2019-11-14T08:56:31-06:00 2018-12-31 954659692 LUCAS HORSFALL MURPHY & PINDROH LLP 100 E CORSON ST STE 200 PASADENA CA 911033841 990 2018-01-01 954434428 HUNTINGTON MEDICAL FOUNDATION HUNT 6263978306 133 N ALTADENA DRIVE 2ND FLOOR PASADENA CA 91107 TIMOTHY ALBERT MD EXECUTIVE MED. DIR. 6263978333 2019-11-13 MICHAEL P AMERIO P00914537 6267445100 2019-11-13 52.37.240.203 2019-11-14 08:56:31 CS P EC3CFB9FF873EC89FAAF1F420748751FA338FCC8 B1F9E15151DAED51E1A18FC21C78B31E2D9B78DD 2018 2020-03-31 21:24:44Z DBA HUNTINGTON HEALTH PHYSICIANS RAJINDER TAKHAR 39533709 false 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. 10 3 209 0 568803 559796 40007930 38973913 0 0 40576733 39533709 0 0 11271311 10835182 0 0 33750963 32979689 45022274 43814871 -4445541 -4281162 10245061 10775849 20478586 25290536 -10233525 -14514687 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. false false 27819389 29716292 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. 8303122 9232644 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. 53693 24977 HUNTINGTON 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. HUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. 36176204 true true false false false false false false false false true false false false true true false true false false false false false false false false false false false true false false false false false false false false true false false false false true false false false true X 35 0 209 true false false false false false false false false false false false false false false X 10 3 true false true false true true true true true false false false true true true true true true true false CA X SCOTT ARMSTRONG 6263978596 100 CALIFORNIA BLVD PASADENA CA 91105 LORI MORGAN MD CHAIRMAN/PRE 1.00 55.00 X X 0 1125728 80644 RAJINDER TAKHAR PRESIDENT/CE 5.00 50.00 X X 0 636764 147224 TODD TURNER MD DIRECTOR 1.00 40.00 X 0 293942 53067 ADRIAN CASTRO MD DIRECTOR 1.00 40.00 X 0 220029 35053 ALLEN W MATHIES JR MD DIRECTOR 1.00 1.00 X 0 24000 21867 BRAULIO MONTESINO DIRECTOR 1.00 X 0 0 0 PAUL HOLMAN DIRECTOR 1.00 X 0 0 0 PRISCILLA GAMB DIRECTOR 1.00 X 0 0 0 HENGAMEH MONSEF DIRECTOR 1.00 40.00 X 0 347885 22247 STUART MILLER DIRECTOR 1.00 16.00 X 0 359815 24500 SCOTT ARMSTRONG EXECUTIVE DI 5.00 50.00 X 0 237278 23453 ILIN OHANESSIANS DIR OF AMBUL 5.00 50.00 X 0 238029 26242 ANDRE JONES IT DIRECTOR 40.00 0.00 X 120256 0 15193 VIRGILIO MENDOZA INFORMATICS 40.00 0.00 X 107130 0 24331 SHITAL ARYA MD BOARD MEMBER 1.00 40.00 X 0 223703 42965 227386 3707173 516786 2 false true false CMBS MEDICAL BUSINESS SERVICES 1ST AVE 201 ARCADIA CA 91006 MANAGEMENT SERV 4281452 THE HILL MEDICAL CORPORATION 625 S FAIR OAKS AVE STE 180 PASADENA CA 91105 PROF SERVICES 2823281 ALLSCRIPTS LLC 8529 SIX FORKS ROAD RALEIGH NC 27615 INFORMATION 759284 IMRAN KHAN MD 111 S DE LACY AVE 401 PASADENA CA 91105 PROFESSIONAL 360570 DAVID FISCHEL 7266 FRANKLIN APT 405 LOS ANGELES CA 90046 PROF SERV 241957 12 559796 559796 559796 FDN-PATIENT CARE 621110 37213283 37213283 HCP-CAPITATION 900099 1644306 1644306 OTHER REVENUE 621110 91347 91347 CLINICAL RESEARCH-PATIENT 621110 24977 24977 38973913 39533709 38973913 X 8670537 6475860 2194677 164497 149127 15370 1255790 937958 317832 744358 575880 168478 116682 116682 10647 10647 49758 49758 15076218 14144691 931527 140120 140120 7351829 6364299 987530 841484 32739 808745 3435772 2896816 538956 15926 6288 9638 8801 4905 3896 998711 366115 632596 703182 641946 61236 PROFESSIONAL SERVICES 2737868 2737868 REPAIRS & MAINTENANCE 493690 493071 619 BILLING & COLLECTION SERV 457294 457294 WASTE TREATMENT/DISPOSAL 116108 116108 425599 232533 193066 43814871 36176204 7638667 0 903049 3453693 3662001 1556903 1249176 14268550 9336761 5205491 4931789 28974 29834 10245061 10775849 1965867 1808978 266135 219898 18246584 23261660 20478586 25290536 X -10233525 -14514687 -10233525 -14514687 10245061 10775849 -4281162 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 2761857 1761497 1000360 5917442 2438604 3478838 5589251 5136660 452591 4931789 PAYABLE TO PASADENA HOSPITAL ASSOC. 16504307 ACCOUNTS PAYABLE - HMH 3726684 PAYABLE TO CMBS 1990221 ACCRUED PAYROLL AND EMPLOYEE BENEFIT 1040448 23261660 X SCHEDULE D, PAGE 3, PART X 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. false false false false false false false false false LORI MORGAN MD CHAIRMAN/PRESIDENT 794359 107000 224369 64731 15913 1206372 RAJINDER TAKHAR PRESIDENT/CEO 491248 123810 21706 130931 16293 783988 TODD TURNER MD DIRECTOR 151527 142415 14399 38668 347009 ADRIAN CASTRO MD DIRECTOR 203253 16776 11864 23189 255082 HENGAMEH MONSEF DIRECTOR 347885 9576 12671 370132 STUART MILLER DIRECTOR 158680 41135 160000 24500 384315 SCOTT ARMSTRONG EXECUTIVE DIRECTOR 228821 8457 7550 15903 260731 ILIN OHANESSIANS DIR OF AMBULATORY OP 220590 8457 8982 9715 16527 264271 SHITAL ARYA MD BOARD MEMBER 195899 27304 500 10953 32012 266668 SCHEDULE J, PART III 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 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. X EQUIPMENT 1 559796 COST false false false FORM 990, PART III QUESTIONS 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 4D HUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. 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 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 VI BUSINESS 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 4 PART 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 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION (PHA). FORM 990, PAGE 6, PART VI, LINE 7A MEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS. FORM 990, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 15A 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 COMPENSATON POLICY. FORM 990, PAGE 6, PART VI, LINE 15B THE PROCESS IS THE SAME AS EXPLAINED ABOVE FOR QUESTION 15A FORM 990, PAGE 6, PART VI, 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 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 PASADENA HOSPITAL ASSOCIATION (DBA HUNTINGTON MEDICAL HOSPITAL) 100 W CALIFORNIA BLVD PASADENA CA 91105 951644036 HLTH CARE CA 501C3 3 NA false CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVE PASADENA CA 91105 953978299 MGMT SVS CA NA C CORP false false false true false false false false false false true true true true false true false false false true PASADENA HOSPITAL ASSOCIATION (DBA HMH) C 559796 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) J 8820 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) K 801056 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) L 2933021 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) M 528751 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) O 138093 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) S 6140000 COST