FURP.ORG / PUBLIC DATA EXPLORER

HUNTINGTON MEDICAL FOUNDATION: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HUNTINGTON MEDICAL FOUNDATION (EIN 95-4434428)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-15
IRS object ID
201703199349312110
Schema version
2016v3.0
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)
Return2017-11-15T11:56:31-08:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN954659692PreparerFirmEIN

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1100 E CORSON ST STE 200AddressLine1Txt
CityPASADENACityNm
State AbbreviationCAStateAbbreviationCd
ZIP911033841ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN954434428EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAJINDER TAKHARPersonNm
Person TitlePRESIDENTPersonTitleTxt
Phone6263978333PhoneNum
Signature2017-11-15SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMICHAEL P AMERIOPreparerPersonNm
PTINP00914537PTIN
Phone6267445100PhoneNum
Preparation2017-11-15PreparationDt

Filing Security Information FilingSecurityInformation

FieldValueIRS element (for citing)
At Submission Creation Device IdCCCA9011C19B24D830D07A6325CD33DBF1792E80AtSubmissionCreationDeviceId
At Submission Filing Device Id105765E572DEB4DC3E7ACB4146B0BE8786E2D991AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1DBA HUNTINGTON HEALTH PHYSICIANSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerSTEPHEN A RALPHPrincipalOfficerNm
Gross Receipts$34,097,554GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HUNTINGTONHEALTHPHYSICIANS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1993FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent3VotingMembersIndependentCnt
Total Employee206TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
CY Contributions Grants$1,777,789CYContributionsGrantsAmt
PY Program Service Revenue$26,859,159PYProgramServiceRevenueAmt
CY Program Service Revenue$32,319,765CYProgramServiceRevenueAmt
CY Investment Income$0CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$26,859,159PYTotalRevenueAmt
CY Total Revenue$34,097,554CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,536,191PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,070,070CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$22,418,909PYOtherExpensesAmt
CY Other Expenses$27,351,048CYOtherExpensesAmt
PY Total Expenses$29,955,100PYTotalExpensesAmt
CY Total Expenses$36,421,118CYTotalExpensesAmt
PY Revenues Less Expenses-$3,095,941PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,323,564CYRevenuesLessExpensesAmt
Total Assets BOY$5,193,903TotalAssetsBOYAmt
Total Assets EOY$9,452,426TotalAssetsEOYAmt
Total Liabilities BOY$8,658,323TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,240,410TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$3,464,420NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$5,787,984NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBLITY.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$25,705,762ExpenseAmt
Revenue$29,044,826RevenueAmt
DescHUNTINGTON MEDICAL FOUNDATION'S ("FOUNDATION") ACTIVITY IN PUBLIC HEALTH EDUCATION, DELIVERY OF COMMUNITY MEDICAL SERVICES AND URGENT CARE SERVICES THROUGH PASADENA COMMUNITY URGENT CARE, A SEPARATE DIVISION OF THE FOUNDATION. SEE SCHEDULE O FOR ADDITIONAL DETAILS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,820,613ExpenseAmt
Revenue$2,691,087RevenueAmt
DescHUNTINGTON MEDICAL FOUNDATION PROVIDES BREAST HEALTH, CANCER SCREENING AND DIAGNOSIS SERVICES THROUGH THE JIM & ELEANOR RANDALL BREAST CENTER, LOCATED AT THE HUNTINGTON PAVILION IN PASADENA. SERVICES INCLUDE MAMMOGRAPHY, ULTRASOUND, BIOPSY, EDUCATION AND RESEARCH. SEE SCHEDULE O FOR ADDITIONAL DETAILS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$207,676ExpenseAmt
Revenue$210,645RevenueAmt
DescHUNTINGTON MEDICAL FOUNDATION ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS. CURRENTLY WE HAVE PARTICIPANTS IN PHASE III, IV AND V CLINICAL TRIALS. SEE SCHEDULE O FOR ADDITIONAL DETAILS.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Revenue$373,207RevenueAmt
DescHUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Revenue$373,207TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$28,734,051TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document4IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee206EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member3IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonSCOTT ARMSTRONGPersonNm
Phone6263978596PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
STEPHEN A RALPH
CHAIRMAN2.0055.00Yes (X)Yes (X)$0$943,223$165,841
CHIEN FANG MD
VICE CHAIR1.0040.00Yes (X)Yes (X)$0$195,165$17,660
JOHN LEGAULT MD
SECRETARY1.0040.00Yes (X)Yes (X)$0$197,425$13,720
PAUL HOLMAN
DIRECTOR1.00Yes (X)$0$0$0
ALLEN W MATHIES JR MD
DIRECTOR1.00Yes (X)$0$7,000$0
BRUALIO MONTESINO
DIRECTOR1.00Yes (X)$0$0$0
RAJINDER TAKHAR
PRESIDENT1.0055.00Yes (X)Yes (X)$0$763,985$47,953
RICHARD WEAR MD
DIRECTOR1.0040.00Yes (X)$0$324,434$31,132
TODD TURNER MD
DIRECTOR1.0040.00Yes (X)$0$312,546$28,760
DAVID LEE
CEO40.00Yes (X)Yes (X)$0$351,742$12,422
SCOTT ARMSTRONG
HH EXEC DIR6.0048.00$0$233,962$43,677Yes (X)
MARITESS YEE
COO40.00Yes (X)$0$289,523$31,979
ANDRE JONES
IT DIRECTOR40.00$116,658$0$7,959Yes (X)
BECKY LOPEZ
RESEARCH COO40.00$107,889$0$1,580Yes (X)
DANA MOLINA
DIRECTOR OF40.00$143,456$0$8,533Yes (X)
VIRGILIO MENDOZA
INFORMATICS40.00$105,466$0$9,168Yes (X)
STUART MILLER
DIRECTOR1.0016.00Yes (X)$0$185,275$18,773
PRISCILLA GAMB
DIRECTOR1.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$473,469TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,804,280TotReportableCompRltdOrgAmt
Total Other Compensation$439,157TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CMBS MEDICAL BUSINESS SERVICES
223 N 1ST AVE 201ARCADIACA91006MANAGEMENT SERV$1,087,916
THE HILL MEDICAL CORPORATION
625 S FAIR OAKS AVE STE 180PASADENACA91105PROF SERVICES$408,662
ALLSCRIPTS
24630 NETWORK PLACECHICAGOIL60673INFORMATION SVS$342,037
THE EMERGENCY GROUP
3268 SERRA ROADMALIBUCA90265PROF SERVICES$210,277
RUSSELL CONSTRUCTION COMPANY
2076 STE CENTRAL AVEDUARTECA91010CONSTR SERVICES$173,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Related Organizations$1,777,789RelatedOrganizationsAmt
Noncash Contributions$1,777,789NoncashContributionsAmt
Total Contributions$1,777,789TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FDN-PATIENT CARE621110$30,277,588$30,277,588
HCP-CAPITATION900099$1,458,325$1,458,325
OTHER REVENUE621110$373,207$373,207
CLINICAL RESEARCH-PATIENT621110$210,645$210,645
FieldValueIRS element (for citing)
Total Program Service Revenue$32,319,765TotalProgramServiceRevenueAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,097,554TotalRevenueColumnAmt
Related Or Exempt Func Income$32,319,765RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,332,961TotalAmt
Program Services$5,329,629ProgramServicesAmt
Management And General$2,003,332ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$38,400TotalAmt
Program Services$38,400ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,060,190TotalAmt
Program Services$741,324ProgramServicesAmt
Management And General$318,866ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$638,519TotalAmt
Program Services$481,915ProgramServicesAmt
Management And General$156,604ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$28,200TotalAmt
Management And General$28,200ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,999TotalAmt
Management And General$28,999ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$67,382TotalAmt
Program Services$562ProgramServicesAmt
Management And General$66,820ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$15,074,194TotalAmt
Program Services$12,409,496ProgramServicesAmt
Management And General$2,664,698ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$57,044TotalAmt
Program Services$2,909ProgramServicesAmt
Management And General$54,135ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,372,253TotalAmt
Program Services$6,299,295ProgramServicesAmt
Management And General$1,072,958ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$743,532TotalAmt
Program Services$2,900ProgramServicesAmt
Management And General$740,632ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,454,067TotalAmt
Program Services$2,167,525ProgramServicesAmt
Management And General$286,542ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,816TotalAmt
Program Services$4,166ProgramServicesAmt
Management And General$11,650ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$6,514TotalAmt
Program Services$4,289ProgramServicesAmt
Management And General$2,225ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$424,801TotalAmt
Program Services$400,756ProgramServicesAmt
Management And General$24,045ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$486,063TotalAmt
Program Services$431,539ProgramServicesAmt
Management And General$54,524ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
REPAIRS & MAINTENANCE$307,867$268,382$39,485
BILLING & COLLECTION SERV$80,741$80,741
LAUNDRY & LINEN$37,767$33,888$3,879
WASTE TREATMENT/DISPOSAL$36,995$36,995

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$128,813TotalAmt
Program Services$80,081ProgramServicesAmt
Management And General$48,732ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$36,421,118TotalAmt
Program Services$28,734,051ProgramServicesAmt
Management And General$7,687,067ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$240,725BOYAmt
EOY$357,322EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,621,373BOYAmt
EOY$3,417,525EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,317,306BOYAmt
EOY$1,264,547EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,783,739LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,304,600LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,014,499BOYAmt
EOY$2,479,139EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
EOY$1,933,893EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,193,903BOYAmt
EOY$9,452,426EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,785,329BOYAmt
EOY$2,668,100EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
EOY$260,447EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,872,994BOYAmt
EOY$12,311,863EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$8,658,323BOYAmt
EOY$15,240,410EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$3,464,420BOYAmt
EOY-$5,787,984EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$3,464,420BOYAmt
EOY-$5,787,984EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,193,903BOYAmt
EOY$9,452,426EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,323,564ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,386,127OtherCostOrOtherBasisAmt
Depreciation$1,268,420DepreciationAmt
Book Value$117,707BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,133,642OtherCostOrOtherBasisAmt
Depreciation$1,180,294DepreciationAmt
Book Value$1,953,348BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,263,970OtherCostOrOtherBasisAmt
Depreciation$4,855,886DepreciationAmt
Book Value$408,084BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,479,139TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescCONSTRUCTION IN PROGRESSDesc
Book Value$1,933,893BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,933,893TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLE TO PASADENA HOSPITAL ASSOC.$8,141,600
ACCRUED PAYROLL AND EMPLOYEE BENEFIT$1,822,745
ACCOUNTS PAYABLE - MHM$1,502,961
PAYABLE TO CMBS$844,557
FieldValueIRS element (for citing)
Total Liability$12,311,863TotalLiabilityAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
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 (11 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtBase Compensation Filing OrgBaseCompensationFilingOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
STEPHEN A RALPH
CHAIRMAN$706,623$210,000$26,600$155,064$10,777$1,109,064
CHIEN FANG MD
VICE CHAIR$195,165$17,660$212,825
JOHN LEGAULT MD
SECRETARY$197,425$13,720$211,145
RAJINDER TAKHAR
PRESIDENT$461,748$191,000$111,237$31,660$16,293$811,938
RICHARD WEAR MD
DIRECTOR$324,434$31,132$355,566
TODD TURNER MD
DIRECTOR$312,546$28,760$341,306
DAVID LEE
CEO$262,202$47,500$42,040$7,647$4,775$364,164
SCOTT ARMSTRONG
HH EXEC DIR$184,212$23,379$26,371$27,774$15,903$277,639
MARITESS YEE
COO$235,727$47,400$6,396$25,504$6,475$321,502
DANA MOLINA
DIRECTOR OF OPERATIO$143,456$8,533$151,989
STUART MILLER
DIRECTOR$185,275$18,773$204,048

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PAGE 1, PART I, LINE 3PASADENA HOSPITAL ASSOCIATION, A RELATED ORGANIZATION, UNDERTAKES THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION.
SCHEDULE J, PAGE 1, PART I, LINE 4STEPHEN A. RALPH 0 117,964 0 RAJINDER TAKHAR 0 19,600 0 SCOTT ARMSTRONG 0 2,616 0 MARITESS YEE 0 19,201 0
SCHEDULE J, PART III457(F) RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) RETIREMENT PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. THIS PLAN IS CLOSED TO NEW PARTICIPANTS AS OF JANUARY 1, 2014. 457(F) RETENTION PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE 457(F) RETENTION PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. THE PLAN COVERS SELECT EMPLOYEES WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN OR WHO WERE ELIGIBLE, BUT ELECTED NOT TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN. 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF PHA TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A -SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. SCHEDULE J, PART II, COLUMN B(II) THE INCENTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD SELECTED MANAGEMENT STAFF FOR CONTRIBUTING TO THE SUCCESSFUL ACHIEVEMENT OF PHA'S ANNUAL OBJECTIVES AND STRATEGIC GOALS, IN CONJUNCTION WITH THE SUCCESSFUL ACHIEVEMENT OF AGREED-UPON DEPARTMENT AND INDIVIDUAL OBJECTIVES AND GOALS. THIS PLAN REWARDS PARTICIPANTS BY CREATING A DIRECT LINK BETWEEN COMPENSATION AND PHA'S PERFORMANCE. THE EVALUATING TOOL USED TO MEASURE OUTCOMES FROM THE PLAN YEAR AND TO CALCULATE AN INCENTIVE PLAN PAYOUT IS THE ANNUAL PERFORMANCE SCORECARD. THE ORGANIZATIONAL OBJECTIVES AND GOALS MEASURE FOUR KEY AREAS OF PERFORMANCE IDENTIFIED AS MOST IMPORTANT TO PHA'S STRATEGIC INITIATIVES. THE FOUR PERFORMANCE AREAS ARE: -QUALITY -FINANCIAL SUSTAINABILITY -PHYSICIAN COLLABORATION -COMMUNITY ENGAGEMENT BOTH THE PERFORMANCE SCORECARD AND THE INCENTIVE PLAN ARE BASED ON A CALENDAR-YEAR. CRITERIA THE INCENTIVE PLAN PARTICIPANT MUST BE: 1. EMPLOYED IN AN ELIGIBLE POSITION FOR AT LEAST SIX MONTHS DURING THE PLAN YEAR. 2. BE ON ACTIVE STATUS IN THIS POSITION ON THE DAY OF THE PAYOUTS FROM PAYROLL. 3. IN GOOD STANDING WITH NO FORMAL DISCIPLINARY ACTION DURING THE PLAN YEAR. THE PLAN BECOMES EFFECTIVE IF PHA ACHIEVES 90% OF THE BUDGETED OPERATING NET INCOME FOR THE FISCAL YEAR. IF PHA DOES NOT ACHIEVE 90% OF THE BUDGETED OPERATING NET INCOME, INCENTIVE COMPENSATION WILL NOT BE PAID UNLESS AUTHORIZED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AND/OR THEIR DESIGNEE SHALL HAVE FULL POWER AND AUTHORITY TO ESTABLISH PERFORMANCE CRITERIA UNDER THE PLAN, DETERMINE THE ELIGIBILITY OF PERSONS TO BECOME PARTICIPANTS, TO SELECT PARTICIPANTS, TO MAKE AWARDS TO PARTICIPANTS, TO TERMINATE THE DESIGNATION OF A PARTICIPANT OR TO INCREASE OR REDUCE THE AMOUNT OF INCENTIVE COMPENSATION AWARDED TO PARTICIPANTS AND TO ADOPT AND REVISE SUCH RULES AND PROCEDURES AS IT SHALL DEEM NECESSARY FOR THE ADMINISTRATION OF THE PLAN.

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIPMEDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$1,777,789NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART IIIQUESTIONS 4A-C ADDITIONAL STATEMENT REGARDING PROGRAM SERVICE ACCOMPLISHMENTS FOUNDED IN 1994, THE HUNTINGTON MEDICAL FOUNDATION'S (HMF)DBA HUNTINGTON HEALTH PHYSICIANS, MISSION IS TO PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE TO THE COMMUNITY THROUGH INNOVATIVE PROGRAMS, DEDICATED PROFESSIONALS AND THE CREATION OF SYNERGISTIC COLLABORATIONS BETWEEN THE PRIVATE AND PUBLIC SECTORS. HMF IS A CALIFORNIA NONPROFIT, PUBLIC BENEFIT CORPORATION LOCATED IN THE SAN GABRIEL VALLEY AND AFFILIATED WITH PASADENA HOSPITAL ASSOCIATION, DOING BUSINESS AS HUNTINGTON MEMORIAL HOSPITAL. WE ARE DEDICATED TO IMPROVING THE EFFICIENCY AND UTILIZATION OF HEALTH SERVICES WHILE MAINTAINING AN IMPORTANT BALANCE IN THE QUALITY OF CARE DELIVERED TO THE COMMUNITY. THE PRIMARY OBJECTIVE OF HMF IS THE OPERATION OF A HEALTH MANAGEMENT SERVICES ORGANIZATION TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY. HMF PROVIDES HEALTH AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY SUCH AS: - MAINTAINS AN ONSITE IMMUNIZATION CLINIC, LOCATED AT THE PASADENA COMMUNITY URGENT CARE, AS WELL AS PROVIDING IMMUNIZATION FAIRS AROUND THE SAN GABRIEL VALLEY. - PROVIDES OCCUPATIONAL HEALTHCARE OFFERING WORKERS COMP, EMPLOYEE SCREENINGS, AND HEALTH AND WELLNESS CONSULTATIONS TO THE LOCAL BUSINESS COMMUNITY. - PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. -PROVIDES BREAST HEALTH, CANCER SCREENING AND DIAGNOSIS SERVICES THROUGH THE JIM & ELEANOR RANDALL BREAST CENTER, LOCATED AT THE HUNTINGTON PAVILLION IN PASADENA. SERVICES INCLUDE MAMMOGRAPHY, ULTRASOUND, BIOPSY, EDUCATION AND RESEARCH. - PARTICIPATES, HOSTS, SPONSORS AND PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY THROUGH PROGRAMS AT THE YMCA, LOCAL SCHOOLS, AND OTHER AGENCIES ON TOPICS SUCH AS EFFECTIVE PARENTING, DIET AND WEIGHT MANAGEMENT, ASTHMA, ALLERGY MANAGEMENT AND SEX EDUCATION FOR PARENTS AND YOUTH. - PROMOTES THE OVERALL HEALTH OF THE COMMUNITY AT LARGE, PARTNERING WITH THE PASADENA HEALTH CONSORTIUM, TO PROVIDE SERVICES THAT FOCUS ON IMPROVING THE HEALTH, WELFARE AND GENERAL QUALITY OF LIFE TO THE RESIDENTS OF THE COMMUNITY. - ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS. CURRENTLY, WE HAVE PARTICIPANTS IN PHASE III, IV, AND V CLINICAL TRIALS. THE HUNTINGTON MEDICAL FOUNDATION HAS A PROVEN HISTORY OF PROVIDING CHRONIC CARE TO PATIENTS IN THE SAN GABRIEL VALLEY. HMF MANAGES THREE ADULT MEDICINE OFFICES, THREE PEDIATRIC OFFICES, TWO SPECIALTY CARE OFFICES, AN URGENT CARE CLINIC, AN OCCUPATIONAL MEDICINE FACILITY, AN IMMUNIZATION CLINIC, CLINICAL TRIALS, AS WELL AS JOINT VENTURES WITH HUNTINGTON MEMORIAL HOSPITAL,INCLUDING A RESIDENCY PROGRAM FOR OUTPATIENT CARE, LAB DRAW STATIONS IN PHYSICIAN OFFICES, AND BILLING SERVICES TO VARIOUS HOSPITAL OUTPATIENT SERVICES. THE HUNTINGTON MEDICAL FOUNDATION CURRENTLY HAS PHYSICIANS BOARDED IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, ENDOCRINOLOGY, PEDIATRIC ENDOCRINOLOGY, ADDICTION MEDICINE, DERMATOLOGY, RHEUMATOLOGY, GERIATRICS, ALLERGY & IMMUNOLOGY AND PODIATRY. IN OCTOBER 2010, THE HUNTINGTON MEDICAL FOUNDATION OPENED THE PASADENA COMMUNITY URGENT CARE (PCUC) IN THE EASTERN PORTION OF PASADENA, AN UNDERSERVED AREA AS A RESULT OF THE LOSS OF THE ST. LUKE MEDICAL CENTER. THE PCUC SERVES TO REDUCE THE OVERSTAURATED NON-ACUTE AND ACUTE, NON- EMERGENT PATIENTS CURRENTLY BEING SEEN AT THE HUNTINGTON MEMORIAL HOSPITAL EMERGENCY DEPARTMENT (ER), THUS LESSENING THE STRAIN ON THE ER AS WELL AS DECREASING THE AMOUNT OF ER DIVERSIONS THAT OCCUR DUE TO OVER UTILIZATION. THE PCUC PROVIDES SERVICE TO THOSE PRIMARILY LOCATED IN 12 ZIP CODES (PASADENA AND SURROUNDING CITIES) IN THE SAN GABRIEL VALLEY AREA OF LOS ANGELES COUNTY. THOSE SERVED REFLECT THE DIVERSITY OF THE TARGET AREA, WHERE 44% OF HOUSEHOLDS ARE HISPANIC, 25.9% WHITE, 7.8% BLACK, 19.2% ASIAN, AND 3.1% OF OTHER ETHNICITIES. THE FACILITY PROVIDES BOTH PEDIATRIC AND ADULT CARE. DEMOGRAPHICS OF URGENT CARE PATIENTS ARE VARIED; HOWEVER, THE POPULATION SERVED POSSESS A HIGH PERCENTAGE OF INDIVIDUALS WITH A PREDOMINANTLY LOW INCOME LEVEL (<200% OF FEDERAL POVERTY LEVEL). IN ADDITION, A HIGH PERCENTAGE OF THE PREDOMINANTLY LOW INCOME LEVEL INDIVIDUALS LACK ACCESS TO OTHER HEALTHCARE RESOURCES. THESE PATIENT TYPES OFTEN USE THE EMERGENCY ROOM INNAPPROPRIATELY FOR NON-ACUTE AND ACUTE NON-EMERGENT CONDITIONS. ONE OF THE MAIN OBJECTIVES OF THE PCUC IS TO INTERCEPT THESE PATIENTS BEFORE THEY FURTHER IMPACT THE ER AND PROVIDE NON-EMERGENT MEDICAL CARE WHILE EDUCATING AND CONNECTING THEM WITH THE APPROPRIATE PRIMARY CARE RESOURCE IN THE COMMUNITY. LOCATIONS & ADDRESS: ADULT MEDICINE OFFICES: 10 CONGRESS STREET, SUITE 208, PASADENA, CA 91105 375 HUNTINGTON DRIVE, SUITE G, SAM MARINO, CA 91108 65 N MADISON AVE., SUITE 800, PASADENA, CA 91101 PEDIATRIC OFFICES: 55 E. CALIFORNIA BLVD., SUITE 200, PASADENA, CA 91105 1346 FOOTHILL BLVD., SUITE 204, LA CANADA, CA 91011 301 HUNTINGTON DRIVE, SUITE 320 ARCADIA, CA 91006 SPECIALTY CARE OFFICE: 55 E. CALIFORNIA BLVD., SUITE 201, PASADENA, CA 91105 675 S. ARROYO PKWY, SUITE 400, PASADENA, CA 91105 PASADENA COMMUNITY URGENT CARE AND OCCUPATIONAL HEALTH FACILITY: 3160 E. DEL MAR BLVD., SUITE 110, PASADENA, CA 91107 TRAVEL CLINIC: 3160 E. DEL MAR BLVD., SUITE 110, PASADENA, CA 91107 CLINICAL TRIALS: 375 HUNTINGTON DRIVE, SUITE G, SAM MARINO, CA 91108 IN SEPTEMBER 2016, HUNTINGTON MEDICAL FOUNDATION ACQUIRED THE JIM AND ELEANOR RANDALL BREAST CENTER WHICH OFFERS BREAST CANCER SCREENING, RESEARCH, EDUCATION AND DIAGNOSTIC SERVICES THROUGH MAMMOGRAPHY, ULTRASOUND AND BIOPSY.
FORM 990, PAGE 2, PART III, LINE 4DHUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY.
FORM 990, PART VLINE 2A THE AMOUNT REPORTED ON LINE 2A INCLUDES THE NUMBER OF EMPLOYEES REPORTED ON A FORM W-3 BY HUNTINGTON MEDICAL FOUNDATION'S (HMF) REPORTING AGENTS,MMC INTERNATIONAL. THE COMPENSATION PAID UNDER THIS AGREEMENT IS REPORTED IN PART VII, SECTION A, COLUMBS (D) AND (F), AS APPROPRIATE.
FORM 990, PART VIBUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, ETC. CHIEN FANG, M.D. , JOHN LEGAULT, M.D., RICHARD WEAR, M.D., TODD TURNER, M.D, AND STUART MILLER, M.D., HAVE A BUSINESS RELATIONSHIP AS EMPLOYEES OF A RELATED ORGANIZATION.
FORM 990, PAGE 6, PART VI, LINE 4HMF CHANGED THEIR NAME TO HUNTINGTON HEALTH PHYSICIANS AND THE FORMAL NAME IS NOW HUNTINGTON MEDICAL FOUNDATION DBA HUNTINGTON HEALTH PHYSICIANS.
FORM 990, PAGE 6, PART VI, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION (PHA).
FORM 990, PAGE 6, PART VI, LINE 7AMEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 7BTHE FOLLOWING ACTIONS OF THE BOARD ARE NOT VALID, AND SHALL NOT BE IMPLEMENTED UNTIL APPROVED BY THE MEMBER: (1) ANY EXPENDITURES WHICH INDIVIDUALLY OR IN THE AGGREGATE EXCEED THE CORPORATION'S BUDGET BY MORE THAN 10% ANNUALLY; (2) ADOPT ANY ARTICLE OR BYLAW CHANGE; (3) IMPLEMENT ANY MAJOR CORPORATE ACTS INCLUDING MERGER, CONSOLIDATION, AFFILIATION, DISSOLUTION, SALE OR TRANSFER OF SUBSTANTIAL PORTION OF THE CORPORATION'S ASSETS; (4) MATERIALLY CHANGE THE BUSINESS OR BUSINESS PURPOSE OF THE CORPORATION, OR THE LOCATIONS AT WHICH SUCH BUSINESS IS OPERATED; (5) ADOPT THE ANNUAL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS FOR THE CORPORATION; (6) SIGNIFICANTLY CHANGE CLINICAL CARE AND/OR SERVICE LINES PROVIDED BY THE CORPORATION; (7) INCUR OR GUARANTY ANY INDEBTEDNESS (INCLUDING, WITHOUT LIMITATION, ANY CAPITAL LEASE); (8) INITIATE LITIGATION OR ARBITRATION IN THE NAME OF THE CORPORATION AS A PLAINTIFF.
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 AND ALL RELATED SCHEDULES WERE REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING.
FORM 990, PAGE 6, PART VI, LINE 12CA. THE OPERATIONS OF HUNTINGTON MEDICAL FOUNDATION (FOUNDATION) PROVIDE A VITAL HEALTHCARE SERVICE AND ARE SUBJECT TO THE SCRUTINY OF GOVERNMENTAL AGENCIES AND MEMBERS OF THE GENERAL PUBLIC. THE INDIVIDUALS WHO, BY VIRTUE OF THEIR POSITIONS WITH THE FOUNDATION, CAN COMMIT THE ORGANIZATION IN FINANCIAL DEALINGS MUST BE EVER MINDFUL OF POTENTIAL CONFLICTS BETWEEN DUTIES IMPOSED BY THEIR POSITIONS AND THEIR PERSONAL INTERESTS. B. EACH INTERESTED PERSON IS SUBJECT TO A LEGAL OBLIGATION TO PERFORM THE DUTIES OF HIS OR HER POSITION HONESTLY AND IN GOOD FAITH, IN A MANNER THE INTERESTED PERSON BELIEVES TO BE IN THE BEST INTERESTS OF THE FOUNDATION, AND TO EXERCISE THE SAME DEGREE OF SKILL AND CARE AS AN ORDINARILY PRUDENT PERSON IN SIMILAR CIRCUMSTANCES WOULD EXERCISE. C. THOSE WHO HAVE THE AUTHORITY TO COMMIT HUNTINGTON MEDICAL FOUNDATION (FOUNDATION) IN FINANCIAL DEALINGS MUST EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVING THEIR DUTIES AND MAY NOT USE THEIR POSITIONS OR KNOWLEDGE GAINED THERE FOR THEIR PERSONAL BENEFIT. THE INTERESTS OF THE FOUNDATION MUST HAVE THE FIRST PRIORITY AND ALL PURCHASES OF GOODS AND SERVICES AND OTHER TRANSACTIONS MUST BE PURSUED ON A BASIS WHICH SECURES FOR THE FOUNDATION FULL COMPETITIVE ADVANTAGES AS TO PRODUCT, SERVICES AND PRICE. SUCH PERSONS ARE EXPECTED TO DISCLOSE, IN THE MANNER SET FORTH BELOW, ANY INTEREST THAT MAY PRODUCE A CONFLICT. NO TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST MAY BE CONSUMMATED UNTIL ALL FACTS SURROUNDING SUCH A TRANSACTION HAVE BEEN DISCLOSED TO THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION, AND THE TRANSACTION HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (WHEN SO AUTHORIZED), AFTER FINDING THAT THE TRANSACTION IS JUST, FAIR AND REASONABLE AS TO THE FOUNDATION AND IN ITS BEST INTEREST. D. AN INTERESTED PERSON WHO IS A MEMBER OF THE GOVERNING BOARD OF A COMPETITOR, TO THE EXTENT IT IS DETERMINED BY THE BOARD OF DIRECTORS OF THE FOUNDATION THAT SUCH DIRECTOR WOULD BE UNABLE TO FULFILL HIS OR HER DUTY OF LOYALTY TO BOTH THE FOUNDATION AND THE COMPETITOR, MAY NOT ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OR OFFICER OF THE FOUNDATION. E. NO INTERESTED PERSON WHO IS AN OFFICER, EMPLOYEE, SUBSTANTIAL SHAREHOLDER OR WHO HAS ANY OTHER RELATIONSHIP WITH ANY COMPETITOR, MAY COMMUNICATE DIRECTLY OR INDIRECTLY ANY INFORMATION REGARDING THE FOUNDATION'S PROPOSED FUTURE PRICING OR MARKETING PLANS TO SUCH COMPETITOR OR REGARDING SUCH COMPETITOR'S PROPOSED FUTURE PRICING OR MARKETING PLANS TO THE FOUNDATION. IN ORDER TO AVOID ANY INFERENCE OF A HORIZONTAL PRICE OR MARKET DIVISION AGREEMENT, ANY SUCH INTERESTED PERSON SHOULD REPORT IN WRITING HIS OR HER RELATIONSHIP TO A COMPETITOR OF THE FOUNDATION AS PROVIDED IN THE PROCEDURE SECTION BELOW. F. NO INTERESTED PERSON MAY APPROPRIATE OR DIVERT TO OTHERS ANY OPPORTUNITY FOR PROFIT IN CONNECTION WITH A TRANSACTION IN WHICH IT IS KNOWN, OR COULD BE REASONABLY ANTICIPATED, THAT THE FOUNDATION IS OR WOULD BE INTERESTED. SUCH OPPORTUNITIES INCLUDE, BUT ARE NOT LIMITED TO, ACQUISITION OF REAL OR PERSONAL PROPERTY, APPOINTMENT OF SUPPLIERS, OR DESIGN OR DEVELOPMENT OF NEW PRODUCTS, SERVICES OR AREAS OF BUSINESS RELATED TO THE FOUNDATION'S PRESENT OR PLANNED PRODUCT AND SERVICE AREAS. G. EACH INTERESTED PERSON WITH ACCESS TO CONFIDENTIAL INFORMATION REGARDING THE FOUNDATION OR THE FOUNDATION'S BUSINESS IS EXPECTED TO HOLD SUCH INFORMATION IN CONFIDENCE AND TO REFRAIN FROM EITHER USING SUCH INFORMATION FOR PERSONAL GAIN OR DISCLOSING IT UNNECESSARILY OUTSIDE THE SCOPE OF THE INTERESTED PERSON'S DUTIES WITH RESPECT TO THE FOUNDATION. H. IF ANY INTERESTED PERSON OR FAMILY MEMBER OBTAINS A SUBSTANTIAL FINANCIAL INTEREST IN, OR BECOMES A DIRECTOR, OFFICER, EMPLOYEE OR AGENT OF, ANY SUPPLIER, PURCHASER OR COMPETITOR, THE INTERESTED PERSON SHALL DISCLOSE SUCH INTEREST AS PROVIDED IN THE PROCEDURE. MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: ALL THE BOARD MEMBERS AND DAVID LEE HAVE SIGNED THE CONFLICT OF INTEREST POLICY. IT WILL BE ENFORCED BY REVIEW OF THE QUESTIONNAIRE FOR POTENTIAL CONFLICTS BY THE CEO, AND, IF NECESSARY, THE BOARD PRESIDENT WILL SPEAK WITH ANY DIRECTOR WHO HAS A POTENTIAL CONFLICT TO MAKE A FINAL DETERMINATION. ANY DIRECTOR WITH A CONFLICT IS NOT INVOLVED IN THE DECISION-MAKING PROCESS FOR ANY TRANSACTION IN WHICH A CONFLICT MAY EXIST.
FORM 990, PAGE 6, PART VI, LINE 15APROCESS FOR DETERMINING COMPENSATION ANNUALLY THE BOARD SHALL APPOINT NOT LESS THAN TWO BOARD MEMBERS TO REVIEW AND RECOMMEND THE COMPENSATION OF ALL EXECUTIVES AND KEY EMPLOYEES OF THE ORGANIZATION, AS DEFINED BY THE FORM 990 REPORTING REQUIREMENTS. COMPENSATION SHALL BE BASED ON PERFORMANCE AND COMPARABLE MARKET DATA, AS REPORTED BY THE AMERICAN MEDICAL GROUP ASSOCIATION AND PUBLISHED ANNUALLY AS WELL AS ANY ADDITIONAL INDEPENDENT SOURCES OF COMPARABLE MARKET DATA. COMPREHENSIVE REVIEW IS FOR ALL MANAGERS, PRESIDENT AND CEO, DIRECTOR OF FINANCE, AND CHIEF CLINICAL OPERATIONS OFFICER.
FORM 990, PAGE 6, PART VI, LINE 15BTHE PROCESS IS THE SAME AS EXPLAINED ABOVE FOR QUESTION 15A
FORM 990, PAGE 6, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11GPSA MEDICAL GROUP 10,349,776 2,366,499 0 OUTSIDE SERVICES 213,832 49,614 0 PROFESSIONAL SERVICES 1,838,175 248,585 0 RAD PHYSICIST CONSULTANTS 7,713 0 0 TOTAL 12,409,496 2,664,698 0
FORM 990, PART XI, LINE 9DURING 2016, PASADENA MEDICAL ASSOCIATION (DBA HUNTINGTON MEDICAL HOSPITAL), A RELATED ORGANIZATION, MADE AN ADDITIONAL CAPITAL CONTRIBUTION OF 1,777,789 TOWARDS FUNDING THE RANDALL BREAST CANCER CENTER (RBC).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

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

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CONGRESS SERVICES CORPORATIONBusinessNameLine1Txt

US Address USAddress

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

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Controlled OrganizationfalseControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Business Name Line2OtherOrganizationName/BusinessNameLine2TxtTransaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)C$1,777,789COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)K$253,401COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)M$270,587COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)O$96,017COST
PASADENA HOSPITAL ASSOCIATION
(DBA HMH)S$3,710,000COST