PRIME HEALTHCARE FOUNDATION INC: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- PRIME HEALTHCARE FOUNDATION INC (EIN 20-8065139)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-15
- IRS object ID
- 201623209349311612
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-15T14:40:12-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOLTHOUSE CARLIN & VAN TRIGT LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3011 TOWNSGATE ROAD SUITE 400 | AddressLine1Txt |
| City | WESTLAKE VILLAGE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91361 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 208065139 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME HEALTHCARE FOUNDATION INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % THOMAS MALLAVARAPU | InCareOfNm |
| Business Name Control | PRIM | BusinessNameControlTxt |
| Phone | 7602418000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16850 BEAR VALLEY ROAD SUITE 200 | AddressLine1Txt |
| City | VICTORVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92395 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PREM REDDY MD | PersonNm |
| Person Title | PRESIDENT | PersonTitleTxt |
| Phone | 8053748555 | PhoneNum |
| Signature | 2016-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | ROBIN M PAULE | PreparerPersonNm |
| PTIN | P00358939 | PTIN |
| Phone | 8053748555 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PREM REDDY MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16850 BEAR VALLEY ROAD | AddressLine1Txt |
| City | VICTORVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92395 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $507,439,037 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.primehealthcare.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2006 | FormationYr |
| Legal Domicile State | DE | LegalDomicileStateCd |
| Activity Or Mission | PRIME HEALTHCARE FOUNDATION, INC. IS A NONPROFIT CORPORATION THAT PROVIDES HEALTHCARE THROUGH HOSPITAL SERVICES TO COMMUNITIES IN CALIFORNIA AND TEXAS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 5 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 3 | VotingMembersIndependentCnt |
| Total Employee | 3155 | TotalEmployeeCnt |
| Total Volunteers | 149 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $61,117,062 | PYContributionsGrantsAmt |
| CY Contributions Grants | $85,340,123 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $331,409,224 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $417,542,222 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,968,846 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,065,655 | CYInvestmentIncomeAmt |
| PY Other Revenue | $509,102 | PYOtherRevenueAmt |
| CY Other Revenue | $490,625 | CYOtherRevenueAmt |
| PY Total Revenue | $400,004,234 | PYTotalRevenueAmt |
| CY Total Revenue | $507,438,625 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $94,310 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,102,242 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $135,950,354 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $173,248,484 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $194,878,738 | PYOtherExpensesAmt |
| CY Other Expenses | $248,677,644 | CYOtherExpensesAmt |
| PY Total Expenses | $330,923,402 | PYTotalExpensesAmt |
| CY Total Expenses | $424,028,370 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $69,080,832 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $83,410,255 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $609,541,267 | TotalAssetsBOYAmt |
| Total Assets EOY | $755,898,605 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $51,287,900 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $120,327,496 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $558,253,367 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $635,571,109 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | PRIME HEALTHCARE FOUNDATION, INC IS A NONPROFIT CORPORATION ORGANIZED FOR THE PRIMARY CHARITABLE PURPOSE OF PROVIDING HEALTHCARE THROUGH HOSPITAL SERVICES TO COMMUNITIES IN CALIFORNIA AND TEXAS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $65,719,117 | ExpenseAmt |
| Grant | $14,725 | GrantAmt |
| Revenue | $64,090,085 | RevenueAmt |
| Desc | OPERATION OF A 150-BED ACUTE CARE HOSPITAL LOCATED IN ENCINO, CALIFORNIA THROUGH PRIME HEALTHCARE ENCINO, LLC DBA ENCINO HOSPITAL MEDICAL CENTER, A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $65,889,955 | ExpenseAmt |
| Grant | $5,000 | GrantAmt |
| Revenue | $61,261,434 | RevenueAmt |
| Desc | OPERATION OF A 141-BED ACUTE CARE HOSPITAL LOCATED IN LA PALMA, CALIFORNIA THROUGH PRIME HEALTHCARE LA PALMA, LLC, A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $109,063,942 | ExpenseAmt |
| Grant | $22,975 | GrantAmt |
| Revenue | $121,616,335 | RevenueAmt |
| Desc | OPERATION OF A 153-BED ACUTE CARE HOSPITAL LOCATED IN SHERMAN OAKS, CALIFORNIA THROUGH PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC, A DISREGARDED ENTITY FOR FEDERAL TAX PURPOSES | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (6 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $51,523,028 | $7,825 | $51,464,513 | PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC |
| $56,488,210 | $13,567 | $61,834,796 | PRIME HEALTHCARE SERVICES - PAMPA LLC |
| $61,700,856 | $38,150 | $56,387,581 | PRIME HEALTHCARE SERVICES - HUNTINGTON BEACH |
| $2,000,000 | $2,000,000 | $0 | PRIME HEALTHCARE FOUNDATION - GRANT TO CALMED |
| $79,153 | $0 | $74,998 | PRIME HEALTHCARE FOUNDATION - LAKE HURON |
| $6,120,567 | $0 | $812,480 | PRIME HEALTHCARE FOUNDATION - BCIC |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $177,911,814 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $2,059,542 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $170,574,368 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $418,584,828 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | Yes (true) | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 670 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3155 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 5 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 3 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THOMAS MALLAVARAPU | PersonNm |
| Phone | 7602418000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16850 BEAR VALLEY ROAD SUITE 200 | AddressLine1Txt |
| City | VICTORVILLE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92395 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| PREM REDDY MD | |||||||||
| PRESIDENT, DIRECTOR | 10.0 | 30.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| KAVITHA BHATIA MD | |||||||||
| DIRECTOR | 10.0 | 30.0 | Yes (X) | $0 | $0 | $0 | |||
| GENE HERNANDEZ | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $4,000 | $0 | $0 | |||
| WILLIAM RUH | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $4,000 | $0 | $0 | |||
| DAVID THORSON | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $3,000 | $0 | $0 | |||
| MADAN REDDY | |||||||||
| TREASURER | 5.0 | 35.0 | Yes (X) | $0 | $0 | $0 | |||
| TROY SCHELL | |||||||||
| SECRETARY | 5.0 | 35.0 | Yes (X) | $0 | $0 | $0 | |||
| MIKE HEATHER | |||||||||
| CFO | 10.0 | 30.0 | Yes (X) | $0 | $0 | $0 | |||
| Brad Morse | |||||||||
| CEO - PAMPA | 40.0 | 0.0 | $248,951 | $0 | $19,200 | Yes (X) | |||
| Bockhi Park | |||||||||
| VICE CHAIR/CEO-EHMC & SOH | 40.0 | 0.0 | $511,496 | $0 | $17,905 | Yes (X) | |||
| Kanner Tillman | |||||||||
| CFO - ENCINO & SHERMAN OAKS | 40.0 | 0.0 | $254,411 | $0 | $14,018 | Yes (X) | |||
| RUBEN GARZA | |||||||||
| COO - PAMPA | 40.0 | 0.0 | $160,832 | $0 | $7,547 | Yes (X) | |||
| EM V Garcia | |||||||||
| Hospital Admin. - EHMC & SOH | 40.0 | 0.0 | $253,056 | $0 | $5,420 | Yes (X) | |||
| Keith SINN | |||||||||
| DIRECTOR OF PHARMACY - SOH | 40.0 | 0.0 | $183,685 | $0 | $0 | Yes (X) | |||
| SALINA WONG | |||||||||
| PHARMACIST - HBH | 40.0 | 0.0 | $189,091 | $0 | $0 | Yes (X) | |||
| ROLAND SANTOS | |||||||||
| CHIEF NURSING OFFICER - SOH | 40.0 | 0.0 | $206,912 | $0 | $6,731 | Yes (X) | |||
| GAIL AVIADO | |||||||||
| CHIEF NURSING OFFICER - MHMC | 40.0 | 0.0 | $189,449 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,208,883 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $70,821 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 165 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BIO-MED SERVICES INC | |||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | BIOMEDICAL SERVICES | $1,954,408 |
| Kupplin Worldwide LLC | |||||
| PO BOX 84774 | SEATTLE | WA | 98124 | STAFFING SERVICES | $1,027,115 |
| DLA Piper LLP | |||||
| 400 Capitol Mall SUIte 2400 | SACRAMENTO | CA | 95814 | LEGAL | $867,474 |
| PRIME HEALTHCARE MANAGEMENT II INC | |||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | MANAGEMENT | $22,167,368 |
| VIP Nephrology Inc | |||||
| 16133 Ventura Blvd 360 | ENCINO | CA | 91436 | DIALYSIS | $812,700 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 98 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $85,340,123 | AllOtherContributionsAmt |
| Noncash Contributions | $74,196,560 | NoncashContributionsAmt |
| Total Contributions | $85,340,123 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PRIME HEALTHCARE ENCINO, LLC | 621500 | $64,090,085 | $64,090,085 |
| PRIME HEALTHCARE MONTCLAIR, LLC | 621910 | $51,464,513 | $51,464,513 |
| PRIME HEALTHCARE SERVICES - SHERMAN OAKS, LLC | 621500 | $121,616,335 | $121,616,335 |
| PRIME HEALTHCARE HUNTINGTON BEACH, LLC | 621500 | $56,387,581 | $56,387,581 |
| PRIME HEALTHCARE SERVICES - PAMPA LLC | 621500 | $61,834,796 | $61,834,796 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $62,148,912 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $62,148,912 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $417,542,222 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,531,561 | TotalRevenueColumnAmt |
| Exclusion | $3,531,561 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $486,622 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $486,622 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $486,622 | TotalRevenueColumnAmt |
| Exclusion | $486,622 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $534,506 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $412 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $534,506 | SecuritiesAmt |
| Other | -$412 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $534,094 | TotalRevenueColumnAmt |
| Exclusion | $534,094 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME - SENIOR CENTER | Desc |
| Total Revenue Column | $4,003 | TotalRevenueColumnAmt |
| Exclusion | $4,003 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $4,003 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $507,438,625 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $417,542,222 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $4,556,280 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,102,242 | TotalAmt |
| Program Services | $2,102,242 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,245,360 | TotalAmt |
| Program Services | $1,245,360 | ProgramServicesAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $126,548,013 | TotalAmt |
| Program Services | $126,548,013 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,700,668 | TotalAmt |
| Program Services | $33,700,668 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,754,443 | TotalAmt |
| Program Services | $11,754,443 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,157,679 | TotalAmt |
| Program Services | $20,157,679 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,273,472 | TotalAmt |
| Program Services | $4,494,688 | ProgramServicesAmt |
| Management And General | $778,784 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,133 | TotalAmt |
| Program Services | $493,256 | ProgramServicesAmt |
| Management And General | $108,877 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,816,164 | TotalAmt |
| Program Services | $32,531,606 | ProgramServicesAmt |
| Management And General | $284,558 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $517,948 | TotalAmt |
| Program Services | $514,648 | ProgramServicesAmt |
| Management And General | $3,300 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,842,316 | TotalAmt |
| Program Services | $3,842,316 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $473,117 | TotalAmt |
| Program Services | $473,117 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,933 | TotalAmt |
| Program Services | $105,132 | ProgramServicesAmt |
| Management And General | $488,801 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,645,545 | TotalAmt |
| Program Services | $21,622,961 | ProgramServicesAmt |
| Management And General | $22,584 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,440,518 | TotalAmt |
| Program Services | $2,439,220 | ProgramServicesAmt |
| Management And General | $1,298 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $22,826,585 | $22,826,585 | $0 |
| REPAIRS | $8,297,648 | $8,287,573 | $10,075 |
| BAD DEBT EXPENSE | $67,355,017 | $67,355,017 | |
| UTILITIES & TELEPHONE | $5,884,164 | $5,869,349 | $14,815 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,951,405 | TotalAmt |
| Program Services | $52,220,955 | ProgramServicesAmt |
| Management And General | $3,730,450 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,028,370 | TotalAmt |
| Program Services | $418,584,828 | ProgramServicesAmt |
| Management And General | $5,443,542 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,003,279 | BOYAmt |
| EOY | $45,849,761 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,354,483 | BOYAmt |
| EOY | $73,216,428 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,338 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,511,316 | BOYAmt |
| EOY | $6,113,220 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,135,905 | BOYAmt |
| EOY | $2,912,665 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $400,943,990 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $62,959,115 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $271,332,236 | BOYAmt |
| EOY | $337,984,875 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $130,256,079 | BOYAmt |
| EOY | $139,711,052 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,430,851 | BOYAmt |
| EOY | $26,430,851 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $389,500 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $103,459,780 | BOYAmt |
| EOY | $123,290,253 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $609,541,267 | BOYAmt |
| EOY | $755,898,605 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,593,631 | BOYAmt |
| EOY | $17,514,739 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $991,001 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,694,269 | BOYAmt |
| EOY | $101,821,756 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,287,900 | BOYAmt |
| EOY | $120,327,496 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,253,367 | BOYAmt |
| EOY | $634,439,069 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,132,040 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $558,253,367 | BOYAmt |
| EOY | $635,571,109 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $609,541,267 | BOYAmt |
| EOY | $755,898,605 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $83,410,255 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,130,000 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $37,487 | PriorPeriodAdjustmentsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $36,209,500 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $69,314,598 | OtherCostOrOtherBasisAmt |
| Book Value | $105,524,098 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $226,309,119 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,589,621 | DepreciationAmt |
| Book Value | $199,719,498 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Leasehold Improvements | LeaseholdImprovementsGrp |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $69,110,773 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,369,494 | DepreciationAmt |
| Book Value | $32,741,279 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Land Buildings | $337,984,875 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (13 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| HOSPITAL ACCRUED RECEIVABLES | $22,608,234 |
| GOODWILL | $0 |
| CONSTRUCTION IN PROGRESS | $17,608,233 |
| DUE FROM MEDICARE - HOSPITAL | $14,954,886 |
| INSURANCE CLAIMS RESERVES | $7,303,805 |
| INTERCOMPANY RECEIVABLE | $17,859,772 |
| DUE FROM KNAPP MEDICAL CENTER | $34,628,066 |
| DUE FROM KNAPP MEDICAL GROUP | $0 |
| DUE FROM KNAPP ASC | $0 |
| DUE FROM MID-VALLEY PHYSICIANS | $0 |
| DUE FROM SIGNATURE PAMPA MEDIC | $4,101,706 |
| OTHER CURRENT ASSETS | $3,118,919 |
| BCIC RECEIVABLES | $1,106,632 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $123,290,253 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (15 entries)
| DescDesc | AmtAmt |
|---|---|
| SECURITY DEPOSIT | $54,000 |
| ACCRUED SALES TAX PAYABLE | $0 |
| ACCRUED PAYROLL | $4,557,757 |
| ACCRUED PAYROLL TAXES | $1,912,690 |
| ACCRUED PAID TIME OFF - HOSPI | $6,999,918 |
| OTHER CURRENT LIABILITIES | $5,822 |
| INSURANCE CLAIMS RESERVES | $7,303,805 |
| LINES OF CREDIT | $34,197,874 |
| CAPITAL LEASES | $4,627,295 |
| UNCLAIMED CHECKS | $0 |
| FEES PAYABLE | $0 |
| IBNR | $16,017,303 |
| INTERCOMPANY PAYABLE | $11,792,000 |
| HOSPITAL FEE/PROVIDER FEE PAYABLE | $12,153,292 |
| SETTLEMENT PAYABLE | $2,200,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,821,756 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE LITERATURE RELATED TO UNCERTAIN TAX POSITIONS PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR ACCOUNTING FOR UNCERTAIN TAX POSITIONS AND ALSO PROVIDES GUIDANCE ON VARIOUS RELATED MATTERS SUCH AS DERECOGNITION, INTEREST, PENALTIES AND DISCLOSURES REQUIRED. THE COMPANY DOES NOT HAVE ANY ENTITY LEVEL UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)
| RegionRegionTxt | EmployeeEmployeeCnt | Type Of Activities ConductedTypeOfActivitiesConductedTxt | Specific Services ProvidedSpecificServicesProvidedTxt | Region Total ExpendituresRegionTotalExpendituresAmt |
|---|---|---|---|---|
| Central America and the Caribbean | 1 | Program Services | INS. TO HOSPITALS | $6,120,567 |
| North America | Investments | $12,601 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Employees | 1 | SubtotalEmployeesCnt |
| Total Employee | 1 | TotalEmployeeCnt |
| Subtotal Spent | $6,133,168 | SubtotalSpentAmt |
| Total Spent | $6,133,168 | TotalSpentAmt |
| Transfer To Foreign Corp | false | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | false | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| Indiv Hospital Tailored Policy | Yes (X) | IndivHospitalTailoredPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 350. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 450. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | false | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | false | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,528,618 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,715,926 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,812,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01910 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,402,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,036,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $33,366,060 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09380 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,738,964 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,579,997 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,158,967 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01450 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,670,563 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,332,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,337,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12740 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $629,709 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $629,709 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $128,721 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $128,721 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,050 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,050 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $804,480 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $804,480 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $119,475,043 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $73,332,844 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $46,142,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12970 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $67,355,017 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $3,411,267 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $166,747,270 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $115,222,002 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $51,525,268 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | OtherOtherDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| PRIME HEALTHCARE SERVICES - SHERMAN O | ||||||||||
| 1 | 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | www.shermanoakshospital.org | 930000149 | Yes (X) | Yes (X) | Yes (X) | |
| PRIME HEALTHCARE SERVICES - ENCINO LL | ||||||||||
| 2 | 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | www.encinomed.org | 930000051 | Yes (X) | Yes (X) | Yes (X) | |
| PRIME HEALTHCARE SERVICES- PAMPA LLC | ||||||||||
| 3 | 1 MEDICAL PLAZA | PAMPA | TX | 79065 | WWW.PRMCTX.COM | 100154 | Yes (X) | Yes (X) | Yes (X) | PSYCHIATRIC UNIT |
| PRIME HEALTHCARE LA PALMA LLC | ||||||||||
| 4 | 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | www.lapalmaintercommunityhospital.com | 060000136 | Yes (X) | Yes (X) | Yes (X) | |
| PRIME HEALTHCARE HUNTINGTON BEACH LLC | ||||||||||
| 5 | 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | www.hbhospital.org | 060000124 | Yes (X) | Yes (X) | Yes (X) | |
| PRIME HEALTHCARE SERVICES - MONTCLAIR | ||||||||||
| 6 | 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | www.montclair-hospital.org | 240000141 | Yes (X) | Yes (X) | Yes (X) | |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (6 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd | Communtity Notified FAPCommuntityNotifiedFAPInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Information GapsInformationGapsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIME HEALTHCARE SERVICES - ENCINO LL | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | www.encinomed.org | Yes (true) | 13 | Yes (true) | www.encinomed.org | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| PRIME HEALTHCARE SERVICES - SHERMAN O | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | Yes (true) | false | Yes (true) | Yes (X) | www.shermanoakshospital.org | Yes (true) | 13 | Yes (true) | www.shermanoakshospital.org | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | |
| PRIME HEALTHCARE HUNTINGTON BEACH LLC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 5 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | false | Yes (true) | Yes (X) | www.hbhospital.org | Yes (true) | 15 | Yes (true) | www.hbhospital.org | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) |
| PRIME HEALTHCARE SERVICES- PAMPA LLC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 3 | false | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | false | Yes (true) | Yes (X) | WWW.PRMCTX.COM | Yes (true) | 15 | Yes (true) | WWW.PRMCTX.COM | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) |
| PRIME HEALTHCARE SERVICES - MONTCLAIR | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 6 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (true) | false | false | Yes (true) | Yes (X) | WWW.MONTCLAIR-HOSPITAL.ORG | Yes (true) | 13 | Yes (true) | WWW.MONTCLAIR-HOSPITAL.ORG | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
| PRIME HEALTHCARE LA PALMA LLC | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 4 | false | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 15 | Yes (true) | false | false | Yes (true) | Yes (X) | www.lapalmaintercommunityhospital.com | Yes (true) | 15 | Yes (true) | www.lapalmaintercommunityhospital.com | false | false | Yes (true) | Yes (X) | 350. | 450. | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 - ENCINO & SHERMAN OAKS | THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE LOCAL COMMUNITY. SUCH INPUT WAS RECEIVED FROM HOSPITALS, COMMUNITY HEALTH CARE LEADERS AND BUSINESS LEADERS. THE HOSPITAL FACILITY ALSO SOUGHT INPUT FROM COMMUNITY BASED ORGANIZATIONS SUCH AS THE VALLEY ECONOMIC ALLIANCE AND VARIOUS PUBLIC ENTITIES. THE HOSPITAL FACILITY CONSULTED THE "PERSONS" THROUGH IN PERSON INTERVIEWS, BY TELEPHONE AND OTHER MEANS. |
| SCHEDULE H, PART V, SECTION B, LINE 6A - ENCINO & SHERMAN OAKS | PARTICIPANTS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT SURVEYS INCLUDE GLENDALE ADVENTIST HOSPITAL, HENRY MAYO NEWHALL MEMORIAL HOSPITAL, KAISER PERMANENTE PANORAMA CITY, KAISER PERMANENTE WOODLAND HILLS, MISSION CITY COMMUNITY HOSPITAL, VALLEY PRESBYTERIAN HOSPITAL, NORTHRIDGE HOSPITAL MEDICAL CENTER, PROVIDENCE HOLY CROSS, PROVIDENCE SAINT JOSEPH MEDICAL CENTER, AND PROVIDENCE TARZANA. |
| SCHEDULE H, PART V, SECTION B, LINE 2 - LA PALMA | PRIME HEALTHCARE SERVICES, INC. CONTRIBUTED PRIME HEALTHCARE LA PALMA, LLC DBA LA PALMA INTERCOMMUNITY HOSPITAL (LA PALMA), TO PRIME HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION") ON DECEMBER 31, 2014, AND THE FOUNDATION EFFECTIVELY TOOK OWNERSHIP OF LA PALMA ON JANUARY 1, 2015. AS A RESULT, THE LAST DAY OF THE FOUNDATION'S SECOND TAXABLE YEAR OF OWNERSHIP BEGINNING AFTER SUCH DATE IS DECEMBER 31, 2017. |
| SCHEDULE H, PART V, SECTION B, LINE 5 - MONTCLAIR | A SURVEY WAS DISSEMINATED TO THE COMMUNITY VIA ONLINE ACCESS THROUGH THE HOSPITAL'S WEBSITE AS WELL AS BEING DISTRIBUTED BY THE ADVISORY COMMITTEE MEMBERS ACROSS THE COMMUNITY, IN BOTH ENGLISH AND SPANISH VERSIONS. THE SURVEY REACHED PATIENTS AND COMMUNITY MEMBERS OF ALL AGES AND BACKGROUNDS. A TOTAL OF 38 SURVEYS WERE COLLECTED. EXTENSIVE INTERVIEWS WITH COMMUNITY LEADERS THAT WOULD BE ABLE TO ADDRESS AND FURTHER DESCRIBE THE NEEDS OF THE COMMUNITY WERE CONDUCTED. A FOCUS GROUP OF SPANISH-SPEAKING HEALTH PROVIDERS WAS ALSO CONDUCTED. THE GROUP CONSISTED OF SIX MEMBERS OF THE POR LA VIDA "CONSEJERA" STAFF. THESE WOMEN ACT AS HEALTH EDUCATORS, PROVIDING EDUCATIONAL AND ADVOCACY SERVICES. SEVERAL COMMUNITY REPRESENTATIVES WERE INTERVIEWED EITHER IN PERSON OR BY TELEPHONE, INCLUDING THE MAYOR PRO TEM OF MONTCLAIR, AND A LOCAL NON-PROFIT BOARD MEMBER. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - MONTCLAIR | THE PRIORITIZATION PROCESS PRODUCED TWO ISSUES WITH VERY HIGH SCORES: CARE COORDINATION AND EDUCATION, WITH ANOTHER GROUP OF HIGH-PRIORITY ISSUES CLOSELY GROUPED SLIGHTLY LOWER. The Care Coordination issue is an important item to address both as a basic issue, and as a factor being emphasized by portion of the Affordable Care Act. MHMC has the opportunity to work with the Community Vital Signs Initiative to address this need in cooperation with community groups identified in the interview and focus group process. Additional coordination efforts on the part of hospitals and local medical groups are also area for study and process development. The hospital will coordinate with local providers and act as a referral source to its patients requiring follow-on care after hospitalization. To the extent resources are available in the community to monitor discharged patients, they should be utilized to avoid relapses or other conditions that might lead to re-hospitalization. Education of all types is crucial to implementation of the Affordable Care Act, since much of the growth in insured populations in the area will be driven by newly insured residents entering the realm of health insurance for the first time. Residents who missed the enrollment window or who may not qualify for insurance under the ACA may have other opportunities that will need to be publicized. This is another area of opportunity for implementation of new strategies designed to bring more residents under the insurance umbrella, and hospital staff will need to monitor upcoming legislation and regulations that may provide opportunities to educate community residents regarding their insurance options. The hospital is already developing educational programs focused on specific diseases that will provide residents with methods of coping and/or curing those diseases. It should be noted that this issue resurfaced again under the label Health Information, and the issues to be addressed are similar. Heart disease was the lowest priority of the top ten issues. Since the Community Vital Signs Initiative has adopted this issue as its primary focus, MHMC should work with members of the CVSI group to coordinate efforts to address the disease. But given the greater focus on diabetes and associated issues by community members in the Montclair area, it is considered more appropriate for MHMC to focus its efforts on addressing this issue. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - ENCINO & SHERMAN OAKS | ALL STRATEGIC INITIATIVES AND RECOMMENDATIONS NOTED IN THE IMPLEMENTATION STRATEGY SECTION OF THE CHNA ARE BEING ADOPTED, PROVIDED AVAILABLE RESOURCES EXIST. |
| SCHEDULE H, PART V, SECTION B, LINE 2 - PAMPA | PRIME HEALTHCARE SERVICES, INC. CONTRIBUTED PRIME HEALTHCARE SERVICES - PAMPA LLC, DBA PAMPA REGIONAL MEDICAL CENTER (PRMC), TO PRIME HEALTHCARE FOUNDATION, INC. (THE "FOUNDATION") ON DECEMBER 31, 2013, AND THE FOUNDATION EFFECTIVELY TOOK OWNERSHIP OF PRMC ON JANUARY 1, 2014. AS A RESULT, THE LAST DAY OF THE FOUNDATION'S SECOND TAXABLE YEAR OF OWNERSHIP BEGINNING AFTER SUCH DATE IS DECEMBER 31, 2016. |
| SCHEDULE H, PART V, SECTION B, LINE 5 - HUNTINGTON BEACH & LA PALMA | the hospital concentrated its effort in gathering qualitative primary data through a series of contacts with key stakeholders that represent the community they are a part of, including government representatives, mayors, public health representatives, healthcare providers, community service providers, and minority group leaders. Three methodologies were utilized in order to provide a large sampling of views from various portions of the HUNTINGTON BEACH HOSPITAL (HBH) AND LA PALMA INTERCOMMUNITY HOSPITAL (LA PALMA) service areaS. The tools utilized are summarized below. Community Needs Survey A survey was disseminated to the community in English, Spanish, Korean, Mandarin Chinese, and Vietnamese versions. The survey reached patients and community members of all ages and backgrounds. Primary survey distribution locations included churches, various local interest group meetings, health fairs and waiting rooms at HBH AND LA PALMA. Respondents were allowed to select the language in which they wished to respond, although the questions were the same in all languages. Key Stakeholders Interviews Extensive interviews with community leaders that would be able to address and further describe the needs of the community were conducted. Community and government representatives were interviewed either in person or by telephone, including representatives of the Cities of Buena Park, Cerritos and Huntington Beach. Local health agency representatives included directors of CalOptima, and the Orange County Health Care Agency. Representatives of various ethnic and social groups as well as local healthcare providers also participated. The needs expressed by these leaders were summarized and provided as supplements to the list of issues reviewed and prioritized by the focus group DISCUSSED BELOW. The primary issues with multiple mentions were mental health, obesity/diet, and homeless issues. Focus Group A community focus group was also conducted. The group consisted of local community members, representing various city agencies, local clinics, ethnic groups, and community health providers. The group was asked to provide opinions as to the most important community health needs in a "brainstorming" session at first. These ideas were listed in a series of flip chart pages. Ideas provided by the Key Informant interviews and survey results were added to the list of possible community health issues. The ideas were then filtered to a total of six primary needs via a "place the dots" vote, using adhesive dots (six per participant) and allowing each member to place the dots next to issues they considered the most important. Six issues generated more than 15 responses each. These six were ranked in a second round of "place the dots", using labels with values from 10 (most important) to 5 (least important), considering both their need in the community and the ability of HBH and LA PALMA to address them. Focus group questions concentrated on daily health behaviors, perceived quality of care, access to healthcare, social behaviors and health problems of concern. |
| SCHEDULE H, PART V, SECTION B, LINE 5 - PAMPA | THREE METHODS OF COLLECTION FOR PRIMARY DATA WERE USED TO PREPARE THE COMMUNITY HEALTH NEEDS ASSESSMENT. A SURVEY COMPOSED OF EIGHTEEN QUESTIONS WAS DEVELOPED AND USED AS A METHOD TO SOLICIT PERCEPTIONS, INSIGHTS AND GENERAL UNDERSTANDING FROM COMMUNITY MEMBERS AND SPECIAL EXPERTISE REGARDING HEALTH NEEDS. FOcus group conversations WERE CONDUCTED with MEMBERS FROM THE COMMUNITIES BEING SERVED BY THE HOSPITAL INCLUDING COMMUNITY LEADERS, HEALTH EXPERTS, PUBLIC OFFICIALS, PHYSICIANS, HOSPITAL EMPLOYEES, AND OTHER HEALTH PROFESSIONALS AND PROVIDERS INCLUDING THOSE ASSOCIATED WITH THE HOSPITAL. FINALLY, PERSONAL INTERVIEWS WERE CONDUCTED FACE-TO-FACE WITH KEY INDIVIDUALS IN THE COMMUNITY AND FROM THE HOSPITAL USING THE SAME STRUCTURED QUESTIONS FROM THE FOCUS GROUPS. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - HUNTINGTON BEACH | THE FOLLOWING Six issues WERE determined by the process to be the most important and best-addressed by HBH, and were presented to the Hospitals steering committee for final review. 1. 5150 Access Many attendees reported being affected by the lack of capacity to deal with people either in Emergency Departments or encountered in the community who were considered dangers to themselves or others due to mental breakdowns. This standard of imminent danger is defined in Section 5150 of California's Welfare and Institutions Code and allows designated law and medical personnel to hold persons meeting the standard for 72 hours involuntarily. The problem mentioned is that there are very few hospital beds that provide the level of security needed to hold Section 5150 persons. This issue tied for the most top votes with Mental Health, a closely related issue. HBH is in the process of licensing a locked unit to accommodate 5150 patients and expects to be deeply involved in further efforts to deal with this issue. This issue was included in Priority Area #4 in the Orange County Health Improvement Plan 2014-2016. HBH is already a part of the existing network of providers with a mental health unit, and is in the process of expanding its efforts to accommodate the needs of clients seeking mental health treatments. An application for a secure ward to accommodate committed clients is currently in process. 2. Mental Health As noted above, this issue was tied with 5150 access as the most commonly listed top issue. It is broader than the 5150 issue, since it includes three problems in addition to the problem of placing 5150 clients. The first additional problem involves payment for care for people voluntarily committed to non-locked facilities. While mental health care is a mandatory covered service under ACA regulations, payors have been limiting compensation for inpatient services, and many potential clients find that the treatment process is essentially a private-pay encounter. The second problem involves the definitions of mental issues, and getting clients and/or their families to admit to having a treatable problem. Finally, there was reported to be a significant gap between 5150 involuntary commitment services and voluntary commitment programs, since each service is funded by a different source and there is little communication between the two operations. As is the case with 5150 access, this issue was included in Priority Area #4 in the Orange County Health Improvement Plan 2014-2016, and HBHs existing programs and planned expansions will allow greater participation in addressing the problem. FURTHER Details are provided in the Implementation Plan. 3. Community Education Issues related to education included problems addressing various ethnic and language subgroups, and lack of a single source for data on community resources. HBH has provided substantial support for community education efforts, in the form of financial and staff support for community health fairs, and education programs. Given the ethnic diversity found in the hospitals service area, additional attention to specific ethnic group needs will be a paramount concern. These efforts will continue and be augmented by new programs. While the Orange County Health Improvement Plan 2014-2016 does not include this issue as a priority, its four priority programs all include education planks, and HBHs programs address those issues. 4. Homeless Access Growth in numbers of homeless residents in Huntington Beach was mentioned as a demand issue, and the fact that many of the homeless presented with multiple health/substance abuse/environmental problems that were beyond the ability of a single entity to resolve. And similarly to the Community Education issue, the lack of a single clearinghouse to provide referrals or coordinate care was listed as a problem. This problem was presented as being particularly acute in Huntington Beach, and thus is more pressing for HBH than for Orange County as a whole. While hospitals are not appropriate locations for housing, the issue of persons presenting with multiple mental-and physical-health problems faces all hospitals, and HBHs status as a primary provider of mental health services makes it a prime candidate for coordinating services both in and out of the hospital. HBHs protocols for managing the presenting problems of homeless persons, and coordination with other local providers to direct homeless persons to appropriate services are constantly being reviewed and improved as new services and methodologies are developed. 5. Awareness of Services This issue is closely related to Community Education, in that several agency representatives noted that their organizations provided support services for various specific ailments (Alzheimers, Cancer, Manic Depression, etc.), but that neither local hospitals nor local social service agencies were aware of their existence, and thus were unable to refer potential clients. Some resources currently exist, and others will be needed to augment what is available. HBH will work with community providers to increase availability of resources, and to make their availability known in the community. 6. Substance Abuse In addition to the usual problems associated with street drug abuse, it was noted that a rising percentage of substance abuse clients at local Emergency Departments were presenting with prescription drug complications, either from abuse of their own prescriptions or use of drugs obtained legally by members of their households. Another issue was the change in types of street drugs being abused, with declines in heroin use, and increases in incidence of methamphetamine intake. These issues are one of the focuses in Priority Area #4 in the Orange County Health Improvement Plan 2014-2016. As the character of substance abuse clients changes, providers must adapt their treatment protocols to deal with the changes. HBHs position as a primary provider of emergent care for abuse crises makes it an important factor in the community. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - LA PALMA | A summary for each immediate health need deemed most important, and addressable by LA PALMA is provided below, listed in order from highest to lowest priority. 1. Seniors Health This issue received the most top votes, and the highest overall score. The problem incorporates several other issues mentioned separately (and discussed in the following list), but as an overall category it was the most mentioned and considered the primary problem. Issues reported included isolation, transportation to services, age-related dementia, medication abuse both intentional and unintentional, and unsafe home environments. This issue was Priority Area #2 in the Orange County Health Improvement Plan for 2014-2016. LA PALMA currently has programs in place to assist seniors in dealing with transportation problems, age-related dementia and medication issues, and is actively seeking additional opportunities to improve these services. 2. Mental Health This issue was a close second in points. Several respondents mentioned a limited supply of mental health services, as well as a historical lack of payment programs for mental health services. There was also a significant gap expressed between 5150 involuntary commitment services and voluntary commitment programs. This was Priority Area #4 in the Orange County Health Improvement Plan 2014-2016. LA PALMA and other Prime hospitals are currently leaders in serving inpatient mental health needs of clients, but the treatment of mental health conditions is evolving rapidly and programs must continually be reviewed in order to stay abreast of the changes. LA PALMA staff is actively reviewing changes in treatment methodologies and developing new programs to better serve the mental health needs of its communities. 3. Diabetes - Both adult and child diabetes rates in Orange County exceed state rates, and the disease was mentioned consistently as both a problem in itself and as a precursor to other problems such as heart disease, stroke, and other circulatory maladies. As an indicator of the severity of Diabetes in the La Palma area, the percentage of adults reporting having diabetes in 2011-2012 was 7.8%, slightly lower than the rate for Orange County at 8.4% and the US at 9.0%. Diabetes and Diet were combined as Priority Area #3 in the Orange County Health Improvement Plan for 2014-2016. Many of the issues identified in that document are already being addressed by the hospital, and additional programs are in process to bring better health programs to many of the various ethnic communities that live in the hospitals service area. 4. Obesity/Diet Obesity was mentioned as a core precursor for many chronic diseases including diabetes, hypertension, orthopedic issues, coronary problems and others. A need for dietary guidance and information among various ethnic groups was also noted, along with the high number of fast food outlets in the area. LA PALMA is assisting in bringing down the obesity rate by counseling clients on diet and exercise solutions for their weight issues, and by providing educational materials for various ethnic groups to highlight diet issues endemic to specific groups. 5. Womens Health Another issue with several components, including pre- and post-natal care, breast and ovarian cancer, and a need for women-specific services. A related issue, Infant and Child Health, was Priority Area #1 in the Orange County Health Improvement Plan for 2014-2016. LA PALMA is already a major provider of pre-and post-natal care, and is exploring programs to better assist women and babies in maintaining health outside the hospital walls. 6. Home Health / Preventive Care This issue was presented variously as an issue with coordination of care before and after hospitalizations, lack of education as to services available in the community and lack of a single-source coordination provider. The issue is becoming more important to hospitals as home-related hazards are often contributing factors to patients returning for care within 30 days of discharge. These readmits can be limited by careful monitoring of conditions in the discharge environment. LA PALMA has developed protocols to manage discharged patients, and is exploring additional opportunities to coordinate care with local social service agencies that focus on specific medical issues or safety concerns. The hospital will focus on these needs in its continuing task of improving the overall health status of its community. Many of these issues are already being addressed, and continuing efforts to improve the hospitals and communitys response to them will be part of LA PALMAs plans for continuing improvement over the next three years. |
| SCHEDULE H, PART V, SECTION B, LINE 11 - PAMPA | Priorities for the key areas will be assessed by the hospital's board of directors and documented in the implementation strategy report. The following are overall priorities that are deemed to be significant: - Increasing primary care physicians and critical healthcare manpower, - Reducing overuse of hospital emergency department by non-emergency patients, - Increasing/expanding collaboration between healthcare and social service providers, - INcreasing educational awareness programs, - Increasing the number of mental healthcare providers and professionals, - Increasing substance abuse prevention, - Increasing access to mental healthcare services for uninsured, and - Expanding transportation services to/from treatment services. |
Supplemental Information Detail SupplementalInformationDetail (28 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART III, SECTION A, LINE 4 | The Company's patient accounts receivable are reduced by allowances for contractual adjustments and doubtful accounts. In evaluating the collectability of patient accounts receivable, the Company analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowances for both contractual adjustments and doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of these allowances. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Company records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the expected rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. |
| SCHEDULE H, PART III, SECTION C, LINE 9B - ENCINO & SHERMAN OAKS | PAYMENT PLANS - BALANCES ARE DUE UPON DISCHARGE FROM THE HOSPITAL IF THE PATIENT DOES NOT QUALIFY FOR STATE ASSISTANCE OR PRIME HEALTHCARE'S FINANCIAL ASSISTANCE PROGRAM. PAYMENT ARRANGEMENTS MAY BE ESTABLISHED WITH HOSPITAL'S FINANCIAL COUNSELOR AND MAY BE MADE WITH NO INTEREST OR PENALTIES. DEFAULTING ON A PAYMENT PLAN WILL RESULT IN DISQUALIFICATION OF THIS OPTION. |
| SCHEDULE H, PART VI, LINE 2 - ENCINO & SHERMAN OAKS | NEEDS ASSESSMENT HOSPITALS PARTICIPATE IN THE TRIENNIAL SAN FERNANDO/SANTA CLARITA VALLEY COMMUNITY NEEDS ASSESSMENT PROCESS THAT BEGAN IN 1997 AND FORMED THE PLATFORM FOR COMMUNITY PROGRAMS IMPLEMENTED IN FY 2013/2014. THE COPY OF THE 2013 COMMUNITY NEEDS ASSESSMENT PAGES 158 & 159 CONTAIN THE NAMES OF THE PARTICIPANT ORGANIZATIONS AND A DESCRIPTION OF THE COLLABORATION PROCESS, THE SURVEY'S FINDINGS, ALONG WITH VARIOUS INTERNAL AND EXTERNAL ANALYSES THAT ARE USED TO ASSIST HOSPITALS IN DETERMINING THE TYPES OF SERVICE MODIFICATIONS AND PROGRAMS THAT IT SHOULD CONSIDER TO ADDRESS THE NEEDS OF ITS COMMUNITY. BUILDING ON THAT BACKGROUND, A STRATEGIC PLAN IS CREATED AND PRESENTED TO THE BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. CONSEQUENTLY, HOSPITALS PROVIDED FUNDS FOR VARIOUS LOCAL COMMUNITY ORGANIZATIONS AND CHARITIES INCLUDING THE LOCAL ALZHEIMER'S ASSOCIATION, THE SHERMAN OAKS LITTLE LEAGUE AND THE VALLEY ECONOMIC ALLIANCE. IN ADDITION, HOSPITALS PROVIDED COMMUNITY AND MEDICAL EDUCATION FREE OF CHARGE AND OPEN TO THE PUBLIC ON THE FOLLOWING HEALTH RELATED TOPICS: BLOOD MANAGEMENT, PALLIATIVE CARE, PAIN MANAGEMENT, RENAL DISEASES. FURTHERMORE FOCUSING ON THE PUBLIC HEALTH, PREVENTION AND HOLISTIC WELL-BEING OF COMMUNITY MEMBERS, HOSPITALS INVITED NUMEROUS GROUPS AND ORGANIZATIONS TO CONDUCT FORUMS AND PUBLIC MEETINGS AT THE HOSPITALS, FREE OF CHARGE, INCLUDING: LUPUS LA, OVEREATERS ANONYMOUS, ALCOHOLICS ANONYMOUS, NEIGHBORHOOD COUNCIL, SHERMAN OAKS CHAMBER OF COMMERCE, DEBTORS ANONYMOUS, SUICIDE PREVENTION AND BEREAVEMENT SERVICES, LOCAL CHAPTER PF PHARMACY ASSOCIATION, NATIONAL ALLIANCE OF MENTAL ILLNESS AND OTHERS. CURRENT COMMUNITY PROGRAMS ARE CONSTANTLY REVIEWED OR ENHANCED AND IF NECESSARY, NEW COMMUNITY OUTREACH PROGRAMS ARE CREATED AND IMPLEMENTED. |
| SCHEDULE H,PART VI,LINE 3-ENCINO,SHERMAN OAKS, HBH, LA PALMA & MONTCLAIR | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE A PATIENT EDUCATION PACKET IS GIVEN TO ANY PATIENT IDENTIFIED AS SELF PAY OR UNINSURED OR UNDERINSURED. PATIENTS WHO ARE UNABLE TO PAY THEIR BILL MAY BE ELIGIBLE FOR 100% FINANCIAL ASSISTANCE, LEAVING NO FINANCIAL OBLIGATION TO THE HOSPITAL FOR THE BILL. QUALIFICATIONS ARE BASED UPON VERIFIABLE INCOME, FAMILY SIZE AND CURRENT FEDERAL POVERTY GUIDELINES. TO QUALIFY FOR HOSPITALS' FINANCIAL ASSISTANCE PROGRAM, REQUIRED DOCUMENTATION MUST BE SUBMITTED WITHIN 15 DAYS OF DISCHARGE FROM THE HOSPITAL. UNINSURED DISCOUNT RATE: HOSPITALS OFFER DAILY RATES FOR INPATIENT SERVICES AND A SIGNIFICANTLY REDUCED CHARGE RATE FOR OUTPATIENT SERVICES. THE DISCOUNT IS SIMILAR TO THE RATES PAID BY MEDICARE AND IS OFFERED UNDER THE UNINSURED DISCOUNT PROGRAM PAYMENT PLANS - BALANCES ARE DUE UPON DISCHARGE FROM HOSPITAL. IF THE PATIENT DOES NOT QUALIFY FOR STATE ASSISTANCE OR HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, PAYMENT ARRANGEMENTS MAY BE ESTABLISHED WITH HOSPITAL'S FINANCIAL COUNSELOR. PAYMENT ARRANGEMENTS MAY BE MADE WITH NO INTEREST OR PENALTIES. DEFAULTING ON A PAYMENT PLAN WILL RESULT IN DISQUALIFICATION OF THIS OPTION. MEDI-CAL AND GOVERNMENT PROGRAMS -PATIENTS MAY QUALIFY FOR GOVERNMENT PROGRAMS TO ASSIST WITH ALL OR PART OF THE HOSPITAL EXPENSES. HOSPITALS RETAIN THE SERVICES OF A VENDOR FOR DETERMINING MEDI-CAL AND COVERED CALIFORNIA ELIGIBILITY TO ASSIST PATIENTS WITH THE MEDI-CAL AND CALIFORNIA CONNECT APPLICATION PROCESS. PATIENTS MAY RECEIVE BILLS FROM OTHER BILLING COMPANIES FOR ITEMS SUCH AS PHYSICIAN CHARGES, RADIOLOGY, AND AMBULANCE SERVICES. |
| SCHEDULE H, PART VI, LINE 4 - ENCINO & SHERMAN OAKS | COMMUNITY INFORMATION HOSPITALS' TOTAL SERVICE AREA IS COMPOSED OF APPROXIMATELY 1 MILLION PERSONS WITH A FORECASTED INCREASE OF 5% BY 2016. HOSPITALS' 2015 PRIMARY SERVICE AREA (PSA) INCLUDES THE COMMUNITIES OF ENCINO, WOODLAND HILLS, RESEDA, SUN VALLEY, CANOGA PARK, GRANADA HILLS, PANORAMA CITY, SAN FERNANDO, STUDIO CITY, NORTH HOLLYWOOD, SHERMAN OAKS AND WINNETKA. THE PSA IS PART OF THE CITY OF LOS ANGELES. |
| SCHEDULE H, PART I, LINE 7, COLUMN (F) PERCENT OF TOTAL EXPENSE | BAD DEBT EXPENSE OF $67,355,017. WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS SUBTRACTED FROM TOTAL EXPENSE FOR THE CALCULATION OF "PERCENT OF TOTAL EXPENSE" IN THIS COLUMN. |
| SCHEDULE H, PART III, SECTION A, LINE 2 | THE AMOUNT REPORTED ON LINE 2 IS BASED ON BAD DEBTS PER THE AUDITED FINANCIAL STATEMENTS. |
| SCHEDULE H, PART III, SECTION B, LINE 8 - HUNTINGTON BEACH & LA PALMA | THE COSTING METHODOLOGY WAS BASED ON THE CMS COST REPORT COMPONENTS. |
| SCHEDULE H, PART VI, LINE 4 - HUNTINGTON BEACH | COMMUNITY INFORMATION The hospital covers a population of approximately 475,000 in 2015 (USA Census Estimate). After reviewing 2014 discharge data for HBH, the following zip codes are included in HBH's geographic service area: 92647, 92648, 92646, 92649, 92655, 92683, 92708, 92804, and 92832. The area contains multiple ethnic and racial communities, each with differing health and social welfare needs. It also includes many organizations providing various health and social services, which the hospital supports with financial and staff time assistance. |
| SCHEDULE H, PART III, SECTION B, LINE 8 - PAMPA | THE COSTING METHODOLOGY WAS BASED ON A CONTRACTUAL MODEL DEVELOPED BY PRIME CORPORATE WHERE ALLOWABLE COSTS ARE CALCULATED USING COSTS ACCOUNTING METHODS. |
| SCHEDULE H, PART VI, LINE 2 - PAMPA | NEEDS ASSESSMENT THE HEALTH CARE NEEDS TO THE COMMUNITIES SERVED BY PRIME HEALTHCARE SERVICES - PAMPA LLC ARE ASSESSED IN A VARIETY OF WAYS INCLUDING Questionnaires THAT are mailed out to the entire community and handed out at the facility. SCHEDULE H, PART VI, LINE 3 - PAMPA PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE To ensure that the patients are aware of the existence of the Charity Care Program, the following actions ARE taken: a) Written notice to patients. b) Posting of notices within the Emergency Department, Billing Office, Admissions Office, and other outpatient settings. c) Notice to accompany bills to potentially eligible patients. SCHEDULE H, PART VI, LINE 4 - PAMPA COMMUNITY INFORMATION Pampa is considered a rural service area servicing all surrounding counties for 60+ miles. Pampa is the second largest city in the Texas Panhandle with Pampa alone having a population of over 18,000 people and a median age of 36. Pampa and its surrounding areas have a wide array of cultural diversity with many homes having 4+ household members. A majority of community members are middle to low income and even below poverty level. |
| SCHEDULE H, PART III, SECTION B, LINE 9B - PAMPA | Pampa Regional Medical Center may use the services of an external collection agency for the collection of patient debt. No debt shall be advanced for collection until the Director of the Hospital patient financial services or his/her designee has reviewed the account and approved the advancement of the debt to collection. Pampa Regional Medical Center shall obtain an agreement from each collection agency that it utilizes to collect patient debt that the agency will comply with the requirements of Texas Health & Safety Code section 311.031 to 311.048. Neither Pampa Regional Medical Center nor any collection agency utilized by Pampa Regional Medical Center shall report adverse information to a consumer credit reporting agency or commence civil action against the patient for nonpayment at any time prior to 150 days after the initial billing if the patient lacks third party coverage or for a patient that provides information that he or she may qualify for the Charity Care Program. In addition, if a patient is attempting to qualify for eligibility under Pampa Regional Medical Center Charity Care Program or the Discount Payment Policy and is attempting in good faith to settle an outstanding bill with the hospital by negotiating a reasonable payment plan or making regular partial payments of a reasonable amount, Pampa Regional Medical Center shall not send the unpaid bill to any collection agency unless that entity has agreed to comply with Texas Health & Safety Code section 311.031 to 311.048. |
| SCHEDULE H, PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM PRIME HEALTHCARE FOUNDATION, INC. AND ITS SUBSIDIARIES ARE THEIR OWN HEALTH SYSTEM MANAGED BY PRIME HEALTHCARE MANAGEMENT II, INC. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT THIS IS NOT APPLICABLE TO PRIME HEALTHCARE FOUNDATION, INC. AND ITS SUBSIDIARIES. |
| SCHEDULE H, PART III, SECTION A, LINE 3 - PAMPA | THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE FINANCIAL ASSISTANCE POLICY IS THE ACTUAL BAD DEBT, CHARITY, AND POLICY DISCOUNT DEDUCTIONS FROM REVENUE AS EACH HAVE A SEPARATE ACCOUNT. |
| SCHEDULE H, PART III, SECTION A, LINE 3 - HUNTINGTON BEACH & LA PALMA | THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE IS DEEMED TO BE $0 SINCE THE ACTIVITY ASSOCIATED WITH THE PATIENTS THAT ARE ELIGIBLE FOR FA IS CAPTURED AS EITHER CHARITY OR POLICY ADJUSTMENT, WHICH ARE DISTINCT FROM BAD DEBT EXPENSE. |
| SCHEDULE H, PART III, SECTION B, LINE 8 - ENCINO & SHERMAN OAKS | THE COSTING METHODOLOGY WAS BASED ON THE 2015 AS FILED MEDICARE COST REPORT. |
| SCHEDULE H, PART III, SECTION B, LINE 9B - HBH, LA PALMA & MONTCLAIR | THE HospitalS may use the services of an external collection agency for the collection of patient debt. No debt shall be advanced for collection until the Director of the Hospital patient financial services or his/her designee has reviewed the account and approved the advancement of the debt to collection. THE HospitalS shall obtain an agreement from each collection agency that THEY utilize to collect patient debt that the agency will comply with the requirements of california AB 774 and SB1276. Neither THE HOSPITAlS nor any collection agency utilized by THE HOSPITALS shall report adverse information to a consumer credit reporting agency or commence civil action against the patient for nonpayment at any time prior to 150 days after the initial billing if the patient lacks third party coverage or for a patient that provides information that he or she may qualify for the Charity Care Program. In addition, if a patient is attempting to qualify for eligibility under THE HospitalS' Charity Care Program or the Discount Payment Policy and is attempting in good faith to settle an outstanding bill with the hospital by negotiating a reasonable payment plan or making regular partial payments of a reasonable amount, THE HOSPITALS shall not send the unpaid bill to any collection agency unless that entity has agreed to comply with california AB 774 and SB1276. Any collection agency utilized by the hospitals shall comply with any payment plan entered into by a patient. THE HospitalS shall not, in dealing with patients eligible under the Charity Care Program or the Discount Payment Policy, use wage garnishments or liens on primary residences as a means of collecting unpaid hospital bills. |
| SCHEDULE H, PART III, SECTION B, LINE 8 | THE FOLLOWING HOSPITALS USED THE COST TO CHARGE RATIO TO REPORT THE MEDICARE ALLOWABLE COSTS ON LINE 6: PRIME HEALTHCARE SERVICES - SHERMAN OAKS LLC PRIME HEALTHCARE SERVICES - MONTCLAIR LLC PRIME HEALTHCARE SERVICES - ENCINO LLC THE FOLLOWING HOSPITALS USED OTHER COSTING METHODOLOGIES TO REPORT THE MEDICARE ALLOWABLE COSTS ON LINE 6: PRIME HEALTHCARE HUNTINGTON BEACH LLC PRIME HEALTHCARE SERVICES - PAMPA LLC PRIME HEALTHCARE LA PALMA, LLC |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH ALL OF THE HOSPITALS CONDUCT OUTREACH PROGRAMS AS FURTHER DISCUSSED IN CHNA REPORTS. |
| SCHEDULE H, PART III, SECTION A, LINE 3 - ENCINO & SHERMAN OAKS | THE COST TO CHARGE RATIO WAS USED TO DETERMINE THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS UNDER THE FINANCIAL ASSISTANCE POLICY. |
| SCHEDULE H, PART III, SECTION A, LINE 3 - MONTCLAIR | Patients who qualify, and are given financial assistance, are grouped and classified within THE patient accounting systems. These actual amounts, from the actual patients, were used to determine the amount of bad debt expense attributable to THE financial assistance policy. |
| SCHEDULE H, PART III, SECTION B, LINE 8 - MONTCLAIR | The costing methodology, and resulting allowable costs, was developed by using the cost-to-charge ratio as calculated in the latest Medicare cost report filing. |
| SCHEDULE H, PART VI, LINE 2 - MONTCLAIR | NEEDS ASSESSMENT The healthcare needs of the communities served by MONTCLAIR HOSPITAL MEDICAL CENTER are assessed in a variety of ways including direct input from the community during community events, community physicians during outreach opportunities, local police and fire department and city council representation on our board of directors and telephone surveys of patients and families. |
| SCHEDULE H, PART VI, LINE 4 - MONTCLAIR | COMMUNITY INFORMATION Montclair Hospital Medical Center service area covers a population of approximately 1.1 million in 2013. Montclair is located at the western edge of San Bernardino County, California. The overall population growth of the total service area is projected to increase by 4.4% by 2018. This is slightly less than overall growth in the County of San Bernardino which is projected to increase approximately 5% by 2018. The most significant growing age group is adults 45-64. The fastest growth of the population in this geographic area is ages of 65 and over. Though this age group represents only an average of 8.8% of the total population, the large increase of the older population is important to note as this segment of the population has health requirements unique to it, including ongoing medical conditions management as well as long term care needs. Approximately 67% of the population residing in the Primary Service Area are Latino/Hispanic. In the Secondary Service Area, the Latino/Hispanic community amounts to approximately 53% of the total population. This segment of the population is forecasted to remain the largest and is expected to grow moderately through 2018. |
| SCHEDULE H, PART VI, LINE 2 - HUNTINGTON BEACH & LA PALMA | NEEDS ASSESSMENT THE HEALTHCARE NEEDS OF THE COMMUNITIES SERVED BY HUNTINGTON BEACH HOSPITAL AND LA PALMA INTERCOMMUNITY HOSPITAL ARE ASSESSED IN A VARIETY OF WAYS INCLUDING DIRECT INPUT FROM THE COMMUNITY DURING COMMUNITY EVENTS AND OUTREACH OPPORTUNITIES. |
| SCHEDULE H, PART VI, LINE 4 - LA PALMA | COMMUNITY INFORMATION the hospital covers a population of approximately 891,000 in 2015, according to US Census estimates. OF THAT TOTAL, ROUGHLY 40% COME FROM THE PRIMARY SERVICE AREA CONSISTING OF THE FOLLOWING ZIP CODES: 90620, 90621, 90623, 90630, 90650, 90701, 90703, AND 90715. THE REMAINDER ARE FROM THE SECONDARY SERVICE AREA CONSISTING OF THE FOLLOWING ZIP CODES: 92801, 92804, 90706, 92833, 90716, 90638, 90805, 90723, AND 90680. The area contains multiple ethnic and racial communities, each with differing health and social welfare needs. It also includes many organizations providing various health and social services, which the hospital supports with financial and staff time assistance. |
| SCHEDULE H, PART I, LINE 3C | Following are the criteria used for determining eligibility for free care: A patient qualifies for the Charity Care Program if all of the following conditions are met: (1) the patient does not have third party coverage from a health insurer, health care service plan, union trust plan, Medicare, Medi-Cal or Medicaid as determined and documented by the hospital; (2) the patients injury is not a compensable injury for purposes of workers compensation, automobile insurance, or other insurance as determined and documented by the hospital; (3) the patients family income does not exceed 350% of the Federal Poverty Level; and (4) the patient has monetary assets of less than $10,000.00. Following are the criteria used for determining eligibility for discounted care: A patient who does not have third party coverage from a health insurer, health care service plan, union trust plan, Medicare, or Medicaid or whose injury is not a compensable injury for purposes of workers compensation, automobile insurance, or other insurance as determined and documented by the hospital and whose family income does not exceed 450% of the Federal Poverty Level shall be eligible for the Discount Payment Program. A patient who has third party coverage or whose injury is a compensable injury for purposes of workers compensation, automobile insurance, or other insurance as determined and documented by the hospital may qualify for the Discount Payment Program if all of the following conditions are met: (1) the patient has a family income of less than 450% of the Federal Poverty Level; (2) the patient does not receive a discount rate from the hospital as a result of his or her third party coverage; and (3) the patient has annual out-of-pocket costs incurred by that individual at the hospital that exceed 10% of the patients family income in the prior 12 months or the patient has annual out of pocket expenses that exceed 10% of the patients family income if the patient provides documentation of the patient's medical expenses paid by the patient or the patient's family in the prior 12 months. The Director of the Hospital's Patient Financial Services, (PFS) shall also have the discretion to extend charity care or a discount to patients under the following circumstances: a. The patient qualifies for limited benefits under the State's Medicaid or Medi-Cal Program, i.e., limited pregnancy or emergency benefits, but does not have benefits for other services provided at the Hospital. b. The patient qualifies for a Medically Indigent Adult Program offered by a county other than the one in which the Hospital is located. c. Reasonable efforts have been made to locate and contact the patient, such efforts have been unsuccessful, and the Hospital's PFS Director has reason to believe that the patient would qualify for charity or a discount, i.e., homeless; d. A Third Party Collection Agency has made efforts to collect the outstanding balance and has recommended to the Hospital's PFS Director that charity care or a discount be offered. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GREAT BALLS OF FIRE | |||||||
| PO Box 757 | Huntington Beach | CA | 92648 | 205098860 | 501(c)(3) | $10,000 | GENERAL SUPPORT |
| BOYS AND GIRLS CLUB OF HUNTINGTON VALLEY | |||||||
| 16582 Brookhurst St | Fountain Valley | CA | 92708 | 956192466 | 501(c)(3) | $7,500 | general support |
| HUNTINGTON BEACH POLICE OFFICERS' FOUNDATION | |||||||
| PO BOX 896 | HUNTINGTON BEACH | CA | 92648 | 330932434 | 501(c)(3) | $5,500 | GENERAL SUPPORT |
| CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE | |||||||
| 3300 E GUASTI ROAD SUITE 300 | ONTARIO | CA | 91761 | 464141445 | 501(c)(3) | $2,000,000 | GENERAL SUPPORT |
| LOS ANGELES FIRE DEPARTMENT FOUNDATION | |||||||
| 1875 CENTURY PARK EAST 200 | LOS ANGELES | CA | 90067 | 272007326 | 501(C)(3) | $5,450 | GENERAL SUPPORT |
| THE VALLEY ECONOMIC ALLIANCE | |||||||
| 5121 VAN NUYS BLVD 200 | SHERMAN OAKS | CA | 91403 | 954524503 | 501(C)(3) | $23,750 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | ALL GRANTS MADE BY THE ORGANIZATION ARE TO 501(C)(3) ORGANIZATIONS AS DETERMINED BY THE INTERNAL REVENUE SERVICE AND PUBLISHED IN PUBLICATION 78 OR GOVERNMENTAL AGENCIES. RECIPIENTS ARE ALL PUBLIC CHARITIES OR GOVERNMENTAL AGENCIES THAT THE ORGANIZATION HAS DONE A CONSIDERABLE AMOUNT OF DUE DILIGENCE REVIEW OF IN ADVANCE OF MAKING THE GRANT. THE ORGANIZATION'S BOARD HAS DETERMINED THAT NO ADDITIONAL POST-GRANT FOLLOW-UP IS NECESSARY AS THEY ARE RELYING ON THE INTERNAL REVENUE SERVICE AND ATTORNEY GENERAL TO OVERSEE THESE ORGANIZATIONS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brad Morse | ||||||||||||||
| CEO - PAMPA | $228,951 | $0 | $20,000 | $0 | $0 | $0 | $18,000 | $0 | $1,200 | $0 | $268,151 | $0 | $0 | $0 |
| Bockhi Park | ||||||||||||||
| VICE CHAIR/CEO-EHMC & SOH | $411,496 | $0 | $100,000 | $0 | $0 | $0 | $0 | $0 | $17,905 | $0 | $529,401 | $0 | $0 | $0 |
| Kanner Tillman | ||||||||||||||
| CFO - ENCINO & SHERMAN OAKS | $229,411 | $0 | $25,000 | $0 | $0 | $0 | $0 | $0 | $14,018 | $0 | $268,429 | $0 | $0 | $0 |
| EM V Garcia | ||||||||||||||
| Hospital Admin. - EHMC & SOH | $223,056 | $0 | $30,000 | $0 | $0 | $0 | $0 | $0 | $5,420 | $0 | $258,476 | $0 | $0 | $0 |
| Keith SINN | ||||||||||||||
| DIRECTOR OF PHARMACY - SOH | $183,685 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $183,685 | $0 | $0 | $0 |
| SALINA WONG | ||||||||||||||
| PHARMACIST - HBH | $189,091 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $189,091 | $0 | $0 | $0 |
| ROLAND SANTOS | ||||||||||||||
| CHIEF NURSING OFFICER - SOH | $181,912 | $0 | $25,000 | $0 | $0 | $0 | $0 | $0 | $6,731 | $0 | $213,643 | $0 | $0 | $0 |
| RUBEN GARZA | ||||||||||||||
| COO - PAMPA | $150,832 | $0 | $10,000 | $0 | $0 | $0 | $6,347 | $0 | $1,200 | $0 | $168,379 | $0 | $0 | $0 |
| GAIL AVIADO | ||||||||||||||
| CHIEF NURSING OFFICER - MHMC | $189,449 | $0 | $0 | $0 | $0 | $189,449 | $0 | |||||||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART 1, LINE 3 | FormAndLineReferenceDesc |
| Explanation | The corporation's Human Resources Department takes into account each person's experience, education, background, and other relevant factors, such as comparable market salaries for the relevant position, in determining that person's compensation. The CEO of Prime Healthcare Foundation, Inc. ("PHF") is not compensated by PHF. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| PRIME HEALTHCARE MANAGEMENT IIINC | |||
| SEE PART V | $22,167,368 | MANAGEMENT FEES | Yes (true) |
| BIO-MED SERVICES INC | |||
| SEE PART V | $1,954,408 | ASSET MANAGEMENT SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE (1), COLUMN (B) | ENTITY IS OWNED BY PRESIDENT/DIRECTOR. |
| PART IV, LINE (2), COLUMN (B) | ENTITY IS OWNED BY FAMILY MEMBERS OF PRESIDENT/DIRECTOR, ONE OF WHOM IS ALSO A DIRECTOR OF PRIME HEALTHCARE FOUNDATION, INC. |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $12,105,984 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp |
Secur Prtnrshp Trust Intrsts SecurPrtnrshpTrustIntrstsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $38,590,576 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp |
Real Estate Other RealEstateOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $23,500,000 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Form8283 Received | 2 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS REPORTING THE NUMBER OF CONTRIBUTIONS RECEIVED IN COLUMN (B) OF PART I. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (20 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | PREM REDDY, M.D. AND KAVITHA BHATIA, M.D. HAVE A FAMILY RELATIONSHIP. |
| FORM 990, PART VI, SECTION B, LINE 11B | BEFORE FILING, FORM 990 AND SUPPLEMENTAL INFORMATION TO FORM 990 IS SENT TO ALL BOARD MEMBERS FOR THEIR REVIEW, QUESTIONS AND COMMENTS. |
| FORM 990, PART VI, SECTION C, LINE 19 | GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST. |
| FORM 990, PART VI, SECTION A, LINE 6 | DR. PREM REDDY IS THE SOLE MEMBER OF PRIME HEALTHCARE FOUNDATION, INC. |
| FORM 990, PART IV, LINE 20B | THE AUDITED FINANCIAL STATEMENTS THAT ARE ATTACHED TO THIS RETURN INCLUDE KNAPP MEDICAL CENTER AND ITS SUBSIDIARIES: KNAPP MEDICAL GROUP, MID-VALLEY PHYSICIANS ASSOCIATION, INC, AND KNAPP MEDICAL CENTER ASC, LLC. HOWEVER, THESE ENTITIES ARE NOT INCLUDED IN THIS RETURN AS THEY ARE SEPARATE ENTITIES FOR TAX PURPOSES THAT FILE THEIR OWN TAX RETURNS. THE AUDITED FINANCIAL STATEMENTS THAT ARE ATTACHED TO THIS RETURN ALSO INCLUDE SIGNATURE PAMPA MEDICAL GROUP. THIS ENTITY IS NOT INCLUDED IN THIS RETURN AS IT IS A SEPARATE ENTITY FOR TAX PURPOSES THAT FILES ITS OWN TAX RETURN. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE CONFLICT OF INTEREST POLICY IS MONITORED BY THE REVIEW OF QUESTIONNAIRES THAT ARE COMPLETED ANNUALLY. |
| FORM 990, PART VI, SECTION B, LINES 15A AND 15B | The corporation's Human Resources Department takes into account each person's experience, education, background, and other relevant factors, such as comparable market salaries for the relevant position, in determining that person's compensation. The CEO of Prime Healthcare Foundation, Inc. ("PHF") is not compensated by PHF. |
| FORM 990, PART VI, SECTION A, LINES 7A AND 7B | THE SOLE MEMBER HAS THE RIGHT TO APPOINT THE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY. CERTAIN GOVERNANCE DECISIONS OF THE ORGANIZATION ARE RESERVED TO ITS SOLE MEMBER. |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:FOOD TOTAL EXPENSES:2428045 PROGRAM SERVICES:2428045 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:LINEN/BEDDING TOTAL EXPENSES:70110 PROGRAM SERVICES:70110 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:CLEANING TOTAL EXPENSES:552717 PROGRAM SERVICES:552717 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:MINOR MEDICAL EQUIPMENT TOTAL EXPENSES:846028 PROGRAM SERVICES:846028 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER SUPPLIES TOTAL EXPENSES:6410204 PROGRAM SERVICES:6410204 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:TRAINING TOTAL EXPENSES:301868 PROGRAM SERVICES:301868 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:DUES AND SUBSCRIPTION TOTAL EXPENSES:614750 PROGRAM SERVICES:604124 MANAGEMENT AND GENERAL:10626 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:OTHER EXPENSES TOTAL EXPENSES:2171882 PROGRAM SERVICES:1342145 MANAGEMENT AND GENERAL:829737 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:TAXES AND LICENSES TOTAL EXPENSES:34793006 PROGRAM SERVICES:34102919 MANAGEMENT AND GENERAL:690087 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:RECRUITING TOTAL EXPENSES:186327 PROGRAM SERVICES:186327 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:SETTLEMENT EXPENSE TOTAL EXPENSES:2200000 MANAGEMENT AND GENERAL:2200000 |
| FORM 990 PART IX LINE 24 - OTHER EXPENSES | DESCRIPTION:INSURANCE CLAIMS EXPENSE TOTAL EXPENSES:5376468 PROGRAM SERVICES:5376468 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PRIME HEALTHCARE SERVICES - ENCINO LLC | ||||||||||||||
| 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | 262128507 | HOSPITAL | CA | -$2,574,032 | $40,074,072 | PHF | |||||
| PRIME HEALTHCARE SERVICES - MONTCLAIR LL | ||||||||||||||
| 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | 202898771 | HOSPITAL | CA | -$1,165,700 | $49,038,457 | PHF | |||||
| PRIME HEALTHCARE SERVICES - SHERMAN OAKS | ||||||||||||||
| 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | 202546649 | HOSPITAL | DE | $11,222,393 | $74,088,464 | PHF | |||||
| PRIME HEALTHCARE HUNTINGTON BEACH LLC | ||||||||||||||
| 16850 BEAR VALLEY RD STE 200 | VICTORVILLE | CA | 92395 | 205252882 | HOSPITAL | DE | -$6,146,689 | $81,367,728 | PHF | |||||
| PHSF VICTOR VALLEY LLC | ||||||||||||||
| 16850 BEAR VALLEY ROAD STE 200 | VICTORVILLE | CA | 92395 | 273455658 | HOLDING CO. | DE | $0 | $0 | PHF | |||||
| Prime Healthcare Services Pampa LLC | ||||||||||||||
| 1 MEDICAL PLAZA | PAMPA | TX | 79065 | 455125687 | HOSPITAL | DE | $4,939,586 | $55,128,596 | PHF | |||||
| Prime Healthcare La Palma LLC | ||||||||||||||
| 16850 BEAR VALLEY ROAD STE 200 | VICTORVILLE | CA | 92395 | 205253134 | HOSPITAL | DE | -$5,428,488 | $61,420,511 | PHF | |||||
| PRIME HEALTHCARE SERVICES - GLENDORA | ||||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 300829314 | HOLDING CO. | DE | $0 | $0 | PHS-EVALLEY | |||||
| PRIME HEALTHCARE SERVICES - EAST VALLEY | ||||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 465198058 | HOLDING CO. | DE | $0 | $0 | PHF | |||||
| East Valley Glendora Hospital LP | ||||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 954862310 | HOSPITAL | CA | $0 | $38,964,391 | PHS-GLENDORA | |||||
| BUCKS COUNTY INSURANCE COMPANY LTD | ||||||||||||||
| 980490086 | INSURANCE | -$5,308,087 | $4,867,088 | PHF | PO BOX 69 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| KNAPP MEDICAL CENTER (KMC) | ||||||||||
| 1401 E 8TH STREET-PO BOX 1110 | WESLACO | TX | 78596 | 741393060 | HOSPITAL | TX | 501(C)(3) | 3 | PHF | Yes (true) |
| KNAPP MEDICAL GROUP | ||||||||||
| 1402 E 8TH STREET | WESLACO | TX | 78596 | 271619835 | HEALTHCARE | TX | 501(C)(3) | 3 | KMC | Yes (true) |
| MID-VALLEY PHYSICIANS ASSOCIATION | ||||||||||
| 1401 E 8TH STREET | WESLACO | TX | 78596 | 742755150 | SUPPORT | TX | 501(C)(3) | 11A | KMC | Yes (true) |
| CALIFORNIA UNIVERSITY OF SCIENCE AND MED | ||||||||||
| 3300 E GUASTI ROAD SUITE 300 | ONTARIO | CA | 91761 | 464141445 | EDUCATION | CA | 501(C)(3) | 2 | PHF | Yes (true) |
| DR PREM REDDY FAMILY FOUNDATION | ||||||||||
| 16850 BEAR VALLEY ROAD SUITE 200 | VICTORVILLE | CA | 92395 | 330486173 | GRANTMAKING | CA | 501(c)(3) | PF | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PRIME A INV LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 E GUASTI ROAD 3RD FLOOR | AddressLine1Txt |
| City | ONTARIO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91761 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 880402511 | EIN |
| Primary Activities | INVESTMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | n/a | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SIGNATURE PAMPA MEDICAL GROUP | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 800458752 | PHYSICIAN SER | TX | PHS - PAMPA LLC | C CORP | -$1,890,016 | $2,749,565 | 1.00000 | Yes (true) | |
| PRIME HEALTHCARE HOLDINGS INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 272458309 | MANAGEMENT | DE | S CORP | false | N/A | ||||
| PRIME HEALTHCARE MANAGEMENT INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 203952701 | MANAGEMENT | DE | S CORP | false | N/A | ||||
| PRIME HEALTHCARE MANAGEMENT II INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 464168107 | MANAGEMENT | DE | S CORP | false | N/A | ||||
| DESERT VALLEY MEDICAL GROUP INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 330674406 | MEDICAL GROUP | DE | S CORP | false | N/A | ||||
| SHERMAN OAKS MEDICAL GROUP MANAGEMENT | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 203914154 | MEDICAL GROUP | DE | S CORP | false | N/A | ||||
| PARADISE VALLEY MEDICAL GROUP INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 208633770 | MEDICAL GROUP | DE | S CORP | false | N/A | ||||
| SHASTA REGIONAL MEDICAL GROUP INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 263759286 | MEDICAL GROUP | DE | S CORP | false | N/A | ||||
| CHINO VALLEY MEDICAL GROUP INC | |||||||||||||
| 3300 E GUASTI ROAD 3RD FLOOR | ONTARIO | CA | 91761 | 202402331 | MEDICAL GROUP | DE | S CORP | false | N/A | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| KNAPP MEDICAL CENTER (KMC) | ||
| 1p | $14,050,234 | CASH TRANSFER |
| KNAPP MEDICAL GROUP | ||
| 1q | $4,238,456 | CASH TRANSFER |
| SIGNATURE PAMPA MEDICAL GROUP | ||
| 1P | $2,638,589 | CASH TRANSFER |
| CALIFORNIA UNIVERSITY OF SCIENCE AND MEDICINE | ||
| 1b | $2,000,000 | CASH TRANSFER |