2017-08-21T13:12:26-05:00 2016-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2016-01-01 951644036 Pasadena Hospital Association LTD % SCOTT ARMSTRONG EXEC DIR PASA 6263975000 100 WEST CALIFORNIA BLVD PASADENA CA 91105 JAMES S NOBLE EXECUTIVE VP, CHIEF 6263975000 2017-08-18 true KARA ADAMS P00023315 9497942300 164.57.159.253 33577420172335000006 2017-08-21 P 673598E36194E5370AE2115AF3EF606A51EF86D7 85868073965687212239AA369D140FAEDE3756F9 2016 2021-01-29 14:40:06Z HUNTINGTON MEMORIAL HOSPITAL STEPHEN A RALPH 100 WEST CALIFORNIA BLVD PASADENA CA 91105 788159418 false X WWW.HUNTINGTONHOSPITAL.ORG X 1892 CA 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) 23 19 4291 1591 4120122 -684307 20029760 26747031 566644320 659726321 1336940 4082201 5576964 5098389 593587984 695653942 527735 519982 0 0 294410437 342769911 0 0 3015407 298398466 343871795 593336638 687161688 251346 8492254 938554501 964840232 395143293 408482501 543411208 556357731 X 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. false false 612871979 519982 662620504 SEE SCHEDULE O 0 0 0 612871979 true true false true false false false false false true true false false true true true false true false false true false true false true false true true true true true true false false false false false true false false false false true false false false false true true true false false true 652 0 true 4291 true true true false false false false true true false false false false true false X 23 19 false false false false false true false true true false false true true true true true true true true true true CA X SCOTT ARMSTRONG EXEC DIR 6263978596 100 WEST CALIFORNIA BLVD PASADENA CA 91105 PAUL LH OUYANG CHAIRMAN/TRUSTEE 1.0 1.0 X X 0 0 0 JAYNIE STUDENMUND BOARD OF DIRECTORS-VICE CHAIR 1.0 1.0 X X 0 0 0 LOIS S MATTHEWS BOARD OF DIRECTORS-SECRETARY 1.0 1.0 X X 0 0 0 ARMANDO L GONZALEZ FAIA TREASURER/TRUSTEE 1.0 1.0 X X 0 0 0 STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 55.0 1.0 X X 943223 0 165841 SHARON ARTHOFER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 WILLIAM J BOGAARD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 WAYNE BRANDT BOARD OF DIRECTORS 1.0 1.0 X 0 0 0 LOUISE HENRY BRYSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES V BUESE MD BOARD OF DIRECTORS 1.0 0.0 X 30000 0 0 R SCOTT JENKINS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL JOHNSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 DAVID M KIRCHHEIMER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELLEN LEE BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 LOLITA LOPEZ BOARD MEMBER 1.0 0.0 X 0 0 0 ALLEN W MATHIES JR MD BOARD OF DIRECTORS 1.0 0.0 X 7000 0 0 ELIZABETH GRAHAM OLSON BOARD MEMBER 1.0 0.0 X 0 0 0 KATHLEEN KATHY GOOD PODLEY BOARD MEMBER 1.0 0.0 X 0 0 0 JAMES SHANKWILER MD BOARD OF DIRECTORS 1.0 0.0 X 60000 0 0 JOHN C SICILIANO BOARD MEMBER 1.0 0.0 X 0 0 0 ROSEMARY RARY SIMMONS DIRECTOR EMERITUS 1.0 0.0 X 0 0 0 K EDMUND TSE MD BOARD OF DIRECTORS 1.0 0.0 X 10800 0 0 DEBORAH WILLIAMS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES S NOBLE ASST SEC/TREAS/EVP/CFO 55.0 0.0 X 748548 0 119597 BONNIE L KASS SVP, HOSPITAL OPERATIONS 55.0 0.0 X 788229 0 166058 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 55.0 0.0 X 364281 0 73089 DEBRA L TAFOYA VP & CIO HR/IS 55.0 0.0 X 320893 0 141606 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 11.0 44.0 X 351559 0 46461 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 55.0 0.0 X 343239 0 85570 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 55.0 0.0 X 497315 0 105315 JOHN F GOEDERS VP Strategic Planning/Revenue 55.0 0.0 X 318895 0 63731 KIM MARKEY VP PATIENT EXPERIENCE 55.0 0.0 X 296652 0 44269 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 55.0 0.0 X 565565 0 807905 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 55.0 0.0 X 763985 0 47953 GABRIELLA SHERMAN MD VP CLINICAL INNVTN & PERF 55.0 0.0 X 185164 0 26727 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 4.0 36.0 X 260013 0 160795 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 40.0 0.0 X 289523 0 31979 JEAN M PALLARES DIR PHARMACY/LAB SVCS 40.0 0.0 X 265696 0 102101 SAMUEL I BRENEISER EXEC DIR, MANAGED CARE CONTRAC 40.0 0.0 X 258865 0 49402 DAVID LEE PRESIDENT/CEO 0.0 40.0 X 351742 0 12422 BERNADETTE L MERLINO FORMER KEY EMPLOYEE 0.0 0.0 X 256000 0 21037 8277187 0 2271858 849 true true false ANGELICA TEXTILE SERVICES INC 1105 LAKEWOOD PARKWAY STE 210 ALPHARETTA GA 30009 LAUNDRY AND LINEN 2055186 HDR ARCHITECTURE INC PO BOX 3480 OMAHA NE 68103 CONSTRUCTION MGMT 1987588 TURNAROUND TIME TRANSCRIPTION 3536 OCEANVIEW BLVD SUITE 100 GLENDALE CA 91208 MEDICAL RECORDS 1766214 ASSOCIATED REGIONAL AND UNIVERSITY 500 CHIPETA WAY SALT LAKE CITY UT 84108 PATHOLOGY LAB SVCS 1377150 DAVIS WRIGHT TREMAINE LLP 1201 3RD AVE SUITE 2200 SEATTLE WA 98101 LEGAL SERVICES 1327334 130 37020 266510 3564135 1650554 21228812 4357989 26747031 NET PATIENT SERVICE REVENUE 622110 647177010 647177010 0 0 MANAGEMENT SERVICE REVENUE 541610 4203663 83541 4120122 0 Rental Income 531120 3057824 3057824 0 0 Parking Revenue 812930 1812918 1812918 0 0 Laboratory Revenue 621511 686598 686598 0 0 2788308 2788308 0 659726321 4189256 4189256 78352 78352 0 0 0 0 90718537 24750 90928694 -210157 24750 -185407 -185407 158053 266510 231246 -73193 -73193 0 0 0 1654312 1345536 308776 308776 Food Services 722310 2585513 2585513 0 0 Concierge Services 900099 1968623 0 1968623 Medical Staff 900099 308670 308670 0 0 4862806 695653942 658500382 4120122 6286407 X 348391 348391 160000 160000 11591 11591 0 6640511 6599590 40921 0 0 0 0 236965453 209646855 26466053 852545 17932860 15994121 1860046 78693 61574394 55195476 6101921 276997 19656693 17619058 1962022 75613 0 0 0 0 1671351 1671351 0 706185 0 706185 0 102191 0 102191 0 0 0 320245 0 320245 0 82129507 70378748 11337066 413693 1140426 60984 1079422 20 31758623 25988106 5065569 704948 29018396 26237209 2668299 112888 0 0 0 0 17034028 15494459 1483988 55581 816951 404357 230281 182313 0 0 0 0 598983 276441 255991 66551 8043927 7174291 834338 35298 0 0 0 0 25433908 23217869 2137128 78911 4022174 3857878 157627 6669 Medical Supplies 92058998 92058998 0 0 Hospital Fee Program 47188278 47188278 0 0 Food/Clinical/Med Staff 1418078 1418078 0 0 OTHER 409546 140791 234989 33766 687161688 612871979 71274302 3015407 0 21856 9886 14859973 12816679 8147727 12878448 105490431 94989993 236502 196071 0 0 0 0 9138898 12470940 26970174 41120557 788223175 363349868 415344408 424873307 302984053 310843378 0 0 -4691760 -4038931 2957809 2957809 57094430 55722095 938554501 964840232 63105055 74144913 0 0 9190975 10063452 231530793 227466936 0 0 0 0 0 0 0 0 91316470 96807200 395143293 408482501 X 450826341 453564042 54360270 63622414 38224597 39171275 543411208 556357731 938554501 964840232 X 8492254 13302885 0 0 -8848616 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 102191 102191 false false POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES 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. 140883835 6064407 4353141 7717313 143584070 136386305 9138016 844778 5485264 140883835 124827213 12976801 2091978 3509687 136386305 117701687 7398612 6780536 7053622 124827213 109143374 7730975 4967217 4139879 117701687 0.43180 0.27280 0.29540 false true true 0 460019641 198849246 261170395 247706723 164500622 83206101 80496811 80496811 424873307 Legacies & Bequest 13491905 Cash Value Insurance 1022670 Due from Affiliates 28620522 Accrued Receivable Donations 548681 Due from 3rd Party Payor 10987898 Contract Acquisition Cost 771253 Incentive to Lessee 279166 55722095 0 PV Gift Annuity & CRT 519126 Accrued Self Insurance Claims 26769048 Accrued Pension Cost 66067470 Capital Lease and other Financing 3451556 96807200 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS BOARD DESIGNATED ENDOWMENT CONSISTS OF THE FUNDS THAT OUR BOARD PUT ASIDE FOR CURRENT OR FUTURE PROJECTS. TERM ENDOWMENT ARE THE FUNDS WE RECEIVED FROM RESTRICTED DONATIONS TO BE USED IN OPERATIONS. PERMANENT ENDOWMENT FUNDS ARE KEPT IN OUR INVESTMENT PORTFOLIO AND WE USE THE INVESTMENT RETURN TO FUND OUR OPERATION. SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) The Group completed an analysis of its tax positions, in accordance with ASC 740, Income Taxes, and determined that there are no uncertain tax positions taken or expected to be taken. true Central America and the Caribbean Investments 10900854 Sub-Saharan Africa Grantmaking 23795 10924649 10924649 MEDICAL ASSISTANCE TRIP 5 11591 WIRE TRANSF. BOOK true false true true false false SCHEDULE F, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANTS THE REQUESTING DEPARTMENT MONITORS THE EXPENSES ON A REGULAR BASIS TO CONFIRM THAT THE GRANTS' USE IS CONSISTENT WITH ITS INTENDED PURPOSE. SCHEDULE F, PART I, LINE 3 THE AMOUNT OF THE INVESTMENTS IN PART I WAS DETERMINED USING MARKET VALUE. SCHEDULE F, PART III, 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. Fall FESTIVAL 424563 266510 158053 20913 628 3600 206105 0 424563 266510 158053 20913 628 3600 206105 231246 -73193 true true X true X true X true true true false true true 1437 7598563 2502122 5096441 0.00740 22315 64485037 37559937 26925100 0.03920 23752 72083600 40062059 32021541 0.04660 24 369929 6940292 11550 6928742 0.01010 3 1545 19888910 1316269 18572641 0.02700 4 4639 5289643 6000 5283643 0.00770 31 376113 32118845 1333819 30785026 0.04480 31 399865 104202445 41395878 62806567 0.09140 1 180 94530 94530 0.00000 1 450 81216 81216 0.00000 2 630 175746 175746 0.00000 false 16039000 84021 135402899 161576729 -26173830 X true true HASC(Indirect Owner) Outpatient Surgery 0.7776 0.0271 0.1953 1 1 Huntington Memorial Hospital 100 West California Boulevard Pasadena CA 91109 WWW.HUNTINGTONHOSPITAL.ORG 930000372 X X X X X HUNTINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X X 16 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 17 true SEE PART V, SECTION C false true X 200. 350. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 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. 8 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 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. true Young & Healthy Inc 1905 LINCOLN AVE Pasadena CA 91103 954527969 501(C)(3) 12500 BOOK SPONSOR Huntington Medical Research 99 North El Molino Ave Pasadena CA 91101 951757119 501(c)(3) 251380 BOOK SPONSOR Pasadena Ronald McDonald House 763 S Pasadena Ave Pasadena CA 91105 953167869 501(c)(3) 8500 BOOK SPONSOR National Charity League 1613 Chelsea Ave 247 San Marino CA 91108 956120598 501(C)(3) 6475 BOOK SPONSOR Convalescent Aid Society 3255 E Foothill Blvd Pasadena CA 91107 951782304 501(c)(3) 6000 BOOK SPONSOR 5 SCHOLARSHIPS 32 160000 BOOK SCHEDULE I, PART IV PROCEDURES FOR MONITORING THE USE OF GRANTS PASADENA HOSPITAL ASSOCIATION, LTD. MONITORS THE SPONSORSHIP AND SCHOLARSHIPS UP FRONT WHEN DETERMINING WHO THE GRANTS ARE AWARDED TO: SPONSORSHIPS WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS FOR THEIR FUNDRAISING EVENTS. SCHOLARSHIPS WERE GIVEN TO THE QUALIFIED EMPLOYEES. EVERY SCHOLARSHIP RECIPIENT MUST SHOW PROOF OF ACTIVE ENROLLMENT IN A FORMAL ACADEMIC PROGRAM. EACH SCHOLARSHIP HAS CERTAIN CRITERIA BASED ON DONOR REQUIREMENTS. THE APPLICANTS ARE PROVIDED WITH THE LIST OF CRITERIA AHEAD OF TIME AND THEY SELECT WHICH SCHOLARSHIP THEY ARE APPLYING FOR BASED ON THEIR PERFORMANCE. X true true X X X X X true true false false false false false false false BONNIE L KASS SVP, HOSPITAL OPERATIONS 321934 0 19133 0 447162 0 84022 0 82036 0 954287 0 246663 0 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 284282 0 59000 0 20999 0 61922 0 11167 0 437370 0 1400 0 DEBRA L TAFOYA VP & CIO HR/IS 248238 0 52000 0 20655 0 130829 0 10777 0 462499 0 0 0 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 258818 0 89906 0 2835 0 29924 0 16537 0 398020 0 0 0 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 269310 0 54000 0 19929 0 69423 0 16147 0 428809 0 270 0 STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 706623 0 210000 0 26600 0 155064 0 10777 0 1109064 0 0 0 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 389672 0 98000 0 9643 0 89011 0 16304 0 602630 0 8400 0 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 222883 0 19130 0 18000 0 149628 0 11167 0 420808 0 0 0 JOHN F GOEDERS VP Strategic Planning/Revenue 247362 0 71533 0 0 0 47194 0 16537 0 382626 0 0 0 KIM MARKEY VP PATIENT EXPERIENCE 237450 0 49000 0 10202 0 28132 0 16137 0 340921 0 0 0 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 235727 0 47400 0 6396 0 25504 0 6475 0 321502 0 0 0 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 436141 0 106000 0 23424 0 797127 0 10778 0 1373470 0 0 0 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 461748 0 191000 0 111237 0 31660 0 16293 0 811938 0 90001 0 JEAN M PALLARES DIR PHARMACY/LAB SVCS 220078 0 27618 0 18000 0 86187 0 15914 0 367797 0 0 0 SAMUEL I BRENEISER EXEC DIR, MANAGED CARE CONTRAC 212609 0 28256 0 18000 0 43633 0 5769 0 308267 0 0 0 GABRIELLA SHERMAN MD VP CLINICAL INNVTN & PERF 184531 0 0 0 633 0 17443 0 9284 0 211891 0 0 0 BERNADETTE L MERLINO FORMER KEY EMPLOYEE 0 0 0 0 256000 0 21037 0 0 0 277037 0 0 0 JAMES S NOBLE ASST SEC/TREAS/EVP/CFO 500248 0 145000 0 103300 0 103683 0 15914 0 868145 0 13000 0 DAVID LEE PRESIDENT/CEO 262202 0 47500 0 42040 0 7647 0 4775 0 364164 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION STEPHEN A. RALPH, CEO, HAS MEMBERSHIPS IN ATHENAEUUM AND THE VALLEY HUNT CLUB, WHICH ARE SOCIAL CLUBS IN PASADENA. THE USAGE OF CLUBS WAS PRIMARILY FOR BUSINESS PURPOSES. SCHEDULE J, PART I, LINE 4A SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE YEAR. BONNIE L. KASS - $182,499 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 A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080sea8 2014-12-04 168043186 see part vi false false false B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080sct9 2014-05-07 51196500 see part vi false false false C ca statewide communities development authority 680164610 130911J92 2005-05-18 236905804 SEE PART VI true false false A 1395000 0 168098746 0 0 0 2478240 0 0 0 165620541 0 false true false true B 0 0 51244257 0 0 0 670028 0 0 4767792 0 45806437 false false false true C 216400000 0 252993544 1723450 3848784 0 1992905 0 0 171687667 74060661 0 2013 false true true true A false true true true false 0 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true C false true true true false 0 false false false true A false true false false false false 0 false 0 false true B false false false true false false 0 false 0 false true C false false false true false true GOLDMAN SACHS CAP MK 0.3 false true true GEFCM 29.98 false true A true B true C true . BOND ISSUE A PART I, COLUMN (F): The bonds refund the Series 2005 (issued 05/18/15). PART II, LINE 3: The difference between Part I COLUMN (e) and Part II, Line 3 is due to interest earnings on invested bond proceeds. PART II, LINE 13: Since the proceeds of the 2014 Bonds are used for refunding purposes, the year of substantial completion is not applicable. PART III, LINE 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in Part III, line 6. The organization has not undertaken an analysis of the private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code. BOND ISSUE B PART I, COLUMN (F): The bonds were issued to finance the acquisition, construction, improvement and equipping of health facilities of Hungtington Memorial Hospital. PART II, LINE 3: The difference between Part I COLUMN (e) and Part II, Line 3 is due to interest earnings on invested bond proceeds. PART III, LINE 7: As provided in Treasury Regulation Section 1.141-4(c)(2)(i)(B), the amount of private payments taken into account under the private payment test may not exceed the amount of private business use and/or unrelated trade or business use. Accordingly, the amount of private payments for the reporting period does not exceed the amount stated in private security test with respect to the bonds, as the level of private business use and/or unrelated trade or business reported in Part III, line 6, is not in excess of amounts permitted under Section 145 of the Code. Part IV, Line 2(c): The rebate computation was performed as of 05/07/14. 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. JAMES S NOBLE CURRENT OFFICER Home Loan X 400000 196071 false true true 196071 SCOTT JENKINS SERVES ON X 1 5000 Selling Price X 36 4352989 Selling Price false true true SCHEDULE M, COLUMN (B) THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, LINE 32A HUNTINGTON MEMORIAL HOSPITAL USES MORGAN STANLEY TO SELL THE STOCK DONATIONS AND USES RITEWAY TO SELL THE CARS THEY RECEIVE FROM DONORS. RITEWAY WILL ISSUE FORM 1098-C TO THE DONOR IF NECESSARY. FORM 990, PART I, LINE 1 CARING NURSES, PROFESSIONAL STAFF AND ADVANCED TECHNOLOGIES. OUR VISION, MISSION, AND CORE VALUES GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. FORM 990, PART III, LINE 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) Collis P Howard Huntington Mem Hos Trust 100 W California Blvd Pasadena CA 91109 956027688 Support PHA CA 501(c)(3) 12C NA false Huntington Medical Foundation 133 N Altadena Drive 2nd Floor Pasadena CA 91107 954434428 HLTHCARE SVCS CA 501(c)(3) 3 PHA true HMH Flintridge La Canada Guild PO Box 5463 La Canada CA 91012 956016968 Fund Raising CA 501(c)(3) 12C NA false Women's Auxiliary Huntington Mem HOSP 930 S El Molino Ave Pasadena CA 91106 956195080 Fund Raising CA 501(c)(3) 12C NA false HASC SEE PART VII PASADENA CA 91105 SURGERY CENTER CA CSC RELATED 0 0 false 0 false Congress Services Corporation 804 South Fair Oaks Avenue Pasadena CA 91105 953978299 Management SVCS CA NA C Corp 1075994 5505140 1.00000 true Charitable Remainder Trust (3) Support CA NA Trust false true true false false false false false false true true true true false true false true true true Huntington Medical Foundation b 1777789 FMV Huntington Medical Foundation j 253401 Cost Huntington Medical Foundation l 270587 Cost Huntington Medical Foundation o 96017 Cost Huntington Ambulatory Surgery Center j 1680900 Cost Huntington Ambulatory Surgery Center l 402029 Cost Huntington Ambulatory Surgery Center q 4169639 Cost Congress Services Corporation m 368598 Cost Congress Services Corporation o 920034 Cost Huntington Medical Foundation r 3710000 Cost Congress Services Corporation s 1166365 Cost SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HUNTINGTON AMBULATORY SURGERY CENTER 27-3922007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105