2015-11-13T10:35:16-06:00 2014-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVENUE SUITE 1700 IRVINE CA 92612 990 2014-01-01 951644036 PASADENA HOSPITAL ASSOCIATION LTD % PRISCILA MAINIT DIR OF FIN PASA 6263975000 100 WEST CALIFORNIA BLVD PASADENA CA 91105 JAMES S NOBLE EVP, COO & CFO 2015-11-12 KARA ADAMS P00023315 9497942300 2014 2016-03-07 17:11:31Z HUNTINGTON MEMORIAL HOSPITAL STEPHEN A RALPH 100 WEST CALIFORNIA BLVD PASADENA CA 91105 682583733 false X WWW.HUNTINGTONHOSPITAL.COM X 1892 CA OUR MISSION IS TO EXCEL AT THE DELIVERY OF HEALTHCARE TO OUR COMMUNITY. OUR MISSION,CORE VALUES AND STANDARDS OF CONDUCT GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. 22 18 3685 1502 6255623 -496128 20484406 24038353 521416279 531294868 17078127 8872178 6150254 5152200 565129066 569357599 122700 171648 0 0 266361963 270106204 0 0 2889649 271978291 285312509 538462954 555590361 26666112 13767238 901601742 973740727 342565698 436338024 559036044 537402703 OUR MISSION IS TO EXCEL AT THE DELIVERY OF HEALTH CARE TO OUR COMMUNITY. OUR MISSION, CORE VALUES AND STANDARDS OF CONDUCT GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. false false 495391976 171648 534360487 SEE SCHEDULE O 495391976 true true false true false false false false false true true false false true true false false true false false true false true false true false true true true true true true false false false false false true false false false false true false false false false true true true false false true 614 0 true 3685 true true true false false false false true true false false false true false X 22 18 false false false false false true false true true false false false true true true true true true true true true CA X PRISCILA MAINIT DIR OF FIN 6263975337 100 WEST CALIFORNIA BLVD PASADENA CA 91105 ALLEN W MATHIES JR MD BOARD OF DIRECTORS 1.0 1.0 X 12000 0 27186 ARMANDO L GONZALEZ FAIA BOARD OF DIRECTORS 1.0 1.0 X 0 0 0 CARMEN A PULIAFITO MD BOARD OF DIRECTOR 1.0 0.0 X 0 0 0 CHARLES F SHARP MD BOARD OF DIRECTORS 1.0 0.0 X 28000 0 0 DAVID M KIRCHHEIMER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 DEBORAH WILLIAMS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELLEN LEE BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES F ROTHENBERG BOARD OF DIRECTORS- CHAIRMAN 1.0 1.0 X X 0 0 0 JAMES V BUESE MD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAYNIE STUDENMUND BOARD OF DIRECTORS-VICE CHAIR 1.0 1.0 X X 0 0 0 K EDMUND TSE MD BOARD OF DIRECTORS 1.0 0.0 X 85800 0 0 LOIS S MATTHEWS BOARD OF DIRECTORS-SECRETARY 1.0 1.0 X X 0 0 0 LOUISE HENRY BRYSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 MICHELLE QUINONES CHINO BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL JOHNSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL LH OUYANG BOARD OF DIRECTORS-TREASURER 1.0 1.0 X X 0 0 0 REED GARDINER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ROSEMARY SIMMONS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 55.0 2.0 X X 3908714 0 248520 WAYNE BRANDT BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 SHARON ARTHOFER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 R SCOTT JENKINS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES S NOBLE ASST SEC/TREAS/EVP/COO/CFO 55.0 1.0 X 834100 0 86155 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 55.0 0.0 X 562180 0 87339 BERNADETTE L MERLINO VP, AMBULATORY SERVICES 55.0 0.0 X 307215 0 72849 BONNIE L KASS SVP, HOSPITAL OPERATIONS 55.0 0.0 X 533385 0 178827 DEBRA L TAFOYA VP & CIO HR/IS 55.0 0.0 X 316444 0 206415 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 55.0 0.0 X 550793 0 168506 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 55.0 0.0 X 421219 0 55517 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 11.0 44.0 X 274046 0 27560 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 55.0 0.0 X 262066 0 84188 RAJINDER S TAKHAR VP, Bus & Provider Strategy 55.0 0.0 X 473456 0 22335 NANCY GREENGOLD VP, CLINICAL INTEGRATION 55.0 0.0 X 352639 0 6552 DAVID LEE PRESIDENT/CEO HMF 0.0 40.0 X 304088 0 11598 LILA M CHENEY EXECUTIVE DIR.SURG/WOMEN SRVS. 40.0 0.0 X 250069 0 89748 JOHN F GOEDERS EX.DIR.STRATEGIC PLANNING 40.0 0.0 X 247156 0 68583 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 4.0 36.0 X 246970 0 262933 SAMUEL I BRENEISER EX.DIR.MANAGED CARE CONTRACT. 40.0 0.0 X 244094 0 68079 10214434 0 1772890 515 false true false LAYTON CONSTRUCTION INC 9090 S SANDY PARKWAY SANDY UT 84070 CONSTRUCTION 6649506 MAXIT HEALTHCARE LLC PO BOX 2589 FORT WAYNE IN 468012589 SOFTWARE CONSULTANT 5842496 ACADEMIC HOSPITALISTS MEDICAL GROUP 50 BELLEFONTAINE 307 PASADENA CA 911053132 HOSPITALISTS PROGRAM 2185050 EMERGENCY ASSOCIATES CORPORATION 440 STEVENS AVENUE SUITE 150 SOLANA BEACH CA 92075 SPEC.CALL COVER PROG 2070652 CTG HEALTHCARE SOLUTIONS PO BOX 711778 CINCINNATI OH 452711778 SOFTWARE CONSULTANT 1946610 163 57780 0 262475 3885663 1609119 18223316 1715982 24038353 NET PATIENT SERVICE REVENUE 622110 515634819 515634819 0 0 MANAGEMENT SERVICE REVENUE 541610 6615623 360000 6255623 0 RENTAL INCOME 531120 2649593 2649593 0 0 PARKING REVENUE 812930 1581065 1581065 0 0 LABORATORY REVENUE 564082 564082 0 0 4249686 4249686 0 531294868 5233865 5233865 1242087 1242087 0 0 0 0 114191667 111795441 2396226 2396226 2396226 179100 262475 174727 4373 4373 0 1586848 1255966 330882 330882 FOOD SERVICES 722310 2776192 2776192 0 0 CONCIERGE SERVICE REVENUE 900099 1751326 0 0 1751326 MEDICAL STAFF REVENUE 900099 289427 289427 0 0 4816945 569357599 528104864 6255623 10958759 X 93920 93920 50000 50000 27728 27728 0 0 6836262 38800 6797462 0 0 0 0 0 185427515 168462177 16052239 913099 12202512 10880366 1258680 63466 50034731 43718137 6037670 278924 15605184 13502684 2026419 76081 0 0 0 0 1324015 0 1324015 0 682223 0 682223 0 40119 0 40119 0 0 0 323713 0 323713 0 59588401 47749777 11381759 456865 607320 21962 584899 459 24116479 20245796 3225025 645658 17720607 16191744 1455474 73389 0 0 0 0 16532878 15113857 1354988 64033 538569 199192 233741 105636 0 0 0 0 310910 171780 137889 1241 13593084 12120269 1402117 70698 0 0 0 0 31319085 28441097 2763935 114053 2592109 2482703 104154 5252 MEDICAL SUPPLIES 77802305 77802305 0 0 HOSPITAL FEE PROGRAM 37006241 37006241 0 0 FOOD/CLINICAL/MEDICAL STAFF 1135471 1135471 0 0 OTHER 78980 -64030 122215 20795 555590361 495391976 57308736 2889649 0 15347 18967 40206023 10710782 6565974 10661774 72884653 98665325 335977 287659 0 0 0 0 8654200 7768970 21782030 57592279 737197691 322829610 415343969 414368081 264823517 303559303 0 0 -4737780 -5317439 2957809 2957809 72770023 72467217 901601742 973740727 67943632 62661218 0 0 4572630 35558993 202537458 233871833 0 0 0 0 0 0 0 0 67511978 104245980 342565698 436338024 X 464099531 431736214 67281905 70747401 27654608 34919088 559036044 537402703 901601742 973740727 X 13767238 4621880 -40022459 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 40119 40119 false false POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES SCHEDULE C, PART II-B, LINE 1I PASADENA HOSPITAL ASSOCIATION, LTD. PAID DUES OF $271,810 TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, OF WHICH $40,119 WAS ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES. 124827213 12976801 2091978 3509687 136386305 117701687 7398612 6780536 7053622 124827213 109143374 7730975 4967217 4139879 117701687 108301016 3458789 712571 3329002 109143374 103936580 3472120 4150745 3258429 108301016 0.33360 0.25600 0.41040 false false 456038996 170111497 285927499 195527983 152718113 42809870 85630712 85630712 414368081 LEGACIES & BEQUEST RECEIVABLES 30374386 CASH VALUE INSURANCE 1044890 DUE FROM AFFILIATES 27585615 ACCRUED RECEIVABLE DONATIONS 417434 DUE FROM THIRD PARTY PAYORS 8774448 DEBT ISSUE COST 3303358 CONTRACT ACQUISTION COST 687920 INCENTIVE TO LESSEE 279166 72467217 0 PV GIFT ANNUITY & CRT 595122 ACCRUED SELF INSURANCE CLAIMS 29067233 ACCRUED PENSION COST 62876276 CAPITAL LEASE & OTH FINANCING 11707349 104245980 Intended use of endowment funds SCHEDULE D, PART V, LINE 4 BOARD DESIGNATED ENDOWMENT CONSISTS OF THE FUNDS THAT OUR BOARD PUT ASIDE FOR CURRENT OR FUTURE PROJECTS. TERM ENDOWMENT ARE THE FUNDS WE RECEIVED FROM RESTRICTED DONATIONS TO BE USED IN OPERATIONS. PERMANENT ENDOWMENT FUNDS ARE KEPT IN OUR INVESTMENT PORTFOLIO AND WE USE THE INVESTMENT RETURN TO FUND OUR OPERATION. true Central America and the Caribbean INVESTMENTS 10291465 Sub-Saharan Africa Grantmaking 17158 10308623 10308623 EDUCATION Sub-Saharan Africa 1 5338 WIRE TRANS. STIPENDS Sub-Saharan Africa 2 9700 WIRE TRANS. LIVING SUPPORT Sub-Saharan Africa 2 2120 WIRE TRANS. true false true true false false SCHEDULE F, PART I, LINE 2 PROCEDURE FOR MONITORING THE USE OF GRANTS THE REQUESTING DEPARTMENT MONITORS THE EXPENSES ON A REGULAR BASIS, TO CONFIRM THAT THE GRANTS USE IS CONSISTENT WITH ITS INTENDED PURPOSE. SCHEDULE F, PART I, LINE 3 THE AMOUNT OF THE INVESTMENTS IN PART I WAS DETERMINED USING MARKET VALUE. SCHEDULE F, PART III, COLUMN (C) THE GRANT WAS USED TO PROVIDE LIVING SUPPORT TO A DOCTOR WHILE OBTAINING HIS INTERNAL MEDICINE DEGREE. THE STIPENDS FOR TWO PEOPLE ARE FOR GROUND SUPPORT FOR THE PHIL SIMON CLINIC TANZANIA PROJECT ACTIVITIES. ACCOUNTING METHOD USED THE AMOUNT OF THE GRANT IN PART III WAS DETERMINED BY USING THE ACCRUAL METHOD OF ACCOUNTING. FALL FESTIVAL 441575 262475 179100 18974 989 3600 151164 0 441575 262475 179100 18974 989 3600 151164 174727 4373 true true X true X true X true true true false true true 4692 15113504 4394204 10719300 0.01930 22219 62781324 29879624 32901700 0.05920 26911 77894828 34273828 43621000 0.07850 28 359287 6451675 29000 6422675 0.01160 4 1574 17258248 425207 16833041 0.03030 5 6216 4630560 241438 4389122 0.00790 1 0 45056 17361 27695 0.00010 38 367077 28385539 713006 27672533 0.04990 38 393988 106280367 34986834 71293533 0.12840 3 1009 185363 2000 183363 0.00030 1 50 18308 4000 14308 1 185 15033 15033 5 1244 218704 6000 212704 0.00030 true 4219528 44229 121141583 138161634 -17020051 X true true HASC(Indirect Owner) Outpatient Surgery 0.77760 0.02710 0.19530 1 1 Huntington Memorial Hospital 100 West California Boulevard Pasadena CA 91109 WWW.HUNTINGTONHOSPITAL.COM 930000372 X X X X X HUNTINGTON MEMORIAL HOSPITAL 1 false false true X X X X X X X X 13 true false false true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 13 true SEE PART V, SECTION C false false true X 150. 400. X X X X true true X X X X true X X X X X X X X X true X false X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 IN ORDER TO GATHER COMMUNITY INPUT, PASADENA HOSPITAL ASSOCIATION (PHA) JOINED THE CITY OF PASADENA PUBLIC HEALTH DEPARTMENT'S ONGOING EFFORTS TO DEVELOP A COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). DURING JANUARY 2013, THE CITY OF PASADENA PUBLIC HEALTH DEPARTMENT HELD A MEETING WITH OVER FIFTY COMMUNITY PARTNERS IN ORDER TO SOLICIT FEEDBACK AND PRIORITIZE HEALTH ISSUES FOR THE CITY OF PASADENA. PARTICIPANTS INCLUDED PHA, CITY COUNCIL FIELD REPRESENTATIVES, CITY OF PASADENA DEPARTMENT DIRECTORS, LOCAL COMMUNITY GROUPS, AND OTHER GOVERNMENT AND HEALTH RELATED ORGANIZATIONS. BY PARTICIPATING IN THIS MEETING, PHA WAS ABLE TO OBTAIN FEEDBACK FROM ORGANIZATIONS INTIMATELY FAMILIAR WITH THE NEEDS OF UNINSURED, LOW-INCOME, MARGINALIZED, AND OTHER HIGH NEEDS GROUPS IN THE COMMUNITY. PARTICIPANTS PROVIDED FEEDBACK IN TWO WAYS: AUDIENCE RESPONSE SYSTEM AND FACILITATED DISCUSSION GROUPS. FIRST, PARTICIPANTS RANKED TOP NEEDS BASED ON THE MAGNITUDE OF THE HEALTH ISSUE AND THE FEASIBILITY TO IMPACT IT. NEXT, PARTICIPANTS WERE DIVIDED INTO GROUPS TO FACILITATE GROUP DISCUSSION ABOUT THE RESULTS. GROUPS CONSISTED OF INDIVIDUALS FROM VARIOUS ORGANIZATIONS. THEY WORKED TO AGREE ON THREE TO FOUR TOP HEALTH ISSUES, IDENTIFY RESOURCES, AND PUT FORTH STRATEGIES TO ADDRESS NEEDS. LASTLY, THE RESULTS WERE AGGREGATED TO IDENTIFY THE FOLLOWING AS THE OVERALL TOP COMMUNITY NEEDS. 1. OBESITY 2. ACCESS TO HEALTH CARE 3. TEEN PREGNANCY 4. MENTAL HEALTH RESOURCES AVAILABLE IN THE COMMUNITY TO ADDRESS HEALTH NEEDS WERE IDENTIFIED THROUGH FACILITATED GROUP DISCUSSIONS DURING THE COMMUNITY INPUT PROCESS. IN ADDITION, RESOURCES WERE COLLECTED IN A JOINT EFFORT BY PHA AND THE PASADENA PUBLIC HEALTH DEPARTMENT IN MAY 2013. SCHEDULE H, PART V, LINE 7A Hospital Facility's website: http://huntingtonhospital.com/main/communitybenefits.aspx SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: http://www.healthypasadena.org/index.php?module=htmlpages&func=display&pid =5008 -Link on the Healthy Pasadena site will direct reader to the full PHA CHNA SCHEDULE H, PART V, SECTION B, LINE 7B Other website: http://assets.thehcn.net/content/sites/pasadena/Huntington_Hospital_2013_C HNA_ImplStr.pdf SCHEDULE H, PART V, SECTION B, LINE 10A Another website: http://assets.thehcn.net/content/sites/pasadena/Huntington_Hospital_2013_C HNA_ImplStr.pdf SCHEDULE H, PART V, SECTION B, LINE 11 THE OUTCOME FROM THE PASADENA HOSPITAL ASSOCIATION, INC. (PHA) 2013 CHNA AND IMPLEMENTATION STRATEGY, PHA SELECTED THE FOLLOWING PRIORITIZED NEEDS AS CANCER AND IMMUNIZATION. THE SHORT-TERM OBJECTIVES FOR YEAR ONE OF THE THREE-YEAR PERIOD WILL FOCUS ON THESE TWO NEEDS. ONE OF THE PHA GOALS IS TO ESTABLISH OR ENHANCE OUR PARTNERSHIP, AS IT RELATES TO THESE NEEDS, WITH LOCAL COMMUNITY PARTNERS. THESE INCLUDE CHAP CARE HEALTH CARE SERVICES (A FEDERALLY FUNDED QUALIFIED HEALTH CLINIC), PASADENA PUBLIC HEALTH DEPARTMENT AND THE AMERICAN CANCER SOCIETY, FOR EXAMPLE. MEMBERS OF THESE FACILITIES WERE PARTICIPANTS IN THE WORK GROUPS ESTABLISHED TO ADDRESS THESE NEEDS. IN COLLABORATION WITH THESE PARTNERS PHA DEVELOPED AND DISTRIBUTED MULTI-LANGUAGE MARKETING CARDS SPECIFIC TO CANCER SCREENING AND IMMUNIZATION, PARTICULARLY TARGETING THE UNDERSERVED. CANCER -PHA COMMUNITY OUTREACH NURSES DEVELOPED A CLASS CALLED "AN OUNCE OF PREVENTION" WHICH ADDRESSES THE VARIOUS CANCER SCREENINGS RECOMMENDED FOR ADULTS, INCLUDING BREAST CANCER AND IMMUNIZATION. -PHA BREAST CENTER PHYSICIANS AND NURSE NAVIGATORS CONDUCTED SEVERAL COMMUNITY EDUCATION EVENTS THROUGHOUT THE YEAR. -CHAPCARE, IN COLLABORATION WITH OCCIDENTAL COLLEGE, PROVIDED ADDITIONAL SUPPORT TO PROVIDE REINFORCEMENT OF THE PHYSICIAN-INITIATED MEDICAL INTERVENTIONS, EDUCATION AND REFERRALS. -THE HUNTINGTON-HILL BREAST CENTER REPORTED A 16% INCREASE OVER THE PRIOR YEAR IN THE NUMBER SCREENING MAMMOGRAMS PERFORMED ON WOMEN 40 AND OLDER. IMMUNIZATIONS -PHA HAS BEGUN COLLECTING DATA FOR 2014 TO BE THE BASELINE YEAR FOR ALL HEALTHCARE PROVIDER PARTNERS. -PHA DISSEMINATED VARIOUS PRINTED VACCINE INFORMATION MATERIALS IN THE COMMUNITY. -PHA HAS ALSO INCORPORATED THE VACCINATIONS EDUCATION WITHIN THE "AN OUNCE OF PREVENTION" CLASSES. -PHA PROVIDED EDUCATION ABOUT VACCINATION AT PHYSICIAN OFFICES, HEALTH FAIRS, SPECIFIC CLASSES (E.G. "AN OUNCE OF PREVENTION") AND OTHER COMMUNITY EVENTS. WITH REGARDS TO THE OTHER AREAS IDENTIFIED WITHIN THE CHNA, SOME OF THE ACTIVITIES PASADENA HOSPITAL ASSOCIATION OFFERS IN SUPPORT OF THESE OBJECTIVES INCLUDED THE FOLLOWING: OFFERING AN AMBULATORY CARE CENTER (HACC) TO SERVE UNDERINSURED AND UNINSURED PERSONS, EXPANDING A PATIENT PARTNERS PROGRAM TO MANAGE PATIENTS WITH CONGESTIVE HEART FAILURE, DIABETES, AND CHRONIC OBSTRUCTIVE PULMONARY DISEASE; PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR NUMEROUS HEALTH CONDITIONS AND AGE GROUPS; LEADING AND/OR SUPPORTING COMMUNITY EFFORTS TO ADDRESS ENROLLMENT IN HEALTH INSURANCE PLANS, MEDICAL AND DENTAL CARE IN THE COMMUNITY, URGENT CARE, INFANT MORTALITY AMONG AFRICAN AMERICANS, ELDERLY AND DISABLED CARE AND INDEPENDENCE, HEALTH INFORMATION FOR PROFESSIONALS, SERVICE AGENCIES, AND THE GENERAL PUBLIC; AND GRADUATE MEDICAL EDUCATION PROGRAMS FOR GENERAL SURGERY AND INTERNAL MEDICINE RESIDENTS, PHARMACY RESIDENTS, AND OTHER HEALTH CARE PROFESSIONALS. IN ADDITION, PASADENA HOSPITAL ASSOCIATION, INC. CONTINUES TO PROVIDE CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING THE UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, AND TO OPERATE OTHER MEDICAL PROGRAMS IN SUPPORT OF THE COMMUNITY, SUCH AS AN EMERGENCY AND TRAUMA CENTER, NEONATAL NURSERY, HIGH-RISK PERINATAL PROGRAM, GERIATRIC PSYCHIATRIC SERVICES, AND PALLIATIVE CARE PROGRAM. SCHEDULE H, PART V, SECTION B, LINE 13(H) PHA INTRODUCED A TOOL TO ASSIST IN MORE EFFECTIVELY, EFFICIENTLY AND LESS INTRUSIVELY IDENTIFYING PATIENTS WHO MAY BE ELIGIBLE FOR CHARITY CARE/PAYMENT ASSISTANCE. THIS NEW TOOL IN CONJUNCTION WITH THE OTHER RELATED ELIGIBILITY CRITERIA WILL ENHANCE THE CHARITY PROCESS. SCHEDULE H, PART V, SECTION B, LINE 14 INPATIENTS GENERALLY ARE EXTENDED A PRICE SIMILAR TO THAT OF DRG PRICING AND OUTPATIENTS ARE BILLED AT 35% OF ACTUAL (GROSS) CHARGES. WITH REGARDS TO GROSS CHARGES, PHA ENDEAVORS TO MAINTAIN PRICING (GROSS CHARGES) COMPARABLE TO THE MARKET. LOOKING BACK AT PRIOR YEAR CLAIMS IN TERMS OF PERCENTAGE OF CHARGES, AMOUNTS CHARGED THE UNINSURED POPULATION NET OF THE HOSPITAL'S AUTOMATIC COURTESY DISCOUNT WAS IN LINE WITH THE AVERAGE NET REVENUE FROM THE AVERAGE OF MEDICARE AND COMMERCIAL PAYERS. WITH REGARDS TO DETERMINING ELIGIBILITY FOR CHARIABLE CARE PHA HAS ESTABLISHED A STANDARD BY USING THE GROSS INCOME, THE FEDERAL POVERTY LEVELS, FAMILY SIZE, GEOGRAPHIC AREA AND OTHER PERTINENT FACTORS. ASSET TESTING IS NOT PERFORMED. THE FEDERAL POVERTY LEVEL IS A SIGIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS. SCHEDULE H, PART V, SECTION B, LINE 16A http://huntingtonhospital.com/Pricing/Charity.aspx SCHEDULE H, PART V, SECTION B, LINE 16B ENGLISH: http://huntingtonhospital.com/Resource.ashx?sn=FinancialAssistance Spanish: http://huntingtonhospital.com/Resource.ashx?sn=AsistenciaFinanciera SCHEDULE H, PART V, SECTION B, LINE 16I PHA PROVIDES A CONSIDERABLE AMOUNT OF ITS SERVICES WITHOUT CHARGE TO FINANCIALLY ELIGIBLE PATIENTS WHO CANNOT AFFORD TO PAY FOR CARE. ALL MEDICALLY NECESSARY SERVICES ARE AVAILABLE AS UNCOMPENSATED SERVICES, BASED ON NEED. PHA PUBLICIZES THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. MOREOVER INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL, IF INTERESTED. IN ADDITION, PHA HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED. http://huntingtonhospital.com/Pricing/Charity.aspx SCHEDULE H, PART V, SECTION B, LINE 22D PHA PROVIDES MEANS-TESTED FINANCIAL ASSISTANCE THAT IS PRIMARILY CATEGORIZED INTO FULL AND PARTIAL ASSISTANCE. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S OR RESPONSIBLE FAMILY MEMBER'S HOUSEHOLD INCOME MUST BE AT OR BELOW 400% OF THE FEDERAL POVERTY LEVEL. THE PATIENT OR RESPONSIBLE FAMILY MEMBER MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND INCLUDE THE NECESSARY DOCUMENTATION. PATIENTS WHOSE INCOME IS AT OR BELOW 150% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FINANCIAL ASSISTANCE EQUAL TO 100% OF THE UNINSURED/UNDERINSURED PRICE. PATIENTS WHOSE INCOME IS BETWEEN 150% AND 400% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE A CHARITY DISCOUNT FROM THE UNINSURED/UNDERINSURED PRICE. UNINSURED/UNDERINSURED INPATIENTS GENERALLY ARE EXTENDED A PRICE SIMILAR TO THAT OF DRG PRICING. OUTPATIENTS WILL BE BILLED AT 35% OF ACTUAL GROSS CHARGES. WITH REGARDS TO GROSS CHARGES, PHA ENDEAVORS TO MAINTAIN PRICING (GROSS CHARGES) COMPARABLE TO THE MARKET. PRIOR YEARS' CLAIMS AMOUNTS CHARGED TO THE UNINSURED POPULATION NET OF THE HOSPITAL'S AUTOMATIC COURTESY DISCOUNT WERE IN LINE WITH THE AVERAGE NET REVENUE FROM THE AVERAGE OF MEDICARE AND COMMERCIAL PAYERS. IN THE EVENT FINANCIAL ASSISTANCE IS NOT A VIABLE OPTION, THE PATIENT WITH NO INSURANCE WILL BE BILLED IN ACCORDANCE WITH THE PHA PRICING POLICY. 6 Huntington Hosp Cancer CtrRad Oncology 625 S Fair Oaks Ave Suite 355 Pasadena CA 91105 Diagnostic / Treatment Center Huntington Outpatient Rehabilitation 630 South Raymond Avenue Suite 120 Pasadena CA 91105 Rehabilitation Services Outpatient Cardiovascular Laboratory 625 S Fair Oaks Ave Suite 345 Pasadena CA 91105 Diagnostic / Treatment Center Huntington Hospital Senior Care Network 837 S Fair Oaks Ave Pasadena CA 91105 Social Work Services Neurosciences Program 625 S Fair Oaks Ave Suite 325 Pasadena CA 91105 Diagnostic / Treatment Center Pre-op Testing and Outpatient Laboratory 625 S Fair Oaks Ave Suite 345 Pasadena CA 91105 Diagnostic Laboratory Services SCHEDULE H, PART I, LINE 3C WITH REGARDS TO DETERMINING ELIGIBILITY FOR CHARITABLE CARE, PASADENA HOSPITAL ASSOCIATION (PHA) HAS ESTABLISHED A STANDARD BY USING THE GROSS INCOME, THE FEDERAL POVERTY LEVELS, FAMILY SIZE, GEOGRAPHIC AREA AND OTHER PERTINENT FACTORS. ASSET TESTING IS NOT PERFORMED. THE FEDERAL POVERTY LEVEL IS A SIGIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS. IN ADDITION, DURING 2014, PHA ADOPTED A POLICY OF PRESUMPTIVE CHARITY USING A SCORING TOOL DESIGNED TO PREDICT THE PATIENT'S ABILITY TO PAY USING PUBLICLY AVAILABLE DATA. SCHEDULE H, PART I, LINES 7A & 7B MEDICAL CARE SERVICES PROVIDED TO CHARITY AND MEDI-CAL BENEFICIARIES RESULT IN SHORTFALLS FOR THE HOSPITAL. THESE SHORTFALL COSTS ARE NET OF ANY APPLICABLE PAYMENTS RECEIVED FROM CHARITY OR MEDI-CAL. THE METHOD FOR DETERMINING THESE SHORTFALLS IS BASED ON ACTUAL COSTS AS CALCULATED BY A COST ACCOUNTING SYSTEM. THIS ROBUST COST ACCOUNTING SYSTEM PRIMARILY UTILIZES A RELATIVE VALUE UNIT (RVU) COSTING APPROACH WHICH IS CALCULATED USING A SIMULTANEOUS EQUATIONS METHODOLOGY. THE COST ACCOUNTING SYSTEM INCLUDES ALL THE PATIENT TYPES (INPATIENT, OUTPATIENT & EMERGENCY) AND PAYORS (MEDICARE, MEDI-CAL, COMMERCIAL HMO, SENIOR HMO AND ALL OTHERS) SEEKING SERVICES AT THE HOSPITAL. THE UNREIMBURSED MEDICAID PERCENTAGE OF TOTAL EXPENSE IS INDICATING AN INCREASE OVER THE PREVIOUS YEAR OF TY 12/31/13 (5.24% IN TY 12/31/13 COMPARED TO 5.92% IN TY 12/31/14). WITH THE CONCLUSION OF THE CALIFORNIA DEPARTMENT OF HEALTHCARE SERVICES HOSPITAL FEE PROGRAM, A 30 MONTH PROGRAM, THAT BEGAN IN TY 12/31/10 HUNTINGTON MEMORIAL HOSPITAL WILL EXPERIENCE HIGHER TOTAL MEDICAID EXPENSES DUE TO THE LACK OF OFFSETTING REVENUES. THIS SUPPLEMENTAL MEDI-CAL (CALIFORNIA MEDICAID) PROGRAM AIMED TO HELP CALIFORNIA HOSPITALS REGAIN SOME OF THE BILLIONS THEY LOST YEAR OVER YEAR DUE TO LOW MEDI-CAL REIMBURSEMENT RATES. FOR TY 12/31/14, THE IMPACT OF THE HOSPITAL FEE PROGRAM WAS A $4.0 MILLION LOSS WHICH WAS RECORDED BY HUNTINGTON MEMORIAL HOSPITAL. THIS LOSS IS INCLUDED ON SCHEDULE H PART I LINE 7(B). SCHEDULE H, PART I, LINES 7E-7H THESE PROGRAMS AND OCCURRENCES DETERMINED THE NET COMMUNITY BENEFITS EXPENSES BY COMPILING THE TOTAL COMMUNITY EXPENSES LESS THE DIRECT OFFSETTING REVENUES (INCLUDING RESTRICTED GRANTS, IF APPLICABLE), ASSOCIATED WITH THESE ACTIVITIES. IN ADDITION TO THE DIRECT EXPENSES, INDIRECT EXPENSES WERE INCLUDED TO ACCOUNT FOR OVERHEAD COSTS TO CONDUCT THE PROGRAMS. THE METHOD USED IS THE "OTHER METHOD" BY CALCULATING DIRECT EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS. PART I, LINES 7 (E), COLUMN (B) - THE NUMBER OF PERSON SERVED FOR THE COMMUNITY HEALTH IMPROVEMENTS AND COMMUNITY BENEFITS OPERATION PROGRAMS INCLUDES THE NUMBER OF INDIVIDUALS VISITING THE PHA WEBSITE, AMOUNG OTHER RELATED PROGRAMS. EXAMPLES OF THESE OTHER PROGRAMS INCLUDES BREAST CANCER AWARENESS, HEALTH FAIRS, PROSTATE CANCER SUPPORT GROUPS, OSTOMY SUPPORT GROUPS AND SIMILAR PROGRAMS. SCHEDULE H, PART I, LINE 7G PHA SUBSIDIZED SOME CLINICS AND PROGRAMS RELATED TO LOW-INCOME TRAUMA, SENIOR AND PERINATAL POPULATIONS. THESE INCLUDED A TRAUMA INTERAGENCY COMMUNICATION PROGRAM/TRAINING, LOW-INCOME SENIOR CARE CLINICS, LOW-INCOME MEDICARE/MEDI-CAL CLINICS, LOW-INCOME PERINATAL CLINICS THAT EXPERIENCE SHORTFALLS FROM STATE FUNDED CARE COORDINATION ASSOCIATED WITH THE MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP) FOR LOW INCOME MEDICARE/MEDI-CAL POPULATIONS. NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ARE INCLUDED. SCHEDULE H, PART II PHA PLAYS AN ACTIVE ROLE IN COMMUNITY COALITION BUILDING IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AND PUBLIC ORGANIZATIONS ENCOMPASSING THE PUBLIC SECTOR, FAITH COMMUNITY, AND PRIVATE BUSINESS. BEYOND HEALTH CARE, PHA PARTICIPATES IN DEVELOPMENT OF SOCIAL AND ECONOMIC PROGRAMS TO ENCOURAGE IMPROVEMENTS IN SAFETY AND LEADERSHIP TRAINING, RECREATIONAL ACTIVITIES, "NEIGHBORHOOD CLUBS" OFFERING ASSISTANCE TO SINGLE PARENTS AND ELDERLY RESIDENTS, INCREASED INVOLVEMENT OF PARENTS IN SCHOOL POLICIES, ETC. SPECIFICALLY TO HEALTH CARE RELATED COMMUNITY BUILDING OBJECTIVES, PHA ENGAGES IN ACTIVITIES THAT INCLUDE OFFERING AN AMBULATORY CARE CENTER TO UNDER-INSURED AND UNINSURED PERSONS, PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS (SENIOR CARE NETWORK), PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION PROGRAMS ON TOPICS SUCH AS HIGH BLOOD PRESSURE, DIABETES AND ASTHMA FOR CHILDREN AND THEIR FAMILIES AS WELL AS ADULTS; PROVIDING COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCE LIBRARY AND PARTNERING WITH COMMUNITY ORGANIZATIONS. THESE ACTIVITIES ILLUSTRATE HUNTINGTON MEMORIAL HOSPITAL'S COMMITMENT TO SUPPORTING AND BUILDING THE COMMUNITY. SCHEDULE H, PART III, LINE 2 REGARDING PHA BAD DEBT, PHA RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES. THE PROVISION FOR DOUBTFUL ACCOUNTS ARE RECORDED NET OF ANY PAYMENTS, CONTRACTUAL ALLOWANCES AND DISCOUNTS. SCHEDULE H, PART III, SECTION A, LINE 3 WITH REGARDS TO AN ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POSSIBLY ELIGIBLE FOR FINANCIAL ASSISTANCE: PHA CONDUCTED THIS ESTIMATE BY USING THE BAD DEBT WRITE-OFFS POSTED TO THE RESPECTIVE TRENDED YEARS AND IDENTIFIED THE BAD DEBT SUBSEQUENTLY RECLASSIFIED TO CHARITY. THE AVERAGE OF THE AMOUNTS FOR THE PREVIOUS FIVE YEARS YIELDED APPROXIMATELY 1.05 PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2014 TOTAL NET BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 TO ESTIMATE THE PORTION OF BAD DEBT THAT POTENTIALLY COULD QUALIFY FOR CHARITY IN FUTURE YEARS. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT: THE FOOTNOTES TO THE PHA FINANCIAL STATEMENTS INCLUDE A BAD DEBT FOOTNOTE THAT CAN BE FOUND ON PAGES 15 & 16 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS RETURN. SCHEDULE H, PART III, LINE 8 (a) THE MEDICARE SHORTFALL INCURRED BY PHA IS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES NEEDED ACUTE, REHABILITATIVE, PSYCHIATRIC, OUTPATIENT AND TRAUMA CARE TO ASSIST ELDERLY AND DISABLED ADULTS RETURN TO GOOD HEALTH, ALL WHILE BEING PAID REIMBURSEMENT RATES FROM MEDICARE THAT COVER ONLY A FRACTION OF THE COST OF PROVIDING SUCH CARE. THE REPORTED MEDICARE SHORTFALL AMOUNT IS CONSISTENT WITH THE FILED COST REPORT AND IS NET OF DIRECT GRADUATE MEDICAL EDUCATION REVENUES AND COSTS REFLECTED IN PART I. (b) THE MEDICARE COST REPORT CALCULATES MEDICARE COSTS FOR ACUTE CARE HOSPITALS USING RATIOS OF COST-TO-CHARGES AND CALCULATED PER DIEM AVERAGE. SCHEDULE H, PART III, LINE 9B PHA DOES NOT PURSUE COLLECTION OF AMOUNTS FOR CARE WITHOUT CHARGE TO PATIENTS WHO MEET CERTAIN CRITERIA AND ARE KNOWN TO QUALIFY FOR CHARITY CARE. UNINSURED PATIENTS ARE AUTOMATICALLY EXTENDED COURTESY DISCOUNTS ON ALL INPATIENT AND EMERGENCY SERVICES TO PATIENTS WHO MEET CERTAIN LOW-INCOME GUIDELINES BUT ARE NOT ELIGIBLE FOR CHARITY CARE. THE CHARITY POLICY AND PROCEDURE SEEKS TO DIFFERENTIATE BETWEEN PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY, VERSUS BAD DEBT, WHICH IS THE UNWILLINGNESS OF THE PATIENT TO PAY. THE COURTESY DISCOUNT AVERAGES APPROXIMATELY 70% OF GROSS CHARGES. THE BALANCE (APPROXIMATELY 30% OF GROSS CHARGE) IS BILLED TO THE PATIENT. SCHEDULE H, PART IV, LINE 1 BASED ON THE HUNTINGTON AMBULATORY SURGERY CENTER (HASC) INFORMATION AVAILABLE TO PHA, WE CONCLUDED THAT ONE OR MORE OF THE PHYSICIAN'S ON STAFF AT PHA COLLECTIVE OWNERSHIP (SHARE OF PROFITS IN HUNTINGTON OUTPATIENT SURGERY CENTER (HOSC)) EXCEEDS THE 10% THRESHOLD. PHA HAS DETERMINED THE APPROPRIATE PERCENTAGE TO ENTER IN THE "PHYSICIAN'S PROFIT OR STOCK OWNERSHIP 19.530%" ON LINE 1 OF THE PART IV TABLE. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT PHA PERFORMS A COMMUNITY NEEDS ASSESSMENT EVERY 3 YEARS, IN ACCORDANCE WITH CALIFORNIA COMMUNITY BENEFITS LEGISLATION FOR NOT-FOR-PROFIT HOSPITALS. REVIEW AND ANALYSIS OF HEALTH RELATED DATA, COMPARED WITH NATIONAL BENCHMARKS AND REGIONAL EXPERIENCES, COMBINED WITH CONSULTATION WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES, ARE CONSIDERED IN IDENTIFYING THE TOP HEALTH ISSUES AND OPPORTUNITIES FOR IMPROVEMENT TO ARRIVE AT THE COMMUNITY NEEDS USED IN DETERMINING THE COMMUNITY BENEFITS PLAN. FURTHERMORE, IN ACCORDANCE WITH THE FEDERAL SECTION 501(r) REQUIREMENTS, PHA HAS COMPLETED THE 2013 COMMUNITY HEALTH NEEDS ASSESMENT AND IMPLEMENTATION STRATEGY FOR THE HOSPITALS SERVICE AREA OF GREATER PASADENA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION PROVIDES EDUCATION TO PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE IN SEVERAL WAYS. FINANCIAL COUNSELORS ARE ON HAND TO EVALUATE PATIENTS FOR THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR THE HOSPITAL'S CHARITY CARE AND DISCOUNT POLICIES, AND FACILITATE APPLICATION FOR ASSISTANCE. PATIENTS WHO ARE UNINSURED ARE GIVEN A NOTICE AT THE TIME OF ADMISSION/REGISTRATION, AND THE HOSPITAL POSTS NOTICES INFORMING PATIENTS OF ITS CHARITY CARE POLICY. ADDITIONALLY, THE HOSPITAL'S WEBSITE POSTS PAYMENT OPTIONS AND ALTERNATIVES AVAILABLE TO PATIENTS WITHOUT HEALTHCARE COVERAGE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION PHA, LOCATED IN PASADENA, DEFINES THE "COMMUNITY" IT SERVES FOR PURPOSES OF NEEDS ASSESSMENT TO INCLUDE THE SERVICE AREA OF PASADENA, ALTA DENA, SAN MARINO, AND SOUTH PASADENA. THE SERVICE AREA POPULATION IS ESTIMATED AT 231,274 AS OF 2013. IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF: PERSONS AGE 18-64 YEARS, AND 65 YRS AND OLDER, PERSONS OF WHITE, ASIAN AND BLACK RACES, PERSONS SPEAKING ENGLISH AT HOME, ADULTS WITH SOME COLLEGE TO A COLLEGE DEGREE, AND EMPLOYED PERSONS. THE HOSPITAL HAD 17.7% OF THE PATIENT DISCHARGES HAVING MEDICAID OR WERE UNINSURED FOR THE FY 12/31/14; DESPITE HAVING A LOWER PROPORTION OF FAMILIES WITH INCOMES BELOW THE POVERTY LEVEL AT 8.3% WITHIN THE GREATER PASADENA, WHEN COMPARED TO LOS ANGELES COUNTY. HEART DISEASE AND CANCER WERE THE TOP TWO LEADING CAUSES OF DEATH IN THE SERVICE AREA. PHA IS ONE OF 16 ACUTE CARE HOSPITALS WITHIN THE SAN GABRIEL VALLEY AND THE ONLY TRAUMA FACILITY WITHIN IN THIS SAME AREA. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH PHA HAS AN OPEN MEDICAL STAFF, AND A COMMUNITY BOARD (BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS). THE HOSPITAL CONDUCTS NUMEROUS ACTIVITIES THAT CONTRIBUTE TO PROMOTING THE HEALTH OF THE COMMUNITY. IN ADDITION TO PROVIDING CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, OPERATING AN EMERGENCY ROOM ON A 24-HOUR BASIS, AND OFFERING AN AMBULATORY CARE CLINIC TO SERVE UNDER-INSURED AND UNINSURED PERSONS, THE HOSPITAL IS DEDICATED TO PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS, PROVIDING COMMUNITY HEALTH EDUCATION, PREVENTION, AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCES LIBRARY AND GRADUATE MEDICAL EDUCATION, AND PARTNERING WITH COMMUNITY ORGANIZATIONS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697, COMMUNITY BENEFITS LEGISLATION, PHA, A PRIVATE NOT-FOR-PROFIT HOSPITAL, HAS SUBMITTED A COMMUNITY BENEFITS PLAN FOR FISCAL YEAR 2013 (JANUARY 1 TO DECEMBER 31). SENATE BILL 697 REQUIRES A NOT-FOR-PROFIT HOSPITAL IN CALIFORNIA TO COMPLETE THE FOLLOWING ACTIVITIES: - REVIEW AND REAFFIRM ITS MISSION STATEMENT TO ENSURE THAT ITS POLICIES INTEGRATE AND REFLECT THE PUBLIC INTEREST IN MEETING ITS RESPONSIBILITIES AS A NOT-FOR-PROFIT ORGANIZATION. - COMPLETE AND UPDATE A NEEDS ASSESSMENT EVERY THREE YEARS, EVALUATING THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. - ADOPT AND FILE A COMMUNITY BENEFITS PLAN ANNUALLY, DOCUMENTING ACTIVITIES THAT THE HOSPITAL HAS UNDERTAKEN TO ADDRESS COMMUNITY NEEDS WITHIN ITS MISSION AND FINANCIAL CAPACITY; AND TO THE EXTENT PRACTICABLE, ASSIGN AND REPORT THE ECONOMIC VALUE OF COMMUNITY BENEFITS PROVIDED IN FURTHERANCE OF ITS PLAN. true PASADENA RONALD MCDONALD HOUSE 763 S PASADENA AVENUE PASADENA CA 91105 953167869 501(c)(3) 6000 0 CA HOSPITAL FEE PROGRAM HUNTINGTON MEDICAL RESEARCH INSTITUTES 734 FAIRMOUNT AVENUE PASADENA CA 91105 951757119 501(c)(3) 6500 0 2 SCHOLARSHIPS 10 50000 BOOK SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING THE USE OF GRANTS PASADENA HOSPITAL ASSOCIATION, LTD. MONITORS THE SPONSORSHIP AND SCHOLARSHIPS UP FRONT WHEN DETERMINING WHO THE GRANTS ARE AWARDED TO: SPONSORSHIPS WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS FOR THEIR FUNDRAISING EVENTS. SCHOLARSHIPS WERE GIVEN TO THE QUALIFIED EMPLOYEES. EVERY SCHOLARSHIP RECIPIENT MUST SHOW PROOF OF ACTIVE ENROLLMENT IN A FORMAL ACADEMIC PROGRAM. EACH SCHOLARSHIP HAS CERTAIN CRITERIA BASED ON DONOR REQUIREMENTS. THE APPLICANTS ARE PROVIDED WITH THE LIST OF CRITERIA AHEAD OF TIME AND THEY SELECT WHICH SCHOLARSHIP THEY ARE APPLYING FOR BASED ON THEIR PERFORMANCE. X X true true X X X X X false true false false false false false false false STEPHEN A RALPH BOARD OF DIRECTORS-PRES/CEO 669635 0 192000 0 3047079 0 237370 0 11150 0 4157234 0 3009753 0 JAMES S NOBLE ASST SEC/TREAS/EVP/COO/CFO 513839 0 140000 0 180261 0 70268 0 15887 0 920255 0 97803 0 JANE HADERLEIN SVP, EXTERNAL AFFAIRS 373525 0 91000 0 97655 0 71452 0 15887 0 649519 0 85803 0 BERNADETTE L MERLINO VP, AMBULATORY SERVICES 234641 0 53000 0 19574 0 61961 0 10888 0 380064 0 0 0 BONNIE L KASS SVP, HOSPITAL OPERATIONS 349630 0 87000 0 96755 0 168067 0 10760 0 712212 0 67312 0 DEBRA L TAFOYA VP & CIO HR/IS 243289 0 53000 0 20155 0 195265 0 11150 0 522859 0 0 0 PAULA VERRETTE MD SVP & CMO QUALITY & PHYS. SVCS 420877 0 107000 0 22916 0 157746 0 10760 0 719299 0 0 0 DEBRA A ORTEGA CHRO & VP ADMIN SVCS 272705 0 61000 0 87514 0 44367 0 11150 0 476736 0 68415 0 EUGENE E GUTIERREZ IV VP, FINANCE & CONGRESS SERVICE 207711 0 46000 0 20335 0 11439 0 16121 0 301606 0 0 0 GLORIA M SANCHEZ-RICO VP, CHIEF NURSE EXECUTIVE 219997 0 22940 0 19129 0 68067 0 16121 0 346254 0 0 0 RAJINDER S TAKHAR VP, Bus & Provider Strategy 352264 0 91547 0 29645 0 6058 0 16277 0 495791 0 0 0 NANCY GREENGOLD VP, CLINICAL INTEGRATION 315139 0 20000 0 17500 0 1160 0 5392 0 359191 0 0 0 DAVID LEE PRESIDENT/CEO HMF 231920 0 53000 0 19168 0 6206 0 5392 0 315686 0 0 0 LILA M CHENEY EXECUTIVE DIR.SURG/WOMEN SRVS. 226142 0 23927 0 0 0 78988 0 10760 0 339817 0 0 0 JOHN F GOEDERS EX.DIR.STRATEGIC PLANNING 219716 0 27440 0 0 0 52072 0 16511 0 315739 0 0 0 JEFFREY P WEIGAND DIRECTOR REAL ESTATE 212594 0 16876 0 17500 0 251783 0 11150 0 509903 0 0 0 SAMUEL I BRENEISER EX.DIR.MANAGED CARE CONTRACT. 201348 0 26246 0 16500 0 62718 0 5361 0 312173 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION STEPHEN A. RALPH, CEO, HAS MEMBERSHIPS IN ATHENAEUUM AND THE VALLEY HUNT CLUB, WHICH ARE SOCIAL CLUBS IN PASADENA. THE USAGE OF CLUBS WAS PRIMARILY FOR BUSINESS PURPOSES. AUTO ALLOWANCES WERE ADVANCED TO CERTAIN EXECUTIVES AND WERE REPORTED IN THEIR W-2. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL COMPENSATION INFORMATION Pasadena Hospital Association (PHA) adopted a 457(f) non-qualified Retirement Plan, effective December 15, 2005. The purpose of the Plan is to encourage retention of people who are critical to the long-term health and mission of our organization, and to encourage them to think in terms of spending their full careers with us. This benefits the organization with continuity and stability of key members of our leadership team. The plan covers certain members of the executive management team of PHA. Participants in this plan are not eligible to participate in the 457(f) Retention Plan at the same time. As members of the executive management team of PHA, certain persons listed on Part VII of the 990 participate in the plan. The following participants received distribution from the 457(f) Retirement plan in 2014: Stephen A. Ralph - $3,009,753 The normal retirement date of the plan is age 65. Each participant of the plan is fully vested at the normal retirement date or when the participant's age plus years of service equals seventy-five. For participants with less than 20 years of service the normal retirement benefit is pro-rated. The benefits accrued for each individual under our 457(f) Retirement Plan were paid in a lump sum upon vesting. For Mr. Ralph, the amount reported in Column (F) of Schedule J. represents his accrued benefits under the 457(f) Retirement Plan for his 31 years of service plus earnings and interest thereon, all of which vested and were paid in a lump sum in 2014. The amount, amortized over the 31-year period and discounted for the earnings and interest (assumed to be 6.75% per year), would have been approximately $28,943 per year, representing the amount needed to be contributed on Mr. Ralph's behalf each year over the 31-year period. Prior to vesting in 2014, the 457(f) Retirement Plan benefit was subject to substantial risk of forfeiture. The current year's payout is reflected in Columns B (III) and column F of Schedule J. The amounts were reported on prior years Form 990 as deferred compensation in Column C. Within this context, the total amount paid to Mr. Ralph in 2014, including the distribution from the 457(f) Retirement Plan, is believed to be reasonable under the relevant rules and regulations, as well as within the competitive context within which the organization operates. Additionally, this payment is deemed appropriate and reasonable by the Compensation Committee of the Board of Directors and an independent compensation consultant. This plan was closed to new entrants effective January 1, 2014. Pasadena Hospital Association (PHA) adopted a 457(f) non-qualified Retention Plan, effective December 15, 2005. The purpose of the Plan is to encourage retention of people who are critical to the long-term health and mission of our organization, and to encourage them to think in terms of spending their full careers with us. This benefits the organization with continuity and stability of key members of our leadership team. The plan covers certain members of the executive management team of PHA. As members of the executive management team of PHA, certain persons listed on Part VII of the 990 participate in the plan. The following participants received distribution from the 457(f) Retention plan in 2014: James S. Noble - $97,803 Jane Haderlein - $85,803 Bonnie L. Kass - $67,312 Debra A. Ortega - $68,415 The benefits accrued for each individual under our 457(f) Retention Plan were paid in a lump sum upon vesting. Participants vest after three years of service. During the vesting period, the Retention Plan benefit is subject to substantial risk of forfeiture. 457(f) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE HOSPITAL TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A "SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. NO PAYOUTS WERE MADE FROM THE PLAN IN 2014. A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 130911J92 2005-05-18 236905804 SEE PART VI true false false B CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SCT9 2014-05-17 51196500 SEE PART VI false false false C CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SEA8 2014-12-04 168043186 SEE PART VI false false false A 37850000 176725000 253194016 1923922 3848784 0 1992905 0 0 171687667 74060661 0 2013 false true true true B 0 0 51196500 0 0 0 670000 0 0 0 0 0 false false false true C 0 0 168043186 0 0 165564980 2478205 0 0 0 0 0 2014 false true false true A false true true true false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true C false true true true false 0.00000 0.00000 0.00000 false false false true A false false false true false true Goldman Sachs Cap Mk 0.3 false true true GEFCM 29.98 false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true BOND ISSUE A PART I, (F): CONSTRUCTION & FACILITY IMPROVEMENTS. BONDS FUNDED BY SERIES 2005 BONDS; SERIES 1996 BONDS, ISSUED ON 08/13/1996. PART I, (E) AND PART 2, LINE 3: THE DIFFERENCE BETWEEN THE ISSUE PRICE AND TOTAL PROCEEDS IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART II, LINE 13: 2013 REPRESENTS THE YEAR THE ASSETS FINANCED BY THE REFUNDED 2005 BONDS WERE DEEMED SUBSTANTIALLY COMPLETE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C); THE REBATE COMPUTATION FOR THE LAST FIVE-YEAR ANNIVERSARY DATE OF MAY 18, 2010 WAS PERFORMED AS OF JUNE 4, 2010. PART IV, LINE 5(E): THE QUALIFIED HEDGES ON THE 2005 BONDS WERE ENTERED INTO PRE-ISSUANCE AND WERE TERMINATED ON THE ISSUE DATE. THE ORIGINAL TERMS OF THE SWAPS WERE 30.44 AND 30.43 YEARS. PART IV, LINE 5(B): THE GIC PROVIDER IS GE FUNDING CAPITAL MARKET SERVICES, INC. BOND ISSUE B PART I(F): THE PURPOSE OF THE 2014A SERIES BONDS ARE TO FINANCE IMPROVEMENTS TO EXISTING BUILDINGS & FACILITIES. BOND ISSUE C PART I(F): THE PURPOSE OF THE 2014B BONDS IS AN ADVANCE REFUND OF SERIES 2005 BONDS. THE ISSUE DATE OF 2005 BONDS WAS MAY 18, 2005. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2014 BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7; AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6 IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. JAMES S NOBLE CURRENT OFFICER HOME LOAN X 400000 287659 false true true 287659 X 4 3925 SELLING PRICE X 35 1690382 SELLING PRICE X FOOD 1800 21600 SELLING PRICE X HALLOWEEN GIFTS 50 75 SELLING PRICE false true true SOLICITATION, PROCESSING, OR NONCASH CONTRIBUTIONS HUNTINGTON MEMORIAL HOSPITAL USES MORGAN STANLEY TO SELL THE STOCK DONATIONS AND USES RITEWAY TO SELL THE CARS THEY RECEIVE FROM DONORS. RITEWAY WILL ISSUE FORM 1098-C TO THE DONOR IF NECESSARY. NONCASH CONTRIBUTIONS THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART III, LINE 4A Pasadena Hospital Association, Ltd. (DBA Huntington Memorial Hospital) is a 625-bed, not-for-profit community hospital located in Pasadena, California. Founded in 1892, Huntington Hospital is committed to providing excellent patient care delivered with compassion and respect. The hospital offers a full complement of acute medical care and community services, ranging from general medicine to the foremost specialized programs in cardiovascular services, oncology, and the neurosciences. The hospital has the only trauma center in the region. In addition, Huntington offers women's and children's services, state-of-the art orthopedic surgery, in- and outpatient psychiatric services, Huntington Hospital Senior Care Network, and Huntington Ambulatory Care Center. Through a partnership between Huntington Hospital and Shriners Hospitals for Children - Southern California, inpatient surgical and medical services for pediatric patients are available at Huntington Hospital. As a teaching facility affiliated with the University of Southern California's Keck School of Medicine, Huntington supported 25 internal medicine and 14 general surgery residents in 2014. More than one-third of Huntington's residents remain in the area to practice, providing a seamless transition through generations of care. Recently, Huntington Hospital received numerous awards, recognitions, and certifications: -Full hospital-wide accreditation from The Joint Commission for achieving national standards for health care quality and safety -Gold Seal of Approval from The Joint Commission for the stroke care and total knee and hip replacement -Designation as a Primary Stroke Center from The Joint Commission, one of the first hospitals in Los Angeles County to earn this designation -Magnet designation by American Nurses Credentialing Center. Magnet designation represents the highest level of national recognition to health care organizations that demonstrate sustained excellence in nursing care in a healthy, collaborative, and professional work environment. Only six percent of all acute care health care organizations have obtained this prestigious recognition. -Ranked as a U.S. News and World Report Top Hospital (Metro) in ten specialties, including: orthopedics, neurology and neurosurgery, urology, gastroenterology, geriatrics, diabetes and endocrinology, pulmonology, gynecology, nephrology, and ear, nose and throat -Huntington Hospital received Healthgrades 2015 America's 50 Best Hospitals Award,a distinction that makes Huntington Hospital one of the top 1% of more than 4,500 hospitals nationwide for its consistent, year-over year superior clinical performance -Huntington Hospital achieved Healthgrades 2015 Outstanding Patient Experience Award for the delivery of a positive experience for patients during their hospital stay -Huntington Hospital Trauma Center has been verified as a Level II trauma center by the Verification Review Committee (VRC), an ad hoc committee of the Committee on Trauma (COT) of the American College of Surgeons (ACS) -Named to Target: Stroke Honor Roll by the American Heart Association/American Stroke Association and also received the American Stroke Association's Get With the Guidelines - Stroke Gold Plus Performance Achievement Award in recognition of the hospital's high quality, best practice stroke care -Huntington Hospital's Cancer Center received Accreditation with Commendation from the American College of Surgeons' Commission on Cancer -Huntington Hospital's Cancer Center was presented with the 2014 Outstanding Achievement Award by the American College of Surgeons' Commission on Cancer -Huntington-Hill Breast Center received Accreditation by the American College of Surgeons' National Accreditation Program for Breast Centers - one of only three hospitals in Los Angeles County to have achieved this honor -The Breast Imaging Center is designated a Center of Excellence by the American College of Radiology -The American College of Radiology Commission on Quality and Safety has accredited Huntington Hospital's Toshiba Aquilion One 320 for computer tomography and Toshiba 2005 Vantage for magnetic resonance imaging services -Maximum Five-Year Accreditation from the Accreditation Council for Graduate Medical Education -Bariatric Surgery Center of Excellence by the American Society for Metabolic and Bariatric Surgery -Huntington Hospital was accredited by the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program -The Cheers Award - bestowed by the Institute for Safe Medication Practices - honors organizations that have set a "superlative standard of excellence" in the prevention of medication errors -Outstanding Leadership Award from the U.S. Department of Health and Human Services for eliminating ventilator-associated pneumonia - one of only 37 hospitals nationwide to be recognized -Lab Accreditation Board of ABRET granted the hospital accreditation for our Neurophysiology Intraoperative Monitoring Laboratories -Centers of Distinction for bariatric surgery, spine surgery, knee and hip joint replacement, and heart and vascular services by the Blue Cross Blue Shield Association -Designation as a STEMI (ST Segment Elevation Myocardial Infarction) Receiving Center where emergency medical service personnel give patients having possible myocardial infarctions a 12-lead EKG in the field and a hospital team is ready when a patient arrives in the Emergency Department -Gold Medal For Excellence in supporting organ donation from the U.S. Department of Health Services -Accreditation by the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) Huntington Hospital also offers continuing education and learning for the public, employees, medical staff, and other health care professionals, through the availability of health science and community libraries. With social media transforming the way that people communicate, Huntington Hospital has extended its reach into the web community using familiar sites like Facebook, YouTube, and Twitter. FORM 990, PART VI, LINE 7A INDIVIDUALS WITH POWER TO ELECT MEMBERS OF THE GOVERNING BODY THE TRUSTEES OF THE COLLIS P. AND HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST (TRUST) HAVE THE POWER TO ELECT REPLACEMENT TRUSTEES OF THE TRUST'S BOARD IN THEIR CAPACITY AS TRUSTEES. ALL TRUSTEES ALSO SERVE ON THE BOARD OF DIRECTORS OF PASADENA HOSPITAL ASSOCIATION, LTD., DBA HUNTINGTON MEMORIAL HOSPITAL. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW FORM 990 FINANCIAL DATA IS GATHERED FROM AND VERIFIED BY VARIOUS DIRECTORS. THE DATA USED IN PREPARATION OF THE RETURN BY THE OUTSIDE TAX PREPARER IS REVIEWED BY THE CHIEF FINANCIAL OFFICER PRIOR TO FILING. FORM 990, PART VI, LINE 12C MONITORING TRANSACTIONS FOR CONFLICTS OF INTEREST THE PROCESS OF DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS IS GOVERNED BY THE ORGANIZATION'S POLICIES, WHEREBY INDIVIDUALS IN POSITIONS OF LEADERSHIP (OFFICERS, DIRECTORS, AND MANAGEMENT PERSONNEL) ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. ONCE DISCLOSED, A REVIEW OF ANY POTENTIAL CONFLICTS IS CONDUCTED AT THE LEVEL OF CHIEF EXECUTIVE OFFICER IN CONJUNCTION WITH THE COMPLIANCE OFFICER. BASED ON THIS EVALUATION, IT MAY BE NECESSARY TO FOLLOW-UP WITH THE INDIVIDUAL AND REQUEST ANY ADDITIONAL INFORMATION DEEMED RELEVANT, OR DISCUSS WAYS TO MITIGATE OR ELIMINATE THE RISK OF CONFLICT. ANY CONCERNS OF CONFLICTS OF INTEREST ARE ADDRESSED BY THE AUDIT & COMPLIANCE COMMITTEE AND THE FINDINGS AND RECOMMENDATIONS ARE REPORTED TO THE BOARD OF DIRECTORS. AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE WILL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION OR ARRANGEMENT WITH HUNTINGTON MEMORIAL HOSPITAL. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, AND THE COMMITTEES DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE MEETING IN WHICH COMPENSATION ARRANGEMENTS WERE DETERMINED. REVIEW & APPROVAL OF COMPENSATION FOR ALL TOP MANAGEMENT OFFICIALS, INCLUDING THE CEO, CFO & VP POSITIONS IS CONDUCTED BY THE COMPENSATION COMMITTEE ANNUALLY, AND THE PERSONS WHO SERVE IN THOSE POSITIONS ARE NOT PRESENT DURING DISCUSSIONS RELATED TO THEIR COMPENSATION. COMPARABLE DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS, PREPARED BY INDEPENDENT CONSULTANTS, IS USED TO ESTABLISH COMPENSATION. REVIEW & APPROVAL FOR THE CEO & VPS WAS LAST PERFORMED BY THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING HELD IN NOVEMBER 20, 2014. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINE 11G REGISTERED NURSES $2,532 MEDICAL FEES-PHY $3,091,017 CLINICAL CALL FEES $9,268,231 EDUCATION MED FEES $1,761,803 AB75 FEES RESERVE $1,488,021 CONSULT & MGMT FEES $5,049,475 MGMT FEES-SODEXO $617,986 REGISTRY NURSING $4,567,336 NON NURSING TEMP $742,670 MEDICAL SERVICES $2,694,541 REPAIRS & MAINT-EQUIP $5,465,068 MAINT-DP HARDWARE $14,800 COLLECTION AGENCIES $631,791 HA COMMISSIONS $1,074,728 OTH-PURCHASED SVCS $21,032,046 PURCH SVC-MED ASSETS GPO $630,000 OTHER PURCHASED SERVICES $13,600 RECRUITING $691,110 SPECIAL RECRUITMENT $4,283 OTHER DIRECT EXPENSE $747,363 ___________ TOTAL OTHER FEES FOR SERVICES $59,588,401 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ACCRUED PENSION $(42,595,729) RATE LOCK TERMINATION BOND 2005 $ 3,145,540 UNREALIZED GAIN/LOSS ON SUBSIDIARY $ (572,270) ___________ TOTAL OTHER CHANGES IN NET ASSETS $(40,022,459) COLLIS P HOWARD HNTINGTON MEM HOSP TRUST 100 W CALIFORNIA BLVD PASADENA CA 91109 956027688 SUPPORT PHA CA 501(c)(3) 11, III-FI NA false HUNTINGTON MEDICAL FOUNDATION 133 N ALTADENA DRIVE 2ND FLR PASADENA CA 91107 954434428 HLTHCARE SVCS CA 501(c)(3) 3 PHA true HMH FLINTRIDGE LA CANADA GUILD PO BOX 563 LA CANADA CA 91012 956016968 FUNDRAISING CA 501(c)(3) 11, III-FI NA false WOMEN'S AUXILIARY HUNTINGTON MEM HOSP 930 S EL MOLINO AVE PASADENA CA 91106 956195080 FUNDRAISING CA 501(c)(3) 11, III-FI NA false HASC SURGERY CENTER CA CSC RELATED 0 0 false 0 false HOSC SURGERY CENTER CA CSC RELATED 0 0 false 0 false CONGRESS SERVICES CORPORATION 804 SOUTH FAIR OAKS AVENUE PASADENA CA 91105 953978299 MANAGEMENT SVCS CA NA C Corp 675243 5445045 1.00000 true CHARITABLE REMAINDER TRUSTS (4) SUPPORT CA NA Trust false true true true false false false false false true true true true false true false true true false HUNTINGTON MEDICAL FOUNDATION B 1500000 COST HUNTINGTON MEDICAL FOUNDATION D 1124994 COST HUNTINGTON AMBULATORY SURGERY CENNTER J 1650093 COST HUNTINGTON AMBULATORY SURGERY CENTER L 238857 COST HUNTINGTON MEDICAL FOUNDATION L 219501 COST CONGRESS SERVICES CORPORATION O 274440 COST HUNTINGTON MEDICAL FOUNDATION O 57240 COST HUNTINGTON AMBULATORY SURGERY CENTER Q 1124616 CASH HUNTINGTON MEDICAL FOUNDATION R 1950000 COST SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP LINE 1: HUNTINGTON AMBULATORY SURGERY CENTER 27-3922007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105 LINE 2: HUNTINGTON OUTPATIENT SURGERY CENTER 95-4043257 797 S FAIR OAKS AVE PASADENA, CA 91105