PASADENA HOSPITAL ASSOCIATION LTD: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- PASADENA HOSPITAL ASSOCIATION LTD (EIN 95-1644036)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-08-21
- IRS object ID
- 201732339349300908
- Schema version
- 2016v3.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-21T13:12:26-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 VON KARMAN AVENUE SUITE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644036 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pasadena Hospital Association LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % SCOTT ARMSTRONG EXEC DIR | InCareOfNm |
| Business Name Control | PASA | BusinessNameControlTxt |
| Phone | 6263975000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WEST CALIFORNIA BLVD | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91105 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES S NOBLE | PersonNm |
| Person Title | EXECUTIVE VP, CHIEF | PersonTitleTxt |
| Phone | 6263975000 | PhoneNum |
| Signature | 2017-08-18 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 164.57.159.253 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 33577420172335000006 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-08-21 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 673598E36194E5370AE2115AF3EF606A51EF86D7 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 85868073965687212239AA369D140FAEDE3756F9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN A RALPH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WEST CALIFORNIA BLVD | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $788,159,418 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HUNTINGTONHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1892 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | AT HUNTINGTON HOSPITAL, OUR MISSION IS TO PROVIDE EXCELLENT HEALTH CARE AND COMPASSIONATE SERVICE TO EACH PERSON BY BRINGING TOGETHER OUTSTANDING PHYSICIANS, (SEE SCHEDULE O) | ActivityOrMissionDesc |
| Voting Members Governing Body | 23 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 4291 | TotalEmployeeCnt |
| Total Volunteers | 1591 | TotalVolunteersCnt |
| Total Gross UBI | $4,120,122 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$684,307 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $20,029,760 | PYContributionsGrantsAmt |
| CY Contributions Grants | $26,747,031 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $566,644,320 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $659,726,321 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,336,940 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,082,201 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,576,964 | PYOtherRevenueAmt |
| CY Other Revenue | $5,098,389 | CYOtherRevenueAmt |
| PY Total Revenue | $593,587,984 | PYTotalRevenueAmt |
| CY Total Revenue | $695,653,942 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $527,735 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $519,982 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $294,410,437 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $342,769,911 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $3,015,407 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $298,398,466 | PYOtherExpensesAmt |
| CY Other Expenses | $343,871,795 | CYOtherExpensesAmt |
| PY Total Expenses | $593,336,638 | PYTotalExpensesAmt |
| CY Total Expenses | $687,161,688 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $251,346 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,492,254 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $938,554,501 | TotalAssetsBOYAmt |
| Total Assets EOY | $964,840,232 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $395,143,293 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $408,482,501 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $543,411,208 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $556,357,731 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $612,871,979 | ExpenseAmt |
| Grant | $519,982 | GrantAmt |
| Revenue | $662,620,504 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Total Other Prog Srvc Expense | $0 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $612,871,979 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | Yes (true) | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 652 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4291 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Form8899 Filedind | false | Form8899Filedind |
| Form1098 C Filed | Yes (true) | Form1098CFiledInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 23 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT ARMSTRONG EXEC DIR | PersonNm |
| Phone | 6263978596 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 WEST CALIFORNIA BLVD | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91105 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PAUL LH OUYANG | ||||||||||
| CHAIRMAN/TRUSTEE | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| JAYNIE STUDENMUND | ||||||||||
| BOARD OF DIRECTORS-VICE CHAIR | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| LOIS S MATTHEWS | ||||||||||
| BOARD OF DIRECTORS-SECRETARY | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ARMANDO L GONZALEZ FAIA | ||||||||||
| TREASURER/TRUSTEE | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN A RALPH | ||||||||||
| BOARD OF DIRECTORS-PRES/CEO | 55.0 | 1.0 | Yes (X) | Yes (X) | $943,223 | $0 | $165,841 | |||
| SHARON ARTHOFER | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WILLIAM J BOGAARD | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| WAYNE BRANDT | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| LOUISE HENRY BRYSON | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES V BUESE MD | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $30,000 | $0 | $0 | ||||
| R SCOTT JENKINS | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL JOHNSON | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID M KIRCHHEIMER | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ELLEN LEE | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| LOLITA LOPEZ | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ALLEN W MATHIES JR MD | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $7,000 | $0 | $0 | ||||
| ELIZABETH GRAHAM OLSON | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| KATHLEEN KATHY GOOD PODLEY | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES SHANKWILER MD | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $60,000 | $0 | $0 | ||||
| JOHN C SICILIANO | ||||||||||
| BOARD MEMBER | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROSEMARY RARY SIMMONS | ||||||||||
| DIRECTOR EMERITUS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| K EDMUND TSE MD | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $10,800 | $0 | $0 | ||||
| DEBORAH WILLIAMS | ||||||||||
| BOARD OF DIRECTORS | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES S NOBLE | ||||||||||
| ASST SEC/TREAS/EVP/CFO | 55.0 | 0.0 | Yes (X) | $748,548 | $0 | $119,597 | ||||
| BONNIE L KASS | ||||||||||
| SVP, HOSPITAL OPERATIONS | 55.0 | 0.0 | $788,229 | $0 | $166,058 | Yes (X) | ||||
| DEBRA A ORTEGA | ||||||||||
| CHRO & VP ADMIN SVCS | 55.0 | 0.0 | $364,281 | $0 | $73,089 | Yes (X) | ||||
| DEBRA L TAFOYA | ||||||||||
| VP & CIO HR/IS | 55.0 | 0.0 | $320,893 | $0 | $141,606 | Yes (X) | ||||
| EUGENE E GUTIERREZ IV | ||||||||||
| VP, FINANCE & CONGRESS SERVICE | 11.0 | 44.0 | $351,559 | $0 | $46,461 | Yes (X) | ||||
| GLORIA M SANCHEZ-RICO | ||||||||||
| VP, CHIEF NURSE EXECUTIVE | 55.0 | 0.0 | $343,239 | $0 | $85,570 | Yes (X) | ||||
| JANE HADERLEIN | ||||||||||
| SVP, EXTERNAL AFFAIRS | 55.0 | 0.0 | $497,315 | $0 | $105,315 | Yes (X) | ||||
| JOHN F GOEDERS | ||||||||||
| VP Strategic Planning/Revenue | 55.0 | 0.0 | $318,895 | $0 | $63,731 | Yes (X) | ||||
| KIM MARKEY | ||||||||||
| VP PATIENT EXPERIENCE | 55.0 | 0.0 | $296,652 | $0 | $44,269 | Yes (X) | ||||
| PAULA VERRETTE MD | ||||||||||
| SVP & CMO QUALITY & PHYS. SVCS | 55.0 | 0.0 | $565,565 | $0 | $807,905 | Yes (X) | ||||
| RAJINDER S TAKHAR | ||||||||||
| VP, BUS & PROVIDER STRATEGY | 55.0 | 0.0 | $763,985 | $0 | $47,953 | Yes (X) | ||||
| GABRIELLA SHERMAN MD | ||||||||||
| VP CLINICAL INNVTN & PERF | 55.0 | 0.0 | $185,164 | $0 | $26,727 | Yes (X) | ||||
| JEFFREY P WEIGAND | ||||||||||
| DIRECTOR REAL ESTATE | 4.0 | 36.0 | $260,013 | $0 | $160,795 | Yes (X) | ||||
| MARITESS R YEE | ||||||||||
| CHIEF CLINIC OPER. OFFICER | 40.0 | 0.0 | $289,523 | $0 | $31,979 | Yes (X) | ||||
| JEAN M PALLARES | ||||||||||
| DIR PHARMACY/LAB SVCS | 40.0 | 0.0 | $265,696 | $0 | $102,101 | Yes (X) | ||||
| SAMUEL I BRENEISER | ||||||||||
| EXEC DIR, MANAGED CARE CONTRAC | 40.0 | 0.0 | $258,865 | $0 | $49,402 | Yes (X) | ||||
| DAVID LEE | ||||||||||
| PRESIDENT/CEO | 0.0 | 40.0 | $351,742 | $0 | $12,422 | Yes (X) | ||||
| BERNADETTE L MERLINO | ||||||||||
| FORMER KEY EMPLOYEE | 0.0 | 0.0 | $256,000 | $0 | $21,037 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,277,187 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $2,271,858 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 849 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ANGELICA TEXTILE SERVICES INC | |||||
| 1105 LAKEWOOD PARKWAY STE 210 | ALPHARETTA | GA | 30009 | LAUNDRY AND LINEN | $2,055,186 |
| HDR ARCHITECTURE INC | |||||
| PO BOX 3480 | OMAHA | NE | 68103 | CONSTRUCTION MGMT | $1,987,588 |
| TURNAROUND TIME TRANSCRIPTION | |||||
| 3536 OCEANVIEW BLVD SUITE 100 | GLENDALE | CA | 91208 | MEDICAL RECORDS | $1,766,214 |
| ASSOCIATED REGIONAL AND UNIVERSITY | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | PATHOLOGY LAB SVCS | $1,377,150 |
| DAVIS WRIGHT TREMAINE LLP | |||||
| 1201 3RD AVE SUITE 2200 | SEATTLE | WA | 98101 | LEGAL SERVICES | $1,327,334 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 130 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $37,020 | FederatedCampaignsAmt |
| Fundraising | $266,510 | FundraisingAmt |
| Related Organizations | $3,564,135 | RelatedOrganizationsAmt |
| Government Grants | $1,650,554 | GovernmentGrantsAmt |
| All Other Contributions | $21,228,812 | AllOtherContributionsAmt |
| Noncash Contributions | $4,357,989 | NoncashContributionsAmt |
| Total Contributions | $26,747,031 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $647,177,010 | $647,177,010 | $0 | $0 |
| MANAGEMENT SERVICE REVENUE | 541610 | $4,203,663 | $83,541 | $4,120,122 | $0 |
| Rental Income | 531120 | $3,057,824 | $3,057,824 | $0 | $0 |
| Parking Revenue | 812930 | $1,812,918 | $1,812,918 | $0 | $0 |
| Laboratory Revenue | 621511 | $686,598 | $686,598 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,788,308 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,788,308 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $659,726,321 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,189,256 | TotalRevenueColumnAmt |
| Exclusion | $4,189,256 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $78,352 | TotalRevenueColumnAmt |
| Exclusion | $78,352 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $90,718,537 | SecuritiesAmt |
| Other | $24,750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $90,928,694 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$210,157 | SecuritiesAmt |
| Other | $24,750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$185,407 | TotalRevenueColumnAmt |
| Exclusion | -$185,407 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $158,053 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $266,510 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $231,246 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$73,193 | TotalRevenueColumnAmt |
| Exclusion | -$73,193 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $1,654,312 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $1,345,536 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $308,776 | TotalRevenueColumnAmt |
| Exclusion | $308,776 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Food Services | 722310 | $2,585,513 | $2,585,513 | $0 | $0 |
| Concierge Services | 900099 | $1,968,623 | $0 | $1,968,623 | |
| Medical Staff | 900099 | $308,670 | $308,670 | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,862,806 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $695,653,942 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $658,500,382 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $4,120,122 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,286,407 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,391 | TotalAmt |
| Program Services | $348,391 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,000 | TotalAmt |
| Program Services | $160,000 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,591 | TotalAmt |
| Program Services | $11,591 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,640,511 | TotalAmt |
| Management And General | $6,599,590 | ManagementAndGeneralAmt |
| Fundraising | $40,921 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $236,965,453 | TotalAmt |
| Program Services | $209,646,855 | ProgramServicesAmt |
| Management And General | $26,466,053 | ManagementAndGeneralAmt |
| Fundraising | $852,545 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,932,860 | TotalAmt |
| Program Services | $15,994,121 | ProgramServicesAmt |
| Management And General | $1,860,046 | ManagementAndGeneralAmt |
| Fundraising | $78,693 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $61,574,394 | TotalAmt |
| Program Services | $55,195,476 | ProgramServicesAmt |
| Management And General | $6,101,921 | ManagementAndGeneralAmt |
| Fundraising | $276,997 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,656,693 | TotalAmt |
| Program Services | $17,619,058 | ProgramServicesAmt |
| Management And General | $1,962,022 | ManagementAndGeneralAmt |
| Fundraising | $75,613 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,671,351 | TotalAmt |
| Management And General | $1,671,351 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $706,185 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $706,185 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $102,191 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $102,191 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $320,245 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $320,245 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,129,507 | TotalAmt |
| Program Services | $70,378,748 | ProgramServicesAmt |
| Management And General | $11,337,066 | ManagementAndGeneralAmt |
| Fundraising | $413,693 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,140,426 | TotalAmt |
| Program Services | $60,984 | ProgramServicesAmt |
| Management And General | $1,079,422 | ManagementAndGeneralAmt |
| Fundraising | $20 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,758,623 | TotalAmt |
| Program Services | $25,988,106 | ProgramServicesAmt |
| Management And General | $5,065,569 | ManagementAndGeneralAmt |
| Fundraising | $704,948 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,018,396 | TotalAmt |
| Program Services | $26,237,209 | ProgramServicesAmt |
| Management And General | $2,668,299 | ManagementAndGeneralAmt |
| Fundraising | $112,888 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,034,028 | TotalAmt |
| Program Services | $15,494,459 | ProgramServicesAmt |
| Management And General | $1,483,988 | ManagementAndGeneralAmt |
| Fundraising | $55,581 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,951 | TotalAmt |
| Program Services | $404,357 | ProgramServicesAmt |
| Management And General | $230,281 | ManagementAndGeneralAmt |
| Fundraising | $182,313 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $598,983 | TotalAmt |
| Program Services | $276,441 | ProgramServicesAmt |
| Management And General | $255,991 | ManagementAndGeneralAmt |
| Fundraising | $66,551 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,043,927 | TotalAmt |
| Program Services | $7,174,291 | ProgramServicesAmt |
| Management And General | $834,338 | ManagementAndGeneralAmt |
| Fundraising | $35,298 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,433,908 | TotalAmt |
| Program Services | $23,217,869 | ProgramServicesAmt |
| Management And General | $2,137,128 | ManagementAndGeneralAmt |
| Fundraising | $78,911 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,022,174 | TotalAmt |
| Program Services | $3,857,878 | ProgramServicesAmt |
| Management And General | $157,627 | ManagementAndGeneralAmt |
| Fundraising | $6,669 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $92,058,998 | $92,058,998 | $0 | $0 |
| Hospital Fee Program | $47,188,278 | $47,188,278 | $0 | $0 |
| Food/Clinical/Med Staff | $1,418,078 | $1,418,078 | $0 | $0 |
| OTHER | $409,546 | $140,791 | $234,989 | $33,766 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $687,161,688 | TotalAmt |
| Program Services | $612,871,979 | ProgramServicesAmt |
| Management And General | $71,274,302 | ManagementAndGeneralAmt |
| Fundraising | $3,015,407 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,856 | BOYAmt |
| EOY | $9,886 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,859,973 | BOYAmt |
| EOY | $12,816,679 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,147,727 | BOYAmt |
| EOY | $12,878,448 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,490,431 | BOYAmt |
| EOY | $94,989,993 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $236,502 | BOYAmt |
| EOY | $196,071 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,138,898 | BOYAmt |
| EOY | $12,470,940 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,970,174 | BOYAmt |
| EOY | $41,120,557 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $788,223,175 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $363,349,868 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $415,344,408 | BOYAmt |
| EOY | $424,873,307 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $302,984,053 | BOYAmt |
| EOY | $310,843,378 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$4,691,760 | BOYAmt |
| EOY | -$4,038,931 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,957,809 | BOYAmt |
| EOY | $2,957,809 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,094,430 | BOYAmt |
| EOY | $55,722,095 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,554,501 | BOYAmt |
| EOY | $964,840,232 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,105,055 | BOYAmt |
| EOY | $74,144,913 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,190,975 | BOYAmt |
| EOY | $10,063,452 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $231,530,793 | BOYAmt |
| EOY | $227,466,936 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,316,470 | BOYAmt |
| EOY | $96,807,200 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $395,143,293 | BOYAmt |
| EOY | $408,482,501 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $450,826,341 | BOYAmt |
| EOY | $453,564,042 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,360,270 | BOYAmt |
| EOY | $63,622,414 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,224,597 | BOYAmt |
| EOY | $39,171,275 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $543,411,208 | BOYAmt |
| EOY | $556,357,731 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $938,554,501 | BOYAmt |
| EOY | $964,840,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,492,254 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $13,302,885 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$8,848,616 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $102,191 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $102,191 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | SCHEDULE C, PART II-B, LINE 11 PASADENA HOSPITAL ASSOCIATION PAID DUES OF $70,462 AND $305,972 TO THE CALIFORNIA HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, RESPECTIVELY. OF THESE DUES, $70,462 AND $31,729, RESPECTIVELY, WERE ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $140,883,835 | BeginningYearBalanceAmt |
| Contributions | $6,064,407 | ContributionsAmt |
| Investment Earnings Or Losses | $4,353,141 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,717,313 | OtherExpendituresAmt |
| End Year Balance | $143,584,070 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $136,386,305 | BeginningYearBalanceAmt |
| Contributions | $9,138,016 | ContributionsAmt |
| Investment Earnings Or Losses | $844,778 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $5,485,264 | OtherExpendituresAmt |
| End Year Balance | $140,883,835 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $124,827,213 | BeginningYearBalanceAmt |
| Contributions | $12,976,801 | ContributionsAmt |
| Investment Earnings Or Losses | $2,091,978 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $3,509,687 | OtherExpendituresAmt |
| End Year Balance | $136,386,305 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $117,701,687 | BeginningYearBalanceAmt |
| Contributions | $7,398,612 | ContributionsAmt |
| Investment Earnings Or Losses | $6,780,536 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,053,622 | OtherExpendituresAmt |
| End Year Balance | $124,827,213 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $109,143,374 | BeginningYearBalanceAmt |
| Contributions | $7,730,975 | ContributionsAmt |
| Investment Earnings Or Losses | $4,967,217 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,139,879 | OtherExpendituresAmt |
| End Year Balance | $117,701,687 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.43180 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.27280 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.29540 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $460,019,641 | OtherCostOrOtherBasisAmt |
| Depreciation | $198,849,246 | DepreciationAmt |
| Book Value | $261,170,395 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $247,706,723 | OtherCostOrOtherBasisAmt |
| Depreciation | $164,500,622 | DepreciationAmt |
| Book Value | $83,206,101 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $80,496,811 | OtherCostOrOtherBasisAmt |
| Book Value | $80,496,811 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $424,873,307 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Legacies & Bequest | $13,491,905 |
| Cash Value Insurance | $1,022,670 |
| Due from Affiliates | $28,620,522 |
| Accrued Receivable Donations | $548,681 |
| Due from 3rd Party Payor | $10,987,898 |
| Contract Acquisition Cost | $771,253 |
| Incentive to Lessee | $279,166 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $55,722,095 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| PV Gift Annuity & CRT | $519,126 |
| Accrued Self Insurance Claims | $26,769,048 |
| Accrued Pension Cost | $66,067,470 |
| Capital Lease and other Financing | $3,451,556 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $96,807,200 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|
| Central America and the Caribbean | Investments | $10,900,854 |
| Sub-Saharan Africa | Grantmaking | $23,795 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Spent | $10,924,649 | SubtotalSpentAmt |
| Total Spent | $10,924,649 | TotalSpentAmt |
Foreign Individuals Grants ForeignIndividualsGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Assistance | MEDICAL ASSISTANCE TRIP | TypeOfAssistanceTxt |
| Recipient | 5 | RecipientCnt |
| Cash Grant | $11,591 | CashGrantAmt |
| Manner Of Cash Disbursement | WIRE TRANSF. | MannerOfCashDisbursementTxt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, COLUMN (C) | THE GRANT WAS USED TO PROVIDE LIVING SUPPORT TO A DOCTOR WHILE OBTAINING HIS INTERNAL MEDICINE DEGREE. THE STIPENDS FOR THREE PEOPLE ARE FOR GROUND SUPPORT FOR THE PHIL SIMON CLINIC TANZANIA PROJECT ACTIVITIES. ACCOUNTING METHOD USED THE AMOUNT OF THE GRANT IN PART III WAS DETERMINED BY USING THE ACCRUAL METHOD OF ACCOUNTING. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Fall FESTIVAL | Event1Nm |
| Gross Receipts Event1 | $424,563 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $266,510 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $158,053 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $20,913 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $628 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $3,600 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $206,105 | OtherDirectExpensesEvent1Amt |
| Other Events Total | 0 | OtherEventsTotalCnt |
| Gross Receipts Total | $424,563 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $266,510 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $158,053 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $20,913 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $628 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $3,600 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $206,105 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $231,246 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$73,193 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1437 | PersonsServedCnt |
| Total Community Benefit Expns | $7,598,563 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,502,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,096,441 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 22315 | PersonsServedCnt |
| Total Community Benefit Expns | $64,485,037 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,559,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,925,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03920 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 23752 | PersonsServedCnt |
| Total Community Benefit Expns | $72,083,600 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $40,062,059 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,021,541 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04660 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 369929 | PersonsServedCnt |
| Total Community Benefit Expns | $6,940,292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,550 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,928,742 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 1545 | PersonsServedCnt |
| Total Community Benefit Expns | $19,888,910 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,316,269 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,572,641 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 4639 | PersonsServedCnt |
| Total Community Benefit Expns | $5,289,643 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,283,643 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00770 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 31 | ActivitiesOrProgramsCnt |
| Persons Served | 376113 | PersonsServedCnt |
| Total Community Benefit Expns | $32,118,845 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,333,819 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,785,026 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 31 | ActivitiesOrProgramsCnt |
| Persons Served | 399865 | PersonsServedCnt |
| Total Community Benefit Expns | $104,202,445 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,395,878 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,806,567 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09140 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 180 | PersonsServedCnt |
| Total Community Benefit Expns | $94,530 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $94,530 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 450 | PersonsServedCnt |
| Total Community Benefit Expns | $81,216 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $81,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 630 | PersonsServedCnt |
| Total Community Benefit Expns | $175,746 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $175,746 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,039,000 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $84,021 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $135,402,899 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $161,576,729 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$26,173,830 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HASC(Indirect Owner) | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Outpatient Surgery | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.7776 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0271 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.1953 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huntington Memorial Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 West California Boulevard | AddressLine1Txt |
| City | Pasadena | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HUNTINGTONHOSPITAL.ORG | WebsiteAddressTxt |
| State License | 930000372 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Research Facility | Yes (X) | ResearchFacilityInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 NEEDS ASSESSMENT. 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 HEALTH ASSESSMENT. THE SECOND METHOD FOR OBTAINING COMMUNITY FEEDBACK WAS TO CONDUCT A LARGE COMMUNITY STAKEHOLDER MEETING. 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. THE PASADENA PUBLIC HEALTH DEPARTMENT (PPHD) GATHERED QUALITATIVE DATA THROUGH KEY INFORMANT INTERVIEWS AND A COMMUNITY STAKEHOLDER MEETING. TEN IN-PERSON KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH KNOWLEDGEABLE COMMUNITY MEMBERS WHO PROVIDED FEEDBACK ON SOCIAL AND HEALTH TOPICS. THE COMMUNITY STAKEHOLDER MEETING HELD AT HUNTINGTON HOSPITAL HAD FORTY-NINE PARTICIPANTS. PARTICIPANTS INCLUDED REPRESENTATIVES FROM HEALTH CARE ORGANIZATIONS, MENTAL HEALTH AGENCIES, SOCIAL SERVICE ORGANIZATIONS, LOCAL GOVERNMENT, THE PUBLIC SCHOOL DISTRICT, AND OTHER INTERESTED PROFESSIONALS AND COMMUNITY MEMBERS FAMILIAR WITH THE HEALTH NEEDS OF THE GREATER PASADENA COMMUNITY. 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 HOSPITALS 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 | ANOTHER WEBSITE: HTTP://WWW.HUNTINGTONHOSPITAL.ORG/COMMUNITY/COMMUNITY-BENEFIT.ASPX DOCUMENT LOCATED HERE: 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 HOSPITALS 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 HOSPITALS MISSION, VALUES, STRENGTHS, AND RESOURCES, PROVIDING THE BEST OPPORTUNITY TO POSITIVELY IMPACT THE COMMUNITY. UNADDRESSED NEEDS AND ADDITIONAL COMMUNITY BENEFIT ACTIVITIES. HUNTINGTON HOSPITALS 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. |
| SCHEDULE H, PART V, SECTION B, LINE 14 | INPATIENTS GENERALLY ARE EXTENDED A PRICE SIMILAR TO THAT OF DRG PRICING AND OUTPATIENTS ARE BILLED AT 35% OF ACTUAL (GROSS) CHARGES. WITH REGARDS TO GROSS CHARGES, PHA ENDEAVORS TO MAINTAIN PRICING (GROSS CHARGES) COMPARABLE TO THE MARKET. LOOKING BACK AT PRIOR YEAR CLAIMS IN TERMS OF PERCENTAGE OF CHARGES, AMOUNTS CHARGED THE UNINSURED POPULATION NET OF THE HOSPITAL'S AUTOMATIC COURTESY DISCOUNT WAS IN LINE WITH THE AVERAGE NET REVENUE FROM THE AVERAGE OF MEDICARE AND COMMERCIAL PAYERS. WITH REGARDS TO DETERMINING ELIGIBILITY FOR CHARIABLE CARE PHA HAS ESTABLISHED A STANDARD BY USING THE GROSS INCOME, THE FEDERAL POVERTY LEVELS, FAMILY SIZE, GEOGRAPHIC AREA AND OTHER PERTINENT FACTORS. ASSET TESTING IS NOT PERFORMED. THE FEDERAL POVERTY LEVEL IS A SIGNIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS. |
| 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 17 | 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. COLLECTIONS ACTIONS THAT MAY BE TAKEN AGAINST A PATIENT OR GUARANTOR FOR NON-PAYMENT ARE OUTLINED WITHIN SECITON IV OF THE PATIENT COLLECTIONS POLICY. English http://www.huntingtonhospital.org/documents/Cost-of-Care/PatientCollection sPolicyEng.pdf |
| SCHEDULE H, PART V, SECTION B, LINE 22A | PHA PROVIDES MEANS-TESTED FINANCIAL ASSISTANCE THAT IS PRIMARILY CATEGORIZED INTO FULL AND PARTIAL ASSISTANCE. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S OR RESPONSIBLE FAMILY MEMBER'S HOUSEHOLD INCOME MUST BE AT OR BELOW 350% OF THE FEDERAL POVERTY LEVEL. THE PATIENT OR RESPONSIBLE FAMILY MEMBER MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND INCLUDE THE NECESSARY DOCUMENTATION. PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FINANCIAL ASSISTANCE EQUAL TO 100% OF THE UNINSURED/UNDERINSURED PRICE. PATIENTS WHOSE INCOME IS BETWEEN 200% AND 350% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE A CHARITY DISCOUNT FROM THE UNINSURED/UNDERINSURED PRICE. UNINSURED/UNDERINSURED INPATIENTS GENERALLY ARE EXTENDED A PRICE SIMILAR TO THAT OF DRG PRICING. OUTPATIENTS WILL BE BILLED AT 35% OF ACTUAL GROSS CHARGES, PRIOR TO ANY QUALFICATION OF ADDITIONAL FINANCIAL ASSISTANCE. WITH REGARDS TO GROSS CHARGES, PHA ENDEAVORS TO MAINTAIN PRICING (GROSS CHARGES) COMPARABLE TO THE MARKET. PRIOR YEARS' CLAIMS AMOUNTS CHARGED TO THE UNINSURED POPULATION NET OF THE HOSPITAL'S AUTOMATIC COURTESY DISCOUNT WERE IN LINE WITH THE AVERAGE NET REVENUE FROM THE AVERAGE OF MEDICARE AND COMMERCIAL PAYERS. IN THE EVENT FINANCIAL ASSISTANCE IS NOT A VIABLE OPTION, THE PATIENT WITH NO INSURANCE WILL BE BILLED IN ACCORDANCE WITH THE PHA PRICING POLICY. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 8 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (8 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Huntington Hospital Senior Care Network | ||||
| 837 S Fair Oaks Ave | Pasadena | CA | 91105 | SOCIAL WORK SERVICES |
| Neurosciences Program | ||||
| 625 S Fair Oaks Ave Suite 325 | Pasadena | CA | 91105 | DIAGNOSTIC/TREATMENT CENTER |
| Pre-op Testing and Outpatient Laboratory | ||||
| 625 S Fair Oaks Ave Suite 345 | Pasadena | CA | 91105 | Diagnostic Laboratory Services |
| HUNTINGTON HOSP CANCER CTRRAD ONCOLOGY | ||||
| 625 S FAIR OAKS AVE SUITE 355 | PASADENA | CA | 91105 | DIAGNOSTIC TREATMENT CENTER |
| HUNTINGTON OUTPATIENT REHABILITATION | ||||
| 630 S RAYMOND AVE SUITE 120 | PASADENA | CA | 91105 | REHABILITATION SERVICES |
| OUTPATIENT CARDIOVASCULAR LABORATORY | ||||
| 625 S FAIR OAKS AVE SUITE 345 | PASADENA | CA | 91105 | DIAGNOSTIC TREATMENT CENTER |
| HUNTINGTON AMBULATORY SURGERY CENTER | ||||
| 625 S FAIR OAKS AVE STE 380 | PASADENA | CA | 91105 | AMBULATORY SURGERY CENTER |
| HUNTINGTON OUTPATIENT IMAGING CENTER LLC | ||||
| 223 N 1ST AVE STE 201 | ARCADIA | CA | 91006 | OUTPATIENT IMAGING CENTER |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 OF TOTAL EXPENSE IS INDICATING AN DECREASE OVER THE PREVIOUS YEAR OF TY 12/31/15 (5.52% IN TY 12/31/15 COMPARED TO 4.15% IN TY 12/31/16). THIS 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 12/31/16, THE IMPACT OF THE HOSPITAL FEE PROGRAM WAS A $1.6 MILLION GAIN WHICH WAS RECORDED BY HUNTINGTON MEMORIAL HOSPITAL. THIS GAIN IS INCLUDED ON SCHEDULE H PART I LINE 7(B). IN THE COMING YEAR THIS GAIN WILL BE OFFSET WITH PROJECTED LOSES DUE TO THE CMS ANTICIPATED APPROVAL OF THE MEDI-CAL (MEDICAID) MANAGED CARE PORTION OF THIS PROGRAM. |
| 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 THE NUMBER OF PERSONS SERVED FOR THE COMMUNITY HEALTH IMPROVEMENTS AND COMMUNITY BENEFITS OPERATION PROGRAMS INCLUDES THE NUMBER OF INDIVIDUALS VISITING THE PHA WEBSITE, AMOUNG OTHER RELATED PROGRAMS. EXAMPLES OF THESE OTHER PROGRAMS INCLUDES BREAST CANCER AWARENESS, HEALTH FAIRS, PROSTATE CANCER SUPPORT GROUPS, OSTOMY SUPPORT GROUPS AND SIMILAR PROGRAMS. |
| SCHEDULE H, PART I, LINE 7G | PHA SUBSIDIZED SOME CLINICS AND PROGRAMS RELATED TO LOW-INCOME TRAUMA, SENIOR AND PERINATAL POPULATIONS. THESE INCLUDED A TRAUMA INTERAGENCY COMMUNICATION PROGRAM/TRAINING, LOW-INCOME SENIOR CARE CLINICS, LOW-INCOME MEDICARE/MEDI-CAL CLINICS, LOW-INCOME PERINATAL CLINICS THAT EXPERIENCE SHORTFALLS FROM STATE FUNDED CARE COORDINATION ASSOCIATED WITH THE MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP) FOR LOW INCOME MEDICARE/MEDI-CAL POPULATIONS. NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ARE INCLUDED. |
| SCHEDULE H, PART II | PHA PLAYS AN ACTIVE ROLE IN COMMUNITY COALITION BUILDING IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AND PUBLIC ORGANIZATIONS ENCOMPASSING THE PUBLIC SECTOR, FAITH COMMUNITY, AND PRIVATE BUSINESS. BEYOND HEALTH CARE, PHA PARTICIPATES IN DEVELOPMENT OF SOCIAL AND ECONOMIC PROGRAMS TO ENCOURAGE IMPROVEMENTS IN SAFETY AND LEADERSHIP TRAINING, RECREATIONAL ACTIVITIES, "NEIGHBORHOOD CLUBS" OFFERING ASSISTANCE TO SINGLE PARENTS AND ELDERLY RESIDENTS, INCREASED INVOLVEMENT OF PARENTS IN SCHOOL POLICIES, ETC. SPECIFICALLY TO HEALTH CARE RELATED COMMUNITY BUILDING OBJECTIVES, PHA ENGAGES IN ACTIVITIES THAT INCLUDE OFFERING AN AMBULATORY CARE CENTER TO UNDER-INSURED AND UNINSURED PERSONS, PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS (SENIOR CARE NETWORK), PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION PROGRAMS ON TOPICS SUCH AS HIGH BLOOD PRESSURE, DIABETES AND ASTHMA FOR CHILDREN AND THEIR FAMILIES AS WELL AS ADULTS; PROVIDING COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCE LIBRARY AND PARTNERING WITH COMMUNITY ORGANIZATIONS. THESE ACTIVITIES ILLUSTRATE HUNTINGTON MEMORIAL HOSPITAL'S COMMITMENT TO SUPPORTING AND BUILDING THE COMMUNITY. |
| 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 0.52 PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2016 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 PAGES 15 & 16 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 | BASED ON THE HUNTINGTON AMBULATORY SURGERY CENTER (HASC) INFORMATION AVAILABLE TO PHA, WE CONCLUDED THAT ONE OR MORE OF THE PHYSICIANS ON STAFF AT PHA COLLECTIVE OWNERSHIP (SHARE OF PROFITS IN HUNTINGTON OUTPATIENT SURGERY CENTER (HOSC)) EXCEEDS THE 10% THRESHOLD. PHA HAS DETERMINED THE APPROPRIATE PERCENTAGE TO ENTER IN THE "PHYSICIAN'S PROFIT OR STOCK OWNERSHIP 19.530%" ON LINE 1 OF THE PART IV TABLE. |
| 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 COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THE HOSPITAL'S 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 TO INCLUDE THE SERVICE AREA OF PASADENA, ALTA DENA, SAN MARINO, AND SOUTH PASADENA. THE SERVICE AREA POPULATION IS ESTIMATED AT 236,423 AS OF 2016. 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 2016 (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 - 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 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. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| Young & Healthy Inc | ||||||||
| 1905 LINCOLN AVE | Pasadena | CA | 91103 | 954527969 | 501(C)(3) | $12,500 | BOOK | SPONSOR |
| Huntington Medical Research | ||||||||
| 99 North El Molino Ave | Pasadena | CA | 91101 | 951757119 | 501(c)(3) | $251,380 | BOOK | SPONSOR |
| Pasadena Ronald McDonald House | ||||||||
| 763 S Pasadena Ave | Pasadena | CA | 91105 | 953167869 | 501(c)(3) | $8,500 | BOOK | SPONSOR |
| National Charity League | ||||||||
| 1613 Chelsea Ave 247 | San Marino | CA | 91108 | 956120598 | 501(C)(3) | $6,475 | BOOK | SPONSOR |
| Convalescent Aid Society | ||||||||
| 3255 E Foothill Blvd | Pasadena | CA | 91107 | 951782304 | 501(c)(3) | $6,000 | BOOK | SPONSOR |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 32 | RecipientCnt |
| Cash Grant | $160,000 | CashGrantAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART IV | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BONNIE L KASS | ||||||||||||||
| SVP, HOSPITAL OPERATIONS | $321,934 | $0 | $19,133 | $0 | $447,162 | $0 | $84,022 | $0 | $82,036 | $0 | $954,287 | $0 | $246,663 | $0 |
| DEBRA A ORTEGA | ||||||||||||||
| CHRO & VP ADMIN SVCS | $284,282 | $0 | $59,000 | $0 | $20,999 | $0 | $61,922 | $0 | $11,167 | $0 | $437,370 | $0 | $1,400 | $0 |
| DEBRA L TAFOYA | ||||||||||||||
| VP & CIO HR/IS | $248,238 | $0 | $52,000 | $0 | $20,655 | $0 | $130,829 | $0 | $10,777 | $0 | $462,499 | $0 | $0 | $0 |
| EUGENE E GUTIERREZ IV | ||||||||||||||
| VP, FINANCE & CONGRESS SERVICE | $258,818 | $0 | $89,906 | $0 | $2,835 | $0 | $29,924 | $0 | $16,537 | $0 | $398,020 | $0 | $0 | $0 |
| GLORIA M SANCHEZ-RICO | ||||||||||||||
| VP, CHIEF NURSE EXECUTIVE | $269,310 | $0 | $54,000 | $0 | $19,929 | $0 | $69,423 | $0 | $16,147 | $0 | $428,809 | $0 | $270 | $0 |
| STEPHEN A RALPH | ||||||||||||||
| BOARD OF DIRECTORS-PRES/CEO | $706,623 | $0 | $210,000 | $0 | $26,600 | $0 | $155,064 | $0 | $10,777 | $0 | $1,109,064 | $0 | $0 | $0 |
| JANE HADERLEIN | ||||||||||||||
| SVP, EXTERNAL AFFAIRS | $389,672 | $0 | $98,000 | $0 | $9,643 | $0 | $89,011 | $0 | $16,304 | $0 | $602,630 | $0 | $8,400 | $0 |
| JEFFREY P WEIGAND | ||||||||||||||
| DIRECTOR REAL ESTATE | $222,883 | $0 | $19,130 | $0 | $18,000 | $0 | $149,628 | $0 | $11,167 | $0 | $420,808 | $0 | $0 | $0 |
| JOHN F GOEDERS | ||||||||||||||
| VP Strategic Planning/Revenue | $247,362 | $0 | $71,533 | $0 | $0 | $0 | $47,194 | $0 | $16,537 | $0 | $382,626 | $0 | $0 | $0 |
| KIM MARKEY | ||||||||||||||
| VP PATIENT EXPERIENCE | $237,450 | $0 | $49,000 | $0 | $10,202 | $0 | $28,132 | $0 | $16,137 | $0 | $340,921 | $0 | $0 | $0 |
| MARITESS R YEE | ||||||||||||||
| CHIEF CLINIC OPER. OFFICER | $235,727 | $0 | $47,400 | $0 | $6,396 | $0 | $25,504 | $0 | $6,475 | $0 | $321,502 | $0 | $0 | $0 |
| PAULA VERRETTE MD | ||||||||||||||
| SVP & CMO QUALITY & PHYS. SVCS | $436,141 | $0 | $106,000 | $0 | $23,424 | $0 | $797,127 | $0 | $10,778 | $0 | $1,373,470 | $0 | $0 | $0 |
| RAJINDER S TAKHAR | ||||||||||||||
| VP, BUS & PROVIDER STRATEGY | $461,748 | $0 | $191,000 | $0 | $111,237 | $0 | $31,660 | $0 | $16,293 | $0 | $811,938 | $0 | $90,001 | $0 |
| JEAN M PALLARES | ||||||||||||||
| DIR PHARMACY/LAB SVCS | $220,078 | $0 | $27,618 | $0 | $18,000 | $0 | $86,187 | $0 | $15,914 | $0 | $367,797 | $0 | $0 | $0 |
| SAMUEL I BRENEISER | ||||||||||||||
| EXEC DIR, MANAGED CARE CONTRAC | $212,609 | $0 | $28,256 | $0 | $18,000 | $0 | $43,633 | $0 | $5,769 | $0 | $308,267 | $0 | $0 | $0 |
| GABRIELLA SHERMAN MD | ||||||||||||||
| VP CLINICAL INNVTN & PERF | $184,531 | $0 | $0 | $0 | $633 | $0 | $17,443 | $0 | $9,284 | $0 | $211,891 | $0 | $0 | $0 |
| BERNADETTE L MERLINO | ||||||||||||||
| FORMER KEY EMPLOYEE | $0 | $0 | $0 | $0 | $256,000 | $0 | $21,037 | $0 | $0 | $0 | $277,037 | $0 | $0 | $0 |
| JAMES S NOBLE | ||||||||||||||
| ASST SEC/TREAS/EVP/CFO | $500,248 | $0 | $145,000 | $0 | $103,300 | $0 | $103,683 | $0 | $15,914 | $0 | $868,145 | $0 | $13,000 | $0 |
| DAVID LEE | ||||||||||||||
| PRESIDENT/CEO | $262,202 | $0 | $47,500 | $0 | $42,040 | $0 | $7,647 | $0 | $4,775 | $0 | $364,164 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BERNADETTE L. MERLINO - $256,000 DAVID LEE - $24,040 |
| SCHEDULE J, PART I, LINE 4B | SUPPLEMENTAL COMPENSATION INFORMATION 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 2016. 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: BONNIE L. KASS - $66,096 RAJINDER S TAKHAR - $90,001 457(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) NON-QUALIFIED RETIREMENT PLAN AND RECEIVED A TAXABLE PAYOUT THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. THE 2016 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 - $8,400 BONNIE L. KASS - $180,567 DEBRA A. ORTEGA - $1,400 GLORIA M. SANCHEZ-RICO - $270 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| A | 680164610 | 13080sea8 | 2014-12-04 | $168,043,186 | see part vi | false | false | false |
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| B | 680164610 | 13080sct9 | 2014-05-07 | $51,196,500 | see part vi | false | false | false |
| ca statewide communities development authority | ||||||||
| C | 680164610 | 130911J92 | 2005-05-18 | $236,905,804 | SEE PART VI | Yes (true) | false | false |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $1,395,000 | $0 | $168,098,746 | $0 | $0 | $0 | $2,478,240 | $0 | $0 | $0 | $165,620,541 | $0 | false | Yes (true) | false | Yes (true) | |
| B | $0 | $0 | $51,244,257 | $0 | $0 | $0 | $670,028 | $0 | $0 | $4,767,792 | $0 | $45,806,437 | false | false | false | Yes (true) | |
| C | $216,400,000 | $0 | $252,993,544 | $1,723,450 | $3,848,784 | $0 | $1,992,905 | $0 | $0 | $171,687,667 | $74,060,661 | $0 | false | Yes (true) | Yes (true) | Yes (true) | 2013 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | Yes (true) | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) | ||
| B | false | Yes (true) | Yes (true) | Yes (true) | false | 0.00000 | false | false | false | Yes (true) | 0.00000 | 0.00000 |
| C | false | Yes (true) | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Term Of HedgeTermOfHedgePct | Superintegrated HedgeSuperintegratedHedgeInd | Hedge TerminatedHedgeTerminatedInd | Term Of GICTermOfGICPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||||||
| A | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) | ||||
| 0 | ||||||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) | ||||
| GOLDMAN SACHS CAP MK | ||||||||||||||
| C | false | false | false | Yes (true) | false | Yes (true) | Yes (true) | GEFCM | false | Yes (true) | 0.3 | false | Yes (true) | 29.98 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | . | FormAndLineReferenceDesc |
| Explanation | 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. BOND ISSUE C PART I, COLUMN (F): The bonds refund the Series 1996 (issued 08/13/1996). Part I, COLUMN (G) and Part II, Line 2: The last principal amounts defeased by the 2014 bonds were retired on July 1, 2015. Part II, Line 13: 2013 represents the year the assets financed by the refunded 2005 bonds were deemed substantially complete. 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. Part IV, Line 2(c): The rebate computation for the last 5-year anniversary date of May 18, 2015 was performed as of June 1, 2015. Part IV, Line 4(A): The qualified hedges on the 2005 bonds were entered into pre-issuance and were terminated on the issue date. The original terms of the swaps were 30.44 and 30.43 years. Part IV, Line 5(b): The GIC provider is GE Funding Capital Market Services, Inc. | ExplanationTxt |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES S NOBLE | PersonNm |
| Relationship With Org | CURRENT OFFICER | RelationshipWithOrgTxt |
| Loan Purpose | Home Loan | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $400,000 | OriginalPrincipalAmt |
| Balance Due | $196,071 | BalanceDueAmt |
| Default | false | DefaultInd |
| Board Or Committee Approval | Yes (true) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (true) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $196,071 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | SCOTT JENKINS | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction | SERVES ON | TransactionDesc |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp |
Cars And Other Vehicles CarsAndOtherVehiclesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $5,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Selling Price | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp |
Securities Miscellaneous SecuritiesMiscellaneousGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 36 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,352,989 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Selling Price | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (true) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4A PASADENA HOSPITAL ASSOCIATION, LTD. (DBA HUNTINGTON MEMORIAL HOSPITAL) IS A 625-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 OFFERS WOMEN'S AND CHILDREN'S SERVICES, STATE-OF-THE ART ORTHOPEDIC SURGERY, IN- AND OUTPATIENT PSYCHIATRIC SERVICES, HUNTINGTON HOSPITAL SENIOR CARE NETWORK, AND HUNTINGTON AMBULATORY CARE CENTER. THROUGH A PARTNERSHIP BETWEEN HUNTINGTON HOSPITAL AND SHRINERS HOSPITALS FOR CHILDREN - SOUTHERN CALIFORNIA, INPATIENT SURGICAL AND MEDICAL SERVICES FOR PEDIATRIC PATIENTS ARE AVAILABLE AT HUNTINGTON HOSPITAL. AS A TEACHING FACILITY AFFILIATED WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA'S KECK SCHOOL OF MEDICINE, HUNTINGTON SUPPORTED 25 INTERNAL MEDICINE AND 16 GENERAL SURGERY RESIDENTS IN 2016. MORE THAN ONE-THIRD OF HUNTINGTON'S RESIDENTS REMAIN IN THE AREA TO PRACTICE, PROVIDING A SEAMLESS TRANSITION THROUGH GENERATIONS OF CARE. RECENTLY, HUNTINGTON HOSPITAL RECEIVED NUMEROUS AWARDS, RECOGNITIONS, AND CERTIFICATIONS: -FULL HOSPITAL-WIDE ACCREDITATION FROM THE JOINT COMMISSION FOR ACHIEVING NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY -GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR STROKE CARE -GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR TOTAL KNEE AND HIP REPLACEMENT PROGRAM -DESIGNATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION, ONE OF THE FIRST HOSPITALS IN LOS ANGELES COUNTY TO EARN THIS DESIGNATION -NAMED TO TARGET: STROKE HONOR ROLL ELITE BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AND ALSO RECEIVED THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD IN RECOGNITION OF THE HOSPITAL'S 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 DESIGNATION BY AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS THE HIGHEST 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 -HUNTINGTON HOSPITAL TRAUMA CENTER HAS BEEN VERIFIED AS A LEVEL II TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE OF THE COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS (ACS) -HUNTINGTON HOSPITAL RECEIVED LEAPFROG SAFETY GRADE "A" FOR 2016-2017, ONE OF 844 HOSPITALS -RECOGNIZED BY U.S. NEWS AND WORLD REPORT FOR BEST HOSPITAL 2016-2017, #9 HOSPITAL IN CALIFORNIA, #4 HOSPITAL IN LOS ANGELES METRO AREA, NAMED ON HONOR ROLL/NATIONAL RANKING IN SEVEN CATEGORIES NATIONALLY AND REGIONALLY, AND RECOGNIZED AS HIGH-PERFORMING IN 13 SPECIALTIES -HUNTINGTON HOSPITAL RECEIVED HEALTHGRADES 2017 AMERICA'S 50 BEST HOSPITALS AWARD, A DISTINCTION THAT MAKES HUNTINGTON HOSPITAL ONE OF THE TOP ONE PERCENT OF MORE THAN 4,500 HOSPITALS NATIONWIDE FOR ITS CONSISTENT, YEAR-OVER YEAR SUPERIOR CLINICAL PERFORMANCE -HUNTINGTON HOSPITAL ACHIEVED HEALTHGRADES 2017 DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE, AN HONOR THAT INDICATES THE HOSPITAL PERFORMS IN THE TOP FIVE PERCENT NATIONALLY FOR OVERALL CLINICAL EXCELLENCE -HUNTINGTON HOSPITAL RECOGNIZED BY HEALTHGRADES AS TOP 5% IN NATION FOR PULMONARY CARE -HUNTINGTON HOSPITAL RECOGNIZED BY HEALTHGRADES WITH 5-STAR RATING FOR PROSTATE REMOVAL SURGERY, ONE OF ONLY SIX HOSPITALS IN LOS ANGELES COUNTY TO RECEIVE THIS RATING -THE CHEERS AWARD BESTOWED BY THE INSTITUTE FOR SAFE MEDICATION PRACTICES HONORS ORGANIZATIONS THAT HAVE SET A "SUPERLATIVE STANDARD OF EXCELLENCE" IN THE PREVENTION OF MEDICATION ERRORS -HUNTINGTON HOSPITAL'S CANCER CENTER RECEIVED ACCREDITATION WITH COMMENDATION FROM THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER -HUNTINGTON HOSPITAL'S CANCER CENTER WAS PRESENTED WITH THE 2014 OUTSTANDING ACHIEVEMENT AWARD BY THE AMERICAN COLLEGE OF SURGEONS' COMMISSION ON CANCER -HUNTINGTON-HILL BREAST CENTER RECEIVED ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - ONE OF ONLY THREE HOSPITALS IN LOS ANGELES COUNTY TO HAVE ACHIEVED THIS HONOR -THE BREAST IMAGING CENTER IS DESIGNATED A CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY -THE AMERICAN COLLEGE OF RADIOLOGY COMMISSION ON QUALITY AND SAFETY HAS ACCREDITED HUNTINGTON HOSPITAL'S TOSHIBA AQUILION ONE 320 FOR COMPUTER TOMOGRAPHY AND TOSHIBA 2005 VANTAGE FOR MAGNETIC RESONANCE IMAGING SERVICES -HUNTINGTON HOSPITAL AWARDED THE BABY-FRIENDLY DESIGNATION FROM BABY-FRIENDLY USA, A CREDENTIALING PROGRAM FOR HOSPITALS THAT IS PART OF AN INTERNATIONAL INITIATIVE LED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDRENS FUND (UNICEF). THE ACCREDITATION HIGHLIGHTS THE HOSPITALS COMMITMENT TO ENSURING THAT ALL MOTHERS AND THEIR NEWBORNS RECEIVE THE SUPPORT NEEDED TO ACHIEVE BREASTFEEDING SUCCESS -HUNTINGTON HOSPITAL WAS ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM -CENTERS OF DISTINCTION FOR BARIATRIC SURGERY, SPINAL SURGERY, KNEE AND HIP JOINT REPLACEMENT, AND HEART AND VASCULAR SERVICES 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 -OUTSTANDING LEADERSHIP AWARD FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ELIMINATING VENTILATOR-ASSOCIATED PNEUMONIA - ONE OF ONLY 37 HOSPITALS NATIONWIDE TO BE RECOGNIZED -LAB ACCREDITATION BOARD OF ABRET GRANTED THE HOSPITAL ACCREDITATION FOR OUR NEUROPHYSIOLOGY INTRAOPERATIVE MONITORING LABORATORIES. HUNTINGTON HOSPITAL ALSO OFFERS CONTINUING EDUCATION AND LEARNING FOR THE PUBLIC, EMPLOYEES, MEDICAL STAFF, AND OTHER HEALTH CARE PROFESSIONALS, THROUGH THE AVAILABILITY OF HEALTH SCIENCE AND COMMUNITY LIBRARIES. WITH SOCIAL MEDIA TRANSFORMING THE WAY THAT PEOPLE COMMUNICATE, HUNTINGTON HOSPITAL HAS EXTENDED ITS REACH INTO THE WEB COMMUNITY USING FAMILIAR SITES LIKE FACEBOOK, INSTAGRAM, TWITTER AND YOUTUBE. |
| 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 2017 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 IT'S ANNUAL MEETING HELD ON NOVEMBER 8, 2016. |
| 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 IX, LINE 11G | AB75 FEES RESERVE $1,423,544 CLINICAL CALL FEES $7,327,895 COLLECTION AGENCIES $548,158 CONSULT & MGMT FEES $6,711,174 EDUCATION MED FEES $1,955,214 HA COMMISSIONS $2,467,820 MAINT-DP HARDWARE $520 MEDICAL FEES-PHY $8,923,438 MEDICAL SERVICES $3,289,634 MGMT FEES-SODEXO $630,502 NON NURSING TEMP $1,485,699 OTH-PURCHASED SVCS $21,024,667 PURCHASED SVC-MED ASSETS GPO $552,500 RECRUITING $1,203,127 REGISTRY NURSING $17,948,783 REPAIRS & MAINT-EQUIP $6,636,616 SPECIAL RECRUITMENT $216 _____________ TOTAL $82,129,507 |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS GAIN/LOSS ON SUBSIDIARY $ 674,299 RATE LOCK TERMINATION BOND 2005 $ 20,786 HMF-RBC Capital Contribution $(1,777,789) ACCRUED PENSION $(7,765,912) _____________ TOTAL OTHER CHANGES IN NET ASSETS $(8,848,616) |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | Yes (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 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HASC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SEE PART VII | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | SURGERY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CSC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $0 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $0 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | $0 | UBICodeVAmt |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Congress Services Corporation | ||||||||||||
| 804 South Fair Oaks Avenue | Pasadena | CA | 91105 | 953978299 | Management SVCS | CA | NA | C Corp | $1,075,994 | $5,505,140 | 1.00000 | Yes (true) |
| Charitable Remainder Trust (3) | ||||||||||||
| Support | CA | NA | Trust | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Huntington Medical Foundation | ||
| b | $1,777,789 | FMV |
| Huntington Medical Foundation | ||
| j | $253,401 | Cost |
| Huntington Medical Foundation | ||
| l | $270,587 | Cost |
| Huntington Medical Foundation | ||
| o | $96,017 | Cost |
| Huntington Ambulatory Surgery Center | ||
| j | $1,680,900 | Cost |
| Huntington Ambulatory Surgery Center | ||
| l | $402,029 | Cost |
| Huntington Ambulatory Surgery Center | ||
| q | $4,169,639 | Cost |
| Congress Services Corporation | ||
| m | $368,598 | Cost |
| Congress Services Corporation | ||
| o | $920,034 | Cost |
| Huntington Medical Foundation | ||
| r | $3,710,000 | Cost |
| Congress Services Corporation | ||
| s | $1,166,365 | Cost |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HUNTINGTON AMBULATORY SURGERY CENTER 27-3922007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105 | ExplanationTxt |
Comments