PASADENA HOSPITAL ASSOCIATION LTD: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
PASADENA HOSPITAL ASSOCIATION LTD (EIN 95-1644036)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-10-23
IRS object ID
201832969349301388
Schema version
2017v2.3
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)
Return2018-10-23T19:21:36-05:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118101 VON KARMAN AVE STE 1700AddressLine1Txt
CityIRVINECityNm
State AbbreviationCAStateAbbreviationCd
ZIP92612ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951644036EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pasadena Hospital Association LTDBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% SCOTT ARMSTRONG EXEC DIRInCareOfNm
Business Name ControlPASABusinessNameControlTxt
Phone6263975000PhoneNum

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLORI J MORGAN MD MBAPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone6263975000PhoneNum
Signature2018-10-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
Phone9497942300PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.95.12.108IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id33577420182965000001FederalOriginalSubmissionId
Federal Original Submission Id2018-10-23FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD828F4131A36D7577C0DD4801EF49F2D1B68A134AtSubmissionCreationDeviceId
At Submission Filing Device IdDA5C606EC7C0AC5CA4B4A14FD82DAAC8044C8CC5AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2018-06-14 16:35:46ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerLORI J MORGAN MD MBAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 WEST CALIFORNIA BLVDAddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91105ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$730,419,992GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HUNTINGTONHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1892FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionAT HUNTINGTON HOSPITAL, OUR MISSION IS TO PROVIDE EXCELLENT HEALTH CAR PROVIDE EXCELLENT HEALTH CARE AND COMPASSIONATE SERVICE TO EACH PERSON BY BRINGING TOGETHER OUTSTANDING PHYSICIANS, (SEE SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent19VotingMembersIndependentCnt
Total Employee4405TotalEmployeeCnt
Total Volunteers1684TotalVolunteersCnt
Total Gross UBI$85,000TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$136,173NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$26,747,031PYContributionsGrantsAmt
CY Contributions Grants$17,572,639CYContributionsGrantsAmt
PY Program Service Revenue$659,726,321PYProgramServiceRevenueAmt
CY Program Service Revenue$663,851,465CYProgramServiceRevenueAmt
PY Investment Income$4,082,201PYInvestmentIncomeAmt
CY Investment Income$13,104,407CYInvestmentIncomeAmt
PY Other Revenue$5,098,389PYOtherRevenueAmt
CY Other Revenue$2,866,993CYOtherRevenueAmt
PY Total Revenue$695,653,942PYTotalRevenueAmt
CY Total Revenue$697,395,504CYTotalRevenueAmt
PY Grants And Similar Paid$519,982PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$619,695CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$342,769,911PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$363,972,300CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$3,325,484CYTotalFundraisingExpenseAmt
PY Other Expenses$343,871,795PYOtherExpensesAmt
CY Other Expenses$334,227,227CYOtherExpensesAmt
PY Total Expenses$687,161,688PYTotalExpensesAmt
CY Total Expenses$698,819,222CYTotalExpensesAmt
PY Revenues Less Expenses$8,492,254PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,423,718CYRevenuesLessExpensesAmt
Total Assets BOY$964,840,232TotalAssetsBOYAmt
Total Assets EOY$1,022,618,747TotalAssetsEOYAmt
Total Liabilities BOY$408,482,501TotalLiabilitiesBOYAmt
Total Liabilities EOY$437,382,732TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$556,357,731NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$585,236,015NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$615,597,798ExpenseAmt
Grant$619,695GrantAmt
Revenue$664,186,274RevenueAmt
DescSEE SCHEDULE ODesc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$615,597,798TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgYes (true)MoreThan5000KToOrgInd
More Than5000 K To IndividualsYes (true)MoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document715IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4405EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledYes (true)Form1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member19IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTT ARMSTRONG EXEC DIRPersonNm
Phone6263978596PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (44 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
PAUL LH OUYANG
CHAIRMAN/TRUSTEE1.01.0Yes (X)Yes (X)$0$0$0
JAYNIE STUDENMUND
BOARD OF DIRECTORS-VICE CHAIR1.01.0Yes (X)Yes (X)$0$0$0
LOIS S MATTHEWS
BOARD OF DIRECTORS-SECRETARY1.01.0Yes (X)Yes (X)$0$0$0
ARMANDO L GONZALEZ FAIA
TREASURER/TRUSTEE1.01.0Yes (X)Yes (X)$0$0$0
LORI J MORGAN MD MBA
BOARD OF DIRECTORS-PRES/CEO55.01.0Yes (X)Yes (X)$278,595$0$20,184
STEPHEN A RALPH
BD OF DIRECTORS-PRES. EMERITUS55.01.0Yes (X)Yes (X)$1,139,299$0$134,569
SHARON ARTHOFER
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
WILLIAM J BOGAARD
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
WAYNE BRANDT
BOARD OF DIRECTORS1.01.0Yes (X)$0$0$0
MICHELLE QUINONES CHINO
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
REED GARDINER
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
RONALD L HAVNER JR
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
CHRISTOPHER G HEDLEY MD
BOARD OF DIRECTORS1.00.0Yes (X)$45,000$0$0
R SCOTT JENKINS
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
PAUL JOHNSON
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
DAVID M KIRCHHEIMER
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
ELLEN LEE
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
LOLITA LOPEZ
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
ALLEN W MATHIES JR MD
BOARD OF DIRECTORS1.00.0Yes (X)$1,682$16,821$0
ELIZABETH GRAHAM OLSON
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
KATHLEEN KATHY GOOD PODLEY
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
JAMES SHANKWILER MD
BOARD OF DIRECTORS1.00.0Yes (X)$15,000$0$0
ROSEMARY RARY SIMMONS
DIRECTOR EMERITUS1.00.0Yes (X)$0$0$0
K EDMUND TSE MD
BOARD OF DIRECTORS1.00.0Yes (X)$11,800$0$0
DEBORAH WILLIAMS
BOARD OF DIRECTORS1.00.0Yes (X)$0$0$0
JAMES S NOBLE
ASST SEC/TREAS/EVP/CFO55.01.0Yes (X)$890,817$0$549,613
DEBRA A ORTEGA
CHRO & VP ADMIN SVCS55.00.0$460,085$0$301,157Yes (X)
DEBRA L TAFOYA
VP & CIO HR/IS55.00.0$328,900$0$396,519Yes (X)
EUGENE E GUTIERREZ IV
VP, FINANCE & CONGRESS SERVICE11.044.0$354,418$0$83,314Yes (X)
GLORIA M SANCHEZ-RICO
VP, CHIEF NURSE EXECUTIVE55.00.0$434,390$0$91,977Yes (X)
JANE HADERLEIN
SVP, EXTERNAL AFFAIRS55.00.0$632,341$0$438,194Yes (X)
JOHN F GOEDERS
VP STRATEGIC PLANNING/REVENUE55.00.0$312,329$0$86,952Yes (X)
KIM MARKEY
VP PATIENT EXPERIENCE55.00.0$237,302$0$18,385Yes (X)
PAULA VERRETTE MD
SVP & CMO QUALITY & PHYS. SVCS55.00.0$579,601$0$176,064Yes (X)
RAJINDER S TAKHAR
VP, BUS & PROVIDER STRATEGY55.00.0$722,070$0$110,766Yes (X)
GABRIELLA SHERMAN MD
VP CLINICAL INNVTN & PERF55.00.0$402,901$0$75,140Yes (X)
SCOTT A ARMSTRONG
EXEC DIR FINANCE OPERATIONS55.00.0$241,944$0$29,159Yes (X)
EDWARD D SAULNY
DIR. DECISION SUPPORT (PT YR)55.00.0$272,843$0$37,202Yes (X)
JEFFREY P WEIGAND
DIRECTOR REAL ESTATE4.036.0$292,893$0$30,652Yes (X)
MARITESS R YEE
CHIEF CLINIC OPER. OFFICER40.00.0$295,238$0$11,782Yes (X)
JEAN M PALLARES
DIR PHARMACY/LAB SVCS40.00.0$281,937$0$107,945Yes (X)
SAMUEL I BRENEISER
EXEC DIR, MANAGED CARE40.00.0$266,514$0$50,260Yes (X)
TERENCE OU
EXEC DIR INTERNAL AUDIT & COMP40.00.0$250,525$0$25,627Yes (X)
BONNIE L KASS
SVP, HOSPITAL OPERATIONS0.00.0$205,135$0$61,335Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,953,559TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$16,821TotReportableCompRltdOrgAmt
Total Other Compensation$2,836,796TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K925IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
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
HDR ARCHITECTURE INC
8404 INDIAN HILLSOMAHANE68114CONSTRUCTION MGMT$5,090,505
JACOBS PROJECT MANAGEMENT CO
PO BOX 888862LOS ANGELESCA900888862CONSTRUCTION MGMT$2,309,087
CERNER COPORATION
2800 ROCKCREEK PARKWAYKANSAS CITYMO64117CONSULTING/MGMT$1,922,367
TURNAROUND TIME TRANSCRIPTION
3536 OCEANVIEW BLVD SUITE 100GLENDALECA91208MEDICAL RECORDS$1,757,292
ASSOCIATED REGIONAL AND UNIVERSITY
500 CHIPETA WAYSALT LAKE CITYUT84108PATHOLOGY LAB SVCS$1,557,725
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K113CntrctRcvdGreaterThan100KCnt
Federated Campaigns$35,310FederatedCampaignsAmt
Fundraising$283,160FundraisingAmt
Related Organizations$4,578,963RelatedOrganizationsAmt
Government Grants$1,664,500GovernmentGrantsAmt
All Other Contributions$11,010,706AllOtherContributionsAmt
Noncash Contributions$886,664NoncashContributionsAmt
Total Contributions$17,572,639TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICE REVENUE622110$654,875,653$654,875,653$0$0
RENTAL INCOME531120$2,883,954$2,883,954$0$0
PARKING REVENUE812930$1,900,929$1,900,929$0$0
LABORATORY REVENUE621511$749,861$749,861$0$0
MANAGEMENT SERVICE REVENUE541610$341,746$256,746$85,000$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,099,322TotalRevenueColumnAmt
Related Or Exempt Func Income$3,099,322RelatedOrExemptFuncIncomeAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$663,851,465TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,839,043TotalRevenueColumnAmt
Exclusion$4,839,043ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,420TotalRevenueColumnAmt
Exclusion$40,420ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$39,695,049SecuritiesAmt
Other$12,200OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$31,482,305SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$8,212,744SecuritiesAmt
Other$12,200OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,224,944TotalRevenueColumnAmt
Exclusion$8,224,944ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$190,627FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$283,160ContriRptFundraisingEventAmt
Fundraising Direct Expenses$111,653FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$78,974TotalRevenueColumnAmt
Exclusion$78,974ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,667,649GrossSalesOfInventoryAmt
Cost Of Goods Sold$1,430,530CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$237,119TotalRevenueColumnAmt
Exclusion$237,119ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CONCIERGE SERVICES900099$1,528,948$0$0$1,528,948
INSURANCE REIMBURSEMENT900099$687,143$0$0$687,143
MEDICAL STAFF900099$314,750$314,750$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$20,059TotalRevenueColumnAmt
Related Or Exempt Func Income$20,059RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,550,900OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$697,395,504TotalRevenueColumnAmt
Related Or Exempt Func Income$664,101,274RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$85,000UnrelatedBusinessRevenueAmt
Exclusion$15,636,591ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$417,380TotalAmt
Program Services$417,380ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$176,338TotalAmt
Program Services$176,338ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$25,977TotalAmt
Program Services$25,977ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$11,717,329TotalAmt
Program Services$0ProgramServicesAmt
Management And General$11,668,632ManagementAndGeneralAmt
Fundraising$48,697FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$244,432,944TotalAmt
Program Services$216,217,571ProgramServicesAmt
Management And General$27,262,804ManagementAndGeneralAmt
Fundraising$952,569FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$18,781,655TotalAmt
Program Services$16,545,089ProgramServicesAmt
Management And General$2,147,189ManagementAndGeneralAmt
Fundraising$89,377FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$67,792,998TotalAmt
Program Services$59,735,580ProgramServicesAmt
Management And General$7,750,918ManagementAndGeneralAmt
Fundraising$306,500FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$21,247,374TotalAmt
Program Services$18,977,905ProgramServicesAmt
Management And General$2,183,045ManagementAndGeneralAmt
Fundraising$86,424FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,548,735TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,548,735ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$769,013TotalAmt
Program Services$0ProgramServicesAmt
Management And General$769,013ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$104,214TotalAmt
Program Services$0ProgramServicesAmt
Management And General$104,214ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$320,245TotalAmt
Program Services$0ProgramServicesAmt
Management And General$320,245ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$67,340,403TotalAmt
Program Services$55,330,057ProgramServicesAmt
Management And General$11,386,058ManagementAndGeneralAmt
Fundraising$624,288FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,213,794TotalAmt
Program Services$32,839ProgramServicesAmt
Management And General$1,180,812ManagementAndGeneralAmt
Fundraising$143FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$27,280,596TotalAmt
Program Services$21,786,149ProgramServicesAmt
Management And General$4,930,726ManagementAndGeneralAmt
Fundraising$563,721FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$28,058,363TotalAmt
Program Services$24,895,035ProgramServicesAmt
Management And General$3,037,097ManagementAndGeneralAmt
Fundraising$126,231FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$16,864,448TotalAmt
Program Services$15,102,544ProgramServicesAmt
Management And General$1,700,006ManagementAndGeneralAmt
Fundraising$61,898FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$767,663TotalAmt
Program Services$366,421ProgramServicesAmt
Management And General$192,350ManagementAndGeneralAmt
Fundraising$208,892FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$540,966TotalAmt
Program Services$211,716ProgramServicesAmt
Management And General$231,283ManagementAndGeneralAmt
Fundraising$97,967FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$7,495,171TotalAmt
Program Services$6,602,627ProgramServicesAmt
Management And General$856,876ManagementAndGeneralAmt
Fundraising$35,668FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$26,724,838TotalAmt
Program Services$24,269,844ProgramServicesAmt
Management And General$2,368,322ManagementAndGeneralAmt
Fundraising$86,672FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,612,357TotalAmt
Program Services$3,446,357ProgramServicesAmt
Management And General$159,366ManagementAndGeneralAmt
Fundraising$6,634FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$94,221,751$94,221,751$0$0
HOSPITAL FEE PROGRAM$55,655,902$55,655,902$0$0
FOOD/CLINICAL/MED STAFF$721,471$721,471$0$0
ALL OTHER EXPENSES$987,297$859,245$98,249$29,803

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$698,819,222TotalAmt
Program Services$615,597,798ProgramServicesAmt
Management And General$79,895,940ManagementAndGeneralAmt
Fundraising$3,325,484FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$9,886BOYAmt
EOY$10,386EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,816,679BOYAmt
EOY$12,671,726EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,878,448BOYAmt
EOY$8,907,858EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$94,989,993BOYAmt
EOY$99,580,515EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$196,071BOYAmt
EOY$139,639EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,470,940BOYAmt
EOY$13,049,352EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$41,120,557BOYAmt
EOY$70,118,631EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$795,839,962LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$372,709,109LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$424,873,307BOYAmt
EOY$423,130,853EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$310,843,378BOYAmt
EOY$339,400,347EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY-$4,038,931BOYAmt
EOY$2,060,802EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,957,809BOYAmt
EOY$2,957,809EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$55,722,095BOYAmt
EOY$50,590,829EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$964,840,232BOYAmt
EOY$1,022,618,747EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$74,144,913BOYAmt
EOY$71,612,204EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,063,452BOYAmt
EOY$46,074,151EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$227,466,936BOYAmt
EOY$223,383,240EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,807,200BOYAmt
EOY$96,313,137EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$408,482,501BOYAmt
EOY$437,382,732EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$453,564,042BOYAmt
EOY$476,490,539EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$63,622,414BOYAmt
EOY$68,960,945EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,171,275BOYAmt
EOY$39,784,531EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$556,357,731BOYAmt
EOY$585,236,015EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$964,840,232BOYAmt
EOY$1,022,618,747EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,423,718ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$28,241,269NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,060,733OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Media Advertisements$0MediaAdvertisementsAmt
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$104,214OtherActivitiesAmt
Total Lobbying Expenditures$104,214TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 11FormAndLineReferenceDesc
ExplanationPOLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PASADENA HOSPITAL ASSOCIATION PAID DUES OF $71,871 AND $327,026 TO THE CALIFORNIA HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, RESPECTIVELY. OF THESE DUES, $71,871 AND $32,343, RESPECTIVELY, WERE ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$143,584,070BeginningYearBalanceAmt
Contributions$5,490,913ContributionsAmt
Investment Earnings Or Losses$9,377,743InvestmentEarningsOrLossesAmt
Other Expenditures$7,236,071OtherExpendituresAmt
End Year Balance$151,216,655EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$140,883,835BeginningYearBalanceAmt
Contributions$6,064,407ContributionsAmt
Investment Earnings Or Losses$4,353,141InvestmentEarningsOrLossesAmt
Other Expenditures$7,717,313OtherExpendituresAmt
End Year Balance$143,584,070EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$136,386,305BeginningYearBalanceAmt
Contributions$9,138,016ContributionsAmt
Investment Earnings Or Losses$844,778InvestmentEarningsOrLossesAmt
Other Expenditures$5,485,264OtherExpendituresAmt
End Year Balance$140,883,835EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$124,827,213BeginningYearBalanceAmt
Contributions$12,976,801ContributionsAmt
Investment Earnings Or Losses$2,091,978InvestmentEarningsOrLossesAmt
Other Expenditures$3,509,687OtherExpendituresAmt
End Year Balance$136,386,305EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$117,701,687BeginningYearBalanceAmt
Contributions$7,398,612ContributionsAmt
Investment Earnings Or Losses$6,780,536InvestmentEarningsOrLossesAmt
Other Expenditures$7,053,622OtherExpendituresAmt
End Year Balance$124,827,213EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.41260BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.26310PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32430TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$481,346,871OtherCostOrOtherBasisAmt
Depreciation$205,346,206DepreciationAmt
Book Value$276,000,665BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$248,768,860OtherCostOrOtherBasisAmt
Depreciation$167,362,903DepreciationAmt
Book Value$81,405,957BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$65,724,231OtherCostOrOtherBasisAmt
Book Value$65,724,231BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$423,130,853TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PV GIFT ANNUITY & CRT$691,153
ACCRUED SELF INSURANCE CLAIMS$27,486,199
ACCRUED PENSION COST$66,841,139
CAPITAL LEASE & OTHER FINANCING$1,294,646
FieldValueIRS element (for citing)
Total Liability$96,313,137TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4INTENDED USE OF ENDOWMENT FUNDS BOARD DESIGNATED ENDOWMENT CONSISTS OF THE FUNDS THAT OUR BOARD PUT ASIDE FOR CURRENT OR FUTURE PROJECTS. TERM ENDOWMENT ARE THE FUNDS WE RECEIVED FROM RESTRICTED DONATIONS TO BE USED IN OPERATIONS. PERMANENT ENDOWMENT FUNDS ARE KEPT IN OUR INVESTMENT PORTFOLIO AND WE USE THE INVESTMENT RETURN TO FUND OUR OPERATION.
SCHEDULE D, PART X, LINE 2FIN 48 (ASC 740) THE GROUP COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN.

Schedule F IRS990ScheduleF

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

Account Activities Outside US AccountActivitiesOutsideUSGrp (3 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the CaribbeanInvestments$21,378,292
Sub-Saharan AfricaGrantmaking$25,977
Sub-Saharan AfricaProgram Services$65,890Community Development
FieldValueIRS element (for citing)
Subtotal Spent$21,470,159SubtotalSpentAmt
Total Spent$21,470,159TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp

FieldValueIRS element (for citing)
RegionSub-Saharan AfricaRegionTxt
Purpose Of GrantTuitionPurposeOfGrantTxt
Cash Grant$9,225CashGrantAmt
Manner Of Cash DisbursementW. TRANSFERMannerOfCashDisbursementTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Foreign Individuals Grants ForeignIndividualsGrantsGrp

FieldValueIRS element (for citing)
Type Of AssistanceMedical Assistance TripTypeOfAssistanceTxt
RegionSub-Saharan AfricaRegionTxt
Recipient100RecipientCnt
Cash Grant$13,365CashGrantAmt
Manner Of Cash DisbursementW. TRANSFERMannerOfCashDisbursementTxt
Non Cash Assistance$1,104NonCashAssistanceAmt
Description Of Non Cash AsstsuppliesDescriptionOfNonCashAsstTxt
Valuation Method UsedfmvValuationMethodUsedDesc
FieldValueIRS element (for citing)
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE F, PART I, LINE 2PROCEDURE FOR MONITORING THE USE OF GRANTS THE REQUESTING DEPARTMENT MONITORS THE EXPENSES ON A REGULAR BASIS TO CONFIRM THAT THE GRANTS' USE IS CONSISTENT WITH ITS INTENDED PURPOSE.
SCHEDULE F, PART I, LINE 3THE AMOUNT OF THE INVESTMENTS IN PART I WAS DETERMINED USING MARKET VALUE.
SCHEDULE F, PART III, LINES 1GRANTS WERE USED TO SUPPORT THE PHIL SIMON CLINIC TANZANIA PROJECT ACTIVITIES.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1FALL FESTIVALEvent1Nm
Gross Receipts Event1$473,787GrossReceiptsEvent1Amt
Charitable Contri Event1$283,160CharitableContriEvent1Amt
Gross Revenue Event1$190,627GrossRevenueEvent1Amt
Rent Facility Costs Event1$20,938RentFacilityCostsEvent1Amt
Food And Beverage Event1$641FoodAndBeverageEvent1Amt
Entertainment Event1$3,600EntertainmentEvent1Amt
Other Direct Expenses Event1$86,474OtherDirectExpensesEvent1Amt
Other Events Total0OtherEventsTotalCnt
Gross Receipts Total$473,787GrossReceiptsTotalAmt
Charitable Contributions Tot$283,160CharitableContributionsTotAmt
Gross Revenue Total Events$190,627GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$20,938RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$641FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,600EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$86,474OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$111,653DirectExpenseSummaryEventsAmt
Net Income Summary$78,974NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served5701PersonsServedCnt
Total Community Benefit Expns$11,245,521TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,987,183DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,258,338NetCommunityBenefitExpnsAmt
Total Expense0.01330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served28379PersonsServedCnt
Total Community Benefit Expns$146,495,684TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$109,827,650DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,668,034NetCommunityBenefitExpnsAmt
Total Expense0.05250TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served34080PersonsServedCnt
Total Community Benefit Expns$157,741,205TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$111,814,833DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,926,372NetCommunityBenefitExpnsAmt
Total Expense0.06580TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Persons Served346565PersonsServedCnt
Total Community Benefit Expns$7,597,208TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$93,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,503,463NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served1926PersonsServedCnt
Total Community Benefit Expns$21,717,652TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,362,094DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,355,558NetCommunityBenefitExpnsAmt
Total Expense0.02910TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served1976PersonsServedCnt
Total Community Benefit Expns$7,475,299TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$357,400DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,117,899NetCommunityBenefitExpnsAmt
Total Expense0.01020TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served200PersonsServedCnt
Total Community Benefit Expns$1,243,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$78,000DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,165,475NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served2100PersonsServedCnt
Total Community Benefit Expns$553,451TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$553,451NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served352767PersonsServedCnt
Total Community Benefit Expns$38,587,085TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,891,239DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,695,846NetCommunityBenefitExpnsAmt
Total Expense0.05250TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs39ActivitiesOrProgramsCnt
Persons Served386847PersonsServedCnt
Total Community Benefit Expns$196,328,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,706,072DirectOffsettingRevenueAmt
Net Community Benefit Expns$82,622,218NetCommunityBenefitExpnsAmt
Total Expense0.11830TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served63PersonsServedCnt
Total Community Benefit Expns$105,485TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$105,485NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served856PersonsServedCnt
Total Community Benefit Expns$324,447TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$324,447NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Total Community Benefit Expns$10,119TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,119NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served919PersonsServedCnt
Total Community Benefit Expns$440,051TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$440,051NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$9,084,913BadDebtExpenseAmt
Bad Debt Expense Attributable$75,181BadDebtExpenseAttributableAmt
Reimbursed By Medicare$133,116,076ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$163,157,627CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$30,041,551MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1HASC(INDIRECT OWNER)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesOUTPATIENT SURGERYPrimaryActivitiesTxt
Org Profit Or Ownership0.9982OrgProfitOrOwnershipPct
Physicians Profit Or Ownership0.0018PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Huntington Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 West California BlvdAddressLine1Txt
CityPasadenaCityNm
State AbbreviationCAStateAbbreviationCd
ZIP91109ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.HUNTINGTONHOSPITAL.ORGWebsiteAddressTxt
State License930000372StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Research FacilityYes (X)ResearchFacilityInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON MEMORIAL HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE PRIORITIZATION PROCESSES USED FOR SIGNIFICANT HEALTH NEEDS ARE PRESENTED IN BOTH THE 2016 CHNA AND 2017 - 2019 IMPLEMENTATION STRATEGY. For a description of the process see pages 58-60 of the 2016 CHNA available at the following website: http://www.healthypasadena.org/content/sites/pasadena/2016/Final_2016_CHNA .pdf SCHEDULE H, PART V, SECTION B, LINE 5 HUNTINGTON HOSPITAL AND THE PASADENA PUBLIC HEALTH DEPARTMENT (PPHD) ARE PLEASED TO PRESENT THE FIRST JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORT FOR GREATER PASADENA. THIS REPORT DESCRIBES FINDINGS FROM A SYSTEMATIC, YEAR-LONG CHNA PROCESS THAT WAS CONDUCTED COLLABORATIVELY IN ORDER TO PROVIDE INSIGHT INTO THE HEALTH STATUS AND NEEDS OF THE RESIDENTS OF THE GREATER PASADENA AREA. DATA PRESENTED IN THIS REPORT SPAN A WIDE RANGE OF TOPICS RELATED TO COMMUNITY WELL-BEING, INCLUDING DISEASE RATES, RISK FACTORS FOR DISEASE AND DEATH, HEALTH BEHAVIORS, AND SOCIAL DETERMINANTS OF HEALTH. COMMUNITY FEEDBACK (PRIMARY QUALITATIVE DATA) WAS COLLECTED AS AN IMPORTANT COMPONENT OF THE CHNA. FIRST, TEN SEMI-STRUCTURED KEY INFORMANT INTERVIEWS WERE CONDUCTED IN ORDER TO IDENTIFY AND CONFIRM SIGNIFICANT COMMUNITY HEALTH ISSUES. THE DATA FROM THESE INTERVIEWS WITH COMMUNITY STAKEHOLDERS HELPED TO ENSURE THAT QUANTITATIVE DATA WERE COLLECTED, WHEN AVAILABLE, IN THOSE ISSUE AREAS. THE FINDINGS FROM THE INTERVIEWS WERE ALSO USED TO IDENTIFY OTHER KNOWLEDGEABLE COMMUNITY MEMBERS TO PARTICIPATE IN INTERVIEWS AND PROVIDE FEEDBACK ON THE DESIGN OF THE CHNA. THE SECOND METHOD FOR OBTAINING COMMUNITY FEEDBACK WAS TO CONDUCT A LARGE COMMUNITY STAKEHOLDER MEETING, HELD AT HUNTINGTON HOSPITAL, HAD FORTY-NINE PARTICIPANTS. PARTICIPANTS INCLUDED REPRESENTATIVES FROM NON-PROFIT HEALTH CARE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, MENTAL HEALTH AGENCIES, LOCAL GOVERNMENT, THE PUBLIC SCHOOL DISTRICT, AND OTHER INTERESTED PROFESSIONALS AND COMMUNITY MEMBERS FAMILIAR WITH THE HEALTH NEEDS OF THE GREATER PASADENA COMMUNITY. AT THE MEETING, THE PRELIMINARY DATA ANALYSIS WAS PRESENTED BY THE CHNA PLANNING TEAM, AND STAKEHOLDERS PROVIDED INPUT ON GAPS IN DATA, QUALITY OF DATA, ADDITIONAL SOURCES OF DATA IN THE COMMUNITY, AND THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. A GROUP OF HEALTH AND SOCIAL SERVICE PROFESSIONALS WITH SPECIFIC CLINICAL AND COMMUNITY KNOWLEDGE PARTICIPATED IN A REVIEW AND DISCUSSION OF THE FINDINGS OF THE PRELIMINARY DATA ANALYSIS. IN A FACILITATED PRIORITIZATION SESSION, PARTICIPANTS RATED EACH HEALTH TOPIC AREA BASED ON CRITERIA REFLECTING THE HOSPITAL'S MISSION, VALUES, STRENGTHS, AND RESOURCES. THE SIX HIGHEST RATED AREAS OF NEED WERE: - ACCESS TO CARE - HEART DISEASE AND STROKE - CHILD AND ADOLESCENT HEALTH - MENTAL HEALTH - OLDER ADULTS AND AGING - EXERCISE, NUTRITION AND WEIGHT THE KEY ORGANIZATIONS PROVIDING COMMUNITY INPUT INTO THE CHNA AND THE POPULATIONS SERVED INCLUDES: ORGANIZATION TYPE/POPULATIONS SERVED 1. FAITH-BASED ORGANIZATION/FAITH COMMUNITY 2. AMBULATORY CARE CLINIC/MEDICALLY UNDERSERVED ADULTS 3. MATERNAL CARE MANAGEMENT PROGRAM (CLIENT)/EXPECTANT AFRICAN AMERICAN MOTHERS AND FAMILIES 4. YOUTH-ADVOCACY NON-PROFIT/YOUTH, AT-RISK YOUTH FOR ALCOHOL AND OTHER DRUGS ABUSE 5. GOVERNMENTAL CHILD SERVICES AGENCY/YOUTH, FAMILIES, AT-RISK CHILDREN AND FAMILIES 6. BEHAVIORAL AND MENTAL HEALTHCARE AGENCY/MENTAL HEALTH MEDICALLY UNDERSERVED 7. PASADENA COMMUNITY ADVOCATE/PASADENA COMMUNITY 8. LOCAL SCHOOL DISTRICT (STAFF)/YOUTH 9. LOCAL SCHOOL DISTRICT (PARENT)/YOUTH, PASADENA COMMUNITY 10. YOUTH AND FAMILY SERVICES NON-PROFIT/YOUTH, FAMILIES, MEDICALLY UNDERSERVED THE INPUT FROM THESE ORGANIZATIONS WAS PROVIDED DURING THE PERIOD OF FEBRUARY THROUGH MAY OF 2016. SCHEDULE H, PART V, SECTION B, LINE 6B PHA CONDUCTED THE 2016 CHNA IN PARTNERSHIP WITH THE PASADENA PUBLIC HEALTH DEPARTMENT.
SCHEDULE H, PART V, SECTION B, LINE 7AHOSPITAL FACILITY'S WEBSITE: HTTP://WWW.HUNTINGTONHOSPITAL.ORG/COMMUNITY/COMMUNITY-BENEFIT.ASPX SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: HTTP://WWW.HEALTHYPASADENA.ORG/CONTENT/SITES/PASADENA/2016/FINAL_2016_CHNA .PDF LINK ON THE HEALTHY PASADENA SITE WILL DIRECT READER TO THE FULL PHA CHNA.
SCHEDULE H, PART V, SECTION B, LINE 10AHOSPITAL FACILITY'S WEBSITE: HTTP://WWW.HUNTINGTONHOSPITAL.ORG/COMMUNITY/COMMUNITY-BENEFIT.ASPX OTHER WEBSITE: HTTP://WWW.HEALTHYPASADENA.ORG/CONTENT/SITES/PASADENA/HH_2016_IMPLEMENTATI ON_STRATEGY.PDF
SCHEDULE H, PART V, SECTION B, LINE 11BASED ON THE RESULTS OF THE PRIORITIZATION PROCESS, THE HUNTINGTON HOSPITAL CHNA WORKGROUP AND THE EXECUTIVE MANAGEMENT TEAM DETERMINED THAT THE HOSPITAL'S FOUR PRIORITIES FOR THE NEXT THREE YEARS, 2017-2019, WILL BE: - ACCESS TO CARE, WITH A FOCUS ON IMPROVING ACCESS TO PRIMARY AND SPECIALTY CARE SERVICES, AND STRENGTHENING THE CONTINUUM OF CARE - HEART DISEASE AND STROKE, WITH A FOCUS ON INCREASING AWARENESS THROUGH EDUCATION AND PATIENT SUPPORT - CHILD AND ADOLESCENT HEALTH, WITH A FOCUS ON PROVIDING OUTPATIENT ASTHMA SPECIALTY CARE, AND ADDRESSING THE EFFECTS OF TRAUMA ON LIFELONG HEALTH - OLDER ADULTS AND AGING, WITH A FOCUS ON SUPPORTING INDEPENDENCE THESE FOUR PROBLEM AREAS WERE SELECTED BECAUSE APPROACHES TO THEIR IMPROVEMENT ARE COMPATIBLE WITH THE HOSPITAL'S MISSION, VALUES, STRENGTHS, AND RESOURCES, PROVIDING THE BEST OPPORTUNITY TO POSITIVELY IMPACT THE COMMUNITY. UNADDRESSED NEEDS AND ADDITIONAL COMMUNITY BENEFIT ACTIVITIES. HUNTINGTON HOSPITAL'S STRATEGIC APPROACH IS TO ALLOCATE COMMUNITY BENEFIT RESOURCES WHERE IMPACT WILL BE MAXIMIZED. WITH THIS IDEA GUIDING OUR SELECTION OF HEALTH NEEDS TO BE ADDRESSED, WE DEFER TO OUR VARIOUS COMMUNITY PARTNERS TO DIRECTLY ADDRESS MENTAL AND DENTAL HEALTH NEEDS. RESOURCES CURRENTLY EXIST IN GREATER PASADENA, THROUGH COMMUNITY ORGANIZATIONS THAT ARE SPECIFICALLY FUNDED, AND EMPLOY PROFESSIONALLY TRAINED STAFF OFFERING AN ARRAY OF SPECIALIZED PROGRAMS AND SERVICES IN THE REALMS OF MENTAL HEALTH AND DENTAL CARE. THOUGH MENTAL HEALTH WILL NOT BE AN AREA OF FOCUS IN THE IMPLEMENTATION STRATEGY, HUNTINGTON HOSPITAL PROVIDES ADULT BEHAVIORAL SERVICES THROUGH THE HIGHLY REGARDED DELLA MARTIN CENTER. SERVICES AVAILABLE INCLUDE PSYCHIATRIC ACUTE TREATMENT PROGRAM, CHEMICAL DEPENDENCY RECOVERY CENTER, PARTIAL HOSPITALIZATION PROGRAM, INTENSIVE OUTPATIENT PROGRAM, AND MATERNAL WELLNESS PROGRAM.
SCHEDULE H, PART V, SECTION B, LINE 16AHTTP://WWW.HUNTINGTONHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/COST-OF-CARE/ FINANCIAL-ASSISTANCE.ASPX - ENGLISH HTTP://WWW.HUNTINGTONHOSPITAL.ORG/DOCUMENTS/COST-OF-CARE/FINANCIALASSISTAN CEPOLICYENG.PDF
SCHEDULE H, PART V, SECTION B, LINES 16B AND 16CFAP APPLICATION: - ENGLISH HTTP://WWW.HUNTINGTONHOSPITAL.ORG/DOCUMENTS/COST-OF-CARE/FINANCIALASSISTAN CEAPPLICATIONENG.PDF FAP PLAIN LANGUAGE: - ENGLISH HTTP://WWW.HUNTINGTONHOSPITAL.ORG/DOCUMENTS/COST-OF-CARE/SUMMARYFINANCIALA SSISTANCEPOLICYENG.PDF SCHEDULE H, PART V, SECTION B, LINE 16J PHA PROVIDES A CONSIDERABLE AMOUNT OF ITS SERVICES WITHOUT CHARGE TO FINANCIALLY ELIGIBLE PATIENTS WHO CANNOT AFFORD TO PAY FOR CARE. ALL MEDICALLY NECESSARY SERVICES ARE AVAILABLE AS UNCOMPENSATED SERVICES, BASED ON NEED. PHA PUBLICIZES THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. MOREOVER INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL, IF INTERESTED. IN ADDITION, PHA HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED. HTTP://WWW.HUNTINGTONHOSPITAL.ORG/PATIENTS-VISITORS/PATIENTS/COST-OF-CARE/ FINANCIAL-ASSISTANCE.ASPX
SCHEDULE H, PART V, SECTION B, LINE 20DHUNTINGTON HAS A PRESUMPTIVE ELIGIBILITY PROCESS BUT IT IS APPLIED AFTER NOTIFICATION EFFORTS DESCRIBED IN OUR FAP BUT NO RESPONSE FROM THE PATIENT AND COLLECTION EFFORTS HAVE BEEN EXHAUSTED. AS SUCH, IT DOES NOT CURRENTLY MEET ALL THE REQUIREMENTS IN SECTION 1.501(R)-6(C)(2). HOWEVER, HUNTINGTON DOES MEET THE REQUIREMENTS UNDER SECTION 1.501(R)-6(C)(3) FOR REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DESCRIBED IN OUR FAP. THE HOSPITAL CONTINUES TO ASSESS AND CONSIDER IMPLEMENTING PRESUMPTIVE ELIGIBILITY PROCESS BEFORE REFERRING ACCOUNTS TO COLLECTION AGENCIES IN THE FUTURE.
FieldValueIRS element (for citing)
Facility8FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
Huntington Ambulatory Surgery Center
625 S Fair Oaks Ave Suite 380PasadenaCA91105Ambulatory Surgery Center
Huntington Hospital Cancer CtrRad Oncol
625 S Fair Oaks Ave Suite 355PasadenaCA91105Diagnostic Treatment Center
Huntington Outpatient Imaging Center LLC
223 N 1st Ave Suite 201ArcadiaCA91006Outpatient Imaging Center
Huntington Outpatient Rehabilitation
630 S Raymond Ave Suite 120PasadenaCA91105Rehabilitation Services
Huntington Hospital Senior Care Network
100 W California BlvdPasadenaCA91105Social Work Services
Pre Op Testing and OP Laboratory
625 S Fair Oaks Ave Suite 345PasadenaCA91105Diagnostic Laboratory Services
Neurosciences Program
625 S Fair Oaks Ave Suite 325PasadenaCA91105Diagnostic Treatment Center
Outpatient Carediovascular Laboratory
625 S Fair Oaks Ave Suite 345PasadenaCA91105Diagnostic Treatment Center

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CWITH REGARDS TO DETERMINING ELIGIBILITY FOR CHARITABLE CARE, PASADENA HOSPITAL ASSOCIATION (PHA) HAS ESTABLISHED A STANDARD BY USING THE GROSS INCOME, THE FEDERAL POVERTY LEVELS, FAMILY SIZE, GEOGRAPHIC AREA AND OTHER PERTINENT FACTORS. FOR FINANCIAL ASSISTANCE CONSIDERATION, (CHARITY CARE POLICY), MONETARY ASSETS ARE INCLUDED IN DETERMINING ELIGIBILITY. THE FIRST TEN THOUSAND DOLLARS ($10,000) OF A PATIENT'S MONETARY ASSETS SHALL NOT BE COUNTED IN DETERMINING ELIGIBILITY, NOR SHALL 50 PERCENT OF A PATIENT'S MONETARY ASSETS OVER THE FIRST TEN THOUSAND DOLLARS ($10,000) BE COUNTED IN DETERMINING ELIGIBILITY. DISCOUNTS UNDER OTHER FINANCIAL DISCOUNT POLICIES DO NOT COUNT MONETARY ASSETS IN DETERMINING ELIGIBILITY. HOWEVER, THE FEDERAL POVERTY LEVEL CONTINUES AS A SIGNIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS.
SCHEDULE H, PART I, LINES 7A & 7BMEDICAL CARE SERVICES PROVIDED TO CHARITY AND MEDI-CAL BENEFICIARIES RESULT IN SHORTFALLS FOR THE HOSPITAL. THESE SHORTFALL COSTS ARE NET OF ANY APPLICABLE PAYMENTS RECEIVED FROM CHARITY OR MEDI-CAL. THE METHOD FOR DETERMINING THESE SHORTFALLS IS BASED ON ACTUAL COSTS AS CALCULATED BY A COST ACCOUNTING SYSTEM. THIS ROBUST COST ACCOUNTING SYSTEM PRIMARILY UTILIZES A RELATIVE VALUE UNIT (RVU) COSTING APPROACH WHICH IS CALCULATED USING A SIMULTANEOUS EQUATIONS METHODOLOGY. THE COST ACCOUNTING SYSTEM INCLUDES ALL THE PATIENT TYPES (INPATIENT, OUTPATIENT & EMERGENCY) AND PAYORS (MEDICARE, MEDI-CAL, COMMERCIAL HMO, SENIOR HMO AND ALL OTHERS) SEEKING SERVICES AT THE HOSPITAL. THE UNREIMBURSED MEDICAID PERCENTAGE TOTAL EXPENSE FOR TY 12/31/17 IS INDICATING AN INCREASE OVER THE PREVIOUS TY 12/31/16 (4.15% IN TY 12/31/16 COMPARED TO 5.25% IN TY 12/31/17). THE SUPPLEMENTAL MEDI-CAL (CALIFORNIA MEDICAID) PROGRAM AIMED TO HELP CALIFORNIA HOSPITALS REGAIN SOME OF THE BILLIONS THEY LOST YEAR OVER YEAR DUE TO LOW MEDI-CAL REIMBURSEMENT RATES. FOR TY 12/31/17, THE IMPACT OF THE HOSPITAL FEE PROGRAM WAS A GAIN OF $1,033,182 WHICH WAS RECORDED BY HUNTINGTON MEMORIAL HOSPITAL. THIS GAIN IS INCLUDED ON SCHEDULE H, PART I, LINE 7(B).
SCHEDULE H, PART I, LINES 7E-7HTHESE PROGRAMS AND OCCURRENCES DETERMINED THE NET COMMUNITY BENEFITS EXPENSES BY COMPILING THE TOTAL COMMUNITY EXPENSES LESS THE DIRECT OFFSETTING REVENUES (INCLUDING RESTRICTED GRANTS, IF APPLICABLE), ASSOCIATED WITH THESE ACTIVITIES. IN ADDITION TO THE DIRECT EXPENSES, INDIRECT EXPENSES WERE INCLUDED TO ACCOUNT FOR OVERHEAD COSTS TO CONDUCT THE PROGRAMS. THE METHOD USED IS THE "OTHER METHOD" BY CALCULATING DIRECT EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS.
SCHEDULE H, PART I, LINE 7E, COLUMN BOUR 3-YEAR IMPLEMENTATION STRATEGY IDENTIFIES GOALS, STRATEGIES AND PROGRAMS, ANTICIPATED IMPACT/METRICS, AND POTENTIAL PARTNERSHIPS FOR EACH OF THE FOUR SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA. THOSE FOUR NEEDS ARE: ACCESS TO HEALTH SERVICES, HEART DISEASE AND STROKE, CHILD AND ADOLESCENT HEALTH, AND OLDER ADULTS AND AGING. FOR EACH HEALTH NEED, OUR METRICS VARY ACCORDING TO THE STRATEGY AND PROGRAMS, AND INCLUDE MEASUREMENTS SUCH AS THE NUMBER OF ADULTS PROVIDED ASSISTANCE; THE NUMBER OF ADULTS SCREENED, COUNSELED ABOUT THEIR HEALTH, AND/OR ASSISTED WITH RESOURCES; NUMBER OF ADULTS SERVED; NUMBER OF CHAPCARE PATIENTS TREATED IN THE EMERGENCY DEPARTMENT AND HOSPITALIZED; NUMBER OF ADULTS ATTENDING PRESENTATIONS; NUMBER OF ADULTS ATTENDING VARIOUS EVENTS; NUMBER OF ADULTS RECEIVING SERVICES FROM DIABETES SPECIALIST, CDE OR COMMUNITY OUTREACH RN; NUMBER OF CHILDREN RECEIVING ASTHMA PROGRAM SERVICES, NUMBER OF CHILDREN RECEIVING INTERVENTION; NUMBER OF OLDER ADULTS AND FAMILY CAREGIVERS SERVED; AND NUMBER OF PATIENTS WITH CHRONIC DISEASES ASSISTED. SCHEDULE H, PART I, LINE 7G PHA REPORTED NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC.
SCHEDULE H, PART IIPHA PLAYS AN ACTIVE ROLE IN COMMUNITY BUILDING IN COLLABORATION WITH A BROAD RANGE OF PUBLIC AND PRIVATE NON-PROFIT ORGANIZATIONS. SOME EXAMPLES FOLLOW BASED ON THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2016 CHNA. TO INCREASE HEART DISEASE AND STROKE AWARENESS, PHA PARTICIPATED ALONG WITH THE PASADENA FIRE DEPARTMENT IN FREE CPR TRAINING FOR THE COMMUNITY AND COLLABORATED WITH THE AMERICAN HEART ASSOCIATION IN COMMUNITY EVENTS SUCH AS A HEART WALK, DEMONSTRATING HEALTHY RECIPES, AND "SAVINGS STROKES" GOLF INSTRUCTION. IN ADDITION TO OFFERING FREE ASTHMA EDUCATION AND MANAGEMENT SESSIONS, PHA INCURRED EXPENSES RELATING TO PLANS TO COLLABORATE WITH PASADENA UNIFIED SCHOOL DISTRICT AND YOUNG & HEALTHY ON A NEW INITIATIVE RELATED TO TRAUMA-INFORMED CARE, TO ENHANCE THE WELL-BEING OF LOCAL RESIDENTS THROUGH A COMMUNITY-WIDE EFFORT TO REDUCE THE PREVALENCE AND IMPACTS OF TRAUMA, WHICH IS INCREASINGLY RECOGNIZED AS A HEALTH CARE EPIDEMIC. TO HELP OLDER ADULTS AND ADULTS WITH DISABILITIES REMAIN HEALTHY AND INDEPENDENT, PHAS SENIOR CARE NETWORK CONTINUED TO SERVE THE COMMUNITY BY OFFERING HEALTH AND EDUCATIONAL ACTIVITIES FOR SENIORS, FREE FLU SHOTS AT A VARIETY OF COMMUNITY LOCATIONS, INCLUDING SENIOR CENTERS, AREA CHURCHES, SERVICE AGENCIES AND CENTERS, AND OTHERS. PHA ALSO PARTICIPATED WITH THREE OTHER MAGNET HOSPITALS IN A DEMONSTRATION AND EVALUATION PROJECT KNOWN AS SAFE CARE TO BENEFIT FRAIL ELDERLY PERSONS.
SCHEDULE H, PART III, LINE 2REGARDING PHA BAD DEBT, PHA RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES. THE PROVISION FOR DOUBTFUL ACCOUNTS ARE RECORDED NET OF ANY PAYMENTS, CONTRACTUAL ALLOWANCES AND DISCOUNTS.
SCHEDULE H, PART III, SECTION A, LINE 3WITH REGARDS TO AN ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POSSIBLY ELIGIBLE FOR FINANCIAL ASSISTANCE: PHA CONDUCTED THIS ESTIMATE BY USING THE BAD DEBT WRITE-OFFS POSTED TO THE RESPECTIVE TRENDED YEARS AND IDENTIFIED THE BAD DEBT SUBSEQUENTLY RECLASSIFIED TO CHARITY. THE AVERAGE OF THE AMOUNTS FOR THE PREVIOUS FIVE YEARS YIELDED APPROXIMATELY 0.83 PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2017 TOTAL NET BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 TO ESTIMATE THE PORTION OF BAD DEBT THAT POTENTIALLY COULD QUALIFY FOR CHARITY IN FUTURE YEARS. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT: THE FOOTNOTES TO THE PHA FINANCIAL STATEMENTS INCLUDE A BAD DEBT FOOTNOTE THAT CAN BE FOUND ON PAGE 14 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS RETURN.
SCHEDULE H, PART III, LINE 8(A) THE MEDICARE SHORTFALL INCURRED BY PHA IS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES NEEDED ACUTE, REHABILITATIVE, PSYCHIATRIC, OUTPATIENT AND TRAUMA CARE TO ASSIST ELDERLY AND DISABLED ADULTS RETURN TO GOOD HEALTH, ALL WHILE BEING PAID REIMBURSEMENT RATES FROM MEDICARE THAT COVER ONLY A FRACTION OF THE COST OF PROVIDING SUCH CARE. THE REPORTED MEDICARE SHORTFALL AMOUNT IS CONSISTENT WITH THE FILED COST REPORT AND IS NET OF DIRECT GRADUATE MEDICAL EDUCATION REVENUES AND COSTS REFLECTED IN PART I. (B) THE MEDICARE COST REPORT CALCULATES MEDICARE COSTS FOR ACUTE CARE HOSPITALS USING RATIOS OF COST-TO-CHARGES AND CALCULATED PER DIEM AVERAGE.
SCHEDULE H, PART III, LINE 9BPHA DOES NOT PURSUE COLLECTION OF AMOUNTS FOR CARE WITHOUT CHARGE TO PATIENTS WHO MEET CERTAIN CRITERIA AND ARE KNOWN TO QUALIFY FOR CHARITY CARE. UNINSURED PATIENTS ARE AUTOMATICALLY EXTENDED COURTESY DISCOUNTS ON ALL INPATIENT AND EMERGENCY SERVICES TO PATIENTS WHO MEET CERTAIN LOW-INCOME GUIDELINES BUT ARE NOT ELIGIBLE FOR CHARITY CARE. THE CHARITY POLICY AND PROCEDURE SEEKS TO DIFFERENTIATE BETWEEN PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY, VERSUS BAD DEBT, WHICH IS THE UNWILLINGNESS OF THE PATIENT TO PAY. THE COURTESY DISCOUNT AVERAGES APPROXIMATELY 70% OF GROSS CHARGES. THE BALANCE (APPROXIMATELY 30% OF GROSS CHARGE) IS BILLED TO THE PATIENT.
SCHEDULE H, PART IV, LINE 1AS OF OCTOBER 2017, PASADENA HOSPITAL ASSOC TOOK DIRECT OWNERSHIP OF THE HUNTINGTON AMBULATORY SURGERY CENTER (HASC) AND OWNS 99.82% SHARES. THE REMAINING 0.18% IS OWNED BY PACIFIC VALLEY MEDICAL GROUP.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT PHA PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS, IN ACCORDANCE WITH CALIFORNIA COMMUNITY BENEFITS LEGISLATION FOR NOT-FOR-PROFIT HOSPITALS. REVIEW AND ANALYSIS OF HEALTH-RELATED DATA, COMPARED WITH NATIONAL BENCHMARKS AND REGIONAL EXPERIENCES, COMBINED WITH CONSULTATION WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES, ARE CONSIDERED IN IDENTIFYING THE TOP HEALTH ISSUES AND OPPORTUNITIES FOR IMPROVEMENT TO ARRIVE AT THE COMMUNITY NEEDS USED IN DETERMINING THE COMMUNITY BENEFITS PLAN. FURTHERMORE, IN ACCORDANCE WITH THE FEDERAL SECTION 501(R) REQUIREMENTS, PHA HAS COMPLETED THE 2016 CHNA AND THREE-YEAR IMPLEMENTATION STRATEGY (2017-2019) FOR THE HOSPITAL'S "COMMUNITY" (SERVICE AREA) OF GREATER PASADENA.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION PROVIDES EDUCATION TO PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE IN SEVERAL WAYS. FINANCIAL COUNSELORS ARE ON HAND TO EVALUATE PATIENTS FOR THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR THE HOSPITAL'S CHARITY CARE AND DISCOUNT POLICIES, AND FACILITATE APPLICATION FOR ASSISTANCE. PATIENTS WHO ARE UNINSURED ARE GIVEN A NOTICE AT THE TIME OF ADMISSION/REGISTRATION, AND THE HOSPITAL POSTS NOTICES INFORMING PATIENTS OF ITS CHARITY CARE POLICY. ADDITIONALLY, THE HOSPITAL'S WEBSITE POSTS PAYMENT OPTIONS AND ALTERNATIVES AVAILABLE TO PATIENTS WITHOUT HEALTHCARE COVERAGE.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION PHA, LOCATED IN PASADENA, DEFINES THE "COMMUNITY" IT SERVES FOR PURPOSES OF NEEDS ASSESSMENT AS GREATER PASADENA WHICH INCLUDES NINE CONTIGUOUS ZIP CODES IN PASADENA, ALTA DENA, SAN MARINO, AND SOUTH PASADENA. THE TOTAL POPULATION OF GREATER PASADENA IS ESTIMATED AT 236,423 PERSONS (2016 ESTIMATES). IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF: PERSONS AGE 18-64 YEARS, AND 65 YRS. AND OLDER, PERSONS OF WHITE, ASIAN AND BLACK RACES, PERSONS SPEAKING ENGLISH AT HOME, ADULTS WITH SOME COLLEGE TO A COLLEGE DEGREE, AND EMPLOYED PERSONS. THE HOSPITAL HAD 18.5% OF THE PATIENT DISCHARGES HAVING MEDICAID OR WERE UNINSURED FOR THE FY 12/31/16; DESPITE HAVING A LOWER PROPORTION OF FAMILIES WITH INCOMES BELOW THE POVERTY LEVEL AT 7.4% WITHIN THE GREATER PASADENA, WHEN COMPARED TO LOS ANGELES COUNTY, AS OF 2016. HEART DISEASE AND CANCER WERE THE TOP TWO LEADING CAUSES OF DEATH IN THE SERVICE AREA. PHA IS THE ONLY HOSPITAL FACILITY WITHIN THE GREATER PASADENA AREA (CHNA SERVICE AREA), HOWEVER, PHA IS ONE OF 16 ACUTE CARE HOSPITALS WITHIN THE SAN GABRIEL VALLEY AND THE ONLY TRAUMA FACILITY WITHIN IN THIS SAME AREA.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH PHA HAS AN OPEN MEDICAL STAFF, AND A COMMUNITY BOARD (BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS). THE HOSPITAL CONDUCTS NUMEROUS ACTIVITIES THAT CONTRIBUTE TO PROMOTING THE HEALTH OF THE COMMUNITY. IN ADDITION TO PROVIDING CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, OPERATING AN EMERGENCY ROOM ON A 24-HOUR BASIS, AND OFFERING AN AMBULATORY CARE CLINIC TO SERVE UNDER-INSURED AND UNINSURED PERSONS, THE HOSPITAL IS DEDICATED TO PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS, PROVIDING COMMUNITY HEALTH EDUCATION, PREVENTION, AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCES LIBRARY AND GRADUATE MEDICAL EDUCATION, AND PARTNERING WITH COMMUNITY ORGANIZATIONS.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697, COMMUNITY BENEFITS LEGISLATION, PHA, A PRIVATE NOT-FOR-PROFIT HOSPITAL, HAS SUBMITTED A COMMUNITY BENEFITS PLAN FOR FISCAL YEAR 2017 (JANUARY 1 TO DECEMBER 31). SENATE BILL 697 REQUIRES A NOT-FOR-PROFIT HOSPITAL IN CALIFORNIA TO COMPLETE THE FOLLOWING ACTIVITIES: - REVIEW AND REAFFIRM ITS MISSION STATEMENT TO ENSURE THAT ITS POLICIES INTEGRATE AND REFLECT THE PUBLIC INTEREST IN MEETING ITS RESPONSIBILITIES AS A NOT-FOR-PROFIT ORGANIZATION - COMPLETE AND UPDATE A NEEDS ASSESSMENT EVERY THREE YEARS, EVALUATING THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. - ADOPT AND FILE A COMMUNITY BENEFITS PLAN ANNUALLY, DOCUMENTING ACTIVITIES THAT THE HOSPITAL HAS UNDERTAKEN TO ADDRESS COMMUNITY HEALTH NEEDS WITHIN ITS MISSION AND FINANCIAL CAPACITY; AND TO THE EXTENT PRACTICABLE, ASSIGN AND REPORT THE ECONOMIC VALUE OF COMMUNITY BENEFITS PROVIDED IN FURTHERANCE OF ITS PLAN.FURTHERANCE OF ITS PLAN.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
HUNTINGTON MEDICAL RESEARCH
99 NORTH EL MOLINO AVEPASADENACA91101951757119501(c)(3)$271,380$0SPONSOR
PASADENA RONALD MCDONALD HOUSE
763 S PASADENA AVEPASADENACA91105953167869501(c)(3)$7,500$0SPONSOR
CONVALESCENT AID SOCIETY
3255 E FOOTHILL BLVDPASADENACA91107951782304501(c)(3)$6,000$0SPONSOR
AMERICAN HEART ASSOCIATION
PO BOX 50085PRESCOTTAZ86304135613797501(C)(3)$125,000SPONSOR
Community Center of la Canada Flintridge
4469 Chevy Chase DriveLa CanadaCA91011951950612501(C)(3)$7,500$22,496FMVHats/hand sanitizers
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
SCHOLARSHIPS33$165,000
Clothing for Patients400$11,338fmvclothing

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART IVFormAndLineReferenceDesc
ExplanationPROCEDURES FOR MONITORING THE USE OF GRANTS PASADENA HOSPITAL ASSOCIATION, LTD. MONITORS THE SPONSORSHIP AND SCHOLARSHIPS UP FRONT WHEN DETERMINING WHO THE GRANTS ARE AWARDED TO: SPONSORSHIPS WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS FOR THEIR FUNDRAISING EVENTS. SCHOLARSHIPS WERE GIVEN TO THE QUALIFIED EMPLOYEES. EVERY SCHOLARSHIP RECIPIENT MUST SHOW PROOF OF ACTIVE ENROLLMENT IN A FORMAL ACADEMIC PROGRAM. EACH SCHOLARSHIP HAS CERTAIN CRITERIA BASED ON DONOR REQUIREMENTS. THE APPLICANTS ARE PROVIDED WITH THE LIST OF CRITERIA AHEAD OF TIME AND THEY SELECT WHICH SCHOLARSHIP THEY ARE APPLYING FOR BASED ON THEIR PERFORMANCE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
LORI J MORGAN MD MBA
BOARD OF DIRECTORS-PRES/CEO$224,311$0$0$0$54,284$0$15,900$0$4,284$0$298,779$0$0$0
STEPHEN A RALPH
BD OF DIRECTORS-PRES. EMERITUS$724,699$0$220,000$0$194,600$0$123,792$0$10,777$0$1,273,868$0$168,000$0
JAMES S NOBLE
ASST SEC/TREAS/EVP/CFO$518,517$0$155,000$0$217,300$0$533,700$0$15,913$0$1,440,430$0$127,000$0
BONNIE L KASS
SVP, HOSPITAL OPERATIONS$182,500$0$0$0$22,635$0$61,335$0$0$0$266,470$0$0$0
DEBRA A ORTEGA
CHRO & VP ADMIN SVCS$294,082$0$66,000$0$100,003$0$289,990$0$11,167$0$761,242$0$74,250$0
DEBRA L TAFOYA
VP & CIO HR/IS$250,605$0$57,000$0$21,295$0$386,155$0$10,364$0$725,419$0$640$0
EUGENE E GUTIERREZ IV
VP, FINANCE & CONGRESS SERVICE$279,621$0$61,000$0$13,797$0$67,167$0$16,147$0$437,732$0$0$0
GLORIA M SANCHEZ-RICO
VP, CHIEF NURSE EXECUTIVE$288,530$0$65,000$0$80,860$0$76,064$0$15,913$0$526,367$0$61,201$0
JANE HADERLEIN
SVP, EXTERNAL AFFAIRS$430,248$0$105,000$0$97,093$0$421,891$0$16,303$0$1,070,535$0$95,850$0
JOHN F GOEDERS
VP STRATEGIC PLANNING/REVENUE$269,802$0$39,628$0$2,899$0$70,415$0$16,537$0$399,281$0$600$0
KIM MARKEY
VP PATIENT EXPERIENCE$181,975$0$51,000$0$4,327$0$7,213$0$11,172$0$255,687$0$0$0
PAULA VERRETTE MD
SVP & CMO QUALITY & PHYS. SVCS$437,474$0$116,000$0$26,127$0$170,712$0$5,352$0$755,665$0$0$0
RAJINDER S TAKHAR
VP, BUS & PROVIDER STRATEGY$464,864$0$236,000$0$21,206$0$94,473$0$16,293$0$832,836$0$0$0
GABRIELLA SHERMAN MD
VP CLINICAL INNVTN & PERF$357,268$0$45,000$0$633$0$58,866$0$16,274$0$478,041$0$0$0
JEFFREY P WEIGAND
DIRECTOR REAL ESTATE$261,822$0$24,148$0$6,923$0$26,787$0$3,865$0$323,545$0$0$0
MARITESS R YEE
CHIEF CLINIC OPER. OFFICER$149,115$0$128,123$0$18,000$0$6,393$0$5,389$0$307,020$0$0$0
JEAN M PALLARES
DIR PHARMACY/LAB SVCS$226,193$0$32,840$0$22,904$0$92,032$0$15,913$0$389,882$0$0$0
SAMUEL I BRENEISER
EXEC DIR, MANAGED CARE$218,414$0$30,100$0$18,000$0$44,492$0$5,768$0$316,774$0$0$0
SCOTT A ARMSTRONG
EXEC DIR FINANCE OPERATIONS$207,214$0$26,293$0$8,437$0$13,256$0$15,903$0$271,103$0$0$0
EDWARD D SAULNY
DIR. DECISION SUPPORT (PT YR)$239,440$0$15,168$0$18,235$0$26,542$0$10,660$0$310,045$0$0$0
TERENCE OU
EXEC DIR INTERNAL AUDIT & COMP$203,775$0$28,750$0$18,000$0$9,343$0$16,284$0$276,152$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASUPPLEMENTAL COMPENSATION INFORMATION STEPHEN A. RALPH, CEO, HAS MEMBERSHIPS IN ATHENAEUUM AND THE VALLEY HUNT CLUB, WHICH ARE SOCIAL CLUBS IN PASADENA. THE USAGE OF CLUBS WAS PRIMARILY FOR BUSINESS PURPOSES.
SCHEDULE J, PART I, LINE 4ASUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE YEAR. BONNIE L. KASS - $182,499 EDWARD D SAULNY - $89,750
SCHEDULE J, PART I, LINE 4B457(F) NON-QUALIFIED RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) NON-QUALIFIED RETIREMENT PLAN, EFFECTIVE DECEMBER 15, 2005. THE PURPOSE OF THE PLAN IS TO ENCOURAGE RETENTION OF PEOPLE WHO ARE CRITICAL TO THE LONG-TERM HEALTH AND MISSION OF OUR ORGANIZATION, AND TO ENCOURAGE THEM TO THINK IN TERMS OF SPENDING THEIR FULL CAREERS WITH US. THIS BENEFITS THE ORGANIZATION WITH CONTINUITY AND STABILITY OF KEY MEMBERS OF OUR LEADERSHIP TEAM. THE PLAN COVERS CERTAIN MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA. PARTICIPANTS IN THIS PLAN ARE NOT ELIGIBLE TO PARTICIPATE IN THE 457(F) RETENTION PLAN AT THE SAME TIME. AS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA, CERTAIN PERSONS LISTED ON PART VII OF THE 990 PARTICIPATE IN THE PLAN. THE NORMAL RETIREMENT DATE OF THE PLAN IS AGE 65. EACH PARTICIPANT OF THE PLAN IS FULLY VESTED AT THE NORMAL RETIREMENT DATE OR WHEN THE PARTICIPANT'S AGE PLUS YEARS OF SERVICE EQUALS SEVENTY-FIVE. FOR PARTICIPANTS WITH LESS THAN 20 YEARS OF SERVICE THE NORMAL RETIREMENT BENEFIT IS PRO-RATED. THE BENEFITS ACCRUED FOR EACH INDIVIDUAL UNDER OUR 457(F) RETIREMENT PLAN WERE PAID IN A LUMP SUM UPON VESTING. THIS PLAN WAS CLOSED TO NEW ENTRANTS EFFECTIVE JANUARY 1, 2014. NO PAYOUTS WERE MADE IN 2017. 457(F) NON-QUALIFIED RETENTION PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) NON-QUALIFIED RETENTION PLAN, EFFECTIVE DECEMBER 15, 2005. THE PURPOSE OF THE PLAN IS TO ENCOURAGE RETENTION OF PEOPLE WHO ARE CRITICAL TO THE LONG-TERM HEALTH AND MISSION OF OUR ORGANIZATION, AND TO ENCOURAGE THEM TO THINK IN TERMS OF SPENDING THEIR FULL CAREERS WITH US. THIS BENEFITS THE ORGANIZATION WITH CONTINUITY AND STABILITY OF KEY MEMBERS OF OUR LEADERSHIP TEAM. THE PLAN COVERS CERTAIN MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA. AS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA, CERTAIN PERSONS LISTED ON PART VII OF THE 990 PARTICIPATE IN THE PLAN. THE BENEFITS ACCRUED FOR EACH INDIVIDUAL UNDER OUR 457(F) RETENTION PLAN WERE PAID IN A LUMP SUM UPON VESTING. PARTICIPANTS VEST AFTER THREE YEARS OF SERVICE. DURING THE VESTING PERIOD, THE RETENTION PLAN BENEFIT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) RETENTION PLAN DURING THE YEAR AND RECEIVED A TAXABLE PAYOUT THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION: STEPHEN A RALPH - $168,000 JAMES S NOBLE - $114,000 JANE HADERLEIN - $86,400 GLORIA M SANCHEZ-RICO - $58,801 DEBRA A ORTEGA - $72,000 457(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 THE HOSPITAL 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 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. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED A TAXABLE PAYOUT THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. THE 2017 PAYOUTS WERE RELATED TO THE INITIAL YEAR PLAN CONTRIBUTIONS FOR PARTICIPANTS THAT WERE VESTED IN THE INITIAL PLAN YEAR OF 2014: JAMES S NOBLE - $13,000 JANE HADERLEIN - $9,450 DEBRA A ORTEGA - $2,250 DEBRA L TAFOYA - $640 GLORIA M SANCHEZ-RICO - $2,400 JOHN F GOEDERS - $600 Additional amounts relating to the 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN were accrued during 2017 to properly reflect prior year activity.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
A68016461013080SEA82014-12-04$168,043,186SEE PART VIfalsefalsefalse
CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY
B68016461013080SCT92014-05-07$51,196,500SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$2,395,000$0$168,098,746$0$0$0$2,478,240$0$0$0$165,620,506$0falseYes (true)Yes (true)Yes (true)
B$0$0$51,345,541$0$0$0$670,028$0$0$14,353,352$0$36,322,161falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)false0falsefalsefalseYes (true)
BfalseYes (true)Yes (true)Yes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBond Issue AFormAndLineReferenceDesc
ExplanationPART I, COLUMN (F): THE BONDS REFUND THE SERIES 2005 (ISSUED 05/18/15). PART II, LINE 3: THE DIFFERENCE BETWEEN PART I COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2014 BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. BOND ISSUE B PART I, COLUMN (F): THE BONDS WERE ISSUED TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF HEALTH FACILITIES OF HUNGTINGTON MEMORIAL HOSPITAL. PART II, LINE 3: THE DIFFERENCE BETWEEN PART I COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C): THE REBATE COMPUTATION WAS PERFORMED AS OF 05/07/14.ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp

FieldValueIRS element (for citing)
PersonJAMES S NOBLEPersonNm
Relationship With OrgCURRENT OFFICERRelationshipWithOrgTxt
Loan PurposeHome LoanLoanPurposeTxt
Loan From OrganizationYes (X)LoanFromOrganizationInd
Original Principal$400,000OriginalPrincipalAmt
Balance Due$139,639BalanceDueAmt
DefaultfalseDefaultInd
Board Or Committee ApprovalYes (true)BoardOrCommitteeApprovalInd
Written AgreementYes (true)WrittenAgreementInd
FieldValueIRS element (for citing)
Total Balance Due$139,639TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (20 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Substantial Contributor
Substantial Contributor$199,102Legalfalse
Substantial Contributor
Substantial Contributor$1,061,757Legalfalse
Substantial Contributor
Substantial Contributor$448,854Medical Groupfalse
Substantial Contributor
Substantial Contributor$5,214,439Architectural Servicesfalse
Substantial Contributor
Substantial Contributor$2,076,479Medical Insurance TPAfalse
Substantial Contributor
Substantial Contributor$554,517Legalfalse
Substantial Contributor
Substantial Contributor$1,151,344Patient Acct Financial SVCSfalse
Substantial Contributor
Substantial Contributor$4,053,408Cafeteria and dietaryfalse
Substantial Contributor
Substantial Contributor$2,305,397Insurance Brokerfalse
Substantial Contributor
Substantial Contributor$1,030,467Mail Room & Printing Svsfalse
Substantial Contributor
Substantial Contributor$6,885,508Health Info Syst & Coding Svcsfalse
Substantial Contributor
Substantial Contributor$26,204,760Medical Supplierfalse
Substantial Contributor
Substantial Contributor$672,711Facilities Servicesfalse
Substantial Contributor
Substantial Contributor$2,476,015Construction Managementfalse
Substantial Contributor
Substantial Contributor$965,166Medical Groupfalse
Substantial Contributor
Substantial Contributor$284,761Legalfalse
Substantial Contributor
Substantial Contributor$670,393Revenue Cycle Solutionsfalse
Substantial Contributor
Substantial Contributor$148,400Physicianfalse
Substantial Contributor
Substantial Contributor$1,358,779Leasing of Equipmentfalse
Substantial Contributor
Substantial Contributor$326,526Medical Groupfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp

Cars And Other Vehicles CarsAndOtherVehiclesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$700NoncashContributionsRptF990Amt
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp

Securities Miscellaneous SecuritiesMiscellaneousGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution45ContributionCnt
Noncash Contributions Rpt F990$885,964NoncashContributionsRptF990Amt
Method Of Determining RevenuesSELLING PRICEMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (true)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE M, COLUMN (B)THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED.
SCHEDULE M, LINE 32AHUNTINGTON MEMORIAL HOSPITAL USES MORGAN STANLEY TO SELL THE STOCK DONATIONS AND USES RITEWAY TO SELL THE CARS THEY RECEIVE FROM DONORS. RITEWAY WILL ISSUE FORM 1098-C TO THE DONOR IF NECESSARY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1CARING NURSES, PROFESSIONAL STAFF AND ADVANCED TECHNOLOGIES. OUR VISION, MISSION, AND CORE VALUES GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. FORM 990, PART III, LINE 1 AT HUNTINGTON HOSPITAL, OUR MISSION IS TO PROVIDE EXCELLENT HEALTH CARE AND COMPASSIONATE SERVICE TO EACH PERSON BY BRINGING TOGETHER OUTSTANDING PHYSICIANS, CARING NURSES, PROFESSIONAL STAFF AND ADVANCED TECHNOLOGIES. OUR VISION, MISSION, AND CORE VALUES GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. FORM 990, PART III, LINE 4A PASADENA HOSPITAL ASSOCIATION, LTD (DBA HUNTINGTON MEMORIAL HOSPITAL) IS A 619 BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN PASADENA, CALIFORNIA. FOUNDED IN 1892, HUNTINGTON HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. THE HOSPITAL OFFERS A FULL COMPLEMENT OF ACUTE MEDICAL CARE AND COMMUNITY SERVICES. RANGING FROM GENERAL MEDICINE TO THE FOREMOST SPECIALIZED PROGRAMS IN CARDIOVASCULAR SERVICES, ONCOLOGY, AND THE NEUROSCIENCES. THE HOSPITAL HAS THE ONLY TRAUMA CENTER IN THE REGION. IN ADDITION, HUNTINGTON HOSPITAL OFFERS WOMENS AND CHILDREN SERVICES, STATE OF THE ART ORTHOPEDIC SURGERY, INPATIENT AND OUTPATIENT PSYCHIATRIC SERVICES, HUNTINGTON HOSPITAL SENIOR CARE NETWORK, AND HUNTINGTON AMBULATORY CARE CENTER. THROUGH A PARTNERSHIP BETWEEN HUNTINGTON HOSPITAL AND SHRINERS HOSPITAL FOR CHILDREN, INPATIENT SURGICAL AND MEDICAL SERVICES FOR PEDIATRIC PATIENTS ARE AVAILABLE AT HUNTINGTON HOSPITAL. AS A TEACHING FACILITY AFFILIATED WITH THE UNIVERSITY OF SOUTHERN CALIFORNIAS KECK SCHOOL OF MEDICINE, HUNTINGTON SUPPORTED 26 INTERNAL MEDICINE AND 17 GENERAL SURGERY RESIDENTS IN 2017. MORE THAN ONE THIRD OF HUNTINGTONS RESIDENTS REMAIN IN THE AREA TO PRACTICE, PROVIDING A SEAMLESS TRANSITION THROUGH GENERATIONS OF CARE. HUNTINGTON HOSPITAL HAS RECEIVED NUMEROUS AWARDS, RECOGNITIONS, AND CERTIFICATIONS: -FULL HOSPITAL-WIDE ACCREDITATION FROM THE JOINT COMMISSION FOR ACHIEVING NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY -ACCREDITED AS A PEDIATRIC MEDICAL CENTER (PMC) -GOLD SEAL FROM THE JOINT COMMISSION FOR TOTAL HIP AND KNEE REPLACEMENT -GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR STROKE CARE -CERTIFIED AS A COMPREHENSIVE STROKE CENTER FROM THE JOINT COMMISSION, ONE OF THE FIRST HOSPITALS IN THE LOS ANGELES COUNTY TO EARN THIS DESIGNATION -NAMED TO STROKE HONOR ROLL ELITE BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AND ALSO RECEIVED THE AMERICAN STROKE ASSOCIATIONS GET WITH THE GUIDELINES STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD IN RECOGNITION OF THE HOSPITALS HIGH QUALITY, BEST PRACTICE STROKE CARE -DESIGNATION AS A STEMI (ST SEGMENT ELEVATION MYOCARDIAL INFARCTION) RECEIVING CENTER WHERE EMERGENCY MEDICAL SERVICE PERSONNEL GIVE PATIENTS HAVING POSSIBLE MYOCARDIAL INFARCTIONS A 12-LEAD EKG IN THE FIELD AND A HOSPITAL TEAM IS READY WHEN A PATIENT ARRIVES IN THE EMERGENCY DEPARTMENT -MAGNET DESIGNATED BY THE AMERICAN NURSES CREDENTIALING CENTER (ANCC). MAGNET DESIGNATION REPRESENTS THE HIGHER LEVEL OF NATIONAL RECOGNITION TO HEALTH CARE ORGANIZATIONS THAT DEMONSTRATE SUSTAINED EXCELLENCE IN NURSING CARE IN A HEALTHY, COLLABORATIVE, AND PROFESSIONAL WORK ENVIRONMENT, ONLY SIX PERCENT OF ALL ACUTE CARE HEALTH CARE ORGANIZATIONS HAVE OBTAINED THIS PRESTIGIOUS RECOGNITION. -MAXIMUM FIVE YEAR ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) -HOSPITAL COMPARE 5-STAR RATING BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), THE HIGHEST POSSIBLE CMA RATING FOR OVERALL EXCELLENCE. -RECERTIFIED AS A LEVEL II TRAUMA CENTER BY VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE OF THE COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS (ACS) -EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) -LEVEL III NEONATAL INTENSIVE CARE UNIT WITH CALIFORNIA CHILDRENS SERVICES (CCS) CERTIFICATION -RECEIVED LEAPFROG "A" GRADE IN PATIENT SAFETY FOR 2017-2018, ONE OF 832 HOSPITALS IN THE NATION TO RECEIVE THE HIGHEST POSSIBLE GRADE, BASED ON 27 MEASURES OF PUBLICLY AVAILABLE HOSPITAL SAFETY DATA. -RECOGNIZED BY U.S. NEWS & WORLD REPORT FOR BEST HOSPITAL RANKING 2017-2018, #9 HOSPITAL IN CALIFORNIA, #4 HOSPITAL IN LOS ANGELES METRO AREA, RANKED AMONG THE BEST IN THE COUNTRY IN GYNECOLOGY AND UROLOGY, AND RECOGNIZED AS BEST REGIONAL HOSPITAL IN 15 TYPES OF CARE WITH RECOGNITION AS "HIGH PERFORMING" IN SEVEN ADULT SPECIALTIES AND IN EIGHT COMMON ADULT PROCEDURES AND CONDITIONS. -RECEIVED THE CHEERS AWARD, BESTOWED BY THE INSTITUTE FOR SAFE MEDICATION PRACTICES, WHICH HONORS ORGANIZATIONS THAT HAVE SET A "SUPERLATIVE STANDARD OF EXCELLENCE" IN THE PREVENTION OF MEDICATION ERRORS -RECIPIENT OF ECRI INSTITUTE 2017 HEALTHCARE SUPPLY CHAIN ACHIEVEMENT AWARD FOR DEMONSTRATING EXCELLENCE IN OVERALL SPEND MANAGEMENT AND IN ADOPTING BEST PRACTICE SOLUTIONS IN ITS SUPPLY CHAIN PROCESSES. -HUNTINGTON HOSPITAL CANCER CENTER RECEIVED A FULL THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER -JIM AND ELEANOR RANDALL BREAST CENTER RECEIVED A FULL THREE-YEAR ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), ONE OF ONLY THREE HOPSITALS IN LOS ANGELES COUNTY TO ACHIEVE THIS LEVEL OF ACCREDITATION. -JIM AND ELEANOR RANDALL BREAST CENTER RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY -THE AMERICAN COLLEGE OF RADIOLOGY COMMISSION ON QUALITY AND SAFETY HAS ACCREDITED HUNTINGTON HOSPITALS TOSHIBA AQUILION ONE 320 FOR COMPUTER TOMOGRAPHY AND TOSHIBA 2005 VANTAGE FOR MAGNETIC RESONANCE IMAGING SERVICES -ACCREDITED FACILITY FOR ADULT TRANSTHORACIC BY THE INTERSOCIETAL ECHOCARDIOLOGY COMMISSION -AWARDED THE BABY-FRIENDLY DESIGNATION FROM BABY-FRIENDLY USA (BFUSA), A CREDENTIALING PROGRAM FOR HOSPITALS THAT IS PART OF AN INTERNATIONAL INITIATIVE LED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN FUND (UNICEF). THE DESIGNATION IS CONSIDERED THE GOLD STANDARD OF CARE AND DEMONSTRATES OUR WOMENS AND CHILDRENS SERVICES COMMITMENT TO PATIENT AND FAMILY CENTERED CARE. -HUNTINGTON HOSPITAL WAS ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) -BLUE DISTINCTION CENTER FOR BARIATRIC SURGERY, SPINAL SURGERY, KNEE AND HIP REPLACEMENT, HEART AND VASCULAR SERVICES AND CARDIAC CARE BY THE BLUE CROSS BLUE SHIELD ASSOCIATION -HUNTINGTON HOSPITAL BECAME A PARTICIPANT OF THE AMERICAN JOINT REPLACEMENT REGISTRY (AJRR), A CENTRAL REGISTRY FOR DATA ON TOTAL HIP AND KNEE ARTHROPLASTIES AT THE HOSPITAL AND OTHER PARTICIPATING SITES THROUGHOUT THE COUNTRY -NEUROPHYSIOLOGY INTRAOPERATIVE MONITORING LABORATORIES AND EPILEPSY ACCREDITATIONS FROM THE LAB ACCREDITATION BOARD OF ABRET -NAMED MOST WIRED 2017 BY THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES. THE DESIGNATION RECOGNIZES FUTURE READY HOSPITALS THAT USE TECHNOLOGY TO IMPROVE COMMUNICATION, SAFETY, AND PATIENT PROVIDER RELATIONSHIPS -RECOGNIZED AT THE HIGHEST POSSIBLE LEVEL BY THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HMSS) FOR THE ADOPTION AND UTILIZATION OF ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS AT HOSPITALS AROUND THE WORLD.
FORM 990, PART VI, LINE 7AINDIVIDUALS WITH POWER TO ELECT MEMBERS OF THE GOVERNING BODY THE TRUSTEES OF THE COLLIS P. AND HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST (TRUST) HAVE THE POWER TO ELECT REPLACEMENT TRUSTEES OF THE TRUST'S BOARD IN THEIR CAPACITY AS TRUSTEES. ALL TRUSTEES ALSO SERVE ON THE BOARD OF DIRECTORS OF PASADENA HOSPITAL ASSOCIATION, LTD., DBA HUNTINGTON MEMORIAL HOSPITAL.
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW FORM 990 FINANCIAL DATA IS GATHERED FROM AND VERIFIED BY VARIOUS DIRECTORS. THE DATA USED IN PREPARATION OF THE RETURN BY THE OUTSIDE TAX PREPARER IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE JULY 2018 BOARD MEETING. DURING THE BOARD MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990.
FORM 990, PART VI, LINE 12CMONITORING TRANSACTIONS FOR CONFLICTS OF INTEREST THE PROCESS OF DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS IS GOVERNED BY THE ORGANIZATION'S POLICIES, WHEREBY INDIVIDUALS IN POSITIONS OF LEADERSHIP (OFFICERS, DIRECTORS, AND MANAGEMENT PERSONNEL) ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. ONCE DISCLOSED, A REVIEW OF ANY POTENTIAL CONFLICTS IS CONDUCTED AT THE LEVEL OF CHIEF EXECUTIVE OFFICER IN CONJUNCTION WITH THE COMPLIANCE OFFICER. BASED ON THIS EVALUATION, IT MAY BE NECESSARY TO FOLLOW-UP WITH THE INDIVIDUAL AND REQUEST ANY ADDITIONAL INFORMATION DEEMED RELEVANT, OR DISCUSS WAYS TO MITIGATE OR ELIMINATE THE RISK OF CONFLICT. ANY CONCERNS OF CONFLICTS OF INTEREST ARE ADDRESSED BY THE AUDIT & COMPLIANCE COMMITTEE AND THE FINDINGS AND RECOMMENDATIONS ARE REPORTED TO THE BOARD OF DIRECTORS. AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE WILL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION OR ARRANGEMENT WITH HUNTINGTON MEMORIAL HOSPITAL.
FORM 990, PART VI, LINES 15A & 15BPROCESS FOR DETERMINING COMPENSATION EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, AND THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE MEETING IN WHICH COMPENSATION ARRANGEMENTS WERE DETERMINED. REVIEW & APPROVAL OF COMPENSATION FOR ALL TOP MANAGEMENT OFFICIALS, INCLUDING THE CEO, CFO & VP POSITIONS IS CONDUCTED BY THE COMPENSATION COMMITTEE ANNUALLY, AND THE PERSONS WHO SERVE IN THOSE POSITIONS ARE NOT PRESENT DURING DISCUSSIONS RELATED TO THEIR COMPENSATION. COMPARABLE DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS, PREPARED BY INDEPENDENT CONSULTANTS, IS USED TO ESTABLISH COMPENSATION. REVIEW & APPROVAL FOR THE CEO & VP'S WAS LAST PERFORMED BY THE COMPENSATION COMMITTEE AT its ANNUAL MEETING HELD ON NOVEMBER 29, 2017.
FORM 990, PART VI, LINE 19PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS GAIN/LOSS ON SUBSIDIARY $ 592,143 RATE LOCK TERMINATION BOND 2005 $ 197,467 HMF-RBC CAPITAL CONTRIBUTION $(568,803) ACCRUED PENSION $1,608,976 GIFT ANNUITIES DISTRIBUTION $ 230,950 ___________ TOTAL OTHER CHANGES IN NET ASSETS $2,060,733

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
COLLIS P HOWARD HUNTINGTON MEM HOS TRUST
100 W CALIFORNIA BLVDPASADENACA91109956027688SUPPORT PHACA501(c)(3)12CNAfalse
HUNTINGTON MEDICAL FOUNDATION
133 N ALTADENA DRIVE 2ND FLOORPASADENACA91107954434428HLTHCARE SVCSCA501(c)(3)3PHAYes (true)
HMH FLINTRIDGE LA CANADA GUILD
PO BOX 5463LA CANADACA91012956016968FUND RAISINGCA501(c)(3)12CNAfalse
WOMEN'S AUXILIARY HUNTINGTON MEM HOSP
930 S EL MOLINO AVEPASADENACA91106956195080FUND RAISINGCA501(C)(3)12CNAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1HASCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 S FAIR OAKS AVE SUITE 380AddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP91105ZIPCd
FieldValueIRS element (for citing)
EIN273922007EIN
Primary ActivitiesSURGERY CENTERPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1PHABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRelatedPredominantIncomeTypeTxt
Share Of Total Income$330,981ShareOfTotalIncomeAmt
Share Of EOY Assets$5,661,903ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.99819OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
CONGRESS SERVICES CORPORATION
804 SOUTH FAIR OAKS AVEPASADENACA91105953978299MANAGEMENT SVCSCANAC Corp$793,936$1,634,8841.00000Yes (true)
CHARITABLE REMAINDER TRUST (3)
SUPPORTCANATrust
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
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 OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEDICAL FOUNDATION
b$568,803COST
HUNTINGTON MEDICAL FOUNDATION
J$768,496COST
HUNTINGTON MEDICAL FOUNDATION
L$619,056COST
HUNTINGTON MEDICAL FOUNDATION
O$125,271COST
HUNTINGTON MEDICAL FOUNDATION
R$7,944,000COST
HUNTINGTON MEDICAL FOUNDATION
S$610,000COST
HUNTINGTON AMBULATORY SURGERY CENTER
j$1,713,103COST
HUNTINGTON AMBULATORY SURGERY CENTER
l$361,039COST
HUNTINGTON AMBULATORY SURGERY CENTER
Q$2,392,184COST
CONGRESS SERVICES CORPORATION
h$4,209,114fmv
CONGRESS SERVICES CORPORATION
m$358,213COST
CONGRESS SERVICES CORPORATION
o$837,627COST

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationRELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HUNTINGTON AMBULATORY SURGERY CENTER 27-3922007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105ExplanationTxt

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