2016-11-15T13:43:39-06:00 2015-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2015-01-01 951644036 Pasadena Hospital Association Ltd % SCOTT ARMSTRONG EXEC DIR PASA 6263975000 100 WEST CALIFORNIA BLVD PASADENA CA 91105 JAMES S NOBLE EVP / CFO 6263975000 2016-11-11 true KARA ADAMS P00023315 9497942300 2015 2017-02-10 21:41:12Z HUNTINGTON MEMORIAL HOSPITAL STEPHEN A RALPH 100 WEST CALIFORNIA BLVD PASADENA CA 91105 675933555 false X WWW.HUNTINGTONHOSPITAL.COM 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) 22 19 3875 1490 6077959 -489366 24038353 20029760 531294868 566644320 8872178 1336940 5152200 5576964 569357599 593587984 171648 527735 0 0 270106204 294410437 0 0 2993370 285312509 298398466 555590361 593336638 13767238 251346 973740727 938554501 436338024 395143293 537402703 543411208 X At Huntington Hospital, our mission is to provide excellent health care and compassionate service to each person by bringing together oustanding physicians, caring nurses, professional staff and advanced technologies. Our vision, mission, and core values guide our organization's commitment to community needs. false false 521220166 527735 571666899 SEE SCHEDULE O 0 0 0 521220166 true true false true false false false false false true true false false true true false 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 705 0 true 3875 true true true false false false false true true false false false false true false X 22 19 false false false false false true false true true false false false true true true true true true true true true CA X SCOTT ARMSTRONG EXEC DIR 6263978596 100 W CALIFORNIA PASADENA CA 91105 X ARMANDO L GONZALEZ FAIA BOARD OF DIRECTORS 1.0 1.0 X 0 0 0 CARMEN A PULIAFITO MD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 CHARLES F SHARP MD 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 DEBORAH WILLIAMS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELLEN LEE BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES F ROTHENBERG CHAIRMAN-PART YEAR/TRUSTEE 1.0 1.0 X X 0 0 0 JAMES SHANKWILER MD BOARD OF DIRECTORS 1.0 0.0 X 60000 0 0 JAMES V BUESE MD BOARD OF DIRECTORS 1.0 0.0 X 5000 0 0 JAYNIE STUDENMUND BOARD OF DIRECTORS-VICE CHAIR 1.0 1.0 X X 0 0 0 K EDMUND TSE MD BOARD OF DIRECTORS 1.0 0.0 X 10800 0 0 LOIS S MATTHEWS BOARD OF DIRECTORS-SECRETARY 1.0 1.0 X X 0 0 0 LOUISE HENRY BRYSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 MICHELLE QUINONES CHINO BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL JOHNSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL LH OUYANG CHAIRMAN/TREASURER/TRUSTEE 1.0 1.0 X X 0 0 0 R SCOTT JENKINS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 REED GARDINER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ROSEMARY SIMMONS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 SHARON ARTHOFER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 55.0 2.0 X X 913999 0 119528 WAYNE BRANDT BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ALLEN W MATHIES JR MD BOARD OF DIRECTORS 1.0 1.0 X 7000 0 26019 JAMES S NOBLE ASST SEC/TREAS/EVP/COO/CFO 55.0 1.0 X 753410 0 117277 BERNADETTE L MERLINO VP, AMBULATORY SERVICES 55.0 0.0 X 492018 0 24185 BONNIE L KASS SVP, HOSPITAL OPERATIONS 55.0 0.0 X 479181 0 57222 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 55.0 0.0 X 358540 0 46646 DEBRA L TAFOYA VP & CIO HR/IS 55.0 0.0 X 384654 0 38705 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 11.0 44.0 X 342427 0 40125 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 55.0 0.0 X 318663 0 46404 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 55.0 0.0 X 481325 0 65219 KIM MARKEY VP PATIENT EXPERIENCE 40.0 0.0 X 269819 0 37855 NANCY GREENGOLD VP, CLINICAL INTEGRATION 55.0 0.0 X 526745 0 17241 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 55.0 0.0 X 556600 0 119018 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 55.0 0.0 X 491454 0 56126 DAVID LEE PRESIDENT/CEO HMF 40.0 X 309743 0 50481 JANEANETTE ABUNDIS EX. DIR. EMERG, TRAUMA AND BHS 40.0 0.0 X 282257 0 11269 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 4.0 36.0 X 255498 0 32189 JOHN F GOEDERS EX.DIR.STRATEGIC PLANNING 40.0 0.0 X 273778 0 29328 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 80.0 0.0 X 267808 0 30212 7840719 0 965049 653 false true false CTG HEALTHCARE SOLUTIONS 312 PLUM ST STE 700 CINCINNATI OH 45202 IT CONSULTING 2583189 MAXIT HEALTHCARE LLC 705 EAST MAIN STREET WESTFIELD IN 46074 IT CONSULTING 2042465 LAYTON CONSTRUCTION INC 9090 S SANDY PARKWAY SANDY UT 84070 CONSTRUCTION 1800141 TURNAROUND TIME TRANSCRIPTION 3536 OCEANVIEW BLVD SUITE 100 GLENDALE CA 91208 MEDICAL RECORDS 1707181 MERCER INC PO BOX 730212 DALLAS TX 753730212 HUMAN RESOURCES/ADMI 1689164 99 49287 0 248845 3628379 1671208 14432041 3786971 20029760 NET PATIENT SERVICE REVENUE 622110 552781549 552781549 0 0 MANAGEMENT SERVICE REVENUE 541610 6122365 44406 6077959 0 Rental Income 531120 2745445 2745445 0 0 Parking Revenue 812930 1671603 1671603 0 0 Laboratory Revenue 662397 662397 0 0 2660961 2660961 0 566644320 3854284 3854284 -225640 -225640 0 0 0 0 78619325 80911029 -2291704 -2291704 -2291704 135445 248845 160280 -24835 -24835 0 1696867 1274262 422605 422605 Food Services 722310 2990524 2990524 0 0 CONCIERGE SERVICES REVENUE 900099 1857397 0 1857397 Medical Staff Revenue 900099 331273 331273 0 0 5179194 593587984 563888158 6077959 3592107 X 341535 341535 145000 145000 41200 41200 0 0 6389527 0 6339623 49904 0 0 0 0 205081859 181435203 22710882 935774 14292694 12555504 1665084 72106 51721422 43332968 8117077 271377 16924935 14912933 1929566 82436 0 0 0 0 1332834 0 1332834 0 677680 0 677680 0 329093 0 329093 0 0 0 424288 0 424288 0 67405346 54069684 12922186 413476 870058 12079 857945 34 26278263 22444972 3181328 651963 17684680 15919211 1692189 73280 0 0 0 0 16745186 15179291 1567830 -1935 821534 371052 216647 233835 0 0 0 0 417406 229251 187231 924 8327039 7314938 970091 42010 0 0 0 0 32310500 28467877 3717016 125607 2500397 2336649 156951 6797 Medical Supplies 83205355 83205355 0 0 Hospital Fee Program 37742383 37742383 0 0 Food/Clinical/Med Staff 1207200 1207200 0 0 OTHER 119224 -44119 127561 35782 593336638 521220166 69123102 2993370 0 18967 21856 10710782 14859973 10661774 8147727 98665325 105490431 287659 236502 0 0 0 0 7768970 9138898 57592279 26970174 752940308 337595900 414368081 415344408 303559303 302984053 0 0 -5317439 -4691760 2957809 2957809 72467217 57094430 973740727 938554501 62661218 63105055 0 0 35558993 9190975 233871833 231530793 0 0 0 0 0 0 0 0 104245980 91316470 436338024 395143293 X 431736214 450826341 70747401 54360270 34919088 38224597 537402703 543411208 973740727 938554501 X 251346 -2075526 0 0 0 7832685 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 329093 329093 false false POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES Schedule C, Part II-B, Line 1I Pasadena Hospital Association paid dues of $292,960 and $287,002 to the California Hospital Association and the Hospital Association of Southern California, respectively. Of these dues, $292,960 and $36,133, respectively, were attributable to lobbying expenses for healthcare issues. 136386305 9138016 844778 5485264 140883835 124827213 12976801 2091978 3509687 136386305 117701687 7398612 6780536 7053622 124827213 109143374 7730975 4967217 4139879 117701687 108301016 3458789 712571 3329002 109143374 0.43295 0.29574 0.27132 false true 0 0 458269044 184281537 273987507 0 237704055 153314363 84389692 0 56967209 56967209 415344408 LEGACIES & BEQUEST RECEIVABLES 14839770 CASH VALUE INSURANCE 1035486 DUE FROM AFFILIATES 28490356 ACCRUED RECEIVABLE DONATIONS 833953 DUE FROM THIRD PARTY PAYORS 7831107 DEBT ISSUE COST 3212353 CONTRACT ACQUISTION COST 572239 INCENTIVE TO LESSEE 279166 57094430 0 PV GIFT ANNUITY & CRT 532727 ACCRUED SELF INSURANCE CLAIMS 26635802 ACCRUED PENSION COST 56034776 CAPITAL LEASE & OTH FINANCING 8113165 91316470 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. true Central America and the Caribbean Investments 10483069 Sub-Saharan Africa Grantmaking 41200 10524269 10524269 Medical Assistance Trip Sub-Saharan Africa 1 41200 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 TWO 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 384290 248845 135445 19063 820 3600 136797 0 384290 248845 135445 19063 820 3600 136797 160280 -24835 true true true X true X true true true false true true 1254 7513656 2474856 5038800 0.00850 22351 64815717 31956417 32859300 0.05520 23605 72329373 34431273 37898100 0.06370 23 396666 6319442 16484 6302958 0.01060 3 2053 17174918 0 17174918 0.02890 4 4857 4849190 359179 4490011 0.00750 30 403576 28343550 375663 27967887 0.04700 30 427181 100672923 34806936 65865987 0.11070 2 170 103489 103489 0.00000 1 50 10713 2500 8213 0.00000 1 245 42840 42840 0.00000 4 465 157042 2500 154542 0.00000 true 22163000 129647 120867568 142239363 -21371795 X true true HASC(INDIRECT OWNER) OUTPATIENT SURGERY 0.7776 0.0271 0.1953 1 1 HUNTINTON MEMORIAL HOSPITAL 100 WEST CALIFORNIA BOULEVARD PASADENA CA 91109 WWW.HUNTINGTONHOSPITAL.COM 930000372 X X X X X HUNTINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X 13 true false false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 13 true SEE PART V, SECTION C false false true X 200. 350. X X true true 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 true X false X X X X true X X false false SCHEDULE H, PART V, SECTION B, LINE 5 IN ORDER TO GATHER COMMUNITY INPUT, PASADENA HOSPITAL ASSOCIATION (PHA) JOINED THE CITY OF PASADENA PUBLIC HEALTH DEPARTMENT'S ONGOING EFFORTS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). DURING JANUARY 2013, THE CITY OF PASADENA PUBLIC HEALTH DEPARTMENT HELD A MEETING WITH OVER FIFTY COMMUNITY PARTNERS IN ORDER TO SOLICIT FEEDBACK AND PRIORITIZE HEALTH ISSUES FOR THE CITY OF PASADENA. PARTICIPANTS INCLUDED PHA, CITY COUNCIL FIELD REPRESENTATIVES, CITY OF PASADENA DEPARTMENT DIRECTORS, LOCAL COMMUNITY GROUPS, AND OTHER GOVERNMENT AND HEALTH RELATED ORGANIZATIONS. BY PARTICIPATING IN THIS MEETING, PHA WAS ABLE TO OBTAIN FEEDBACK FROM ORGANIZATIONS INTIMATELY FAMILIAR WITH THE NEEDS OF UNINSURED, LOW-INCOME, MARGINALIZED, AND OTHER HIGH NEEDS GROUPS IN THE COMMUNITY. PARTICIPANTS PROVIDED FEEDBACK IN TWO WAYS: AUDIENCE RESPONSE SYSTEM AND FACILITATED DISCUSSION GROUPS. FIRST, PARTICIPANTS RANKED TOP NEEDS BASED ON THE MAGNITUDE OF THE HEALTH ISSUE AND THE FEASIBILITY TO IMPACT IT. NEXT, PARTICIPANTS WERE DIVIDED INTO GROUPS TO FACILITATE GROUP DISCUSSION ABOUT THE RESULTS. GROUPS CONSISTED OF INDIVIDUALS FROM VARIOUS ORGANIZATIONS. THEY WORKED TO AGREE ON THREE TO FOUR TOP HEALTH ISSUES, IDENTIFY RESOURCES, AND PUT FORTH STRATEGIES TO ADDRESS NEEDS. LASTLY, THE RESULTS WERE AGGREGATED TO IDENTIFY THE FOLLOWING AS THE OVERALL TOP COMMUNITY NEEDS. 1. OBESITY 2. ACCESS TO HEALTH CARE 3. TEEN PREGNANCY 4. MENTAL HEALTH RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS HEALTH NEEDS WERE IDENTIFIED THROUGH FACILITATED GROUP DISCUSSIONS DURING THE COMMUNITY INPUT PROCESS. IN ADDITION, RESOURCES WERE COLLECTED IN A JOINT EFFORT BY PHA AND THE PASADENA PUBLIC HEALTH DEPARTMENT IN MAY 2013. SCHEDULE H, PART V, LINE 7A Hospital Facility's website: http://huntingtonhospital.com/main/communitybenefits.aspx SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: http://www.healthypasadena.org/index.php?Module=htmlpages&func=display &pid=5008 -LINK ON THE HEALTHY PASADENA SITE WILL DIRECT READER TO THE FULL PHA CHNA SCHEDULE H, PART V, SECTION B, LINE 7B Other website: http://assets.thehcn.net/content/sites/pasadena/Huntington_Hospital_2013_C HNA_ImplStr.pdf SCHEDULE H, PART V, SECTION B, LINE 10A Another website: http://assets.thehcn.net/content/sites/pasadena/Huntington_Hospital_2013_C HNA_ImplStr.pdf SCHEDULE H, PART V, SECTION B, LINE 11 THE OUTCOME FROM THE PASADENA HOSPITAL ASSOCIATION, INC. (PHA) 2013 CHNA AND IMPLEMENTATION STRATEGY, PHA SELECTED THE FOLLOWING PRIORITIZED NEEDS AS CANCER AND IMMUNIZATION. THE SHORT-TERM OBJECTIVES FOR YEAR ONE OF THE THREE-YEAR PERIOD WILL FOCUS ON THESE TWO NEEDS. ONE OF THE PHA GOALS IS TO ESTABLISH OR ENHANCE OUR PARTNERSHIP, AS IT RELATES TO THESE NEEDS, WITH LOCAL COMMUNITY PARTNERS. THESE INCLUDE CHAP CARE HEALTH CARE SERVICES (A FEDERALLY FUNDED QUALIFIED HEALTH CLINIC), PASADENA PUBLIC HEALTH DEPARTMENT AND THE AMERICAN CANCER SOCIETY, FOR EXAMPLE. MEMBERS OF THESE FACILITIES WERE PARTICIPANTS IN THE WORK GROUPS ESTABLISHED TO ADDRESS THESE NEEDS. IN COLLABORATION WITH THESE PARTNERS PHA DEVELOPED AND DISTRIBUTED MULTI-LANGUAGE MARKETING CARDS SPECIFIC TO CANCER SCREENING AND IMMUNIZATION, PARTICULARLY TARGETING THE UNDERSERVED. CANCER -PHA COMMUNITY OUTREACH NURSES DEVELOPED A CLASS CALLED "AN OUNCE OF PREVENTION" WHICH ADDRESSES THE VARIOUS CANCER SCREENINGS RECOMMENDED FOR ADULTS, INCLUDING BREAST CANCER AND IMMUNIZATION. -PHA BREAST CENTER PHYSICIANS AND NURSE NAVIGATORS CONDUCTED SEVERAL COMMUNITY EDUCATION EVENTS THROUGHOUT THE YEAR. -CHAPCARE, IN COLLABORATION WITH OCCIDENTAL COLLEGE, PROVIDED ADDITIONAL SUPPORT TO PROVIDE REINFORCEMENT OF THE PHYSICIAN-INITIATED MEDICAL INTERVENTIONS, EDUCATION AND REFERRALS. -THE HUNTINGTON-HILL BREAST CENTER REPORTED ABOUT A 2% DECLINE OVER THE PRIOR YEAR IN THE NUMBER OF SCREENING MAMMOGRAMS PERFORMED. THESE RESULTS, THOUGH NOT WHAT WE HAD ANTICIPATED, MAY BE ATTRIBUTED TO FACTORS WHICH INFLUENCE WHERE WOMEN ARE RECEIVING THEIR MAMMOGRAMS, SUCH AS REFERRALS BY PHYSICIANS TO OTHER PROVIDERS THAN THOSE WE ARE TRACKING. ANECDOTALLY, FOR EXAMPLE, PHA NURSES ON ASSIGNMENT IN THE COMMUNITY ARE REPORTING THAT ALMOST ALL WOMEN THEY SPEAK WITH AT THEIR CLINIC SITES ARE AWARE OF THE IMPORTANCE OF BEING SCREENED FOR BREAST CANCER, AND REPORT HAVING HAD A SCREENING MAMMOGRAM. THIS IS A MAJOR CHANGE FROM PAST YEARS. IMMUNIZATIONS -PHA DISSEMINATED VARIOUS PRINTED VACCINE INFORMATION MATERIALS IN THE COMMUNITY. -PHA HAS ALSO INCORPORATED THE VACCINATIONS EDUCATION WITHIN THE "AN OUNCE OF PREVENTION" CLASSES. -PHA PROVIDED EDUCATION ABOUT VACCINATION AT PHYSICIAN OFFICES, HEALTH FAIRS, SPECIFIC CLASSES (E.G. "AN OUNCE OF PREVENTION") AND OTHER COMMUNITY EVENTS. -INFLUENZA VACCINATION EFFORTS BY HUNTINGTON HOSPITAL AND PARTICIPATING PARTNER, HUNTINGTON HOSPITAL, CHAPCARE, HUNTONGTON ACO AND PASADENA PUBLIC HEALTH DEPARTMENT EXPERIENCED ABOUT A 38% INCREASE IN FLU SHOTS PROVIDED TO PATIENTS 65 AND OLDER. SOME OF THE OTHER SIGNIFICANT COMMUNITY NEEDS THAT HAVE BEEN IDENTIFIED IN THE NEEDS ASSESSMENT AND THESE WILL BE PARTIALLY ADDRESSED BY PASADENA HOSPITAL ASSOCIATION THORUGH VARIOUS CONTINUAL EFFORTS AND INITIATIVES, THOUGH THEY WILL NOT BE SUBJECT TO THE SAME STANDARD OF MONITORING AND EVALUATION THAT WILL BE DEDICATED TO PASADENA HOSPITAL ASSOCIATION'S PRIORITIZED NEEDS. FOR EXAMPLE: OFFERING AN AMBULATORY CARE CENTER (HACC) TO SERVE UNDERINSURED AND UNINSURED PERSONS, EXPANDING A PATIENT PARTNERS PROGRAM TO MANAGE PATIENTS WITH CONGESTIVE HEART FAILURE, DIABETES, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE; PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR NUMEROUS HEALTH CONDITIONS AND AGE GROUPS; LEADING AND/OR SUPPORTING COMMUNITY EFFORTS TO ADDRESS ENROLLMENT IN HEALTH INSURANCE PLANS, MEDICAL AND DENTAL CARE IN THE COMMUNITY, URGENT CARE, INFANT MORTALITY AMONG AFRICAN AMERICANS, ELDERLY AND DISABLED CARE AND INDEPENDENCE, HEALTH INFORMATION FOR PROFESSIONALS, SERVICE AGENCIES, AND THE GENERAL PUBLIC; AND GRADUATE MEDICAL EDUCATION PROGRAMS FOR GENERAL SURGERY AND INTERNAL MEDICINE RESIDENTS, PHARMACY RESIDENTS, AND OTHER HEALTH CARE PROFESSIONALS. IN ADDITION, PASADENA HOSPITAL ASSOCIATION, INC. CONTINUES TO PROVIDE CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING THE UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, AND TO OPERATE OTHER MEDICAL PROGRAMS IN SUPPORT OF THE COMMUNITY, SUCH AS AN EMERGENCY AND TRAUMA CENTER, NEONATAL NURSERY, HIGH-RISK PERINATAL PROGRAM, GERIATRIC PSYCHIATRIC SERVICES, AND PALLIATIVE CARE PROGRAM. 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 SIGIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS. SCHEDULE H, PART V, SECTION B, LINE 16A http://huntingtonhospital.com/Pricing/PricingInformationFinancialAssistanc e.aspx SCHEDULE H, PART V, SECTION B, LINE 16B English: http://huntingtonhospital.com/Resource.ashxsn=FinancialAssistanceApplicati onEng Arabic: http://huntingtonhospital.com/Uploads/Public/Documents/Arabic-FAF-Summary. pdf Armenian: http://huntingtonhospital.com/Uploads/Public/Documents/Armenian-FAF-Summar y.pdf Chinese: http://huntingtonhospital.com/Uploads/Public/Documents/Chinese-FAF-Summary .pdf Czech: http://huntingtonhospital.com/Uploads/Public/Documents/Czech-FAF-Summary.p df Korean: http://huntingtonhospital.com/Uploads/Public/Documents/Korean-FAF-Summary. pdf Persian(Farsi): http://huntingtonhospital.com/Uploads/Public/Documents/Persian-FAF-Summary .pdf Russian: http://huntingtonhospital.com/Uploads/Public/Documents/Russian-FAF-Summary .pdf Spanish: http://huntingtonhospital.com/Uploads/Public/Documents/Spanish-FAF-Summary .pdf Vietnamese: http://huntingtonhospital.com/Uploads/Public/Documents/Vietnamese-FAF-Summ ary.pdf SCHEDULE H, PART V, SECTION B, LINE 16C English: http://huntingtonhospital.com/Resource.ashxsn=FinancialAssistanceApplicati onEng SCHEDULE H, PART V, SECTION B, LINE 16I 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://HUNTINGTONHOSPITAL.COM/PRICING/CHARITY.ASPX SCHEDULE H, PART V, SECTION B, LINE 22D 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. 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. ASSISTANCE IS NOT A VIABLE OPTION, THE PATIENT WITH NO INSURANCE WILL BE BILLED IN ACCORDANCE WITH THE PHA PRICING POLICY. 6 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 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 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 PATIENTS MONETARY ASSETS SHALL NOT BE COUNTED IN DETERMINING ELIGIBILITY, NOR SHALL 50 PERCENT OF A PATIENTS 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 SIGIFICANT 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, 5.28%, IS BEING INDICATED FOR THE TY ENDING 12/31/2015. WITH THE CONCLUSION OF THE CALIFORNIA DEPARTMENT OF HEALTHCARE SERVICES HOSPITAL FEE PROGRAM, A 30 MONTH PROGRAM, THAT BEGAN IN TY 12/31/10 HUNTINGTON MEMORIAL HOSPITAL WILL EXPERIENCE HIGHER TOTAL MEDICAID EXPENSES DUE TO THE LACK OF OFFSETTING REVENUES. 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 12/31/15, THE IMPACT OF THE HOSPITAL FEE PROGRAM WAS A $2.1 MILLION LOSS WHICH WAS RECORDED BY HUNTINGTON MEMORIAL HOSPITAL. THIS LOSS IS INCLUDED ON SCHEDULE H PART I LINE 7(B). SCHEDULE H, PART I, LINES 7E-7H THESE PROGRAMS AND OCCURRENCES DETERMINED THE NET COMMUNITY BENEFITS EXPENSES BY COMPILING THE TOTAL COMMUNITY EXPENSES LESS THE DIRECT OFFSETTING REVENUES (INCLUDING RESTRICTED GRANTS, IF APPLICABLE), ASSOCIATED WITH THESE ACTIVITIES. IN ADDITION TO THE DIRECT EXPENSES, INDIRECT EXPENSES WERE INCLUDED TO ACCOUNT FOR OVERHEAD COSTS TO CONDUCT THE PROGRAMS. THE METHOD USED IS THE "OTHER METHOD" BY CALCULATING DIRECT EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS. PART I, LINES 7 (E), COLUMN (B) THE NUMBER OF PERSON 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 OLLABORATION 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 0.62 PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2015 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 14 & 15 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 PHYSICIAN'S 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 "PHYSICIANS' 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 2013 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 231,274 AS OF 2013. 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 17.8% OF THE PATIENT DISCHARGES HAVING MEDICAIDOR WERE UNINSURED FOR THE FY 12/31/15; DESPITE HAVING A LOWER PROPORTION OF FAMILIES WITH INCOMES BELOW THE POVERTY LEVEL AT 8.3% WITHIN THE GREATER PASADENA, WHEN COMPARED TO LOS ANGELES COUNTY. HEART DISEASE AND CANCER WERE THE TOP TWO LEADING CAUSES OF DEATH IN THE SERVICE AREA. 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 2013 (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 PASADENA RONALD MCDONALD HOUSE 763 S PASADENA AVENUE PASADENA CA 91105 953167869 501(c)(3) 6000 BOOK SPONSOR 2015 SPECIAL OLYMPICS WORLD SUMMER GAMES 633 W FIFTH STREET LOS ANGELES CA 90071 452853870 501(c)(3) 25000 BOOK SPONSOR HUNTINGTON MEDICAL RESEARCH 734 S FAIRMOUNT AVE PASADENA CA 91105 951757119 501(C)(3) 254035 BOOK SPONSOR NATL CHARITY LEAGUE JRS OF SAN MARINO 2725 MELVILLE DRIVE SAN MARINO CA 91108 956120598 501(C)(3) 9000 BOOK SPONSOR ROSE BOWL BOOSTER CLUB 360 N ARROYO BLVD PASADENA CA 91103 954320306 501(c)(3) 7500 book SPONSOR 5 SCHOLARSHIP 29 145000 book SCHEDULE I, PART I, LINE 2 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 BERNADETTE L MERLINO VP, AMBULATORY SERVICES 165740 0 64000 0 262278 0 19160 0 5025 0 516203 0 0 0 BONNIE L KASS SVP, HOSPITAL OPERATIONS 353938 0 89000 0 36243 0 46462 0 10760 0 536403 0 0 0 DAVID LEE PRESIDENT/CEO HMF 240075 0 50000 0 19668 0 45088 0 5393 0 360224 0 0 0 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 276341 0 61000 0 21199 0 35886 0 10760 0 405186 0 0 0 DEBRA L TAFOYA VP & CIO HR/IS 242399 0 60000 0 82255 0 27945 0 10760 0 423359 0 0 0 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 231792 0 55000 0 55635 0 23615 0 16510 0 382552 0 0 0 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 243434 0 55000 0 20229 0 30284 0 16120 0 365067 0 0 0 JAMES S NOBLE ASST SEC/TREAS/EVP/COO/CFO 500260 0 150000 0 103150 0 101390 0 15887 0 870687 0 0 0 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 360332 0 93000 0 27993 0 49332 0 15887 0 546544 0 0 0 JANEANETTE ABUNDIS EX. DIR. EMERG, TRAUMA AND BHS 161538 0 23365 0 97354 0 3757 0 7512 0 293526 0 0 0 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 219570 0 17928 0 18000 0 21039 0 11150 0 287687 0 0 0 JOHN F GOEDERS EX.DIR.STRATEGIC PLANNING 235445 0 38333 0 0 0 12818 0 16510 0 303106 0 0 0 KIM MARKEY VP PATIENT EXPERIENCE 227267 0 36450 0 6102 0 21735 0 16120 0 307674 0 0 0 MARITESS R YEE CHIEF CLINIC OPER. OFFICER 235981 0 24001 0 7826 0 30004 0 208 0 298020 0 0 0 NANCY GREENGOLD VP, CLINICAL INTEGRATION 204360 0 88000 0 234385 0 14752 0 2489 0 543986 0 0 0 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 425184 0 108000 0 23416 0 108258 0 10760 0 675618 0 0 0 RAJINDER S TAKHAR VP, BUS & PROVIDER STRATEGY 380218 0 90000 0 21236 0 40239 0 15887 0 547580 0 0 0 STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 677399 0 210000 0 26600 0 108768 0 10760 0 1033527 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 THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE YEAR. JANEANETTE ABUNDIS - $97,354 NANCY GREENGOLD - $167,502 BERNADETTE L. MERLINO - $128,000 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 2015. 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: DEBRA L. TAFOYA - $61,600 BERNADETTE L. MERLINO - $68,122 EUGENE E. GUTIERREZ IV - $52,800 457(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 2015 PAYOUTS WERE RELATED TO THE INITIAL YEAR PLAN CONTRIBUTIONS FOR PARTICIPANTS THAT WERE VESTED IN THE INITIAL PLAN YEAR OF 2014: JAMES S. NOBLE - $13,250 JANE HADERLEIN - $8,750 BONNIE L. KASS - $6,300 DEBRA A. ORTEGA - $1,600 NANCY L. GREENGOLD - $48,883 BERNADETTE L. MERLINO - $46,080 EUGENE E. GUTIERREZ IV - $570 A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130911J92 2005-05-18 236905804 see part vi true false false B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SEA8 2014-12-04 168043186 see part vi false false false C ca statewide communities development authority 680164610 13080sct9 2014-05-07 51196500 facility and building improvements false false false A 225265000 0 252994198 1724104 3848784 0 1992905 0 0 171687667 74060661 0 2013 false true true true B 1395000 0 168098746 0 0 0 2478240 0 0 0 165620541 0 false true false true C 0 0 51215295 0 0 0 670000 0 0 0 0 50545295 false false false true A false true true true false 0 false false false true B false true true true false 0 false false false true C false true true true false 0 false false false true A false false false true false true GOLDMAN SACHS CAP MK 0.3 false true true GEFCM 29.98 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true BOND ISSUE A 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 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: 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 5(B): THE GIC PROVIDER IS GE FUNDING CAPITAL MARKET SERVICES, INC. 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. BOND ISSUE B PART I, COLUMN (F): THE BONDS REFUND A PORTION OF THE SERIES 2005 (ISSUED 05/18/05). 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 C PART I, COLUMN (F): THE BONDS ARE BEING USED TO FINANCE IMPROVEMENTS TO EXISTING BUILDINGS AND FACILITIES. 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 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. JAMES S NOBLE CURRENT OFFICER HOME LOAN X 400000 236502 false true true 236502 SCOTT JENKINS SERVES ON X 4 3400 Selling Price X 54 3783571 Selling Price false true true SCHEDULE M, COLUMN (B) THE AMOUNT IN COLUMN B REPRESENTS 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 26 internal medicine and 15 general surgery residents in 2015. 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 the stroke care and total knee and hip replacement -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 by the American Heart Association/American Stroke Association and also received the American Stroke Associations Get With the Guidelines Stroke Gold Plus Performance Achievement Award in recognition of the hospitals high quality, best practice stroke care -Designation as a STEMI (ST Segment Elevation Myocardial Infarction) Receiving Center where emergency medical service personnel give patients having possible myocardial infarctions a 12-lead EKG in the field and a hospital team is ready when a patient arrives in the Emergency Department -Magnet 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) -Ranked as a U.S. News and World Report Top Hospital (Metro) in ten specialties, including: orthopedics, neurology and neurosurgery, urology, gastroenterology, geriatrics, diabetes and endocrinology, pulmonology, gynecology, nephrology, and ear, nose and throat -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 received Healthgrades 2016 Americas 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 2016 Distinguished Hospital Award for Clinical Excellence, an honor that indicates the hospital performs in the top five percent nationally for overall clinical excellence -Huntington Hospitals 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 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 -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, YouTube, and Twitter. 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 CHIEF FINANCIAL OFFICER PRIOR TO FILING. 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 COMMITTEES 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 & VPS WAS LAST PERFORMED BY THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING HELD ON DECEMBER 1, 2015. 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 CLINICAL CALL FEES $10,148,484 CONSULT & MGMT FEES $8,940,323 REGISTRY NURSING $6,292,220 REPAIRS & MAINT-EQUIP $4,992,096 MEDICAL FEES-PHY $4,377,695 MEDICAL SERVICES $2,939,790 PATIENT ACCOUNTING : HA COMMISSIONS $2,334,724 EDUC EDUCATION MED FEES $1,976,390 TRAUMA CENTER AB75 FEES RESERVE $1,576,576 NON NURSING TEMP $1,115,211 OTHER DIRECT EXPENSE $861,678 DIETARY MGMT FEES-SODEXO $665,111 RECRUITING $663,036 PURCHASED SVC-MED ASSETS GPO $654,750 COLLECTION AGENCIES $572,069 OTHER PURCHASED SERVICES $19,295,194 ___________ Total $67,405,347 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ACCRUED PENSION $7,179,833 RATE LOCK TERMINATION BOND 2005 $ 20,786 UNREALIZED GAIN/LOSS ON SUBSIDIARY $ 632,066 __________ TOTAL OTHER CHANGES IN NET ASSETS $7,832,685 COLLIS P HOWARD HNTINGTON MEM HOSP TRUST 100 W CALIFORNIA BLVD PASADENA CA 91109 956027688 SUPPORT PHA CA 501(c)(3) 11, III-FI NA false HUNTINGTON MEDICAL FOUNDATION 133 N ALTADENA DRIVE 2ND FLR PASADENA CA 91107 954434428 HLTHCARE SVCS CA 501(c)(3) 3 PHA true HMH FLINTRIDGE LA CANADA GUILD PO BOX 563 LA CANADA CA 91012 956016968 FUNDRAISING CA 501(c)(3) 11, III-FI NA false WOMEN'S AUXILIARY HUNTINGTON MEM HOSP 930 S EL MOLINO AVE PASADENA CA 91106 956195080 FUNDRAISING CA 501(c)(3) 11, III-FI 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 859630 6048857 1.00000 true CHARITABLE REMAINDER TRUSTS (4) SUPPORT CA NA Trust false false true true false false false false false true true true true false true false true true false HUNTINGTON MEDICAL FOUNDATION D 1124994 COST HUNTINGTON AMBULATORY SURGERY CENTER J 1664711 COST HUNTINGTON AMBULATORY SURGERY CENTER L 288271 COST HUNTINGTON MEDICAL FOUNDATION L 210000 COST CONGRESS SERVICES CORPORATION M 355523 COST CONGRESS SERVICES CORPORATION O 852374 COST HUNTINGTON AMBULATORY SURGERY CENTER Q 3015201 CASH HUNTINGTON MEDICAL FOUNDATION R 1798000 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