USC VERDUGO HILLS HOSPITAL FOUNDATION: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
USC VERDUGO HILLS HOSPITAL FOUNDATION (EIN 95-3247823)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201313169349302606
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)
Timestamp2013-11-11T17:13:14-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN952648289EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1VAVRINEKTRINEDAY & CO LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line18270 ASPEN STREETAddressLine1
CityRANCHO CUCAMONGACity
StateCAState
ZIP Code91730ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN953247823EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1VERDUGO HILLS HOSPITAL FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVERDNameControl
Phone8189524659Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11812 VERDUGO BLVDAddressLine1
CityGLENDALECity
StateCAState
ZIP Code91208ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameCINDY TROUSDALEName
TitleCFOTitle
Phone8189524659Phone
Date Signed2013-11-06DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCATHERINE L GRAYName
PTINP01294460PTIN
Phone9094664410Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCINDY TROUSDALENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11812 VERDUGO BLVDAddressLine1
CityGLENDALECity
StateCAState
ZIP Code91208ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1138160GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1974YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO RAISE FUNDS IN ORDER TO SUPPORT THE OPERATIONS OF VERDUGO HILLS HOSPITAL, AN ORGANIZATION EXEMPT UNDER IRC 501(C)(3).ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members24NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2115982ContributionsGrantsPriorYear
Contributions Grants Current Year945176ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year56035InvestmentIncomePriorYear
Investment Income Current Year54186InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2172017TotalRevenuePriorYear
Total Revenue Current Year999362TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year336974SalariesEtcPriorYear
Salaries Etc Current Year355719SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year446743TotalFundrsngExpCurrentYear
Other Expense Prior Year588593OtherExpensePriorYear
Other Expenses Current Year265046OtherExpensesCurrentYear
Total Expenses Prior Year925567TotalExpensesPriorYear
Total Expenses Current Year620765TotalExpensesCurrentYear
Revenues Less Expenses Prior Year1246450RevenuesLessExpensesPriorYear
Revenues Less Expenses CY378597RevenuesLessExpensesCY
Total Assets BOY3452037TotalAssetsBOY
Total Assets EOY4371672TotalAssetsEOY
Total Liabilities BOY129907TotalLiabilitiesBOY
Total Liabilities EOY486562TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3322130NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3885110NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE SUPPLEMENTAL SUPPORT FOR THE PROGRAMS OF VERDUGO HILLS HOSPITALMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense85076Expense
DescriptionTO EXPAND COMMUNITY AWARENESS OF THE HOSPITAL AND TO RAISE FUNDS TO SUPPORT VERDUGO HILLS HOSPITAL THROUGH BOTH FUNDRAISING EVENTS AND DIRECT SOLICITATION.RESTICTED FUNDS ARE TRANSFERRED IN COMPLIANCE WITH THE DONOR'S REQUEST.Description
Total Program Service Expense85076TotalProgramServiceExpense
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 Equip0ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
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 Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
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 Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members24NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
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 Line1THE ORGANIZATIONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8189524659TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11812 VERDUGO BLVDAddressLine1
CityGLENDALECity
StateCAState
ZIP Code91208ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
RICHARD L HARRIS
MEMBER0.30X000
GEORGE KOIDE
SECRETARY0.30X000
HOURY APOSHIAN
MEMBER0.30X000
KRIS COONTZ
MEMBER0.30X000
JEFF BLAKE
MEMBER0.30X000
JEFF CRAWFORD
MEMBER0.30X000
RICHARD W COOK
MEMBER0.30X000
DAVID R ELLIOTT
MEMBER0.30X000
JOHN R GENOVESE
TREASURER0.30X000
KATE KANEKO
MEMBER0.30X000
YULANDA DAVIS-QUARRIE
PRESIDENT40.00X185508022089
LEONARD LABELLA
MEMBER0.30X04238001320429
MARY REICHLEY
MEMBER0.30X000
DARRELL SPENCE
CHAIR0.30X000
KEVIN TSUJIHARA
MEMBER0.30X000
PETER H BACHMAN
MEMBER0.30X000
RODERICK G DORMAN
MEMBER0.30X000
MINDY STEIN
VICE CHAIR0.30X000
STEPHEN R CALLISTER
MEMBER0.30X000
ROBERT E DEVELLE JR
MEMBER0.30X000
JOEL L A PETERSON
MEMBER0.30X000
HONORABLE WILLIAM R POUNDERS
MEMBER0.30X000
BETTY HURN
MEMBER0.30X000
EILEEN AKERS
MEMBER0.30X000
DR LEO BERKENBILE
MEMBER0.30X000
FieldValueIRS element (for citing)
Total Reportable Comp From Org185508TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs423800TotalReportableCompFrmRltdOrgs
Total Other Compensation1342518TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Fundraising Events438366FundraisingEvents
All Other Contributions506810AllOtherContributions
Total Contributions945176TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column54186TotalRevenueColumn
Exclusion$54,186ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events138798GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events438366CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses138798FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column999362TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$54,186ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total185508Total
Fundraising185508Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total104882Total
Fundraising104882Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total65329Total
Fundraising65329Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total29537Total
Management And General29537ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12288Total
Management And General12288ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total14796Total
Fundraising14796Fundraising

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesFundraisingFundraisingManagement And GeneralManagementAndGeneral
DONATION TO VERDUGO HIL8507685076
PRINTING5704757047
TAX & LICENSE2481224812
DUES & MEMBERSHIPS2230922309

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total19181Total
Fundraising19181Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total620765Total
Program Services85076ProgramServices
Management And General88946ManagementAndGeneral
Fundraising446743Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY668128BOY
EOY1378044EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY98945BOY
EOY64445EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2684964BOY
EOY2929183EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3452037BOY
EOY4371672EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY129907BOY
EOY486562EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY129907BOY
EOY486562EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1234832BOY
EOY1141614EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY560385BOY
EOY963108EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1526913BOY
EOY1780388EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3322130BOY
EOY3885110EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3452037BOY
EOY4371672EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses378597ReconcilationRevenueExpenses
Reconciliation Unrealized Invest184383ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type1XSupportingOrg509a3Type1
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation

Name Name

FieldValueIRS element (for citing)
Business Name Line1VERDUGO HILLS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
EIN951547003EIN
Type Of OrganizationHOSPITALTypeOfOrganization
Listed In Governing Doc1ListedInGoverningDoc
Supported Organization Notified1SupportedOrganizationNotified
Organized In US1OrganizedInUS
Amount$85,076Amount
FieldValueIRS element (for citing)
Total Number Of Supported Orgs1TotalNumberOfSupportedOrgs
Sum Of Amounts85076SumOfAmounts

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 Balance1526916BeginningOfYearBalance
Investment Earnings Or Losses253472InvestmentEarningsOrLosses
End Of Year Balance1780388EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1425983BeginningOfYearBalance
Investment Earnings Or Losses100930InvestmentEarningsOrLosses
End Of Year Balance1526913EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1389733BeginningOfYearBalance
Investment Earnings Or Losses36250InvestmentEarningsOrLosses
End Of Year Balance1425983EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1358733BeginningOfYearBalance
Investment Earnings Or Losses31000InvestmentEarningsOrLosses
End Of Year Balance1389733EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1021119BeginningOfYearBalance
Investment Earnings Or Losses337614InvestmentEarningsOrLosses
End Of Year Balance1358733EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs
Total Of Book Value Land Buildings0TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionINVESTMENTSDescription
Book Value2929183BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities2929183TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO AFFILIATESDescription
Amount$486,562Amount
FieldValueIRS element (for citing)
Total Of Amounts486562TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1322543TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments184383NetUnrealizedGainsInvestments
Other Revenues138798OtherRevenues
Revenue Not Rptd F990323181RevenueNotRptdF990
Revenue Subtotal999362RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990999362TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt759563TotExpensesEtcAuditedFinclStmt
Other Expenses Included138798OtherExpensesIncluded
Expenses Not Rptd F990138798ExpensesNotRptdF990
Expenses Subtotal620765ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form990620765TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:PART X, LINE 2:HEALTH SERVICES HAS ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ACCOUNTING STANDARDS CODIFICATION (ASC) TOPIC 740 THAT CLARIFIES THE ACCOUNTING FOR UNCERTAINITY IN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN AND PROVIDES THAT THE TAX EFFECTS FROM AN UNCERTAIN TAX POSITION CAN BE RECOGNIZED IN THE FINANCIAL STATMENTS ONLY IF, BASED ON ITS MERITS, THE POSITION IS MORE LIKELY THAN NOT TO BE SUSTAINED ON AUDIT BY TAXING AUTHORITIES. MANAGEMENT BELIVES THAT ALL TAX POSITIONS TAKEN TO DATE ARE HIGHLY CERTAIN, AND, ACCORDINGLY, NO ACCOUNTING ADJUSTMENTS HAVE BEEN MADE TO THE FINANCIAL STATEMENTS,
PART XI, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS-DIRECT EXPENSE 138,798.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENTS-DIRECT EXPENSE 138,798.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1GOLF TOURNAMENTNameOfEvent1
Gross Receipts Event1182190GrossReceiptsEvent1
Charitable Contributions Event1133825CharitableContributionsEvent1
Gross Revenue Event148365GrossRevenueEvent1
Non Cash Prizes Event16423NonCashPrizesEvent1
Rent Facility Costs Event113768RentFacilityCostsEvent1
Food And Beverage Event111355FoodAndBeverageEvent1
Other Direct Expenses Event116819OtherDirectExpensesEvent1
Name Of Event2POINSETTA BALLNameOfEvent2
Gross Receipts Event2373532GrossReceiptsEvent2
Charitable Contributions Event2294553CharitableContributionsEvent2
Gross Revenue Event278979GrossRevenueEvent2
Non Cash Prizes Event23000NonCashPrizesEvent2
Rent Facility Costs Event222952RentFacilityCostsEvent2
Food And Beverage Event222157FoodAndBeverageEvent2
Entertainment Event23196EntertainmentEvent2
Other Direct Expenses Event227674OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events21442GrossReceiptsOtherEvents
Charitable Contrib Other Events9988CharitableContribOtherEvents
Gross Revenue Other Events11454GrossRevenueOtherEvents
Other Direct Expenses Other Events11454OtherDirectExpensesOtherEvents
Gross Receipts Total577164GrossReceiptsTotal
Charitable Contributions Total438366CharitableContributionsTotal
Gross Revenue Total Events138798GrossRevenueTotalEvents
Non Cash Prizes Total Events9423NonCashPrizesTotalEvents
Rent Facility Costs Total Events36720RentFacilityCostsTotalEvents
Food And Beverage Total Events33512FoodAndBeverageTotalEvents
Entertainment Total Events3196EntertainmentTotalEvents
Other Direct Expenses Total Events55947OtherDirectExpensesTotalEvents
Direct Expense Summary Events138798DirectExpenseSummaryEvents
Net Income Summary0NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 Payments0AnyNonFixedPayments
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
YULANDA DAVIS-QUARRIE
PRESIDENT1855080000000220890207597000
LEONARD LABELLA
MEMBER04238000000012673560530730174422900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL INFORMATIONIdentifier
Return ReferencePART IIIReturnReference
ExplanationTHE $1,267,356 PAID TO LEONARD LABELLA REPRESENTS DEFERRED COMPENSATION.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

Return ReferenceReturnReferenceExplanationExplanation
FORM 990, PART VI, SECTION B, LINE 11990 RETURN WAS REVIEWED BY CFO AND FOUNDATION EXECUTIVE DIRECTOR BEFORE FILING OF THE RETURN. THE 990 WILL BE DISCUSSED AND REVIEWED BY THE FINANCE COMMITTEE.
FORM 990, PART VI, SECTION B, LINE 12CDISCLOSURES ARE REVIEWED ANNUALLY, IF A CONFLICT ARISES THE BOARD MEMBER IS ASKED TO RECUSE HIMSELF FROM ALL DISCUSSIONS AND VOTING
FORM 990, PART VI, SECTION B, LINE 15ACOMPARABLE SALARY DATA IS USED TO DETERMINE COMPENSATION
FORM 990, PART VI, SECTION C, LINE 19DOCUMENTS ARE AVAILABLE UPON REQUEST AT THE BUSINESS ADDRESS DURING NORMAL BUSINESS HOURS

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusControlled OrgControlledOrg
VERDUGO HILLS HOSPITAL
1812 VERDUGO BLVDGLENDALECA91208951547003HOSPITALCA501(C)(3)170(B)(1)(A)(III)0
VERDUGO HILLS HEALTH SERVICES
1812 VERDUGO BLVDGLENDALECA91208953837535HEALTH ORGANIZATIONCA501(C)(3)170(B)(1)(A)(III)0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
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 Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1VERDUGO HILLS HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeBTransactionType
Amount Involved85076AmountInvolved
Method Of Amt DeterminationACTUAL AMOUNTMethodOfAmtDetermination

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