2018-10-23T19:21:36-05:00 2017-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2017-01-01 951644036 Pasadena Hospital Association LTD % SCOTT ARMSTRONG EXEC DIR PASA 6263975000 100 WEST CALIFORNIA BLVD PASADENA CA 91105 LORI J MORGAN MD MBA PRESIDENT & CEO 6263975000 2018-10-10 true KARA ADAMS P00023315 9497942300 70.95.12.108 33577420182965000001 2018-10-23 P D828F4131A36D7577C0DD4801EF49F2D1B68A134 DA5C606EC7C0AC5CA4B4A14FD82DAAC8044C8CC5 2017 2018-06-14 16:35:46Z HUNTINGTON MEMORIAL HOSPITAL LORI J MORGAN MD MBA 100 WEST CALIFORNIA BLVD PASADENA CA 91105 730419992 false X WWW.HUNTINGTONHOSPITAL.ORG X 1892 CA AT 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) 25 19 4405 1684 85000 -136173 26747031 17572639 659726321 663851465 4082201 13104407 5098389 2866993 695653942 697395504 519982 619695 0 0 342769911 363972300 0 0 3325484 343871795 334227227 687161688 698819222 8492254 -1423718 964840232 1022618747 408482501 437382732 556357731 585236015 X SEE SCHEDULE O false false 615597798 619695 664186274 SEE SCHEDULE O 0 0 0 615597798 true true false true false false false false false true true false false false true true false true false false true true true false true false true true true true true true false false false false false true false false false true true false false false false true true true false false true 715 0 true 4405 true true true false false false false true true false false false false true false X 25 19 false false false false false true false true true false false true true true true true true true true true true CA X SCOTT ARMSTRONG EXEC DIR 6263978596 100 WEST CALIFORNIA BLVD PASADENA CA 91105 PAUL LH OUYANG CHAIRMAN/TRUSTEE 1.0 1.0 X X 0 0 0 JAYNIE STUDENMUND BOARD OF DIRECTORS-VICE CHAIR 1.0 1.0 X X 0 0 0 LOIS S MATTHEWS BOARD OF DIRECTORS-SECRETARY 1.0 1.0 X X 0 0 0 ARMANDO L GONZALEZ FAIA TREASURER/TRUSTEE 1.0 1.0 X X 0 0 0 LORI J MORGAN MD MBA BOARD OF DIRECTORS-PRES/CEO 55.0 1.0 X X 278595 0 20184 STEPHEN A RALPH BD OF DIRECTORS-PRES. EMERITUS 55.0 1.0 X X 1139299 0 134569 SHARON ARTHOFER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 WILLIAM J BOGAARD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 WAYNE BRANDT BOARD OF DIRECTORS 1.0 1.0 X 0 0 0 MICHELLE QUINONES CHINO BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 REED GARDINER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 RONALD L HAVNER JR BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 CHRISTOPHER G HEDLEY MD BOARD OF DIRECTORS 1.0 0.0 X 45000 0 0 R SCOTT JENKINS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL JOHNSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 DAVID M KIRCHHEIMER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELLEN LEE BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 LOLITA LOPEZ BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ALLEN W MATHIES JR MD BOARD OF DIRECTORS 1.0 0.0 X 1682 16821 0 ELIZABETH GRAHAM OLSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 KATHLEEN KATHY GOOD PODLEY BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES SHANKWILER MD BOARD OF DIRECTORS 1.0 0.0 X 15000 0 0 ROSEMARY RARY SIMMONS DIRECTOR EMERITUS 1.0 0.0 X 0 0 0 K EDMUND TSE MD BOARD OF DIRECTORS 1.0 0.0 X 11800 0 0 DEBORAH WILLIAMS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES S NOBLE ASST SEC/TREAS/EVP/CFO 55.0 1.0 X 890817 0 549613 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 55.0 0.0 X 460085 0 301157 DEBRA L TAFOYA VP & CIO HR/IS 55.0 0.0 X 328900 0 396519 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 11.0 44.0 X 354418 0 83314 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 55.0 0.0 X 434390 0 91977 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 55.0 0.0 X 632341 0 438194 JOHN F GOEDERS VP STRATEGIC PLANNING/REVENUE 55.0 0.0 X 312329 0 86952 KIM MARKEY VP PATIENT EXPERIENCE 55.0 0.0 X 237302 0 18385 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 55.0 0.0 X 579601 0 176064 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 55.0 0.0 X 722070 0 110766 GABRIELLA SHERMAN MD VP CLINICAL INNVTN & PERF 55.0 0.0 X 402901 0 75140 SCOTT A ARMSTRONG EXEC DIR FINANCE OPERATIONS 55.0 0.0 X 241944 0 29159 EDWARD D SAULNY DIR. DECISION SUPPORT (PT YR) 55.0 0.0 X 272843 0 37202 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 4.0 36.0 X 292893 0 30652 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 40.0 0.0 X 295238 0 11782 JEAN M PALLARES DIR PHARMACY/LAB SVCS 40.0 0.0 X 281937 0 107945 SAMUEL I BRENEISER EXEC DIR, MANAGED CARE 40.0 0.0 X 266514 0 50260 TERENCE OU EXEC DIR INTERNAL AUDIT & COMP 40.0 0.0 X 250525 0 25627 BONNIE L KASS SVP, HOSPITAL OPERATIONS 0.0 0.0 X 205135 0 61335 8953559 16821 2836796 925 true true false HDR ARCHITECTURE INC 8404 INDIAN HILLS OMAHA NE 68114 CONSTRUCTION MGMT 5090505 JACOBS PROJECT MANAGEMENT CO PO BOX 888862 LOS ANGELES CA 900888862 CONSTRUCTION MGMT 2309087 CERNER COPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 CONSULTING/MGMT 1922367 TURNAROUND TIME TRANSCRIPTION 3536 OCEANVIEW BLVD SUITE 100 GLENDALE CA 91208 MEDICAL RECORDS 1757292 ASSOCIATED REGIONAL AND UNIVERSITY 500 CHIPETA WAY SALT LAKE CITY UT 84108 PATHOLOGY LAB SVCS 1557725 113 35310 283160 4578963 1664500 11010706 886664 17572639 NET PATIENT SERVICE REVENUE 622110 654875653 654875653 0 0 RENTAL INCOME 531120 2883954 2883954 0 0 PARKING REVENUE 812930 1900929 1900929 0 0 LABORATORY REVENUE 621511 749861 749861 0 0 MANAGEMENT SERVICE REVENUE 541610 341746 256746 85000 0 3099322 3099322 0 663851465 4839043 4839043 40420 40420 0 0 0 0 39695049 12200 31482305 8212744 12200 8224944 8224944 190627 283160 111653 78974 78974 0 0 0 1667649 1430530 237119 237119 CONCIERGE SERVICES 900099 1528948 0 0 1528948 INSURANCE REIMBURSEMENT 900099 687143 0 0 687143 MEDICAL STAFF 900099 314750 314750 0 0 20059 20059 0 2550900 697395504 664101274 85000 15636591 417380 417380 176338 176338 25977 25977 0 0 11717329 0 11668632 48697 0 0 0 0 244432944 216217571 27262804 952569 18781655 16545089 2147189 89377 67792998 59735580 7750918 306500 21247374 18977905 2183045 86424 0 0 0 1548735 0 1548735 0 769013 0 769013 0 104214 0 104214 0 0 0 320245 0 320245 0 67340403 55330057 11386058 624288 1213794 32839 1180812 143 27280596 21786149 4930726 563721 28058363 24895035 3037097 126231 0 0 0 0 16864448 15102544 1700006 61898 767663 366421 192350 208892 0 0 0 0 540966 211716 231283 97967 7495171 6602627 856876 35668 0 0 0 0 26724838 24269844 2368322 86672 3612357 3446357 159366 6634 MEDICAL SUPPLIES 94221751 94221751 0 0 HOSPITAL FEE PROGRAM 55655902 55655902 0 0 FOOD/CLINICAL/MED STAFF 721471 721471 0 0 ALL OTHER EXPENSES 987297 859245 98249 29803 698819222 615597798 79895940 3325484 0 9886 10386 12816679 12671726 12878448 8907858 94989993 99580515 196071 139639 0 0 0 0 12470940 13049352 41120557 70118631 795839962 372709109 424873307 423130853 310843378 339400347 0 0 -4038931 2060802 2957809 2957809 55722095 50590829 964840232 1022618747 74144913 71612204 0 0 10063452 46074151 227466936 223383240 0 0 0 0 0 0 0 0 96807200 96313137 408482501 437382732 X 453564042 476490539 63622414 68960945 39171275 39784531 556357731 585236015 964840232 1022618747 X -1423718 28241269 0 0 0 2060733 X false true X true true true X false false false 0 false 0 false 0 false 0 false 0 false 0 true 104214 104214 false false SCHEDULE C, PART II-B, LINE 11 POLITICAL 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. 143584070 5490913 9377743 7236071 151216655 140883835 6064407 4353141 7717313 143584070 136386305 9138016 844778 5485264 140883835 124827213 12976801 2091978 3509687 136386305 117701687 7398612 6780536 7053622 124827213 0.41260 0.26310 0.32430 false true 0 481346871 205346206 276000665 248768860 167362903 81405957 65724231 65724231 423130853 0 PV GIFT ANNUITY & CRT 691153 ACCRUED SELF INSURANCE CLAIMS 27486199 ACCRUED PENSION COST 66841139 CAPITAL LEASE & OTHER FINANCING 1294646 96313137 X SCHEDULE D, PART V, LINE 4 INTENDED 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 2 FIN 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. true Central America and the Caribbean Investments 21378292 Sub-Saharan Africa Grantmaking 25977 Sub-Saharan Africa Program Services Community Development 65890 21470159 21470159 Sub-Saharan Africa Tuition 9225 W. TRANSFER 1 Medical Assistance Trip Sub-Saharan Africa 100 13365 W. TRANSFER 1104 supplies fmv true false true true false false SCHEDULE F, PART I, LINE 2 PROCEDURE 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 3 THE AMOUNT OF THE INVESTMENTS IN PART I WAS DETERMINED USING MARKET VALUE. SCHEDULE F, PART III, LINES 1 GRANTS WERE USED TO SUPPORT THE PHIL SIMON CLINIC TANZANIA PROJECT ACTIVITIES. FALL FESTIVAL 473787 283160 190627 20938 641 3600 86474 0 473787 283160 190627 20938 641 3600 86474 111653 78974 true true true X true X true true false true true 5701 11245521 1987183 9258338 0.01330 28379 146495684 109827650 36668034 0.05250 34080 157741205 111814833 45926372 0.06580 25 346565 7597208 93745 7503463 0.01070 3 1926 21717652 1362094 20355558 0.02910 6 1976 7475299 357400 7117899 0.01020 1 200 1243475 78000 1165475 0.00170 4 2100 553451 553451 0.00080 39 352767 38587085 1891239 36695846 0.05250 39 386847 196328290 113706072 82622218 0.11830 1 63 105485 105485 0.00020 1 856 324447 324447 0.00050 1 10119 10119 0.00000 3 919 440051 440051 0.00070 true 9084913 75181 133116076 163157627 -30041551 X true true HASC(INDIRECT OWNER) OUTPATIENT SURGERY 0.9982 0.0018 1 1 Huntington Memorial Hospital 100 West California Blvd Pasadena CA 91109 WWW.HUNTINGTONHOSPITAL.ORG 930000372 X X X X X HUNTINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 16 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 18 true SEE PART V, SECTION C false true X 200. 350. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE 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 7A HOSPITAL 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 10A HOSPITAL 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 11 BASED 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 16A HTTP://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 16C FAP 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 20D HUNTINGTON 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. 8 Huntington Ambulatory Surgery Center 625 S Fair Oaks Ave Suite 380 Pasadena CA 91105 Ambulatory Surgery Center Huntington Hospital Cancer CtrRad Oncol 625 S Fair Oaks Ave Suite 355 Pasadena CA 91105 Diagnostic Treatment Center Huntington Outpatient Imaging Center LLC 223 N 1st Ave Suite 201 Arcadia CA 91006 Outpatient Imaging Center Huntington Outpatient Rehabilitation 630 S Raymond Ave Suite 120 Pasadena CA 91105 Rehabilitation Services Huntington Hospital Senior Care Network 100 W California Blvd Pasadena CA 91105 Social Work Services Pre Op Testing and OP Laboratory 625 S Fair Oaks Ave Suite 345 Pasadena CA 91105 Diagnostic Laboratory Services Neurosciences Program 625 S Fair Oaks Ave Suite 325 Pasadena CA 91105 Diagnostic Treatment Center Outpatient Carediovascular Laboratory 625 S Fair Oaks Ave Suite 345 Pasadena CA 91105 Diagnostic Treatment Center SCHEDULE H, PART I, LINE 3C WITH 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 & 7B MEDICAL 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-7H THESE 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 B OUR 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 II PHA 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 2 REGARDING 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 3 WITH 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 9B PHA 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 1 AS 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 2 NEEDS 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 3 PATIENT 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 4 COMMUNITY 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 5 PROMOTION 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 7 STATE 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. true HUNTINGTON MEDICAL RESEARCH 99 NORTH EL MOLINO AVE PASADENA CA 91101 951757119 501(c)(3) 271380 0 SPONSOR PASADENA RONALD MCDONALD HOUSE 763 S PASADENA AVE PASADENA CA 91105 953167869 501(c)(3) 7500 0 SPONSOR CONVALESCENT AID SOCIETY 3255 E FOOTHILL BLVD PASADENA CA 91107 951782304 501(c)(3) 6000 0 SPONSOR AMERICAN HEART ASSOCIATION PO BOX 50085 PRESCOTT AZ 86304 135613797 501(C)(3) 125000 SPONSOR Community Center of la Canada Flintridge 4469 Chevy Chase Drive La Canada CA 91011 951950612 501(C)(3) 7500 22496 FMV Hats/hand sanitizers 5 SCHOLARSHIPS 33 165000 Clothing for Patients 400 11338 fmv clothing SCHEDULE I, PART IV PROCEDURES 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. X true true X X X X X X true true false false false false false false false LORI J MORGAN MD MBA BOARD OF DIRECTORS-PRES/CEO 224311 0 0 0 54284 0 15900 0 4284 0 298779 0 0 0 STEPHEN A RALPH BD OF DIRECTORS-PRES. EMERITUS 724699 0 220000 0 194600 0 123792 0 10777 0 1273868 0 168000 0 JAMES S NOBLE ASST SEC/TREAS/EVP/CFO 518517 0 155000 0 217300 0 533700 0 15913 0 1440430 0 127000 0 BONNIE L KASS SVP, HOSPITAL OPERATIONS 182500 0 0 0 22635 0 61335 0 0 0 266470 0 0 0 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 294082 0 66000 0 100003 0 289990 0 11167 0 761242 0 74250 0 DEBRA L TAFOYA VP & CIO HR/IS 250605 0 57000 0 21295 0 386155 0 10364 0 725419 0 640 0 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 279621 0 61000 0 13797 0 67167 0 16147 0 437732 0 0 0 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 288530 0 65000 0 80860 0 76064 0 15913 0 526367 0 61201 0 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 430248 0 105000 0 97093 0 421891 0 16303 0 1070535 0 95850 0 JOHN F GOEDERS VP STRATEGIC PLANNING/REVENUE 269802 0 39628 0 2899 0 70415 0 16537 0 399281 0 600 0 KIM MARKEY VP PATIENT EXPERIENCE 181975 0 51000 0 4327 0 7213 0 11172 0 255687 0 0 0 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 437474 0 116000 0 26127 0 170712 0 5352 0 755665 0 0 0 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 464864 0 236000 0 21206 0 94473 0 16293 0 832836 0 0 0 GABRIELLA SHERMAN MD VP CLINICAL INNVTN & PERF 357268 0 45000 0 633 0 58866 0 16274 0 478041 0 0 0 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 261822 0 24148 0 6923 0 26787 0 3865 0 323545 0 0 0 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 149115 0 128123 0 18000 0 6393 0 5389 0 307020 0 0 0 JEAN M PALLARES DIR PHARMACY/LAB SVCS 226193 0 32840 0 22904 0 92032 0 15913 0 389882 0 0 0 SAMUEL I BRENEISER EXEC DIR, MANAGED CARE 218414 0 30100 0 18000 0 44492 0 5768 0 316774 0 0 0 SCOTT A ARMSTRONG EXEC DIR FINANCE OPERATIONS 207214 0 26293 0 8437 0 13256 0 15903 0 271103 0 0 0 EDWARD D SAULNY DIR. DECISION SUPPORT (PT YR) 239440 0 15168 0 18235 0 26542 0 10660 0 310045 0 0 0 TERENCE OU EXEC DIR INTERNAL AUDIT & COMP 203775 0 28750 0 18000 0 9343 0 16284 0 276152 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL 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 4A SUPPLEMENTAL 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 4B 457(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. A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SEA8 2014-12-04 168043186 SEE PART VI false false false B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SCT9 2014-05-07 51196500 SEE PART VI false false false A 2395000 0 168098746 0 0 0 2478240 0 0 0 165620506 0 false true true true B 0 0 51345541 0 0 0 670028 0 0 14353352 0 36322161 false false false true A false true true true false 0 false false false true B false true true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true A true B true Bond Issue A PART 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. JAMES S NOBLE CURRENT OFFICER Home Loan X 400000 139639 false true true 139639 Substantial Contributor Substantial Contributor 199102 Legal false Substantial Contributor Substantial Contributor 1061757 Legal false Substantial Contributor Substantial Contributor 448854 Medical Group false Substantial Contributor Substantial Contributor 5214439 Architectural Services false Substantial Contributor Substantial Contributor 2076479 Medical Insurance TPA false Substantial Contributor Substantial Contributor 554517 Legal false Substantial Contributor Substantial Contributor 1151344 Patient Acct Financial SVCS false Substantial Contributor Substantial Contributor 4053408 Cafeteria and dietary false Substantial Contributor Substantial Contributor 2305397 Insurance Broker false Substantial Contributor Substantial Contributor 1030467 Mail Room & Printing Svs false Substantial Contributor Substantial Contributor 6885508 Health Info Syst & Coding Svcs false Substantial Contributor Substantial Contributor 26204760 Medical Supplier false Substantial Contributor Substantial Contributor 672711 Facilities Services false Substantial Contributor Substantial Contributor 2476015 Construction Management false Substantial Contributor Substantial Contributor 965166 Medical Group false Substantial Contributor Substantial Contributor 284761 Legal false Substantial Contributor Substantial Contributor 670393 Revenue Cycle Solutions false Substantial Contributor Substantial Contributor 148400 Physician false Substantial Contributor Substantial Contributor 1358779 Leasing of Equipment false Substantial Contributor Substantial Contributor 326526 Medical Group false X 1 700 SELLING PRICE X 45 885964 SELLING PRICE 0 false true true SCHEDULE M, COLUMN (B) THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, LINE 32A HUNTINGTON 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. FORM 990, PART I, LINE 1 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 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 7A INDIVIDUALS 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 11B PROCESS 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 12C MONITORING 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 & 15B PROCESS 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 19 PROCESS 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 9 OTHER 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 COLLIS P HOWARD HUNTINGTON MEM HOS TRUST 100 W CALIFORNIA BLVD PASADENA CA 91109 956027688 SUPPORT PHA CA 501(c)(3) 12C NA false HUNTINGTON MEDICAL FOUNDATION 133 N ALTADENA DRIVE 2ND FLOOR PASADENA CA 91107 954434428 HLTHCARE SVCS CA 501(c)(3) 3 PHA true HMH FLINTRIDGE LA CANADA GUILD PO BOX 5463 LA CANADA CA 91012 956016968 FUND RAISING CA 501(c)(3) 12C NA false WOMEN'S AUXILIARY HUNTINGTON MEM HOSP 930 S EL MOLINO AVE PASADENA CA 91106 956195080 FUND RAISING CA 501(C)(3) 12C NA false HASC 625 S FAIR OAKS AVE SUITE 380 PASADENA CA 91105 273922007 SURGERY CENTER CA PHA Related 330981 5661903 false 0 true 0.99819 CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVE PASADENA CA 91105 953978299 MANAGEMENT SVCS CA NA C Corp 793936 1634884 1.00000 true CHARITABLE REMAINDER TRUST (3) SUPPORT CA NA Trust false true true true false false false true false true true true true false true false true true true HUNTINGTON MEDICAL FOUNDATION b 568803 COST HUNTINGTON MEDICAL FOUNDATION J 768496 COST HUNTINGTON MEDICAL FOUNDATION L 619056 COST HUNTINGTON MEDICAL FOUNDATION O 125271 COST HUNTINGTON MEDICAL FOUNDATION R 7944000 COST HUNTINGTON MEDICAL FOUNDATION S 610000 COST HUNTINGTON AMBULATORY SURGERY CENTER j 1713103 COST HUNTINGTON AMBULATORY SURGERY CENTER l 361039 COST HUNTINGTON AMBULATORY SURGERY CENTER Q 2392184 COST CONGRESS SERVICES CORPORATION h 4209114 fmv CONGRESS SERVICES CORPORATION m 358213 COST CONGRESS SERVICES CORPORATION o 837627 COST SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HUNTINGTON AMBULATORY SURGERY CENTER 27-3922007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105