NATIONAL HEALTH FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NATIONAL HEALTH FOUNDATION (EIN 23-7314808)
Tax period
2012-04-01 to 2013-03-31
Filed
2014-02-06
IRS object ID
201410379349301206
Schema version
2012v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-02-06T11:07:04-06:00Timestamp
Tax Period End Date2013-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN910189318EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE STE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code95219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237314808EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NATIONAL HEALTH FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone2135380700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1515 SOUTH FIGUEROA NO 1300AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90071ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ EUGENE GRIGSBY IIIName
TitlePRESIDENT/CEOTitle
Phone2135380700Phone
Date Signed2014-01-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTRACY S PAGLIAName
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ EUGENE GRIGSBY IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1515 SOUTH FIGUEROA NO 1300AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9925871GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NHFCA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROMOTE MORE EFFECTIVE HEALTH CARE ACCESS AND DELIVERY TO THE UNINSURED AND UNDER-INSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members18NbrIndependentVotingMembers
Total Nbr Employees16TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI65000TotalGrossUBI
Net Unrelated Business Txbl Income-7288NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year6773242ContributionsGrantsPriorYear
Contributions Grants Current Year6387034ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year148355InvestmentIncomePriorYear
Investment Income Current Year236436InvestmentIncomeCurrentYear
Other Revenue Prior Year4139OtherRevenuePriorYear
Other Revenue Current Year2337OtherRevenueCurrentYear
Total Revenue Prior Year6925736TotalRevenuePriorYear
Total Revenue Current Year6625807TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY878750GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1437152SalariesEtcPriorYear
Salaries Etc Current Year1513911SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year15TotalFundrsngExpCurrentYear
Other Expense Prior Year5072054OtherExpensePriorYear
Other Expenses Current Year4003274OtherExpensesCurrentYear
Total Expenses Prior Year6509206TotalExpensesPriorYear
Total Expenses Current Year6395935TotalExpensesCurrentYear
Revenues Less Expenses Prior Year416530RevenuesLessExpensesPriorYear
Revenues Less Expenses CY229872RevenuesLessExpensesCY
Total Assets BOY6703442TotalAssetsBOY
Total Assets EOY4849254TotalAssetsEOY
Total Liabilities BOY3343116TotalLiabilitiesBOY
Total Liabilities EOY1271200TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3360326NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3578054NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionNHF'S MISSION IS TO IMPROVE AND ENHANCE THE HEALTH OF THE UNDERSERVED BY DEVELOPING AND SUPPORTING PROGRAMS THAT CAN BECOME INDEPENDENTLY VIABLE, PROVIDE SYSTEMIC SOLUTIONS TO GAPS IN HEALTH CARE ACCESS AND DELIVERY AND HAVE THE POTENTIAL TO BE REPLICATED NATIONALLY.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense1478103Expense
Grants0Grants
Revenue0Revenue
DescriptionBLUE CROSS SPONSORED CALIFORNIA PATIENT SAFETY COLLABORATIVE - HOSPITALS WORKING IN COLLABORATIVES SEEK TO IMPROVE THE DELIVERY OF HEALTHCARE AND REDUCE THE NUMBER OF AVOIDABLE PATIENT SAFETY COMPLICATIONS AND DEATHS BY SHARING BEST PRACTICES IN PEER TO PEER LEARNING SITUATIONS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1263731Expense
Grants0Grants
Revenue0Revenue
DescriptionRECUPERATIVE CARE - EXPANDS RECUPERATIVE CARE (LIMITED MEDICAL NEED) BED CAPACITY FOR HOMELESS INDIVIDUALS DISCHARGED FROM HOSPITALS WITHIN LOS ANGELES AND ORANGE COUNTY.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense928408Expense
Grants878750Grants
Revenue0Revenue
DescriptionTO PROVIDE GENERAL OPERATING SUPPORT FOR THE JAMIE OLIVER FOOD FOUNDATION THAT PROVIDES FOOD AND NUTRITIONAL EDUCATION AND COOKING SKILLS AND TRAINING TO RAISE AWARENESS ABOUT HEALTH FOOD OPTIONS WITHIN CALIFORNIA COMMUNITIES.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2444892Expense
DescriptionOTHER PROGRAM SERVICES: NATIONAL HEALTH FOUNDATION IS AN INDEPENDENT PUBLIC CHARITY DEDICATED TO IMPROVING AND ENHANCING THE HEALTHCARE OF THE UNDERSERVED BY DEVELOPING AND SUPPORTING INNOVATIVE PROGRAMS THAT 1) CAN BECOME INDEPENDENTLY VIABLE, 2) PROVIDE SYSTEMIC SOLUTIONS TO GAPS IN HEALTHCARE ACCESS AND DELIVERY, AND 3) HAVE THE POTENTIAL TO BE REPLICATED NATIONALLY. CURRENT STRATEGIC INITIATIVES FOCUS ON UNDERSERVED FAMILIES, CHRONIC DISEASE AND HEALTHCARE DELIVERY.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp2444892TotalOfOtherProgramServiceExp
Total Program Service Expense6115134TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations1MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109647NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees16NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members18NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1SCOTT TWOMEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2135380756TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 S FIGUEROA ST NO 1300AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationAverage Hours Per Week RelatedAverageHoursPerWeekRelatedHighest Compensated EmployeeHighestCompensatedEmployee
JESS WOMACK
CHAIRMAN1.00XX000
JAMES BARBER
VICE CHAIR EX OFFICIO1.00XX00049.00
JOSEPH SALZILLO
VICE CHAIRMAN1.00XX000
GWEN EDWARDS
SECRETARY1.00XX000
KATHY FEENY
TREASURER1.00XX000
MARCUS ALLEN
MEMBER1.00X000
JOHN COCHRAN
MEMBER1.00X000
ROBERT HAMADA
MEMBER1.00X000
MICHAEL HUNN
MEMBER1.00X0001.00
LYNDEE KNOX PHD
MEMBER1.00X000
ALICIA LARA
MEMBER1.00X000
LINDA MCGOLDRICK
MEMBER1.00X000
KIERAN P NOLAN
MEMBER1.00X000
JACQUE SOKOLOV MD
MEMBER1.00X000
ROBERT SPLAWN
MEMBER1.00X000
GERALD SULLIVAN
MEMBER1.00X000
LAURA TREJO
MEMBER1.00X000
AZHAR QURESHI
MEMBER1.00X000
J EUGENE GRIGSBY III
PRESIDENT/CEO40.00X262799013241
KELLY BRUNO
VP PROGRAMS40.0014763108870X
HEATHER KUN PHD
VP RESEARCH & EVALUATION40.00109913019713X
FieldValueIRS element (for citing)
Total Reportable Comp From Org520343TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation41824TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HOSPITAL ASSOCIATION OF SOUTHERN CALIFOR
515 S FIGUEROA ST STE 1300LOS ANGELESCA90071PATIENT SAFETY COLLABORATIVE831382
HOSPITAL COUNCIL OF NORTHERN AND CENTRAL
1215 K ST STE 730SACRAMENTOCA95814PATIENT SAFETY COLLABORATIVE800000
VOLUNTEER CENTER OF GREATER OC
2691 RICHTER AVE STE 107IRVINECA92620RECUPERATIVE CARE DELIVERY537600
HOSPITAL ASSOCIATION OF SAN DIEGO & IMPE
5575 RUFFIN RD STE 225SAN DIEGOCA92123PATIENT SAFETY COLLABORATIVE400000
THE ILLUMINATION FOUNDATION
2691 RICHTER AVE STE 107IRVINECA92620RECUPERATIVE CARE DELIVERY306450
FieldValueIRS element (for citing)
Number Of Contractors GT100 K10NumberOfContractorsGT100K
Fundraising Events304610FundraisingEvents
Related Organizations84161RelatedOrganizations
Government Grants525476GovernmentGrants
All Other Contributions5472787AllOtherContributions
Total Contributions6387034TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column101801TotalRevenueColumn
Exclusion$101,801ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3343238Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3208603Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities134635Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column134635TotalRevenueColumn
Exclusion$134,635ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events28798GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events304610CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses91461FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-62663TotalRevenueColumn
Exclusion-$62,663ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code561000BusinessCode
Total Revenue Column65000TotalRevenueColumn
Unrelated Business Revenue65000UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue65000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6625807TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue65000UnrelatedBusinessRevenue
Exclusion$173,773ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total878750Total
Program Services878750ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total269717Total
Program Services204311ProgramServices
Management And General65406ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total982895Total
Program Services911532ProgramServices
Management And General71363ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total52722Total
Program Services46606ProgramServices
Management And General6116ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total120184Total
Program Services106242ProgramServices
Management And General13942ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total88393Total
Program Services78139ProgramServices
Management And General10254ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total631Total
Management And General631ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total77288Total
Program Services59546ProgramServices
Management And General17742ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total15951Total
Management And General15951ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3554653Total
Program Services3545219ProgramServices
Management And General9434ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total85496Total
Program Services69224ProgramServices
Management And General16272ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total35688Total
Program Services26467ProgramServices
Management And General9221ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total87165Total
Program Services79358ProgramServices
Management And General7807ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total62208Total
Program Services52634ProgramServices
Management And General9574ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total11263Total
Program Services9010ProgramServices
Management And General2253ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3549Total
Program Services2622ProgramServices
Management And General927ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6845Total
Program Services5085ProgramServices
Management And General1760ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionSTAFF DEVELOPMENTDescription
Total55743Total
Program Services37455ProgramServices
Management And General18288ManagementAndGeneral

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6794Total
Program Services2934ProgramServices
Management And General3845ManagementAndGeneral
Fundraising15Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6395935Total
Program Services6115134ProgramServices
Management And General280786ManagementAndGeneral
Fundraising15Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2287741BOY
EOY467353EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY293008BOY
EOY330069EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY929581BOY
EOY263992EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis162714LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec153432LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY8084BOY
EOY9282EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3180629BOY
EOY3774159EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4399BOY
EOY4399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6703442BOY
EOY4849254EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY278167BOY
EOY281144EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY3024682BOY
EOY954736EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40267BOY
EOY35320EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3343116BOY
EOY1271200EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1938792BOY
EOY2190570EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY113369BOY
EOY79319EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1308165BOY
EOY1308165EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3360326BOY
EOY3578054EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6703442BOY
EOY4849254EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses229872ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-12144ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2630376CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2745882CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4516556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6773242CurrentTaxYearMinus1Year
Current Tax Year6387034CurrentTaxYear
Total23053090Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2630376CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2745882CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years4516556CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year6773242CurrentTaxYearMinus1Year
Current Tax Year6387034CurrentTaxYear
Total23053090Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total8132465AmountsSubstContributorsTotal
Public Support Total17014920625PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years184396CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years119695CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years115647CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year153004CurrentTaxYearMinus1Year
Current Tax Year101801CurrentTaxYear
Total674543Total
FieldValueIRS element (for citing)
Total Support23727633TotalSupport
Public Support Pertcentage1700.62880PublicSupportPertcentage170
Public Support Pertcent Prior Year0.56660PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1421534BeginningOfYearBalance
Contributions94313Contributions
Investment Earnings Or Losses81253InvestmentEarningsOrLosses
Other Expenditures209616OtherExpenditures
End Of Year Balance1387484EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1393033BeginningOfYearBalance
Contributions519938Contributions
Investment Earnings Or Losses67019InvestmentEarningsOrLosses
Other Expenditures558456OtherExpenditures
End Of Year Balance1421534EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1428222BeginningOfYearBalance
Contributions567501Contributions
Investment Earnings Or Losses13571InvestmentEarningsOrLosses
Other Expenditures616261OtherExpenditures
End Of Year Balance1393033EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1566650BeginningOfYearBalance
Contributions1097845Contributions
Investment Earnings Or Losses80286InvestmentEarningsOrLosses
Other Expenditures1316559OtherExpenditures
End Of Year Balance1428222EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1867314BeginningOfYearBalance
Contributions584017Contributions
Investment Earnings Or Losses-93857InvestmentEarningsOrLosses
Other Expenditures790824OtherExpenditures
End Of Year Balance1566650EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.94280PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.05720TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis162714OtherCostOrOtherBasis
Depreciation153432Depreciation
Book Value9282BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9282TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$8,211
DEFERRED COMPENSATION$27,109
FieldValueIRS element (for citing)
Total Of Amounts35320TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt6660375TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-12144NetUnrealizedGainsInvestments
Other Revenues62663OtherRevenues
Revenue Not Rptd F99050519RevenueNotRptdF990
Revenue Subtotal6609856RevenueSubtotal
Investment Expenses Not Included15951InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt15951RevenueNotRptdOnFinStmt
Total Revenue Per Form9906625807TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6442647TotExpensesEtcAuditedFinclStmt
Other Expenses Included62663OtherExpensesIncluded
Expenses Not Rptd F99062663ExpensesNotRptdF990
Expenses Subtotal6379984ExpensesSubtotal
Investment Expenses Not Included215951InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt15951ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906395935TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:TEMPORARILY RESTRICTED NET ASSETS ARE AVAILABLE TO BE USED IN ANY MANNER NECESSARY TO RUN THE DESIGNATED PROGRAM. BALANCES AS OF MARCH 31, 2013 ARE ANTICIPATED TO BE FULLY USED WITHIN THE NEXT FISCAL YEAR ABSENT PROGRAM EXTENSIONS OR ADDITIONAL FUNDING. ASC 958 STATES, IN PART, THAT IN THE ABSENCE OF EXPLICIT DONOR INSTRUCTIONS ON USE OF FUNDS, THE EARNINGS NOT CLASSIFIED AS PERMANENTLY RESTRICTED NET ASSETS SHOULD BE CLASSIFIED AS TEMPORARILY RESTRICTED UNTIL APPROPRIATED FOR EXPENDITURE BY THE BOARD.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:PURSUANT TO FASB ACCOUNTING STANDARDS CODIFICATION (ASC) 740-10, INCOME TAXES, NHF WOULD RECOGNIZE THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. AS OF MARCH 31, 2013 AND 2012, NHF HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL. THE FOUNDATION IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY TAXING AUTHORITIES FOR YEARS BEFORE 2009 FOR ITS FEDERAL AND 2008 FOR ITS STATE FILINGS.
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NET TO REVENUE FOR RETURN 62,663.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NET TO REVENUE FOR RETURN 62,663.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionEUROPE (INCLUDING ICELAND & GREENLAND)Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedGRANTS TO RECIPIENTSTypeOfActivitiesConducted
Total Expenditures878750TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent878750SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent878750TotalAmountSpent

Grants To Orgs Outside US GrantsToOrgsOutsideUS

FieldValueIRS element (for citing)
RegionPROGRAM SUPPORTRegion
Purpose Of GrantPROVIDE FOOD AND NUTRITIONAL EDUCATION AND COOKING SKILLS TRAINING TO RAISE AWARENESS ABOUT HEALTHY FOOD OPTIONS WITHIN CALIFORNIA COMMUNITIES.PurposeOfGrant
Amount Of Cash Grant878750AmountOfCashGrant
FieldValueIRS element (for citing)
Total Number Of501c3 Orgs1TotalNumberOf501c3Orgs
Total Number Of Other Orgs0TotalNumberOfOtherOrgs
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1TRIBUTE DINNERNameOfEvent1
Gross Receipts Event1244600GrossReceiptsEvent1
Charitable Contributions Event1229415CharitableContributionsEvent1
Gross Revenue Event115185GrossRevenueEvent1
Rent Facility Costs Event139675RentFacilityCostsEvent1
Name Of Event2HOSPITAL HEROES LUNCHEONNameOfEvent2
Gross Receipts Event288808GrossReceiptsEvent2
Charitable Contributions Event275195CharitableContributionsEvent2
Gross Revenue Event213613GrossRevenueEvent2
Rent Facility Costs Event251786RentFacilityCostsEvent2
Gross Receipts Total333408GrossReceiptsTotal
Charitable Contributions Total304610CharitableContributionsTotal
Gross Revenue Total Events28798GrossRevenueTotalEvents
Rent Facility Costs Total Events91461RentFacilityCostsTotalEvents
Direct Expense Summary Events91461DirectExpenseSummaryEvents
Net Income Summary-62663NetIncomeSummary
FieldValueIRS element (for citing)
Explanation If NoHOSPITAL HEROES LUNCHEONExplanationIfNo

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
J EUGENE GRIGSBY III
PRESIDENT/CEO19942705880004572010941023000276040000
KELLY BRUNO
VP PROGRAMS125126022190031506882019880156501000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1AMEMBERSHIP FOR A SOCIAL CLUB IS PAID BY THE ORGANIZATION FOR ONE OFFICER. NONE OF THE BENEFIT IS TREATED AS TAXABLE COMPENSATION TO THE INDIVIDUAL.
PART I, LINE 7A BONUS FOR THE CEO IS DETERMINED BASED UPON OBJECTIVELY VERIFIABLE MEASUREMENTS AS AGREED TO BY THE BOARD AT THE BEGINNING OF EACH FISCAL YEAR. THE BONUS IS A FUNCTION OF MEETING BOARD APPROVED BUDGET REQUIREMENTS AND CRITERIA OUTLINED BY THE COMPENSATION COMMITTEE.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE CLASS OF MEMBERSHIP, WHICH ARE THE MEMBERS OF THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS OF THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. SIGNIFICANT DECISIONS OF THE GOVERNING BODY REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS. THE MEMBERS MAY APPOINT AND MAY REMOVE OR REPLACE DIRECTORS OF THE GOVERNING BODY, ALTHOUGH NO SUCH ACTIONS OCCURRED DURING THE TAX YEAR.
FORM 990, PART VI, SECTION A, LINE 7ASEE THE DESCRIPTION FOR LINE 6.
FORM 990, PART VI, SECTION A, LINE 7BSEE THE DESCRIPTION FOR LINE 6.
FORM 990, PART VI, SECTION B, LINE 11COMPLETE FILE-READY FORMS 990, 990-T, 199 AND 109 ARE REVIEWED BY THE AUDIT COMMITTEE AND ONCE APPROVED, THEY ARE THEN REVIEWED BY THE ENTIRE BOARD AND NOT FILED WITH THE IRS AND FTB UNTIL SO APPROVED BY THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CEACH YEAR, ANY PERSON WHO SERVED AT ANY TIME DURING THE TAX YEAR ON THE BOARD IS REQUESTED TO COMPLETE THE CONFLICT OF INTEREST QUESTIONNAIRE AND IS REQUESTED TO GIVE NOTICE IF A REPORTABLE EVENT OCCURS SUBSEQUENT TO THE COMPLETION OF THE QUESTIONNAIRE. COMPLETED AND SUBMITTED CONFLICT OF INTEREST QUESTIONNAIRES (AND UPDATES) ARE PERIODICALLY REVIEWED FOR COMPLIANCE TO OUR PUBLISHED POLICY BY THE GOVERNANCE, ACCOUNTABILITY & NOMINATING COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 15ACEO COMPENSATION IS INDEPENDENTLY REVIEWED BY THE COMPENSATION COMMITTEE AND ALL DETAILS ARE BROUGHT FORTH TO THE ENTIRE BOARD OF DIRECTORS FOR THEIR CONSIDERATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. EXCERPTS OF AUDITED FINANCIAL STATEMENTS ARE PUBLISHED ON THE ORGANIZATION'S WEBSITE.
PART VIII, LINE 8C AND SCHEDULE G, PART II, FUNDRAISING EVENT INCOME:PART VIII LINE 8C AND SCHEDULE G PART II DO NOT PRESENT CLEARLY THE NET PROFIT GENERATED FROM NHF'S FUNDRAISING ACTIVITIES. DUE TO THE PRESCRIBED REPORTING IN THIS DOCUMENT, IT WOULD APPEAR OUR FUNDRAISING EFFORTS LOST $62,663. ACTUALLY, THE TWO FUNDRAISING EVENTS RAISED $333,408 IN CASH RECEIPTS, AND AFTER ALL EXPENSES, RESULTED IN A NET PROFIT OF $241,947.
FORM 990, PART IX, LINE 11GRECUPERATIVE CARE: PROGRAM SERVICE EXPENSES 873,150. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 873,150. YBNI: PROGRAM SERVICE EXPENSES 50,000. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 50,000. E-CONSULT: PROGRAM SERVICE EXPENSES 129,703. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,703. LA COUNTY TRAINING: PROGRAM SERVICE EXPENSES 116,280. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 116,280. LETS GET HEALTHY CA TASK FORCE: PROGRAM SERVICE EXPENSES 259,064. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 259,064. CAE HSNS: PROGRAM SERVICE EXPENSES 66,368. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,368. CAE SCHI: PROGRAM SERVICE EXPENSES 363,634. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 363,634. CALIFORNIA PATIENT SAFETY FIRST: PROGRAM SERVICE EXPENSES 1,634,836. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,634,836. ALL OTHER: PROGRAM SERVICE EXPENSES 52,184. MANAGEMENT AND GENERAL EXPENSES 9,434. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 61,618.OTHER FEES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
515 SOUTH FIGUEROA 1300LOS ANGELESCA90071951519378HOSPITAL ADVOCACY AND REPRESENTATIONCA501(C)(6)N/A0
INSTITUTE FOR PERFORMANCE EXCELLENCE
515 SOUTH FIGUEROA 1300LOS ANGELESCA90071452508931IMPROVEMENT IN HEALTHCARE OPERATIONSCA501(C)(6)0HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PROFESSIONAL DATA SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 SOUTH FIGUEROA STREET 1300AddressLine1
CityLOS ANGELESCity
StateCAState
ZIP Code90070ZIPCode
FieldValueIRS element (for citing)
EIN383710639EIN
Primary ActivityCOLLECTS DATA ON HOSPITALS & PROVIDES BENCHMARKING INFORMATIONPrimaryActivity
Legal Domicile StateCALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityControlled OrgControlledOrg
ALLHEALTH INC
515 SOUTH FIGUEROA STREET 1300LOS ANGELESCA90071954690319HOSPITAL SERVICESCAN/AC0
MODERN HEALTH SERVICES
515 SOUTH FIGUEROA STREET 1300LOS ANGELESCA90071861113784EMPLOYEE LEASING COMPANYCAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
P117030FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
C79161FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
M620557FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
K94978FMV

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