HUNTINGTON MEDICAL FOUNDATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
HUNTINGTON MEDICAL FOUNDATION (EIN 95-4434428)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-14
IRS object ID
201913189349302651
Schema version
2018v3.1
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)
Return2019-11-14T08:56:31-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954659692PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1LUCAS HORSFALL MURPHY & PINDROH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 E CORSON ST STE 200AddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP911033841ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954434428EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON MEDICAL FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHUNTBusinessNameControlTxt
Phone6263978306PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1133 N ALTADENA DRIVE 2ND FLOORAddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTIMOTHY ALBERT MDPersonNm
Person TitleEXECUTIVE MED. DIR.PersonTitleTxt
Phone6263978333PhoneNum
Signature2019-11-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL P AMERIOPreparerPersonNm
PTINP00914537PTIN
Phone6267445100PhoneNum
Preparation2019-11-13PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address52.37.240.203IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-14IPDt
IP Tm08:56:31IPTm
IP TimezoneCSIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdEC3CFB9FF873EC89FAAF1F420748751FA338FCC8AtSubmissionCreationDeviceId
At Submission Filing Device IdB1F9E15151DAED51E1A18FC21C78B31E2D9B78DDAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1DBA HUNTINGTON HEALTH PHYSICIANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerRAJINDER TAKHARPrincipalOfficerNm
Gross Receipts$39,533,709GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HUNTINGTONHEALTHPHYSICIANS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee209TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$568,803PYContributionsGrantsAmt
CY Contributions Grants$559,796CYContributionsGrantsAmt
PY Program Service Revenue$40,007,930PYProgramServiceRevenueAmt
CY Program Service Revenue$38,973,913CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$40,576,733PYTotalRevenueAmt
CY Total Revenue$39,533,709CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$11,271,311PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,835,182CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,750,963PYOtherExpensesAmt
CY Other Expenses$32,979,689CYOtherExpensesAmt
PY Total Expenses$45,022,274PYTotalExpensesAmt
CY Total Expenses$43,814,871CYTotalExpensesAmt
PY Revenues Less Expenses-$4,445,541PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$4,281,162CYRevenuesLessExpensesAmt
Total Assets BOY$10,245,061TotalAssetsBOYAmt
Total Assets EOY$10,775,849TotalAssetsEOYAmt
Total Liabilities BOY$20,478,586TotalLiabilitiesBOYAmt
Total Liabilities EOY$25,290,536TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$10,233,525NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$14,514,687NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBLITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$27,819,389ExpenseAmt
Revenue$29,716,292RevenueAmt
DescHUNTINGTON 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,303,122ExpenseAmt
Revenue$9,232,644RevenueAmt
DescHUNTINGTON 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.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$53,693ExpenseAmt
Revenue$24,977RevenueAmt
DescHUNTINGTON MEDICAL FOUNDATION ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS. CURRENTLY WE HAVE PARTICIPANTS IN PHASE III, IV AND V CLINICAL TRIALS. SEE SCHEDULE O FOR ADDITIONAL DETAILS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescHUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$36,176,204TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
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 HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
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 With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document35IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee209EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
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
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
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 BodyfalseForm990ProvidedToGvrnBodyInd
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 CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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)
PersonSCOTT ARMSTRONGPersonNm
Phone6263978596PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 CALIFORNIA BLVDAddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91105ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
LORI MORGAN MD
CHAIRMAN/PRE1.0055.00Yes (X)Yes (X)$0$1,125,728$80,644
RAJINDER TAKHAR
PRESIDENT/CE5.0050.00Yes (X)Yes (X)$0$636,764$147,224
TODD TURNER MD
DIRECTOR1.0040.00Yes (X)$0$293,942$53,067
ADRIAN CASTRO MD
DIRECTOR1.0040.00Yes (X)$0$220,029$35,053
ALLEN W MATHIES JR MD
DIRECTOR1.001.00Yes (X)$0$24,000$21,867
BRAULIO MONTESINO
DIRECTOR1.00Yes (X)$0$0$0
PAUL HOLMAN
DIRECTOR1.00Yes (X)$0$0$0
PRISCILLA GAMB
DIRECTOR1.00Yes (X)$0$0$0
HENGAMEH MONSEF
DIRECTOR1.0040.00Yes (X)$0$347,885$22,247
STUART MILLER
DIRECTOR1.0016.00$0$359,815$24,500Yes (X)
SCOTT ARMSTRONG
EXECUTIVE DI5.0050.00$0$237,278$23,453Yes (X)
ILIN OHANESSIANS
DIR OF AMBUL5.0050.00$0$238,029$26,242Yes (X)
ANDRE JONES
IT DIRECTOR40.000.00$120,256$0$15,193Yes (X)
VIRGILIO MENDOZA
INFORMATICS40.000.00$107,130$0$24,331Yes (X)
SHITAL ARYA MD
BOARD MEMBER1.0040.00Yes (X)$0$223,703$42,965
FieldValueIRS element (for citing)
Total Reportable Comp From Org$227,386TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,707,173TotReportableCompRltdOrgAmt
Total Other Compensation$516,786TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CMBS MEDICAL BUSINESS SERVICES
1ST AVE 201ARCADIACA91006MANAGEMENT SERV$4,281,452
THE HILL MEDICAL CORPORATION
625 S FAIR OAKS AVE STE 180PASADENACA91105PROF SERVICES$2,823,281
ALLSCRIPTS LLC
8529 SIX FORKS ROADRALEIGHNC27615INFORMATION$759,284
IMRAN KHAN MD
111 S DE LACY AVE 401PASADENACA91105PROFESSIONAL$360,570
DAVID FISCHEL
7266 FRANKLIN APT 405LOS ANGELESCA90046PROF SERV$241,957
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt
Related Organizations$559,796RelatedOrganizationsAmt
Noncash Contributions$559,796NoncashContributionsAmt
Total Contributions$559,796TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FDN-PATIENT CARE621110$37,213,283$37,213,283
HCP-CAPITATION900099$1,644,306$1,644,306
OTHER REVENUE621110$91,347$91,347
CLINICAL RESEARCH-PATIENT621110$24,977$24,977
FieldValueIRS element (for citing)
Total Program Service Revenue$38,973,913TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$39,533,709TotalRevenueColumnAmt
Related Or Exempt Func Income$38,973,913RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$8,670,537TotalAmt
Program Services$6,475,860ProgramServicesAmt
Management And General$2,194,677ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$164,497TotalAmt
Program Services$149,127ProgramServicesAmt
Management And General$15,370ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,255,790TotalAmt
Program Services$937,958ProgramServicesAmt
Management And General$317,832ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$744,358TotalAmt
Program Services$575,880ProgramServicesAmt
Management And General$168,478ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$116,682TotalAmt
Management And General$116,682ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,647TotalAmt
Management And General$10,647ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$49,758TotalAmt
Management And General$49,758ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,076,218TotalAmt
Program Services$14,144,691ProgramServicesAmt
Management And General$931,527ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$140,120TotalAmt
Management And General$140,120ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,351,829TotalAmt
Program Services$6,364,299ProgramServicesAmt
Management And General$987,530ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$841,484TotalAmt
Program Services$32,739ProgramServicesAmt
Management And General$808,745ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,435,772TotalAmt
Program Services$2,896,816ProgramServicesAmt
Management And General$538,956ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,926TotalAmt
Program Services$6,288ProgramServicesAmt
Management And General$9,638ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,801TotalAmt
Program Services$4,905ProgramServicesAmt
Management And General$3,896ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$998,711TotalAmt
Program Services$366,115ProgramServicesAmt
Management And General$632,596ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$703,182TotalAmt
Program Services$641,946ProgramServicesAmt
Management And General$61,236ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
PROFESSIONAL SERVICES$2,737,868$2,737,868
REPAIRS & MAINTENANCE$493,690$493,071$619
BILLING & COLLECTION SERV$457,294$457,294
WASTE TREATMENT/DISPOSAL$116,108$116,108

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$425,599TotalAmt
Program Services$232,533ProgramServicesAmt
Management And General$193,066ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$43,814,871TotalAmt
Program Services$36,176,204ProgramServicesAmt
Management And General$7,638,667ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$903,049EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,453,693BOYAmt
EOY$3,662,001EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,556,903BOYAmt
EOY$1,249,176EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,268,550LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,336,761LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,205,491BOYAmt
EOY$4,931,789EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$28,974BOYAmt
EOY$29,834EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$10,245,061BOYAmt
EOY$10,775,849EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,965,867BOYAmt
EOY$1,808,978EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$266,135BOYAmt
EOY$219,898EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,246,584BOYAmt
EOY$23,261,660EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,478,586BOYAmt
EOY$25,290,536EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$10,233,525BOYAmt
EOY-$14,514,687EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$10,233,525BOYAmt
EOY-$14,514,687EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$10,245,061BOYAmt
EOY$10,775,849EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$4,281,162ReconcilationRevenueExpnssAmt
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 RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,761,857OtherCostOrOtherBasisAmt
Depreciation$1,761,497DepreciationAmt
Book Value$1,000,360BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,917,442OtherCostOrOtherBasisAmt
Depreciation$2,438,604DepreciationAmt
Book Value$3,478,838BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,589,251OtherCostOrOtherBasisAmt
Depreciation$5,136,660DepreciationAmt
Book Value$452,591BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$4,931,789TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO PASADENA HOSPITAL ASSOC.$16,504,307
ACCOUNTS PAYABLE - HMH$3,726,684
PAYABLE TO CMBS$1,990,221
ACCRUED PAYROLL AND EMPLOYEE BENEFIT$1,040,448
FieldValueIRS element (for citing)
Total Liability$23,261,660TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PAGE 3, PART XFormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
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 (9 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
LORI MORGAN MD
CHAIRMAN/PRESIDENT$794,359$107,000$224,369$64,731$15,913$1,206,372
RAJINDER TAKHAR
PRESIDENT/CEO$491,248$123,810$21,706$130,931$16,293$783,988
TODD TURNER MD
DIRECTOR$151,527$142,415$14,399$38,668$347,009
ADRIAN CASTRO MD
DIRECTOR$203,253$16,776$11,864$23,189$255,082
HENGAMEH MONSEF
DIRECTOR$347,885$9,576$12,671$370,132
STUART MILLER
DIRECTOR$158,680$41,135$160,000$24,500$384,315
SCOTT ARMSTRONG
EXECUTIVE DIRECTOR$228,821$8,457$7,550$15,903$260,731
ILIN OHANESSIANS
DIR OF AMBULATORY OP$220,590$8,457$8,982$9,715$16,527$264,271
SHITAL ARYA MD
BOARD MEMBER$195,899$27,304$500$10,953$32,012$266,668

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART IIIFormAndLineReferenceDesc
Explanation457(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 AUTHORIZED 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.ExplanationTxt

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescEQUIPMENTDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$559,796NoncashContributionsRptF990Amt
Method Of Determining RevenuesCOSTMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IIIQUESTIONS 4A-C ADDITIONAL 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, DOING BUSINESS AS HUNTINGTON MEMORIAL 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: - PRIOR TO MARCH 2018, MAINTAINED AN ONSITE IMMUNIZATION CLINIC, LOCATED AT THE PASADENA COMMUNITY URGENT CARE. ONE OF THE FUNCTIONS WAS TO PROVIDE OCCUPATIONAL HEALTHCARE OFFERING WORKERS COMP. - 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 DIAGNOSIS 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. CURRENTLY, WE HAVE PARTICIPANTS IN PHASE III, IV, AND V CLINICAL TRIALS. 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 URGENT CARE CLINIC, AN OCCUPATIONAL MEDICINE FACILITY, AN IMMUNIZATION CLINIC, CLINICAL TRIALS, AS WELL AS JOINT VENTURES WITH HUNTINGTON MEMORIAL HOSPITAL,INCLUDING A RESIDENCY PROGRAM FOR OUTPATIENT CARE, LAB DRAW STATIONS IN PHYSICIAN OFFICES, AND BILLING SERVICES TO VARIOUS HOSPITAL OUTPATIENT SERVICES. THE HUNTINGTON MEDICAL FOUNDATION CURRENTLY HAS PHYSICIANS BOARDED IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, ENDOCRINOLOGY, PEDIATRIC ENDOCRINOLOGY, ADDICTION MEDICINE, EMERGENCY MEDICINE, PULMONOLOGY, RHEUMATOLOGY, PALLIATIVE CARE AND PODIATRY. IN OCTOBER 2010, THE HUNTINGTON MEDICAL FOUNDATION OPENED THE PASADENA COMMUNITY URGENT CARE (PCUC) IN THE EASTERN PORTION OF PASADENA, AN UNDERSERVED AREA AS A RESULT OF THE LOSS OF THE ST. LUKE MEDICAL CENTER. THE PCUC SERVES TO REDUCE THE OVERSTAURATED NON-ACUTE AND ACUTE, NON- EMERGENT PATIENTS CURRENTLY BEING SEEN AT THE HUNTINGTON MEMORIAL HOSPITAL EMERGENCY DEPARTMENT (ER), THUS LESSENING THE STRAIN ON THE ER AS WELL AS DECREASING THE AMOUNT OF ER DIVERSIONS THAT OCCUR DUE TO OVER UTILIZATION. THE PCUC PROVIDES SERVICE TO THOSE PRIMARILY LOCATED IN 12 ZIP CODES (PASADENA AND SURROUNDING CITIES) IN THE SAN GABRIEL VALLEY AREA OF LOS ANGELES COUNTY. THOSE SERVED REFLECT THE DIVERSITY OF THE TARGET AREA, WHERE 44% OF HOUSEHOLDS ARE HISPANIC, 25.9% WHITE, 7.8% BLACK, 19.2% ASIAN, AND 3.1% OF OTHER ETHNICITIES. THE FACILITY PROVIDES BOTH PEDIATRIC AND ADULT CARE. DEMOGRAPHICS OF URGENT CARE PATIENTS ARE VARIED; HOWEVER, THE POPULATION SERVED POSSESS A HIGH PERCENTAGE OF INDIVIDUALS WITH A PREDOMINANTLY LOW INCOME LEVEL (<200% OF FEDERAL POVERTY LEVEL). IN ADDITION, A HIGH PERCENTAGE OF THE PREDOMINANTLY LOW INCOME LEVEL INDIVIDUALS LACK ACCESS TO OTHER HEALTHCARE RESOURCES. THESE PATIENT TYPES OFTEN USE THE EMERGENCY ROOM INNAPPROPRIATELY FOR NON-ACUTE AND ACUTE NON-EMERGENT CONDITIONS. ONE OF THE MAIN OBJECTIVES OF THE PCUC IS TO INTERCEPT THESE PATIENTS BEFORE THEY FURTHER IMPACT THE ER AND PROVIDE NON-EMERGENT MEDICAL CARE WHILE EDUCATING AND CONNECTING THEM WITH THE APPROPRIATE PRIMARY CARE RESOURCE IN THE COMMUNITY. 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 911055 PASADENA COMMUNITY URGENT CARE AND OCCUPATIONAL HEALTH FACILITY (SOLD MARCH 2018): 3160 E. DEL MAR BLVD., SUITE 110, PASADENA, CA 91107 TRAVEL CLINIC (SOLD MARCH 2018): 3160 E. DEL MAR BLVD., SUITE 110, PASADENA, CA 91107 CLINICAL TRIALS: 375 HUNTINGTON DRIVE, SUITE G, SAM MARINO, CA 91108 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.
FORM 990, PAGE 2, PART III, LINE 4DHUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY.
FORM 990, PART VLINE 2A THE AMOUNT REPORTED ON LINE 2A INCLUDES THE NUMBER OF EMPLOYEES REPORTED ON A FORM W-3 BY HUNTINGTON MEDICAL FOUNDATION'S (HMF) REPORTING AGENTS,MMC INTERNATIONAL. THE COMPENSATION PAID UNDER THIS AGREEMENT IS REPORTED IN PART VII, SECTION A, COLUMBS (D) AND (F), AS APPROPRIATE.
FORM 990, PART VIBUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, OR KEY EMPLOYEES - LORI MORGAN, MD, RAJINDER TAKHAR, TODD TURNER, MD, ADRIAN CASTRO, MD, SHITAL ARYA, MD, HENGAMEH MONSEF, MD, ALLEN W. MATHIES. JR, MD.,SCOTT ARMSTRONG, STUART MILLER, MD, AND ILIN OHANESSIANS HAVE A BUSINESS RELATIONSHIP AS EMPLOYEES OF A RELATED ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 4PART VI, LINE 4: SIGNIFICANT CHANGES TO ITS GOVERNING DOCUMENTS: THE ORGANIZATION CHANGED THE NUMBERS, COMPOSITON, AND AUTHORIES OF THE VOTING MEMBERS AND OFFICERS.
FORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION (PHA).
FORM 990, PAGE 6, PART VI, LINE 7AMEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 7BTHE 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, PAGE 6, PART VI, LINE 11BFORM 990 AND ALL RELATED SCHEDULES WERE REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CTHE 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, PAGE 6, PART VI, LINE 15AMANY 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 COMPENSATON POLICY.
FORM 990, PAGE 6, PART VI, LINE 15BTHE PROCESS IS THE SAME AS EXPLAINED ABOVE FOR QUESTION 15A
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPSA MEDICAL GROUP 13,729,533 147,426 0 OUTSIDE SERVICES 5,574 166,094 0 PROFESSIONAL SERVICES 409,584 618,007 0 TOTAL 14,144,691 931,527 0

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1PASADENA HOSPITAL ASSOCIATIONBusinessNameLine1Txt
Business Name Line2(DBA HUNTINGTON MEDICAL HOSPITAL)BusinessNameLine2Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 W CALIFORNIA BLVDAddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91105ZIPCd
FieldValueIRS element (for citing)
EIN951644036EIN
Primary ActivitiesHLTH CAREPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501C3ExemptCodeSectionTxt
Public Charity Status3PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationfalseControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONGRESS SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1804 SOUTH FAIR OAKS AVEAddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91105ZIPCd
FieldValueIRS element (for citing)
EIN953978299EIN
Primary ActivitiesMGMT SVSPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
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 OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2TxtTransaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)C$559,796COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)J$8,820COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)K$801,056COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)L$2,933,021COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)M$528,751COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)O$138,093COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)S$6,140,000COST

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