VERDUGO HILLS HOSPITAL: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- VERDUGO HILLS HOSPITAL (EIN 95-1547003)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-11
- IRS object ID
- 201343169349302569
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T17:13:14-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952648289 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VAVRINEKTRINEDAY & CO LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8270 ASPEN STREET | AddressLine1 |
| City | RANCHO CUCAMONGA | City |
| State | CA | State |
| ZIP Code | 91730 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951547003 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDUGO HILLS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VERD | NameControl |
| Phone | 8187907100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 VERDUGO BLVD | AddressLine1 |
| City | GLENDALE | City |
| State | CA | State |
| ZIP Code | 91208 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CINDY TROUSDALE | Name |
| Title | CFO | Title |
| Phone | 8187907100 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | CATHERINE L GRAY | Name |
| PTIN | P01294460 | PTIN |
| Phone | 9094664410 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | CINDY TROUSDALE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 VERDUGO BLVD | AddressLine1 |
| City | GLENDALE | City |
| State | CA | State |
| ZIP Code | 91208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 84259626 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.VERDUGOHILLSHOSPITAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1969 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE PERSONALIZED AND COST-EFECTIVE HIGH-QUALITY SERVICES THAT MEET THE COMMUNITY'S NEEDS FOR HEALTHCARE IN A HEALTHCARE ENVIRONMENT THAT COMPELS PATIENTS AND STAFF TO BECOME AMBASSADORS FOR THE HOSPITAL | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 831 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 913811 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 138673 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 426633 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 85076 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 80163673 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84057978 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 524157 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16496 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -5867 | OtherRevenuePriorYear |
| Other Revenue Current Year | -10726 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 81108596 | TotalRevenuePriorYear |
| Total Revenue Current Year | 84148824 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 42620497 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 41987127 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 37248400 | OtherExpensePriorYear |
| Other Expenses Current Year | 41901729 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 79868897 | TotalExpensesPriorYear |
| Total Expenses Current Year | 83888856 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1239699 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 259968 | RevenuesLessExpensesCY |
| Total Assets BOY | 41456186 | TotalAssetsBOY |
| Total Assets EOY | 42666648 | TotalAssetsEOY |
| Total Liabilities BOY | 18410708 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 18798222 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 23045478 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 23868426 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE PERSONALIZED AND COST-EFFECTIVE HIGH-QUALITY SERVICES THAT MEET THE COMMUNITY'S NEED FOR HEALTHCARE | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 79261927 | Expense |
| Revenue | 83144167 | Revenue |
| Description | VERDUGO HILLS HOSPITAL OPERATES A 158-BED HOSPITAL DESIGNATED FOR GENERAL ACUTE-CARE.THE HOSPITAL PROVIDES INPATIENT AND OUTPATIENT MEDICAL SERVICES FOR GLENDALE, LA CANADA, AND THE SURROUNDING COMMUNITIES | Description |
| Total Program Service Expense | 79261927 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 84 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 831 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 8189524659 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 VERDUGO BLVD | AddressLine1 |
| City | GLENDALE | City |
| State | CA | State |
| ZIP Code | 91208 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| CARL W RAGGIO | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| ANNSLEY C STRONG | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| CHARLES W MASON | ||||||||
| IMMEDIATE PAST CHAIR | 0.30 | X | 0 | 0 | 0 | X | ||
| LEONARD LABELLA | ||||||||
| CEO/PRESIDENT | 40.00 | X | 423800 | 0 | 1320429 | X | ||
| KAREN MC ILVENA | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| DARRELL SPENCE | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| ROBERT DEVELLE | ||||||||
| CHAIR | 0.30 | X | 0 | 0 | 0 | X | ||
| STEVEN L HARTFORD MD | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| TODD E ANDREWS | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| ALLAN PERRY JR MD | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| DAVID TASHMAN MD | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| S LEE ROSS | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| SAM LONGO JR | ||||||||
| SECRETARY | 0.30 | X | 0 | 0 | 0 | |||
| LARRY DUMAS | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| DAVID SAGAL | ||||||||
| TREASURER | 0.30 | X | 0 | 0 | 0 | X | ||
| STEVE WILDER | ||||||||
| VICE CHAIR | 0.30 | X | 0 | 0 | 0 | X | ||
| EDWARD WOPSHALL | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| CRAIG MORITZ MD | ||||||||
| MEMBER | 0.30 | X | 0 | 0 | 0 | |||
| CYNTHIA TROUSDALE | ||||||||
| CFO, VP | 40.00 | 245255 | 0 | 7298 | X | |||
| PAUL CELUCH | ||||||||
| HR, VP | 40.00 | 170370 | 0 | 12438 | X | |||
| JUDITH MC CURDY | ||||||||
| VP OF NURSING | 40.00 | 215835 | 0 | 3147 | X | |||
| YULANDA DAVIS-QUARRIE | ||||||||
| VP FOUNDATION | 0.30 | 0 | 185508 | 22089 | X | 40.00 | ||
| DUANE SCOTT CAMERON | ||||||||
| RADIOLOGY DIRECTOR | 40.00 | 147423 | 0 | 6120 | X | |||
| DEBRA LEE BROWN | ||||||||
| DIR OF HIM INFOMATIC | 40.00 | 142284 | 0 | 21506 | X | |||
| SUSAN FABER | ||||||||
| PHARMACY DIRECTOR | 40.00 | 140596 | 0 | 11813 | X | |||
| ERNIE DEMIS | ||||||||
| CRISIS TEAM MEMBER | 40.00 | 142684 | 0 | 0 | X | |||
| STELLA LIU | ||||||||
| PHARMACIST | 40.00 | 149449 | 0 | 11892 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1777696 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 185508 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1416732 | TotalOtherCompensation |
| Number Individuals GT100 K | 50 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HOSPITAL SYSTEMS | |||||
| 2245 N GREEN VALLEY PARKWAY | HENDERSON | NV | 89014 | PROGRAMMING | 504599 |
| COGDELL SPENCER | |||||
| 4401 BARCLAY DOWNS DR 300 | CHARLOTTE | NC | 28201 | RENT | 364764 |
| FUTURENET TECHNOLOGIES | |||||
| 222 E HUNTINGTON DR SUITE 200 | MONROVIA | CA | 91016 | TRANSCRIPTION | 251201 |
| DAVIS WRIGHT TREMAINE LLP | |||||
| 865 S FIGUEROA | LOS ANGELES | CA | 90017 | LEGAL | 246465 |
| FONDA AND FRASER LP | |||||
| 100 W BROADWAY SUITE 650 | GLENDALE | CA | 91210 | LEGAL | 109881 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 85076 | RelatedOrganizations |
| Total Contributions | 85076 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | NET PATIENT REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 84057978 | TotalRevenueColumn |
| Related Or Exempt Function Income | 83144167 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 913811 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84057978 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 16496 | TotalRevenueColumn |
| Exclusion | $16,496 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 100076 | GrossSalesOfInventory |
| Cost Of Goods Sold | 110802 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10726 | TotalRevenueColumn |
| Exclusion | -$10,726 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84148824 | TotalRevenueColumn |
| Related Or Exempt Function Income | 83144167 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 913811 | UnrelatedBusinessRevenue |
| Exclusion | $5,770 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1055260 | Total |
| Management And General | 1055260 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34702187 | Total |
| Program Services | 34702187 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3554121 | Total |
| Program Services | 3554121 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2675559 | Total |
| Program Services | 2675559 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 261564 | Total |
| Management And General | 261564 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122500 | Total |
| Management And General | 122500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 536767 | Total |
| Program Services | 218244 | ProgramServices |
| Management And General | 318523 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158941 | Total |
| Management And General | 158941 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1511693 | Total |
| Program Services | 1511693 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23513 | Total |
| Management And General | 23513 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 458622 | Total |
| Program Services | 458622 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2470953 | Total |
| Management And General | 2470953 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1891587 | Total |
| Program Services | 1891587 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| UBIT TAX | 33643 | 33643 |
| SUPPLIES | 12987629 | 12987629 |
| PURCHASED SERVICES | 7744780 | 7744780 |
| HOSPITAL PROGRAM FEE | 6823642 | 6823642 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6875895 | Total |
| Program Services | 6660220 | ProgramServices |
| Management And General | 215675 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83888856 | Total |
| Program Services | 79261927 | ProgramServices |
| Management And General | 4626929 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1544636 | BOY |
| EOY | 3966756 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10619890 | BOY |
| EOY | 9838887 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1211974 | BOY |
| EOY | 1202643 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1198927 | BOY |
| EOY | 1416701 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 87688238 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 69515994 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17417014 | BOY |
| EOY | 18172244 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5133765 | BOY |
| EOY | 2623907 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4329980 | BOY |
| EOY | 5445510 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41456186 | BOY |
| EOY | 42666648 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8969961 | BOY |
| EOY | 6686988 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 532796 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331141 | BOY |
| EOY | 1000142 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9109606 | BOY |
| EOY | 10578296 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18410708 | BOY |
| EOY | 18798222 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20958180 | BOY |
| EOY | 21124930 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 560385 | BOY |
| EOY | 963108 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1526913 | BOY |
| EOY | 1780388 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23045478 | BOY |
| EOY | 23868426 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41456186 | BOY |
| EOY | 42666648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 259968 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 562980 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 797277 | OtherCostOrOtherBasis |
| Book Value | 797277 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 84746515 | OtherCostOrOtherBasis |
| Depreciation | 69515994 | Depreciation |
| Book Value | 15230521 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2144446 | OtherCostOrOtherBasis |
| Book Value | 2144446 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 18172244 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | INVESTMENTS OTHER | Description |
| Book Value | 2623907 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 2623907 | TotalOfBookValueSecurities |
Other Assets OtherAssets (5 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INTEREST IN VERDUGO HILLS HOSP FOUNDATION | 3885108 |
| DEFERRED LOAN COSTS | 273005 |
| OTHER RECEIVABLE | 418209 |
| INTERCOMPANY RECEIVABLE | 629888 |
| OTHER | 239300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5445510 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED PROFESSIONAL LIABILITY | $1,427,847 |
| ACCRUED WORKERS COMPENSATION | $579,371 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $771,078 |
| NOTE PAYABLE-ROSS ENERGY LLC | $7,800,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 10578296 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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: | COST OF GOODS SOLD | |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | COST OF GOODS SOLD |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2094413 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2094413 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02590 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 401862 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 401862 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00500 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2065006 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2065006 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4561281 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4561281 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05640 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 307510 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 307510 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 166086 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 166086 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00210 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 473596 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 473596 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00590 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5034877 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5034877 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06230 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,893,000 | BadDebtExpenseAmount |
| Amount Attributable To | 539618 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 25969599 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 28034605 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2065006 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDUGO HILLS HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 VERDUGO BLVD | AddressLine1 |
| City | GLENDALE | City |
| State | CA | State |
| ZIP Code | 91208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Childrens Hospital | X | ChildrensHospital |
| Research Facility | X | ResearchFacility |
| Other | SKILLED NURSING,OUTPATIENT SURGERY & DIAGNOSTIC | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDUGO HILLS HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 10 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 2892941. | ||
| PART II: N/A | ||
| PART III, LINE 4: NO FOOTNOTE IN AUDITED FINANCIALS, CHARITY WRITE-OFFS ARE NOT RECORDED AS BAD BEBT BUT AS A REDUCTION IN REVENUE | ||
| PART III, LINE 8: MEDICARE AS FILED COST REPORT WHICH USES COST TO CHARGE RATIO | ||
| PART III, LINE 9B: PATIENTS ARE GIVEN GUIDELINES AND FORMS AT TIME OF ADDMISSION/REGISTRATION- PATIENTS ARE ASKED TO CONTACT US IN ORDER TO DETERMINE IF THEY QUALIFY FOR CHARITY DISCOUNTS-GUIDELINES AND FORMS ARE MAILED TO THE PATIENTS. | ||
| PART V, SECTION B, LINE 3: VICE PRESIDENT OF PATIENT SERVICES AND THE VICE PRESIDENT OF THE FOUNDATION PARTICIPATED IN THE IMPLENTATION AND EXECUTION OF A COMMUNITY WIDE NEEDS ASSESSMENT. THIS WAS DONE THROUGH ATTENDING AND ACTIVE PARTICPATION IN MEETINGS DESIGNED TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. | VERDUGO HILLS HOSPITAL | |
| PART V, SECTION B, LINE 4: GLENDALE MEMORIAL HOSPITALGLENDALE ADVENTIST HOSPITAL | VERDUGO HILLS HOSPITAL | |
| PART V, SECTION B, LINE 7: DUE TO FINANCIAL CONSTRAINTS THE ORGANIZATION WAS UNABLE TO ADDRESS ALL THE NEEDS IDENTIFIED BY THE NEEDS ASSESSMENT. ALSO SOME IDENTIFIED NEEDS ARE NOT HEALTHCARE RELATED. | VERDUGO HILLS HOSPITAL | |
| PART V, SECTION B, LINE 20D: ORGANIZATION USES A DISCOUNTED MEDICARE COMPARABLE RATE | VERDUGO HILLS HOSPITAL | |
| PART VI, LINE 2: BI-ANNUAL COMMUNITY NEEDS ASSESSMENT REVIEW DONE BY A PROFESSIONAL JOINTLY WITH 2 OTHER HOSPITALS IN GLENDALE | ||
| PART VI, LINE 3: THE FAIR PRICING POLICY IS DESCRIBED TO PATIENTS AND FAMILIES UNPON REGISTRATION, THE POLICY IS POSTED AND FORMS MAILED TO PATIENTS AT TIME OF INITIAL BILLING. | ||
| PART VI, LINE 4: ANYONE WHO NEEDS MEDICAL SERVICES | ||
| PART VI, LINE 5: OPEN MEDICAL STAFF, COMMUNITY BOARD, PHYSICIAN EDUCATION PROGRAMS, COMMUNITY MEETING ROOM SPACE, PUBLIC SPEAKING AT SCHOOLS AND SERVICE ORGANIZATIONS, MEMBERSHIP ON GLENDALE HEALTH COALITION, SURPLUS FUNDS REINVESTED ANNUALLY IN MEDICAL EQUIPMENT, FACILITIY IMPROVEMENTS, HEALTH FAIRS, SENIOR FLU CLINICS, ETC. | ||
| PART VI, LINE 6: N/A | ||
| CA | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEONARD LABELLA | ||||||||||||||
| CEO/PRESIDENT | 423800 | 0 | 0 | 0 | 0 | 0 | 1267356 | 0 | 53073 | 0 | 1744229 | 0 | 0 | 0 |
| CYNTHIA TROUSDALE | ||||||||||||||
| CFO, VP | 245255 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 7298 | 0 | 252553 | 0 | 0 | 0 |
| PAUL CELUCH | ||||||||||||||
| HR, VP | 170370 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 12438 | 0 | 182808 | 0 | 0 | 0 |
| JUDITH MC CURDY | ||||||||||||||
| VP OF NURSING | 215835 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 3147 | 0 | 218982 | 0 | 0 | 0 |
| YULANDA DAVIS-QUARRIE | ||||||||||||||
| VP FOUNDATION | 0 | 185508 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22089 | 0 | 207597 | 0 | 0 |
| DUANE SCOTT CAMERON | ||||||||||||||
| RADIOLOGY DIRECTOR | 147423 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 6120 | 0 | 153543 | 0 | 0 | 0 |
| DEBRA LEE BROWN | ||||||||||||||
| DIR OF HIM INFOMATIC | 142284 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21506 | 0 | 163790 | 0 | 0 | 0 |
| SUSAN FABER | ||||||||||||||
| PHARMACY DIRECTOR | 140596 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11813 | 0 | 152409 | 0 | 0 | 0 |
| STELLA LIU | ||||||||||||||
| PHARMACIST | 149449 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 11892 | 0 | 161341 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL INFORMATION | Identifier |
| Return Reference | PART III | ReturnReference |
| Explanation | THE $1,267,356 PAID TO LEONARD LABELLA REPRESENTS DEFERRED COMPENSATION. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSS ENERGY LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Date Issued | 2010-12-14 | DateIssued |
| Issue Price | 7800000 | IssuePrice |
| Description Of Purpose | SEISMIC RETROFIT PROJECT AND EQUIPMENT LOAN | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | 7800000 | TotalProceeds |
| Issuance Costs From Proceeds | 273005 | IssuanceCostsFromProceeds |
| Capital Expenditures | 479036 | CapitalExpenditures |
| Other Spent Proceeds | 105331 | OtherSpentProceeds |
| Amount Unspent | 442478 | AmountUnspent |
| Year Of Subst Completion | 2012 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 0 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 0 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE K SUPPLENTAL INFORMATION | Identifier |
| Explanation | PRIVATE PLACEMENT DEBT | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROSS ENERGY LLC S LEE ROSS BOARD MEMBER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | BOARD MEMBER OWN ROSS ENERGY LLC | Relationship |
| Description Of Transaction | LOAN FOR REAL ESTATE REFINANCE AND SEISMIC RETROFIT | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | 990 RETURN WAS REVIEWED BY CFO BEFORE FILING OF THE RETURN. THE 990 WILL BE DISCUSSED AND REVIEWED BY THE FINANCE COMMITTEE. | |
| FORM 990, PART VI, SECTION B, LINE 12C | DISCLOSURES 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 15 | EXECUTIVE COMMITTEE APPROVES TOP EXECUTIVE PAY CHANGES EACH YEAR USING HASC PAY SURVEY GUIDELINES | |
| FORM 990, PART VI, SECTION C, LINE 19 | FORMS AND GOVERNING DOCUMENTS ARE AVAILABLE AT BUSINESS OFFICE DURING NORMAL BUSINESS HOURS | |
| FORM 990, PART XI, LINE 9: | FOUNDATION ACTIVITY INCLUDED IN ENDING NET ASSETS 562,980. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| VERDUGO HILLS HOSPITAL FOUNDATION | |||||||||
| 1812 VERDUGO BLVD | GLENDALE | CA | 91208 | 953247823 | FOUNDATION | CA | 501(C)(3) | 509(A)(2) | 0 |
| VERDUGO HILLS HEALTH SERVICES | |||||||||
| 1812 VERDUGO BLVD | GLENDALE | CA | 91208 | 953837535 | HEALTH ORGANIZATION | CA | 501(C)(3) | 170(B)(1)(A)(III) | 0 |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDUGO HILLS SUPPORT SERVICES | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1812 VERDUGO BLVD | AddressLine1 |
| City | GLENDALE | City |
| State | CA | State |
| ZIP Code | 91208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953897853 | EIN |
| Primary Activity | PHARMACY SERVICES | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
| Type Of Entity | C | TypeOfEntity |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VERDUGO HILLS FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | C | TransactionType |
| Amount Involved | 85076 | AmountInvolved |
| Method Of Amt Determination | ACTUAL AMOUNT | MethodOfAmtDetermination |
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