRASOUND, BIOPSY, EDUCATION AND RESEARCH. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 2061732 2496538 HUNTINGTON MEDICAL FOUNDATION ACTIVELY PARTICIPATES IN PATHOLOGY SERVICES. SEE SCHEDULE O FOR ADDITIONAL DETAILS. HUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. 41336398 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 22 0 1 179 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 5 1 0 0 0 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 0 CA X SCOTT ARMSTRONG 6263978596 100 CALIFORNIA BLVD PASADENA CA 91105 LORI MORGAN MD DIRECTOR 1.00 55.00 X 0 1988040 97755 ELIZABETH OLSON VICE CHAIR 1.00 X X 0 0 0 TIMOTHY ALBERT MD CHAIRMAN 55.00 1.00 X X 0 691409 76772 RAJINDER TAKHAR TREASURER 5.00 50.00 X X 0 949853 30154 SHITAL ARYA MD SECRETARY 1.00 32.00 X X 0 263527 49501 RONALD OLAH MD DIRECTOR 1.00 32.00 X 0 333576 44148 BIANCA GRIGORIAN MD DIRECTOR 1.00 24.00 X 0 201208 45736 ABILENE ENRIQUEZ DIRECTOR 1.00 40.00 X 0 277996 51479 DONALD GRANT DIRECTOR 1.00 X 0 0 0 JULIA BRADSHER DIRECTOR 1.00 X 0 0 0 PETE KUTZER DIRECTOR 1.00 X 0 0 0 MICHELLE CHINO DIRECTOR 1.00 X 0 0 0 VIRGILIO MENDOZA INFORMATICS ANALYST 40.00 X 118147 0 22191 JENNIFER OH NURSE PRACTICIONER 40.00 X 103106 0 27827 SASHA TISSOT SENIOR MANAGER, OPERATIONS 40.00 X 122425 0 7706 343678 4705609 453269 3 0 1 0 CMBS MEDICAL BUSINESS SERVICES 1ST AVE 201 ARCADIA CA 91006 MANAGEMENT SERV 4833583 THE HILL MEDICAL CORPORATION 625 S FAIR OAKS AVE STE 180 PASADENA CA 91105 PROF SERVICES 3012332 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 INFORMATION 552356 HIGHER DOCTORS INC 507 S MARENGO AVE UNIT 4 PASADENA CA 91101 PROF SERV 367400 HAAD MAHMOOD 5200 WILSHIRE BLVD UNIT 547 LOS ANGELES CA 90036 PROF SERV 263701 5 1159636 1159636 FDN-PATIENT CARE 621110 38931683 38931683 DHC PREFERRED PAYMENT 621110 1920135 1920135 OTHER REVENUE 621110 280119 280119 41131937 42291573 41131937 0 0 X 9045425 7441390 1604035 75488 49416 26072 2552185 1670301 881884 762777 596434 166343 156660 156660 334415 334415 56558 56558 17713842 16982400 731442 188697 188697 7576910 6325005 1251905 1214017 520829 693188 3290703 3023326 267377 21417 5987 15430 12824 11680 1144 829264 204074 625190 862992 712791 150201 PROFESSIONAL SERVICES 3098324 3098324 BILLING & COLLECTION SE 458424 458424 REPAIRS & MAINTENANCE 376102 374469 1633 WASTE TREATMENT/DISPOSA 134085 134085 370736 185887 184849 49131845 41336398 7795447 0 1761970 1326586 3203962 1845073 8799034 7204713 14621796 12015643 3430354 2606153 17195320 12982525 4223987 5143591 1373651 350696 42861295 45592123 48458933 51086410 X -31263613 -38103885 -31263613 -38103885 17195320 12982525 -6840272 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 4741531 4074603 666928 9880265 7941040 1939225 2606153 PAYABLE TO PASADENA HOSPITAL ASSOCIATION 37625470 PAYABLE TO HH 4384835 PAYABLE TO CMBS 33279 PAYABLE TO HILL MEDICAL 13044 PAYABLE TO HOPIC 11893 ACCRUED PAYROLL AND EMPLOYEE BENEFIT 2107727 ACCOUNTS PAYABLE - HH 1415875 45592123 X PART X, LINE 2: THE GROUP COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ACCOUNTING STANDARDS CODIFICATION 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE GROUP HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE GROUP IS SUBJECT TO ROUTINE AUDITS BY THE TAXIING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE GROUP BELIEVES IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO 2015. 0 0 0 0 0 0 0 0 0 LORI MORGAN MD DIRECTOR 0 1026444 0 803605 0 157991 0 85375 0 12380 0 2085795 0 0 RAJINDER TAKHAR TREASURER 0 572088 0 325740 0 52025 0 12124 0 18030 0 980007 0 11952 TIMOTHY ALBERT MD CHAIRMAN 0 453134 0 205999 0 32276 0 58489 0 18283 0 768181 0 0 RONALD OLAH MD DIRECTOR 0 262543 0 71033 0 0 0 23363 0 20785 0 377724 0 0 ABILENE ENRIQUEZ DIRECTOR 0 277570 0 426 0 0 0 26372 0 25107 0 329475 0 0 SHITAL ARYA MD SECRETARY 0 231898 0 31629 0 0 0 17454 0 32047 0 313028 0 0 BIANCA GRIGORIAN MD DIRECTOR 0 200788 0 420 0 0 0 14909 0 30827 0 246944 0 0 PART III - OTHER ADDITIONAL INFORMATION 457(F) RETENTION PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE 457(F) RETENTION PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF PHA TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE. SCHEDULE J, PART II, COLUMN B(II) THE INCENTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD SELECTED MANAGEMENT STAFF FOR CONTRIBUTING TO THE SUCCESSFUL ACHIEVEMENT OF PHA'S ANNUAL OBJECTIVES AND STRATEGIC GOALS, IN CONJUNCTION WITH THE SUCCESSFUL ACHIEVEMENT OF AGREED-UPON DEPARTMENT AND INDIVIDUAL OBJECTIVES AND GOALS. THIS PLAN REWARDS PARTICIPANTS BY CREATING A DIRECT LINK BETWEEN COMPENSATION AND PHA'S PERFORMANCE. THE EVALUATING TOOL USED TO MEASURE OUTCOMES FROM THE PLAN YEAR AND TO CALCULATE AN INCENTIVE PLAN PAYOUT IS THE ANNUAL PERFORMANCE SCORECARD. THE ORGANIZATIONAL OBJECTIVES AND GOALS MEASURE FIVE KEY AREAS OF PERFORMANCE IDENTIFIED AS MOST IMPORTANT TO PHA'S STRATEGIC INITIATIVES. THE FIVE PERFORMANCE AREAS ARE: -BECOME A HIGH RELIABILITY ORGANIZATION -PROVIDE HOLISTIC PATIENT CARE ACROSS THE HUNTINGTON HEALTH ENTERPRISE -OPERATING MARGIN WILL SUPPORT HUNTINGTON HEALTH ENTERPRISE GOALS -PROMOTE A CULTURE OF ENGAGED CLINICIANS AND EMPLOYEES COMMITTED TO HIGH QUALITY HEALTHCARE -CULTIVATE A CULTURE OF PHILANTHROPY AND SUPPORT BOTH THE PERFORMANCE SCORECARD AND THE INCENTIVE PLAN ARE BASED ON A CALENDAR-YEAR. CRITERIA THE INCENTIVE PLAN PARTICIPANT MUST BE: 1. EMPLOYED IN AN ELIGIBLE POSITION FOR AT LEAST SIX MONTHS DURING THE PLAN YEAR. 2. BE ON ACTIVE STATUS IN THIS POSITION ON THE DAY OF THE PAYOUTS FROM PAYROLL. 3. IN GOOD STANDING WITH NO FORMAL DISCIPLINARY ACTION DURING THE PLAN YEAR. THE PLAN BECOMES EFFECTIVE IF PHA ACHIEVES THE FIVE SET GOALS FOR THE FISCAL YEAR. IF PHA DOES NOT ACHIEVE THE SET GOALS FOR THE YEAR, INCENTIVE COMPENSATION WILL NOT BE PAID UNLESS AUHTORIZED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AND/OR THEIR DESIGNEE SHALL HAVE FULL POWER AND AUTHORITY TO ESTABLISH PERFORMANCE CRITERIA UNDER THE PLAN, DETERMINE THE ELIGIBILITY OF PERSONS TO BECOME PARTICIPANTS, TO SELECT PARTICIPANTS, TO MAKE AWARDS TO PARTICIPANTS, TO TERMINATE THE DESIGNATION OF A PARTICIPANT OR TO INCREASE OR REDUCE THE AMOUNT OF INCENTIVE COMPENSATION AWARDED TO PARTICIPANTS AND TO ADOPT AND REVISE SUCH RULES AND PROCEDURES AS IT SHALL DEEM NECESSARY FOR THE ADMINISTRATION OF THE PLAN. FORM 990, PART III, LINE 4, QUESTIONS 4A-C ADDTL STATEMENT REGARDING PROGRAM SERVICE ACCOMPLISHMENTS FOUNDED IN 1994, THE HUNTINGTON MEDICAL FOUNDATION'S (HMF)DBA HUNTINGTON HEALTH PHYSICIANS, MISSION IS TO PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE TO THE COMMUNITY THROUGH INNOVATIVE PROGRAMS, DEDICATED PROFESSIONALS AND THE CREATION OF SYNERGISTIC COLLABORATIONS BETWEEN THE PRIVATE AND PUBLIC SECTORS. HMF IS A CALIFORNIA NONPROFIT, PUBLIC BENEFIT CORPORATION LOCATED IN THE SAN GABRIEL VALLEY AND AFFILIATED WITH PASADENA HOSPITAL ASSOCIATION, DBA HUNTINGTON HOSPITAL. WE ARE DEDICATED TO IMPROVING THE EFFICIENCY AND UTILIZATION OF HEALTH SERVICES WHILE MAINTAINING AN IMPORTANT BALANCE IN THE QUALITY OF CARE DELIVERED TO THE COMMUNITY. THE PRIMARY OBJECTIVE OF HMF IS THE OPERATION OF A HEALTH MANAGEMENT SERVICES ORGANIZATION TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY. HMF PROVIDES HEALTH AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY SUCH AS: -PROVIDES IMMUNIZATION FAIRS, EMPLOYEE SCREENINGS, AND HEALTH AND WELLNESS CONSULTATIONS TO THE LOCAL BUSINESS COMMUNITY AROUND THE SAN GABRIEL VALLEY. -PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. -PROVIDES BREAST HEALTH, CANCER SCREENING AND DIAGNOSTIC SERVICES THROUGH THE JIM & ELEANOR RANDALL BREAST CENTER, LOCATED AT THE HUNTINGTON PAVILLION IN PASADENA. SERVICES INCLUDE MAMMOGRAPHY, ULTRASOUND, BIOPSY,EDUCATION AND RESEARCH. -PARTICIPATES, HOSTS, SPONSORS AND PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY THROUGH PROGRAMS AT LOCAL SCHOOLS AND OTHER AGENCIES ON TOPICS SUCH AS EFFECTIVE PARENTING, DIET AND WEIGHT MANAGEMENT, ASTHMA, AND SEX EDUCATION FOR PARENTS AND YOUTH. -PROMOTES THE OVERALL HEALTH OF THE COMMUNITY AT LARGE, PARTNERING WITH THE PASADENA HEALTH CONSORTIUM, TO PROVIDE SERVICES THAT FOCUS ON IMPROVING THE HEALTH, WELFARE AND GENERAL QUALITY OF LIFE TO THE RESIDENTS OF THE COMMUNITY. -ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS IN PARTNERSHIP WITH HUNTINGTON HOSPITAL. -THE HUNTINGTON MEDICAL FOUNDATION CURRENTLY HAS PHYSICIANS BOARDED IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, ENDOCRINOLOGY, PEDIATRIC ENDOCRINOLOGY, ADDICTION MEDICINE,PULMONOLOGY, RHEUMATOLOGY, PALLIATIVE CARE, PATHOLOGY AND PHYSICAL MEDICINE AND REHAB. -THE HUNTINGTON MEDICAL FOUNDATION HAS A PROVEN HISTORY OF PROVIDING CHRONIC CARE TO PATIENTS IN THE SAN GABRIEL VALLEY. HMF MANAGES THREE ADULT MEDICINE OFFICES, THREE PEDIATRIC OFFICES, TWO SPECIALTY CARE OFFICES,AN IMMUNIZATION CLINIC, AS WELL AS JOINT VENTURES WITH HUNTINGTON HOSPITAL,INCLUDING A RESIDENCY PROGRAM FOR OUTPATIENT CARE, LAB DRAW STATIONS IN PHYSICIAN OFFICES, AND BILLING SERVICES TO VARIOUS HOSPITAL OUTPATIENT SERVICES. IN SEPTEMBER 2016, HUNTINGTON MEDICAL FOUNDATION ACQUIRED THE JIM AND ELEANOR RANDALL BREAST CENTER WHICH OFFERS BREAST CANCER SCREENING, RESEARCH, EDUCATION AND DIAGNOSTIC SERVICES THROUGH MAMMOGRAPHY, ULTRASOUND AND BIOPSY. IN JANUARY 2017, HUNTINGTON MEDICAL FOUNDATION ADDED HOSPITALISTS AND PALLIATIVE CARE SPECIALISTS TO OFFER IMPROVED TRANSITIONS OF CARE BETWEEN INPATIENT AND PRIMARY CARE SERVICES. IN 2019, HHP EXTENDED THEIR SCOPE OF SERVICES TO THE COMMUNITY BY ADDING PATHOLOGY IN-PATIENT ENDOCRINOLOGY AND PHYSICAL MEDICINE & REHAB. LOCATIONS & ADDRESS: ADULT MEDICINE OFFICES: 10 CONGRESS STREET, SUITE 208, PASADENA, CA 91105 375 HUNTINGTON DRIVE, SUITE G, SAM MARINO, CA 91108 65 N MADISON AVE., SUITE 800, PASADENA, CA 91101 PEDIATRIC OFFICES: 800 SOUTH FAIRMOUNT, SUITE 310, PASADENA, CA 91105 1346 FOOTHILL BLVD., SUITE 204, LA CANADA, CA 91011 301 HUNTINGTON DRIVE, SUITE 320 ARCADIA, CA 91006 SPECIALTY CARE OFFICES: 55 E. CALIFORNIA BLVD., SUITE 201, PASADENA, CA 91105 10 CONGRESS STREET, SUITE 210, PASADENA, CA 91105 FORM 990, PART V, LINE 2A THE AMOUNT REPORTED ON LINE 2A INCLUDES THE NUMBER OF EMPLOYEES REPORTED ON A FORM W-3 BY HUNTINGTON HOSPITAL. THE COMPENSATION PAID UNDER THIS AGREEMENT IS REPORTED IN PART VII, SECTION A, COLUMNS (D) AND (F), AS APPROPRIATE. FORM 990, PART VI, SECTION A, LINE 2 BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, OR KEY EMPLOYEES - LORI MORGAN, MD, RAJINDER TAKHAR, BIANCA GRIGORIAN, MD, SHITAL ARYA, MD, TIMOTHY ALBERT, MD, RONALD OLAH, MD, AND ABILENE ENRIQUEZ, MD HAVE A BUSINESS RELATIONSHIP AS EMPLOYEES OF A RELATED ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION(PHA). FORM 990, PART VI, SECTION A, LINE 7A MEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS OF THE BOARD ARE NOT VALID, AND SHALL NOT BE IMPLEMENTED UNTIL APPROVED BY THE MEMBER: (1) ANY EXPENDITURES WHICH INDIVIDUALLY OR IN THE AGGREGATE EXCEED THE CORPORATION'S BUDGET BY MORE THAN 10% ANNUALLY; (2) ADOPT ANY ARTICLE OR BYLAW CHANGE (3) IMPLEMENT ANY MAJOR CORPORATE ACTS INCLUDING MERGER, CONSOLIDATION, AFFILIATION, DISSOLUTION, SALE OR TRANSFER OF SUBSTANTIAL PORTION OF THE CORPORATION'S ASSETS; (4) MATERIALLY CHANGE THE BUSINESS OR BUSINESS PURPOSE OF THE CORPORATION, OR THE LOCATIONS AT WHICH SUCH BUSINESS IS OPERATED; (5) ADOPT THE ANNUAL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS FOR THE CORPORATION; (6) SIGNIFICANTLY CHANGE CLINICAL CARE AND/OR SERVICE LINES PROVIDED BY THE CORPORATION; (7) INCUR OR GUARANTY ANY INDEBTEDNESS (INCLUDING, WITHOUT LIMITATION, ANY CAPITAL LEASE); (8) INITIATE LITIGATION OR ARBITRATION IN THE NAME OF THE CORPORATION AS A PLAINTIFF. FORM 990, PART VI, SECTION B, LINE 10B AS OF AUGUST 4, 2021, HUNTINGTON HOSPITAL IS AN AFFILIATE OF CEDARS-SINAI HEALTH SYSTEM. CEDARS-SINAI HEALTH SYSTEM WAS ESTABLISHED IN 2017 TO BRING TOGETHER A COLLABORATIVE NETWORK OF HIGH-QUALITY HEALTHCARE INSTITUTIONS TO SHARE RESOURCES AND EXPERTISE. EXPANDING PATIENT ACCESS TO CONVENIENT AND AFFORDABLE CLINICAL CARE IS A FUNDAMENTAL GOAL OF THE NONPROFIT HEALTH SYSTEM. CEDARS-SINAI HEALTH SYSTEM COMPRISES: CEDARS-SINAI (INCLUDING THE 889-BED CEDARS-SINAI MEDICAL CENTER AND THE 133-BED CEDARS-SINAI MARINA DEL RAY HOSPITAL, A NETWORK OF PHYSICIANS AND AMBULATORY SERVICES AT MORE THAN 40 LOCATIONS THROUGHOUT SOUTHERN CALIFORNIA); TORRANCE MEMORIAL (INCLUDING THE 610-BED TORRANCE MEMORIAL MEDICAL CENTER AND ITS NETWORK OF PHYSICIANS AND MEDICAL OFFICES THROUGHOUT THE SOUTH BAY); HUNTINGTON HOSPITAL (INCLUDING THE 619-BED HUNTINGTON HOSPITAL WITH ITS MEDICAL OFFICES AND PHYSICIAN NETWORK); AND JOINT VENTURES SUCH AS CALIFORNIA REHABILITATION INSTITUTE AND CEDARS-SINAI PROVIDENCE TARZANA MEDICAL CENTER. THE AFFILIATION ENABLES EACH INSTITUTION TO CONTINUE THE UNIQUE RELATIONSHIPS EACH HAS WITH THE COMMUNITIES IT SERVES, WHILE PROVIDING A PLATFORM FOR A WIDE VARIETY OF COLLABORATIONS TO BETTER SERVE THE REGION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 AND ALL RELATED SCHEDULES WERE REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE OPERATIONS OF HUNTINGTON MEDICAL FOUNDATION (FOUNDATION) PROVIDE A VITAL HEALTHCARE SERVICE AND ARE SUBJECT TO THE SCRUTINY OF GOVERNMENTAL AGENCIES AND MEMBERS OF THE GENERAL PUBLIC. THE INDIVIDUALS WHO, BY VIRTUE OF THEIR POSITIONS WITH THE FOUNDATION, CAN COMMIT THE ORGANIZATION IN FINANCIAL DEALINGS MUST BE EVER MINDFUL OF POTENTIAL CONFLICTS BETWEEN DUTIES IMPOSED BY THEIR POSITIONS AND THEIR PERSONAL INTERESTS. IF ANY INTERESTED PERSON OR FAMILY MEMBER OBTAINS A SUBSTANTIAL FINANCIAL INTEREST IN, OR BECOMES A DIRECTOR, OFFICER, EMPLOYEE OR AGENT OF, ANY SUPPLIER, PURCHASER OR COMPETITOR, THE INTERESTED PERSON SHALL DISCLOSE SUCH INTEREST AS PROVIDED IN THE PROCEDURE. MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: ALL THE BOARD MEMBERS HAVE SIGNED THE CONFLICT OF INTEREST POLICY. IT WILL BE ENFORCED BY REVIEW OF THE QUESTIONNAIRE FOR POTENTIAL CONFLICTS BY THE CEO, AND, IF NECESSARY, THE BOARD PRESIDENT WILL SPEAK WITH ANY DIRECTOR WHO HAS A POTENTIAL CONFLICT TO MAKE A FINAL DETERMINATION. ANY DIRECTOR WITH A CONFLICT IS NOT INVOLVED IN THE DECISION-MAKING PROCESS FOR ANY TRANSACTION IN WHICH A CONFLICT MAY EXIST. FORM 990, PART VI, SECTION B, LINE 15 MANY OF THE KEY EXECUTIVES OF THE ORGANIZATION ARE COMPENSATED BY PASADENA HOSPITAL ASSOCIATION, LTD. (PHA), A RELATED ORGANIZATION. THEREFORE, THEIR COMPENSATION IS GOVERNED BY PHA COMPENSATION POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PSA MEDICAL GROUP: PROGRAM SERVICE EXPENSES 16,546,661. MANAGEMENT AND GENERAL EXPENSES -5,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,541,661. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 435,739. MANAGEMENT AND GENERAL EXPENSES 736,442. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,172,181. PASADENA HOSPITAL ASSOCIATION (DBA HUNTINGTON MEDICAL HOSPITAL) 100 W CALIFORNIA BLVD PASADENA CA 91105 951644036 HLTH CARE CA 501(C)(1) LINE 3 N/A 0 COLLIS P HOWARD HUNTINGTON MEM HOS TRUST 100 W CALIFORNIA BLVD PASADENA CA 91105 956027688 SUPPORT PHA CA 501(C)(3) LINE 12C, III-FI N/A 0 CEDARS-SINAI HEALTH SYSTEM 8700 BEVERLY BLVD LOS ANGELES CA 90048 300990909 HLTHCARE SVCS CA 501(C)(3) LINE 12C, III-FI N/A 0 HMH FLINTRIDGE LA CANADA GUILD PO BOX 5463 PASADENA CA 91012 956016968 FUNDRAISING CA 501(C)(3) LINE 12C, III-FI N/A 0 WOMEN'S AUXILIARY HUNTINGTON MEM HOSP 930 S EL MOLINO AVE PASADENA CA 91106 956195080 FUNDRAISING CA 501(C)(3) LINE 12C, III-FI N/A 0 CEDARS-SINAI MEDICAL CARE FOUNDATION 6500 WILSHIRE BLVD 15TH FLOOR LOS ANGELES CA 90048 954457756 MEDICAL CARE CA 501(C)(3) LINE 12A, I CSMC 1 CALIFORNIA HEART CENTER FOUNDATION 15821 VENTURA BLVD STE 520 ENCINO CA 91436 954772979 EDU & RSCH CA 501(C)(3) LINE 7 CSMC 1 KERLAN-JOBE ORTHOPAEDIC FOUNDATION 6801 PARK TERRACE STE 500 LOS ANGELES CA 90045 954707606 EDU & RSCH CA 501(C)(3) LINE 7 CSMCF 1 SANTA MONICA ORTHO & SPORTS MED RSCH FDN 2020 SANTA MONICA BLVD 4TH FL SANTA MONICA CA 90404 954789926 EDU & RSCH CA 501(C)(3) PF CSMCF 1 CFHS HOLDINGS INC 4650 LINCOLN BLVD MARINA DEL REY CA 90292 201645949 HEALTH SRVCS CA 501(C)(3) LINE 3 CSMC 1 TORRANCE HEALTH ASSOCIATION 3330 LOMITA BLVD TORRANCE CA 90505 330073515 HEALTH SRVCS CA 501(C)(3) LINE 12B, II CSHS 1 TORRANCE MEM MED CENTER HEALTH CARE FDN 3330 LOMITA BLVD TORRANCE CA 90505 953528452 FUNDRAISING CA 501(C)(3) LINE 7 THA 1 TORRANCE MEMORIAL MEDICAL CENTER 3330 LOMITA BLVD TORRANCE CA 90505 951644042 HEALTH SRVCS CA 501(C)(3) LINE 3 THA 1 CEDARS-SINAI INTELLECTUAL PROP COMPANY 8700 BEVERLY BLVD LOS ANGELES CA 90048 871097792 MGMT & LICEN CA 501(C)(3) LINE 12A, I CSMC 1 CEDARS-SINAI MEDICAL CENTER 8700 BEVERLY BLVD LOS ANGELES CA 90048 951644600 PATIENT SVCS CA 501(C)(3) LINE 3 CSHS 1 HUNTINGTON AMBULATORY SURG CTR SOUTH FAIR OAKS AVE SUITE 380 PASADENA CA 91105 SURGERY CENTER CA PHA RELATED 0 0 ANGEL CARE HEALTH NETWORK LLC 4553 LA TIENDA ROAD WESTLAKE VILLAGE CA 91362 HEALTHCARE CA N/A RELATED 0 0 ENDOSCOPY CTR OF SANTA MONICA 12400 WILSHIRE BLVD STE 100 LOS ANGELES CA 90025 ENDOSCOPIES CA N/A N/A 0 0 ISS ASC HOLDINGS LLC 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 INVEST IN HEALTH CA N/A N/A 0 0 INTL SPINE & ORTHOPEDIC INSTIT 8500 W 110 TH ST OVERLAND PARK KS 66212 MEDICAL INSTITUTE DE N/A N/A 0 0 SANTA MONICA IMAGING GROUP LLC 200 N ROBERTSON BLVD 101 BEVERLY HILLS CA 90211 IMAGING CENTER CA N/A N/A 0 0 CS-BH ASC HOLDINGS LLC 450 N ROXBURY DR STE 602 BEVERLY HILLS CA 90211 HOLDING COMPANY CA N/A N/A 0 0 TORRANCE MEMORIAL SURGICAL CEN 23560 CRENSHAW BLVD STE 104 TORRANCE CA 90505 SURGICAL SERVICES CA N/A N/A 0 0 3565 DEL AMO ASSO A CALIF LIM 5017 CARMEN STREET TORRANCE CA 90505 RNTL REAL ESTATE CA N/A N/A 0 0 90210 ASC VENTURE LLC 450 N ROXBURY DR STE 602 BEVERLY HILLS CA 90211 AMBLTRY SRGRY CTR CA N/A N/A 0 0 CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVE PASADENA CA 91105 953978299 MGMT SVS CA N/A C 0 CHARTIABLE REMAINDER TRUST (3) 000000000 SUPPORT CA N/A T 0 OPTIMATRIX HEALTH SOLUTIONS INC 6500 WILSHIRE BLVD 9TH FLOOR LOS ANGELES CA 90048 954522779 INACTIVE CA N/A C 1 OTOHARMONICS CORPORATION PO BOX 272 WILMINGTON DE 19899 461119421 INACTIVE DE N/A C 1 CENTINELA FREEMAN HOLDINGS INC 8700 BEVERLY BLVD TSB-290 LOS ANGELES CA 90048 593811890 REAL ESTATE HLDGS CA N/A C 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 1 0 0 1 PASADENA HOSPITAL ASSOCIATION (DBA HMH) J 325018 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) K 1125881 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) L 4584808 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) M 649609 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) O 378662 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) P 4050000 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) S 10075000 COST