2017-11-15T11:56:31-08:00 2016-12-31 954659692 LUCAS HORSFALL MURPHY & PINDROH LLP 100 E CORSON ST STE 200 PASADENA CA 911033841 990 2016-01-01 954434428 HUNTINGTON MEDICAL FOUNDATION HUNT 6263978306 133 N ALTADENA DRIVE 2ND FLOOR PASADENA CA 91107 RAJINDER TAKHAR PRESIDENT 6263978333 2017-11-15 MICHAEL P AMERIO P00914537 6267445100 2017-11-15 CCCA9011C19B24D830D07A6325CD33DBF1792E80 105765E572DEB4DC3E7ACB4146B0BE8786E2D991 2016 2021-01-29 14:40:06Z DBA HUNTINGTON HEALTH PHYSICIANS STEPHEN A RALPH 34097554 false X WWW.HUNTINGTONHEALTHPHYSICIANS.ORG X 1993 CA PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY. 12 3 206 0 1777789 26859159 32319765 0 0 26859159 34097554 0 0 7536191 9070070 0 0 22418909 27351048 29955100 36421118 -3095941 -2323564 5193903 9452426 8658323 15240410 -3464420 -5787984 X PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBLITY. false false 25705762 29044826 HUNTINGTON 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. 2820613 2691087 HUNTINGTON MEDICAL FOUNDATION PROVIDES BREAST HEALTH, CANCER SCREENING AND DIAGNOSIS SERVICES THROUGH THE JIM & ELEANOR RANDALL BREAST CENTER, LOCATED AT THE HUNTINGTON PAVILION IN PASADENA. SERVICES INCLUDE MAMMOGRAPHY, ULTRASOUND, BIOPSY, EDUCATION AND RESEARCH. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 207676 210645 HUNTINGTON MEDICAL FOUNDATION ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS. CURRENTLY WE HAVE PARTICIPANTS IN PHASE III, IV AND V CLINICAL TRIALS. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 373207 HUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. 373207 28734051 true true false false false false false false false false true false false true true false false true false false false false false false false false false false false true false false false false false false false false true false false false false true true true false false true X 4 0 206 true false false false false false false false false false false false false X 12 3 true false true false true true true true true false false false true true true true true true true false CA X SCOTT ARMSTRONG 6263978596 100 CALIFORNIA BLVD PASADENA CA 91105 STEPHEN A RALPH CHAIRMAN 2.00 55.00 X X 0 943223 165841 CHIEN FANG MD VICE CHAIR 1.00 40.00 X X 0 195165 17660 JOHN LEGAULT MD SECRETARY 1.00 40.00 X X 0 197425 13720 PAUL HOLMAN DIRECTOR 1.00 X 0 0 0 ALLEN W MATHIES JR MD DIRECTOR 1.00 X 0 7000 0 BRUALIO MONTESINO DIRECTOR 1.00 X 0 0 0 RAJINDER TAKHAR PRESIDENT 1.00 55.00 X X 0 763985 47953 RICHARD WEAR MD DIRECTOR 1.00 40.00 X 0 324434 31132 TODD TURNER MD DIRECTOR 1.00 40.00 X 0 312546 28760 DAVID LEE CEO 40.00 X X 0 351742 12422 SCOTT ARMSTRONG HH EXEC DIR 6.00 48.00 X 0 233962 43677 MARITESS YEE COO 40.00 X 0 289523 31979 ANDRE JONES IT DIRECTOR 40.00 X 116658 0 7959 BECKY LOPEZ RESEARCH COO 40.00 X 107889 0 1580 DANA MOLINA DIRECTOR OF 40.00 X 143456 0 8533 VIRGILIO MENDOZA INFORMATICS 40.00 X 105466 0 9168 STUART MILLER DIRECTOR 1.00 16.00 X 0 185275 18773 PRISCILLA GAMB DIRECTOR 1.00 X 0 0 0 473469 3804280 439157 4 false true false CMBS MEDICAL BUSINESS SERVICES 223 N 1ST AVE 201 ARCADIA CA 91006 MANAGEMENT SERV 1087916 THE HILL MEDICAL CORPORATION 625 S FAIR OAKS AVE STE 180 PASADENA CA 91105 PROF SERVICES 408662 ALLSCRIPTS 24630 NETWORK PLACE CHICAGO IL 60673 INFORMATION SVS 342037 THE EMERGENCY GROUP 3268 SERRA ROAD MALIBU CA 90265 PROF SERVICES 210277 RUSSELL CONSTRUCTION COMPANY 2076 STE CENTRAL AVE DUARTE CA 91010 CONSTR SERVICES 173400 5 1777789 1777789 1777789 FDN-PATIENT CARE 621110 30277588 30277588 HCP-CAPITATION 900099 1458325 1458325 OTHER REVENUE 621110 373207 373207 CLINICAL RESEARCH-PATIENT 621110 210645 210645 32319765 34097554 32319765 X 7332961 5329629 2003332 38400 38400 1060190 741324 318866 638519 481915 156604 28200 28200 28999 28999 67382 562 66820 15074194 12409496 2664698 57044 2909 54135 7372253 6299295 1072958 743532 2900 740632 2454067 2167525 286542 15816 4166 11650 6514 4289 2225 424801 400756 24045 486063 431539 54524 REPAIRS & MAINTENANCE 307867 268382 39485 BILLING & COLLECTION SERV 80741 80741 LAUNDRY & LINEN 37767 33888 3879 WASTE TREATMENT/DISPOSAL 36995 36995 128813 80081 48732 36421118 28734051 7687067 0 240725 357322 1621373 3417525 1317306 1264547 9783739 7304600 2014499 2479139 1933893 5193903 9452426 3785329 2668100 260447 4872994 12311863 8658323 15240410 X -3464420 -5787984 -3464420 -5787984 5193903 9452426 X -2323564 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1386127 1268420 117707 3133642 1180294 1953348 5263970 4855886 408084 2479139 CONSTRUCTION IN PROGRESS 1933893 1933893 PAYABLE TO PASADENA HOSPITAL ASSOC. 8141600 ACCRUED PAYROLL AND EMPLOYEE BENEFIT 1822745 ACCOUNTS PAYABLE - MHM 1502961 PAYABLE TO CMBS 844557 12311863 false true false false false false false false false STEPHEN A RALPH CHAIRMAN 706623 210000 26600 155064 10777 1109064 CHIEN FANG MD VICE CHAIR 195165 17660 212825 JOHN LEGAULT MD SECRETARY 197425 13720 211145 RAJINDER TAKHAR PRESIDENT 461748 191000 111237 31660 16293 811938 RICHARD WEAR MD DIRECTOR 324434 31132 355566 TODD TURNER MD DIRECTOR 312546 28760 341306 DAVID LEE CEO 262202 47500 42040 7647 4775 364164 SCOTT ARMSTRONG HH EXEC DIR 184212 23379 26371 27774 15903 277639 MARITESS YEE COO 235727 47400 6396 25504 6475 321502 DANA MOLINA DIRECTOR OF OPERATIO 143456 8533 151989 STUART MILLER DIRECTOR 185275 18773 204048 SCHEDULE J, PAGE 1, PART I, LINE 3 PASADENA HOSPITAL ASSOCIATION, A RELATED ORGANIZATION, UNDERTAKES THE PROCESS FOR DETERMINING EXECUTIVE COMPENSATION. SCHEDULE J, PAGE 1, PART I, LINE 4 STEPHEN 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 III 457(F) RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) RETIREMENT PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. THIS PLAN IS CLOSED TO NEW PARTICIPANTS AS OF JANUARY 1, 2014. 457(F) RETENTION PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE 457(F) RETENTION PLAN, EFFECTIVE DECEMBER 15, 2005 TO ENCOURAGE KEY MANAGEMENT EMPLOYEES TO CONTINUE THEIR CONTRIBUTIONS TO THE SUCCESS OF PHA. THE PLAN COVERS SELECT EMPLOYEES WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN OR WHO WERE ELIGIBLE, BUT ELECTED NOT TO PARTICIPATE IN THE 457(F) RETIREMENT PLAN. 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF PHA TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A -SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. SCHEDULE J, PART II, COLUMN B(II) THE INCENTIVE PLAN IS DESIGNED TO MOTIVATE AND REWARD SELECTED MANAGEMENT STAFF FOR CONTRIBUTING TO THE SUCCESSFUL ACHIEVEMENT OF PHA'S ANNUAL OBJECTIVES AND STRATEGIC GOALS, IN CONJUNCTION WITH THE SUCCESSFUL ACHIEVEMENT OF AGREED-UPON DEPARTMENT AND INDIVIDUAL OBJECTIVES AND GOALS. THIS PLAN REWARDS PARTICIPANTS BY CREATING A DIRECT LINK BETWEEN COMPENSATION AND PHA'S PERFORMANCE. THE EVALUATING TOOL USED TO MEASURE OUTCOMES FROM THE PLAN YEAR AND TO CALCULATE AN INCENTIVE PLAN PAYOUT IS THE ANNUAL PERFORMANCE SCORECARD. THE ORGANIZATIONAL OBJECTIVES AND GOALS MEASURE FOUR KEY AREAS OF PERFORMANCE IDENTIFIED AS MOST IMPORTANT TO PHA'S STRATEGIC INITIATIVES. THE FOUR PERFORMANCE AREAS ARE: -QUALITY -FINANCIAL SUSTAINABILITY -PHYSICIAN COLLABORATION -COMMUNITY ENGAGEMENT BOTH THE PERFORMANCE SCORECARD AND THE INCENTIVE PLAN ARE BASED ON A CALENDAR-YEAR. CRITERIA THE INCENTIVE PLAN PARTICIPANT MUST BE: 1. EMPLOYED IN AN ELIGIBLE POSITION FOR AT LEAST SIX MONTHS DURING THE PLAN YEAR. 2. BE ON ACTIVE STATUS IN THIS POSITION ON THE DAY OF THE PAYOUTS FROM PAYROLL. 3. IN GOOD STANDING WITH NO FORMAL DISCIPLINARY ACTION DURING THE PLAN YEAR. THE PLAN BECOMES EFFECTIVE IF PHA ACHIEVES 90% OF THE BUDGETED OPERATING NET INCOME FOR THE FISCAL YEAR. IF PHA DOES NOT ACHIEVE 90% OF THE BUDGETED OPERATING NET INCOME, INCENTIVE COMPENSATION WILL NOT BE PAID UNLESS AUTHORIZED BY THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS AND/OR THEIR DESIGNEE SHALL HAVE FULL POWER AND AUTHORITY TO ESTABLISH PERFORMANCE CRITERIA UNDER THE PLAN, DETERMINE THE ELIGIBILITY OF PERSONS TO BECOME PARTICIPANTS, TO SELECT PARTICIPANTS, TO MAKE AWARDS TO PARTICIPANTS, TO TERMINATE THE DESIGNATION OF A PARTICIPANT OR TO INCREASE OR REDUCE THE AMOUNT OF INCENTIVE COMPENSATION AWARDED TO PARTICIPANTS AND TO ADOPT AND REVISE SUCH RULES AND PROCEDURES AS IT SHALL DEEM NECESSARY FOR THE ADMINISTRATION OF THE PLAN. X MEDICAL EQUIPME 1 1777789 FMV false false false FORM 990, PART III QUESTIONS 4A-C ADDITIONAL STATEMENT REGARDING PROGRAM SERVICE ACCOMPLISHMENTS FOUNDED IN 1994, THE HUNTINGTON MEDICAL FOUNDATION'S (HMF)DBA HUNTINGTON HEALTH PHYSICIANS, MISSION IS TO PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE TO THE COMMUNITY THROUGH INNOVATIVE PROGRAMS, DEDICATED PROFESSIONALS AND THE CREATION OF SYNERGISTIC COLLABORATIONS BETWEEN THE PRIVATE AND PUBLIC SECTORS. HMF IS A CALIFORNIA NONPROFIT, PUBLIC BENEFIT CORPORATION LOCATED IN THE SAN GABRIEL VALLEY AND AFFILIATED WITH PASADENA HOSPITAL ASSOCIATION, DOING BUSINESS AS HUNTINGTON MEMORIAL HOSPITAL. WE ARE DEDICATED TO IMPROVING THE EFFICIENCY AND UTILIZATION OF HEALTH SERVICES WHILE MAINTAINING AN IMPORTANT BALANCE IN THE QUALITY OF CARE DELIVERED TO THE COMMUNITY. THE PRIMARY OBJECTIVE OF HMF IS THE OPERATION OF A HEALTH MANAGEMENT SERVICES ORGANIZATION TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY. HMF PROVIDES HEALTH AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY SUCH AS: - 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 4D HUNTINGTON MEDICAL FOUNDATION PROVIDES HEALTH CARE AND PREVENTION SERVICES TO THE COMMUNITY. FORM 990, PART V LINE 2A THE AMOUNT REPORTED ON LINE 2A INCLUDES THE NUMBER OF EMPLOYEES REPORTED ON A FORM W-3 BY HUNTINGTON MEDICAL FOUNDATION'S (HMF) REPORTING AGENTS,MMC INTERNATIONAL. THE COMPENSATION PAID UNDER THIS AGREEMENT IS REPORTED IN PART VII, SECTION A, COLUMBS (D) AND (F), AS APPROPRIATE. FORM 990, PART VI BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, 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 4 HMF 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 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION (PHA). FORM 990, PAGE 6, PART VI, LINE 7A MEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 7B THE FOLLOWING ACTIONS OF THE BOARD ARE NOT VALID, AND SHALL NOT BE IMPLEMENTED UNTIL APPROVED BY THE MEMBER: (1) ANY EXPENDITURES WHICH INDIVIDUALLY OR IN THE AGGREGATE EXCEED THE CORPORATION'S BUDGET BY MORE THAN 10% ANNUALLY; (2) ADOPT ANY ARTICLE OR BYLAW CHANGE; (3) IMPLEMENT ANY MAJOR CORPORATE ACTS INCLUDING MERGER, CONSOLIDATION, AFFILIATION, DISSOLUTION, SALE OR TRANSFER OF SUBSTANTIAL PORTION OF THE CORPORATION'S ASSETS; (4) MATERIALLY CHANGE THE BUSINESS OR BUSINESS PURPOSE OF THE CORPORATION, OR THE LOCATIONS AT WHICH SUCH BUSINESS IS OPERATED; (5) ADOPT THE ANNUAL CAPITAL AND OPERATING BUDGETS AND STRATEGIC PLANS FOR THE CORPORATION; (6) SIGNIFICANTLY CHANGE CLINICAL CARE AND/OR SERVICE LINES PROVIDED BY THE CORPORATION; (7) INCUR OR GUARANTY ANY INDEBTEDNESS (INCLUDING, WITHOUT LIMITATION, ANY CAPITAL LEASE); (8) INITIATE LITIGATION OR ARBITRATION IN THE NAME OF THE CORPORATION AS A PLAINTIFF. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 AND ALL RELATED SCHEDULES WERE REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C A. 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 15A PROCESS 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 15B THE PROCESS IS THE SAME AS EXPLAINED ABOVE FOR QUESTION 15A FORM 990, PAGE 6, PART VI, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PSA MEDICAL GROUP 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 9 DURING 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). PASADENA HOSPITAL ASSOCIATION (DBA HUNTINGTON MEDICAL HOSPITAL) 100 W CALIFORNIA BLVD PASADENA CA 91105 951644036 HLTH CARE CA 501C3 3 NA true CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVE PASADENA CA 91105 953978299 MGMT SVS CA NA C CORP false false false true false false false false false false false true false true false true false false false true PASADENA HOSPITAL ASSOCIATION (DBA HMH) C 1777789 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) K 253401 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) M 270587 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) O 96017 COST PASADENA HOSPITAL ASSOCIATION (DBA HMH) S 3710000 COST