NATIONAL HEALTH FOUNDATION: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NATIONAL HEALTH FOUNDATION (EIN 23-7314808)
Tax period
2011-04-01 to 2012-03-31
Filed
2013-02-04
IRS object ID
201340359349300524
Schema version
2011v1.2
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)
Timestamp2013-02-04T12:51:46-06:00Timestamp
Tax Period End Date2012-03-31TaxPeriodEndDate

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 Date2011-04-01TaxPeriodBeginDate

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 Signed2013-02-01DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP00366884PTIN
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts7511755GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.NHFCA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPROMOTE AND SUPPORT MORE EFFECTIVE HEALTH CARE ACCESS AND DELIVERY TO THE UNINSURED AND UNDER-INSURED.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees18TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI120000TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year4516556ContributionsGrantsPriorYear
Contributions Grants Current Year6773242ContributionsGrantsCurrentYear
Program Service Revenue Prior Year0ProgramServiceRevenuePriorYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year63834InvestmentIncomePriorYear
Investment Income Current Year148355InvestmentIncomeCurrentYear
Other Revenue Prior Year-54600OtherRevenuePriorYear
Other Revenue Current Year4139OtherRevenueCurrentYear
Total Revenue Prior Year4525790TotalRevenuePriorYear
Total Revenue Current Year6925736TotalRevenueCurrentYear
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 Year1439408SalariesEtcPriorYear
Salaries Etc Current Year1437152SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year21TotalFundrsngExpCurrentYear
Other Expense Prior Year3659026OtherExpensePriorYear
Other Expenses Current Year5072054OtherExpensesCurrentYear
Total Expenses Prior Year5098434TotalExpensesPriorYear
Total Expenses Current Year6509206TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-572644RevenuesLessExpensesPriorYear
Revenues Less Expenses CY416530RevenuesLessExpensesCY
Total Assets BOY6160447TotalAssetsBOY
Total Assets EOY6703442TotalAssetsEOY
Total Liabilities BOY3173542TotalLiabilitiesBOY
Total Liabilities EOY3343116TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2986905NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3360326NetAssetsOrFundBalancesEOY
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
Expense686002Expense
DescriptionCOUNTY OF LOS ANGELES GRANT - TO SUPPORT THE COUNTY OF LOS ANGELES'S HEALTH DEPARTMENT BY PROVIDING STRATEGIC AND OPERATIONAL PLANNING DURING AN EXECUTIVE TRANSITION TO ENSURE FULL AND EFFECTIVE DELIVERY OF HEALTH SERVICES TO LOW INCOME RESIDENTS THROUGHOUT LOS ANGELES COUNTY.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1183931Expense
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)
Expense1972285Expense
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

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense2441369Expense
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 Exp2441369TotalOfOtherProgramServiceExp
Total Program Service Expense6283587TotalProgramServiceExpense
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 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
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109634NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees18NumberOfEmployees
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 Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 (19 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
JESS WOMACK
CHAIRMAN1.00XX000
JAMES BARBER
VICE CHAIR EX OFFICIO1.00XX000
JOSEPH SALZILLO
VICE CHAIRMAN1.00XX000
GWEN EDWARDS
SECRETARY1.00XX000
MARCUS ALLEN
MEMBER1.00X000
JOHN COCHRAN
MEMBER1.00X000
ALICIA LARA
MEMBER1.00X000
KATHY FEENY
TREASURER1.00XX000
LYNDEE KNOX PHD
MEMBER1.00X000
LINDA MCGOLDRICK
MEMBER1.00X000
KIERAN P NOLAN
MEMBER1.00X000
MICHAEL HUNN
MEMBER1.00X000
JACQUE SOKOLOV MD
MEMBER1.00X000
GERALD SULLIVAN
MEMBER1.00X000
AZHAR QURESHI
MEMBER1.00X000
ROBERT HAMADA
MEMBER1.00X000
J EUGENE GRIGSBY III
PRESIDENT/CEO40.00X240928013080
KELLY BRUNO
VP PROGRAMS40.0013998109258X
HEATHER KUN PHD
VP RESEARCH & EVALUATION40.00109805020176X
FieldValueIRS element (for citing)
Total Reportable Comp From Org490714TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation42514TotalOtherCompensation
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
VOLUNTEER CENTER OF GREATER ORANGE COUNT
2691 RICHTER AVEIRVINECA92606RECUPERATIVE CARE DELIVERY852350
HOSPITAL ASSOC OF SOUTH CALIFORNIA
515 S FIGUEROA ST STE 1300LOS ANGELESCA90071PATIENT SAFETY COLLABORATIVE843232
HOSPITAL COUNCIL OF NORTHERN AND CENTRAL
1215 K ST STE 730SACRAMENTOCA95814PATIENT SAFETY COLLABORATIVE840000
PRICEWATERHOUSECOOPERSLLP
350 SOUTH GRAND AVENUE 49TH FLOORLOS ANGELESCA90071SOUTH LOS ANGELES INTEGRATED DELIVERY MO688958
HOSPITAL ASSOC OF SAN DIEGO AND IMPERIAL
5575 RUFFIN RD STE 225SAN DIEGOCA92123PATIENT SAFETY COLLABORATIVE400000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K13NumberOfContractorsGT100K
Fundraising Events334171FundraisingEvents
Related Organizations58666RelatedOrganizations
Government Grants302959GovernmentGrants
All Other Contributions6077446AllOtherContributions
Total Contributions6773242TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column153004TotalRevenueColumn
Exclusion$153,004ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities428980Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities433629Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-4649Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-4649TotalRevenueColumn
Exclusion-$4,649ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events36529GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events334171CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses152390FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-115861TotalRevenueColumn
Exclusion-$115,861ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code561000BusinessCode
Total Revenue Column120000TotalRevenueColumn
Unrelated Business Revenue120000UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue120000TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6925736TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue120000UnrelatedBusinessRevenue
Exclusion$32,494ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total272128Total
Program Services233122ProgramServices
Management And General39006ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total936500Total
Program Services873323ProgramServices
Management And General63177ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total43214Total
Program Services40229ProgramServices
Management And General2985ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total97493Total
Program Services89450ProgramServices
Management And General8043ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total87817Total
Program Services80449ProgramServices
Management And General7368ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total724Total
Program Services57ProgramServices
Management And General667ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total82582Total
Program Services54408ProgramServices
Management And General28174ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12332Total
Management And General12332ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4681184Total
Program Services4663667ProgramServices
Management And General17517ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total75581Total
Program Services61503ProgramServices
Management And General14078ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total35688Total
Program Services22405ProgramServices
Management And General13283ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total86496Total
Program Services80555ProgramServices
Management And General5941ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total54133Total
Program Services50434ProgramServices
Management And General3678ManagementAndGeneral
Fundraising21Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10983Total
Program Services10177ProgramServices
Management And General806ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5503Total
Program Services3447ProgramServices
Management And General2056ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6857Total
Program Services4305ProgramServices
Management And General2552ManagementAndGeneral

Other Expenses OtherExpenses

FieldValueIRS element (for citing)
DescriptionSTAFF DEVELOPMENTDescription
Total19991Total
Program Services16056ProgramServices
Management And General3935ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6509206Total
Program Services6283587ProgramServices
Management And General225598ManagementAndGeneral
Fundraising21Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1793118BOY
EOY2287741EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY260998BOY
EOY293008EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY958711BOY
EOY929581EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis157967LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec149883LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5991BOY
EOY8084EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3137230BOY
EOY3180629EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4399BOY
EOY4399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY6160447BOY
EOY6703442EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY432034BOY
EOY278167EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2693166BOY
EOY3024682EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY48342BOY
EOY40267EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3173542BOY
EOY3343116EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1593872BOY
EOY1938792EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY84868BOY
EOY113369EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1308165BOY
EOY1308165EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2986905BOY
EOY3360326EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6160447BOY
EOY6703442EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses416530ReconcilationRevenueExpenses
Reconcilation Other Changes-43109ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
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 Years2848881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2630376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2745882CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4516556CurrentTaxYearMinus1Year
Current Tax Year6773242CurrentTaxYear
Total19514937Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years2848881CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2630376CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2745882CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year4516556CurrentTaxYearMinus1Year
Current Tax Year6773242CurrentTaxYear
Total19514937Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total8004277AmountsSubstContributorsTotal
Public Support Total17011510660PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years229284CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years184396CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years119695CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year115647CurrentTaxYearMinus1Year
Current Tax Year153004CurrentTaxYear
Total802026Total
FieldValueIRS element (for citing)
Total Support20316963TotalSupport
Public Support Pertcentage1700.56660PublicSupportPertcentage170
Public Support Pertcent Prior Year0.63250PublicSupportPertcentPriorYear
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 Balance1393033BeginningOfYearBalance
Contributions519938Contributions
Investment Earnings Or Losses67019InvestmentEarningsOrLosses
Other Expenditures558456OtherExpenditures
End Of Year Balance1421534EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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 Balance0.92020PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.07980TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis157967OtherCostOrOtherBasis
Depreciation149883Depreciation
Book Value8084BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8084TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DEFERRED RENT$16,423
DEFERRED COMPENSATION$23,844
FieldValueIRS element (for citing)
Total Of Amounts40267TotalOfAmounts
Total Revenue6925736TotalRevenue
Total Expenses6509206TotalExpenses
Excess Or Deficit For Year416530ExcessOrDeficitForYear
Net Unrealized GL On Investments-43109NetUnrealizedGLOnInvestments
Total Adjustments-43109TotalAdjustments
Excess Or Deficit Per FS373421ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6986156TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-43109NetUnrealizedGainsInvestments
Other Revenues115861OtherRevenues
Revenue Not Rptd F99072752RevenueNotRptdF990
Revenue Subtotal6913404RevenueSubtotal
Investment Expenses Not Included12332InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt12332RevenueNotRptdOnFinStmt
Total Revenue Per Form9906925736TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6612735TotExpensesEtcAuditedFinclStmt
Other Expenses Included115861OtherExpensesIncluded
Expenses Not Rptd F990115861ExpensesNotRptdF990
Expenses Subtotal6496874ExpensesSubtotal
Investment Expenses Not Included212332InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt12332ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906509206TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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, 2012 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: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, 2012 AND 2011, NHF HAD NO UNCERTAIN TAX POSITIONS REQUIRING ACCRUAL.
PART XII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NET TO REVENUE FOR RETURN 115,861.
PART XIII, LINE 2D - OTHER ADJUSTMENTS:SPECIAL EVENT EXPENSES NET TO REVENUE FOR RETURN 115,861.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1HOSPITAL HEROES LUNCHEONNameOfEvent1
Gross Receipts Event1135600GrossReceiptsEvent1
Charitable Contributions Event1120987CharitableContributionsEvent1
Gross Revenue Event114613GrossRevenueEvent1
Other Direct Expenses Event179544OtherDirectExpensesEvent1
Name Of Event2TRIBUTE DINNERNameOfEvent2
Gross Receipts Event2235100GrossReceiptsEvent2
Charitable Contributions Event2213184CharitableContributionsEvent2
Gross Revenue Event221916GrossRevenueEvent2
Other Direct Expenses Event272846OtherDirectExpensesEvent2
Gross Receipts Total370700GrossReceiptsTotal
Charitable Contributions Total334171CharitableContributionsTotal
Gross Revenue Total Events36529GrossRevenueTotalEvents
Other Direct Expenses Total Events152390OtherDirectExpensesTotalEvents
Direct Expense Summary Events152390DirectExpenseSummaryEvents
Net Income Summary-115861NetIncomeSummary

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

FieldValueIRS element (for citing)
Name PersonJ EUGENE GRIGSBY IIINamePerson
Base Compensation Filing Org194500BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org42180BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org4248OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org10780DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org2300NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org254008TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

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 $115,861. ACTUALLY, THE TWO FUNDRAISING EVENTS RAISED $370,700 IN CASH RECEIPTS, AND AFTER ALL EXPENSES, RESULTED IN A NET PROFIT OF $218,310.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -43,109.CHANGES IN NET ASSETS OR FUND BALANCES:

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 EntityTypeOfEntity
ALLHEALTH INC
515 SOUTH FIGUEROA STREET 1300LOS ANGELESCA90071954690319HOSPITAL SERVICESCAN/AC
MODERN HEALTH SERVICES
515 SOUTH FIGUEROA STREET 1300LOS ANGELESCA90071861113784EMPLOYEE LEASING COMPANYCAN/AC
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
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
O130035FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
C53666FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
L674789FMV
HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA
J94688FMV

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.