2021-07-07T19:42:42-05:00 2020-12-31 954659692 LUCAS HORSFALL MURPHY & PINDROH LLP 299 N EUCLID AVENUE 2ND FLOOR PASADENA CA 91101 990 2020-01-01 954434428 HUNTINGTON MEDICAL FOUNDATION HUNT 6263978306 100 W CALIFORNIA BLVD PASADENA CA 91105 TIMOTHY ALBERT MD EXECUTIVE MED. DIR. 6263978306 2021-07-07 1 TIMOTHY ALBERT MD 999009999 MICHAEL P AMERIO P00914537 6267445100 2021-07-02 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z DBA HUNTINGTON HEALTH PHYSICIANS RAJINDER TAKHAR 100 W CALIFORNIA BLVD PASADENA CA 91105 36939841 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. 13 6 167 0 0 0 178 836878 43169111 36102963 0 0 0 0 43169289 36939841 0 0 0 0 11387129 11431871 0 0 0 37401996 36637060 48789125 48068931 -5619836 -11129090 20359138 17195320 40493661 48458933 -20134523 -31263613 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 28566402 26742015 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. 8401750 7940154 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. 2894846 2200491 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. 39862998 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 26 0 167 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 6 1 0 0 0 1 1 1 1 1 0 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 1824669 165730 RAJINDER TAKHAR TREASURER 5.00 50.00 X X 0 801775 149976 ADRIAN CASTRO MD DIRECTOR 1.00 32.00 X 0 244515 29775 PRISCILLA GAMB DIRECTOR 1.00 X 0 0 0 SHITAL ARYA MD SECRETARY 1.00 32.00 X X 0 290935 48302 TIMOTHY ALBERT MD CHAIRMAN 50.00 X X 0 532108 79290 RONALD OLAH MD DIRECTOR 1.00 32.00 X 0 316684 40548 ELIZABETH OLSON VICE CHAIR 1.00 X X 0 0 0 SALLY JAMESON DIRECTOR 1.00 X 0 0 0 ABILENE ENRIQUEZ DIRECTOR 1.00 40.00 X 0 272503 50967 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 VIRGILIO MENDOZA INFORMATICS ANALYST 40.00 X 115006 0 21287 115006 4283189 585875 1 0 1 0 CMBS MEDICAL BUSINESS SERVICES 1ST AVE 201 ARCADIA CA 91006 MANAGEMENT SERV 4267710 THE HILL MEDICAL CORPORATION 625 S FAIR OAKS AVE STE 180 PASADENA CA 91105 PROF SERVICES 2694661 ALLSCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 606731246 INFORMATION 615364 HIMAGINE SOLUTIONS FOR BUSINESS PO BOX 743505 ATLANTA GA 303743505 PROF SERV 453127 HIGHER DOCTORS INC 507 S MARENGO AVE UNIT 4 PASADENA CA 91101 PROF SERV 369600 9 779697 57181 836878 FDN-PATIENT CARE 621110 33972691 33972691 DHC PREFERRED PAYMENT 621110 1846715 1846715 OTHER REVENUE 621110 283557 283557 36102963 36939841 36102963 0 0 X 8250973 5919071 2331902 186060 159243 26817 2280458 1731115 549343 714380 530091 184289 123507 123507 10865 10865 57819 57819 18928617 17226027 1702590 170184 113 170071 7791916 6682912 1109004 893790 524409 369381 3132047 2878344 253703 16152 4423 11729 33167 17423 15744 900547 263621 636926 826860 751376 75484 PROFESSIONAL SERVICES 2434701 2434701 REPAIRS & MAINTENANCE 446785 444595 2190 BILLING & COLLECTION SE 389754 389754 WASTE TREATMENT/DISPOSA 127073 127073 353276 168461 184815 48068931 39862998 8205933 0 2775441 1761970 4444936 3203962 9033320 8799034 14616732 11186378 4105441 3430354 20359138 17195320 4027847 4223987 138276 1373651 36327538 42861295 40493661 48458933 X -20134523 -31263613 -20134523 -31263613 20359138 17195320 -11129090 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2765842 2316902 448940 6043570 3457406 2586164 5807320 5412070 395250 3430354 PAYABLE TO PASADENA HOSPITAL ASSOCIATION 33451757 PAYABLE TO CMBS 3833024 ACCRUED PAYROLL AND EMPLOYEE BENEFIT 1782525 ACCOUNTS PAYABLE - HMH 3793989 42861295 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 2014. 0 0 0 0 0 0 0 0 0 LORI MORGAN MD DIRECTOR 0 1015479 0 446136 0 363054 0 153908 0 11822 0 1990399 0 200000 RAJINDER TAKHAR TREASURER 0 566345 0 147284 0 88146 0 132891 0 17085 0 951751 0 49104 TIMOTHY ALBERT MD CHAIRMAN 0 451610 0 57453 0 23045 0 61442 0 17848 0 611398 0 0 RONALD OLAH MD DIRECTOR 0 258120 0 58564 0 0 0 15589 0 24959 0 357232 0 0 SHITAL ARYA MD SECRETARY 0 252204 0 38731 0 0 0 17070 0 31232 0 339237 0 0 ABILENE ENRIQUEZ DIRECTOR 0 272503 0 0 0 0 0 25245 0 25722 0 323470 0 0 ADRIAN CASTRO MD DIRECTOR 0 227528 0 16987 0 0 0 16734 0 13041 0 274290 0 0 PART III - OTHER ADDITIONAL INFORMATION 457(F) RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) RETIREMENT PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. THIS PLAN IS CLOSED TO NEW PARTICIPANTS AS OF JANUARY 1, 2014. 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. THE PLAN COVERS SELECT EMPLOYEES WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN OR WHO WERE ELIGIBLE, BUT ELECTED NOT TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN. 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, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. 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 FOUR KEY AREAS OF PERFORMANCE IDENTIFIED AS MOST IMPORTANT TO PHA'S STRATEGIC INITIATIVES. THE FOUR PERFORMANCE AREAS ARE: -QUALITY -FINANCIAL SUSTAINABILITY -PHYSICIAN COLLABORATION -COMMUNITY ENGAGEMENT 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 90% OF THE BUDGETED OPERATING NET INCOME FOR THE FISCAL YEAR. IF PHA DOES NOT ACHIEVE 90% OF THE BUDGETED OPERATING NET INCOME, 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, ONE SPECIALTY CARE OFFICE,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 OFFICE: 55 E. CALIFORNIA BLVD., SUITE 201, 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, ADRIAN CASTRO, MD, SHITAL ARYA, 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 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 17,444,326. MANAGEMENT AND GENERAL EXPENSES -135,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,308,669. OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES -218,299. MANAGEMENT AND GENERAL EXPENSES 1,795,127. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,576,828. PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 43,120. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,120. PASADENA HOSPITAL ASSOCIATION (DBA HUNTINGTON MEDICAL HOSPITAL) 100 W CALIFORNIA BLVD PASADENA CA 91105 951644036 HLTH CARE CA 501(C)(3) LINE 3 N/A 0 CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVE PASADENA CA 91105 953978299 MGMT SVS CA N/A C 0 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 352840 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) K 1109076 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) L 6203897 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) M 629548 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) O 428595 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) P 7856888 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) S 10422717 COST