PASADENA HOSPITAL ASSOCIATION LTD: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
PASADENA HOSPITAL ASSOCIATION LTD (EIN 95-1644036)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201203209349305175
Schema version
2011v1.3
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)
Timestamp2012-11-15T13:11:40-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951644036EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PASADENA HOSPITAL ASSOCIATION LTDBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% PRISCILA MAINIT DIR OF FINInCareOfName
Name ControlPASANameControl
Phone6263975337Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 WEST CALIFORNIA BLVDAddressLine1
CityPASADENACity
StateCAState
ZIP Code91105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJAMES S NOBLEName
TitleCFO & SENIOR VP, FINANCETitle
Date Signed2012-11-13DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSTEPHEN A RALPHNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 WEST CALIFORNIA BLVDAddressLine1
CityPASADENACity
StateCAState
ZIP Code91105ZIPCode
FieldValueIRS element (for citing)
Gross Receipts743921516GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HUNTINGTONHOSPITAL.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1892YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionAT HUNTINGTON, OUR MISSION IS TO EXCEL AT THE DELIVERY OF HEALTH CARE TO OUR COMMUNITY. OUR MISSION, CORE VALUES, AND STANDARDS OF CONDUCT GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS.ActivityOrMissionDescription
Nbr Voting Members Governing Body24NbrVotingMembersGoverningBody
Nbr Independent Voting Members20NbrIndependentVotingMembers
Total Nbr Employees3622TotalNbrEmployees
Total Nbr Volunteers1474TotalNbrVolunteers
Total Gross UBI7070660TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year29540020ContributionsGrantsPriorYear
Contributions Grants Current Year15413572ContributionsGrantsCurrentYear
Program Service Revenue Prior Year532305711ProgramServiceRevenuePriorYear
Program Service Revenue CY489106012ProgramServiceRevenueCY
Investment Income Prior Year14877220InvestmentIncomePriorYear
Investment Income Current Year5180060InvestmentIncomeCurrentYear
Other Revenue Prior Year4203374OtherRevenuePriorYear
Other Revenue Current Year9982984OtherRevenueCurrentYear
Total Revenue Prior Year580926325TotalRevenuePriorYear
Total Revenue Current Year519682628TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year307800GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY456476GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year260123518SalariesEtcPriorYear
Salaries Etc Current Year264876158SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2584920TotalFundrsngExpCurrentYear
Other Expense Prior Year272391965OtherExpensePriorYear
Other Expenses Current Year228049741OtherExpensesCurrentYear
Total Expenses Prior Year532823283TotalExpensesPriorYear
Total Expenses Current Year493382375TotalExpensesCurrentYear
Revenues Less Expenses Prior Year48103042RevenuesLessExpensesPriorYear
Revenues Less Expenses CY26300253RevenuesLessExpensesCY
Total Assets BOY795006358TotalAssetsBOY
Total Assets EOY821785142TotalAssetsEOY
Total Liabilities BOY380559931TotalLiabilitiesBOY
Total Liabilities EOY399343994TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY414446427NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY422441148NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionAT HUNTINGTON, OUR MISSION IS TO EXCEL AT THE DELIVERY OF HEALTH CARE TO OUR COMMUNITY. OUR MISSION, CORE VALUES, AND STANDARDS OF CONDUCT GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense418577025Expense
Grants456476Grants
Revenue497537868Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense418577025TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualstrueMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096486NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3622NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form1098 C FiledtrueForm1098CFiled
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members24NbrVotingGoverningBodyMembers
Number Independent Voting Members20NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonPRISCILA MAINIT DIR OF FINNamePerson
Telephone Number6263975337TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 WEST CALIFORNIA BLVDAddressLine1
CityPASADENACity
StateCAState
ZIP Code91105ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
LOUISE HENRY BRYSON
BOARD OF DIRECTORS1.0X000
JAMES V BUESE MD
BOARD OF DIRECTORS1.0X3900000
MICHELLE QUINONES CHINO
BOARD OF DIRECTORS1.0X000
R-LENE MIJARES DELANG
BOARD OF DIRECTORS1.0X000
CHARLES ELACHI PHD
BOARD OF DIRECTORS1.0X000
REED GARDINER
BOARD OF DIRECTORS1.0X000
ARMANDO L GONZALEZ FAIA
BOARD OF DIRECTORS1.0X000
WINSTON GOODEN PHD
BOARD OF DIRECTORS1.0X000
STEVEN G KATZ MD
BOARD OF DIRECTORS1.0X000
DAVID M KIRCHHEIMER
BOARD OF DIRECTORS1.0X000
ELLEN LEE
BOARD OF DIRECTORS1.0X000
HARVEY LENKIN
BOARD OF DIR-VICE CHAIRMAN1.0X000X
LEONARD M MARANGI
BOARD SECRETARY (PART YEAR)1.0X000X
ALLEN W MATHIES JR MD
BOARD OF DIRECTORS1.0X12000027186
LOIS S MATTHEWS
BOARD OF DIRECTORS1.0X000
PAUL LH OUYANG
BOARD OF DIRECTORS - TREASURER1.0X000X
KATHLEEN GOOD PODLEY
BOARD OF DIRECTORS1.0X000
CARMEN A PULIAFITO MD
BOARD OF DIRECTORS1.0X000
STEPHEN A RALPH
BOARD OF DIR-PRESIDENT/CEO55.0X7903740305370X
JAMES F ROTHENBERG
BOARD OF DIRECTORS - CHAIRMAN1.0X000X
CHARLES F SHARP MD
BOARD OF DIRECTORS1.0X8400000
JOHN C SICILIANO
BOARD OF DIRECTORS1.0X000
ROSEMARY SIMMONS
BOARD OF DIRECTORS1.0X000
JAYNIE STUDENMUND
BOARD OF DIRECTORS1.0X000
ROBERT Y YU
BOARD OF DIRECTORS1.0X000
JAMES S NOBLE
SVP AND CFO55.0602682048054X
JANE HADERLEIN
SVP, EXTERNAL AFFAIRS55.0519995047358X
BERNADETTE L MERLINO
VP, CLIN STRAT & PHYS55.0309629045342X
BONNIE L KASS
VP, PATIENT CARE & CNE55.0413395053098X
DEBRA L TAFOYA
VP & CIO HR/IS55.0302154054150X
PAULA VERRETTE
VP, QUAL/PL AND CMO55.04376200137650X
DEBRA A ORTEGA
CHRO & VP ADMIN SVCS55.0116294015696X
CHRISTOPHER WILLIAMS
VP, FACILITIES & SUPPT55.0651226017969X
JEFFREY P WEIGAND
PRESIDENT CONGRESS SERVICES0.0251193054031X
SAMUEL I BRENEISER
EXEC DIR CONT/PROV RELATIONS40.0244200014301X
JAMES C LIU
MEDICAL PHYSICIST PHD40.0241455023355X
PEGGY CRABTREE
EXEC DIR CARDIAC SERVICES40.0228992030262X
REBECCA ARMATO
EXEC DIR PHYS/INTEROP SVCS40.021944008938X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5463649TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation882760TotalOtherCompensation
Number Individuals GT100 K431NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
TOWER GENERAL CONTRACTORS
10923 RANDALL STREET SUITE ESUN VALLEYCA91352Construction9160114
DAVIS WRIGHT TREMAINE LLP
1201 THIRD AVENUE SUITE 2200SEATTLEWA98101LEGAL SVCS2178400
ACADEMIC HOSPITALISTS MEDICAL GROUP
50 BELLEFONTAINE 307PASADENACA91105MEDICAL FEES1512182
TURNAROUND TIME TRANSCRIPTION
3536 OCEANVIEW BLVD SUITE 100GLENDALECA91208TRANSCRIPTION1470453
PACIFIC VALLEY MEDICAL GROUP
5951 VARIEL AVEWOODLAND HILLSCA91367MEDICAL FEES1440568
FieldValueIRS element (for citing)
Number Of Contractors GT100 K102NumberOfContractorsGT100K
Federated Campaigns74355FederatedCampaigns
Fundraising Events233075FundraisingEvents
Related Organizations3637160RelatedOrganizations
Government Grants1751247GovernmentGrants
All Other Contributions9717735AllOtherContributions
Noncash Contributions186386NoncashContributions
Total Contributions15413572TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT SERVICE REVENUE622110471001671471001671
MANAGEMENT SERVICE REVENUE54161065285906528590
PARKING REVENUE81293016345961634596
LABORATORY REVENUE62150015973611055291542070
RENTAL INCOME53112011129591112959

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column7230835TotalRevenueColumn
Related Or Exempt Function Income7230835RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue489106012TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4464330TotalRevenueColumn
Exclusion$4,464,330ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column869975TotalRevenueColumn
Exclusion$869,975ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities222361853Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities222516098Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-154245Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-154245TotalRevenueColumn
Exclusion-$154,245ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events137439GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events233075CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses144067FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-6628TotalRevenueColumn
Exclusion-$6,628ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory1860139GrossSalesOfInventory
Cost Of Goods Sold1578723CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column281416TotalRevenueColumn
Related Or Exempt Function Income83880RelatedOrExemptFunctionIncome
Exclusion$197,537ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
FOOD SERVICES72231029133162913316
CONCIERGE SERVICE REVENUE9000991360220$1,360,220
IMPAIRMENT CHARGES (REIMBURSEMENT)90009954346605434660
FieldValueIRS element (for citing)
Total Other Revenue9708196TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column519682628TotalRevenueColumn
Related Or Exempt Function Income490467208RelatedOrExemptFunctionIncome
Unrelated Business Revenue7070660UnrelatedBusinessRevenue
Exclusion$6,731,189ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total450000Total
Program Services450000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total6476Total
Program Services6476ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5315279Total
Program Services135000ProgramServices
Management And General5180279ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total182707237Total
Program Services164553701ProgramServices
Management And General17128242ManagementAndGeneral
Fundraising1025294Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total15856322Total
Program Services11061234ProgramServices
Management And General4722256ManagementAndGeneral
Fundraising72832Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total46400407Total
Program Services36369003ProgramServices
Management And General9760479ManagementAndGeneral
Fundraising270925Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14596913Total
Program Services12916478ProgramServices
Management And General1599328ManagementAndGeneral
Fundraising81107Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1514431Total
Management And General1514431ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total899300Total
Management And General899300ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total665936Total
Management And General665936ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total41696580Total
Program Services34153604ProgramServices
Management And General7344528ManagementAndGeneral
Fundraising198448Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total27536671Total
Program Services22019836ProgramServices
Management And General5098698ManagementAndGeneral
Fundraising418137Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5672607Total
Program Services3904203ProgramServices
Management And General1742697ManagementAndGeneral
Fundraising25707Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total16011580Total
Program Services11067851ProgramServices
Management And General4884358ManagementAndGeneral
Fundraising59371Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total667277Total
Program Services341461ProgramServices
Management And General135292ManagementAndGeneral
Fundraising190524Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total526686Total
Program Services240677ProgramServices
Management And General284822ManagementAndGeneral
Fundraising1187Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total10932760Total
Program Services7524532ProgramServices
Management And General3358683ManagementAndGeneral
Fundraising49545Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total30103297Total
Program Services23714345ProgramServices
Management And General6281921ManagementAndGeneral
Fundraising107031Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2264448Total
Program Services2264448ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES7541754975417549
HOSPITAL FEE PROGRAM1179989411799894
IMPAIRMENT CHARGES15950121595012
FOOD/CLINICAL60689755364052483774

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total138816Total
Program Services83093ProgramServices
Management And General-28315ManagementAndGeneral
Fundraising84038Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total493382375Total
Program Services418577025ProgramServices
Management And General72220430ManagementAndGeneral
Fundraising2584920Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY14887BOY
EOY14887EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36084283BOY
EOY63239168EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY13218745BOY
EOY10967302EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY90951173BOY
EOY85899371EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY665119BOY
EOY368527EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY7699546BOY
EOY7662346EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5148789BOY
EOY11579228EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis673896411LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec299024073LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY380094587BOY
EOY374872338EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY208484777BOY
EOY209704805EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY1959323BOY
EOY-246164EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY2957809BOY
EOY2957809EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY47727320BOY
EOY54765525EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY795006358BOY
EOY821785142EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY61741157BOY
EOY70865559EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY449163BOY
EOY428843EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY217593075BOY
EOY212826872EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100776536BOY
EOY115222720EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY380559931BOY
EOY399343994EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY307259265BOY
EOY328005268EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY84321683BOY
EOY68321502EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY22865479BOY
EOY26114378EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY414446427BOY
EOY422441148EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY795006358BOY
EOY821785142EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses26300253ReconcilationRevenueExpenses
Reconcilation Other Changes-18305532ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$54,047OtherActivitiesAmount
Total Lobbying Expenditures IIB54047TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierORGANIZATION EXEMPT UNDER SEC 501(C)(3) THAT HAVE NOT FILED FORM 5768Identifier
Return ReferenceSCHEDULE C, PART II-B, LINE 1IReturnReference
ExplanationPASADENA HOSPITAL ASSOCIATION, LTD. PAID DUES OF $227,855 TO HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. OF THIS AMOUNT, $54,047 IS ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance108301016BeginningOfYearBalance
Contributions3458789Contributions
Investment Earnings Or Losses712571InvestmentEarningsOrLosses
Other Expenditures3329002OtherExpenditures
End Of Year Balance109143374EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance103936580BeginningOfYearBalance
Contributions3472120Contributions
Investment Earnings Or Losses4150745InvestmentEarningsOrLosses
Other Expenditures3258429OtherExpenditures
End Of Year Balance108301016EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance96161818BeginningOfYearBalance
Contributions10670976Contributions
Investment Earnings Or Losses5524131InvestmentEarningsOrLosses
Other Expenditures8420345OtherExpenditures
End Of Year Balance103936580EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance120091776BeginningOfYearBalance
Contributions-4811679Contributions
Investment Earnings Or Losses-10911774InvestmentEarningsOrLosses
Other Expenditures8206505OtherExpenditures
End Of Year Balance96161818EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.41703BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.23927PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.34371TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis415481954OtherCostOrOtherBasis
Depreciation171233854Depreciation
Book Value244248100BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis188111101OtherCostOrOtherBasis
Depreciation127790219Depreciation
Book Value60320882BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis70303356OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value70303356BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings374872338TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
LEGACIES & BEQUEST ASSET27664766
CASH VALUE INSURANCE1042765
DUE FROM AFFILIATES14761779
ACCRUED RECEIVABLE DONATIONS527727
DUE FROM THIRD PARTY PAYORS8444824
DEBT ISSUE COST1677142
CONTRACT ACQUISTION COST367356
INCENTIVE TO LESSEE279166
FieldValueIRS element (for citing)
Total Book Value Other Assets54765525TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
PV GIFT ANNUITY & CRT$1,021,232
ACCRUED SELF INSURANCE CLAIMS$26,343,856
ACCRUED PENSION COST$77,142,980
DUE TO AFFILIATES$5,517,391
CAPITAL LEASE & OTH. FINANCING$5,197,260
FieldValueIRS element (for citing)
Total Of Amounts115222720TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierEndowment FundIdentifier
Return ReferenceSch D Part VReturnReference
ExplanationBOARD DESIGNATED ENDOWMENTS CONSIST OF THE FUNDS THAT OUR BOARD PUTS ASIDE FOR CURRENT OR FUTURE PROJECTS. TERM ENDOWMENTS ARE THE FUNDS WE RECEIVED FROM RESTRICTED DONATIONS TO BE USED IN OPERATIONS. PERMANENT ENDOWMENT FUNDS ARE KEPT IN OUR INVESTMENT PORFOLIO AND WE USE THE RETURN ON INVESTMENTS TO FUND OUR OPERATION.Explanation

Schedule F IRS990ScheduleF

Grants To Ind Outside US GrantsToIndOutsideUS (3 entries)

Type Of AssistanceTypeOfAssistanceRegionRegionNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrantManner Of Cash DisbursementMannerOfCashDisbursementAmount Of Non Cash AssistanceAmountOfNonCashAssistanceDescription Of Non Cash AssistanceDescriptionOfNonCashAssistanceMethod Of ValuationMethodOfValuation
TUITION & RENTSub-Saharan Africa14150WIRE TRNSFER
STIPENDSub-Saharan Africa12000WIRE TRNSFER
EQUIPMENTSub-Saharan Africa1326ECG MACHINECOST
FieldValueIRS element (for citing)
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierFORM 990, PART III, COLUMN (C)Identifier
ExplanationTHE GRANT WAS USED TO PROVIDE TUITION AND RENTAL ASSISTANCE TO A MEDICAL STUDENT TO SUPPORT HIS MEDICAL EDUCATION AND TO PROVIDE STIPEND AND EQUIPMENT TO A DOCTOR IN TANZANIA. ACCOUNTING METHOD USED FORM 990, PART III, COLUMN (D) THE AMOUNT OF THE GRANTS IN PART III WERE DETERMINED USING THE ACCRUAL METHOD OF ACCOUNTING.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1FALL FOOD/WINENameOfEvent1
Gross Receipts Event1370514GrossReceiptsEvent1
Charitable Contributions Event1233075CharitableContributionsEvent1
Gross Revenue Event1137439GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event10NonCashPrizesEvent1
Rent Facility Costs Event163249RentFacilityCostsEvent1
Food And Beverage Event119335FoodAndBeverageEvent1
Entertainment Event13600EntertainmentEvent1
Other Direct Expenses Event157883OtherDirectExpensesEvent1
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Other Events0GrossReceiptsOtherEvents
Charitable Contrib Other Events0CharitableContribOtherEvents
Gross Revenue Other Events0GrossRevenueOtherEvents
Cash Prizes Other Events0CashPrizesOtherEvents
Non Cash Prizes Other Events0NonCashPrizesOtherEvents
Rent Facility Costs Other Events0RentFacilityCostsOtherEvents
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Other Direct Expenses Other Events0OtherDirectExpensesOtherEvents
Gross Receipts Total370514GrossReceiptsTotal
Charitable Contributions Total233075CharitableContributionsTotal
Gross Revenue Total Events137439GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events0NonCashPrizesTotalEvents
Rent Facility Costs Total Events63249RentFacilityCostsTotalEvents
Food And Beverage Total Events19335FoodAndBeverageTotalEvents
Entertainment Total Events3600EntertainmentTotalEvents
Other Direct Expenses Total Events57883OtherDirectExpensesTotalEvents
Direct Expense Summary Events144067DirectExpenseSummaryEvents
Net Income Summary-6628NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served1574PersonsServed
Total Community Benefit Expense20490496TotalCommunityBenefitExpense
Direct Offsetting Revenue8153896DirectOffsettingRevenue
Net Community Benefit Expense12336600NetCommunityBenefitExpense
Percent Of Total Expense0.02500PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served22709PersonsServed
Total Community Benefit Expense65834497TotalCommunityBenefitExpense
Direct Offsetting Revenue47946774DirectOffsettingRevenue
Net Community Benefit Expense17887723NetCommunityBenefitExpense
Percent Of Total Expense0.03630PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Persons Served0PersonsServed
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served24283PersonsServed
Total Community Benefit Expense86324993TotalCommunityBenefitExpense
Direct Offsetting Revenue56100670DirectOffsettingRevenue
Net Community Benefit Expense30224323NetCommunityBenefitExpense
Percent Of Total Expense0.06130PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs26NumberOfActivitiesOrPrograms
Persons Served257668PersonsServed
Total Community Benefit Expense7889742TotalCommunityBenefitExpense
Direct Offsetting Revenue2290660DirectOffsettingRevenue
Net Community Benefit Expense5599082NetCommunityBenefitExpense
Percent Of Total Expense0.01130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served3085PersonsServed
Total Community Benefit Expense16026668TotalCommunityBenefitExpense
Direct Offsetting Revenue1225937DirectOffsettingRevenue
Net Community Benefit Expense14800731NetCommunityBenefitExpense
Percent Of Total Expense0.03000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served8471PersonsServed
Total Community Benefit Expense6517511TotalCommunityBenefitExpense
Direct Offsetting Revenue1465DirectOffsettingRevenue
Net Community Benefit Expense6516046NetCommunityBenefitExpense
Percent Of Total Expense0.01320PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense699492TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense699492NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1808PersonsServed
Total Community Benefit Expense86196TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense86196NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs43NumberOfActivitiesOrPrograms
Persons Served271032PersonsServed
Total Community Benefit Expense31219609TotalCommunityBenefitExpense
Direct Offsetting Revenue3518062DirectOffsettingRevenue
Net Community Benefit Expense27701547NetCommunityBenefitExpense
Percent Of Total Expense0.05610PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs43NumberOfActivitiesOrPrograms
Persons Served295315PersonsServed
Total Community Benefit Expense117544602TotalCommunityBenefitExpense
Direct Offsetting Revenue59618732DirectOffsettingRevenue
Net Community Benefit Expense57925870NetCommunityBenefitExpense
Percent Of Total Expense0.11740PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense2500TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2500NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served22PersonsServed
Total Community Building Expense71138TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense71138NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served125PersonsServed
Total Community Building Expense49568TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense49568NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served169PersonsServed
Total Community Building Expense492763TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense492763NetCommunityBuildingExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Other Other

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Persons Served1808PersonsServed
Total Community Building Expense76776TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense76776NetCommunityBuildingExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Persons Served2124PersonsServed
Total Community Building Expense692745TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense692745NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$14,936,155BadDebtExpenseAmount
Amount Attributable To222659AmountAttributableTo
Amount Reimbursed By Medicare128248293AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare144791112CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-16542819MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Huntington Memorial HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1100 W California BlvdAddressLine1
CityPasadenaCity
StateCAState
ZIP Code91109ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital
Research FacilityXResearchFacility
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Huntington Memorial HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent350.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities7NumberOfOtherFacilities

Other Facilities OtherFacilities (7 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HUNTINGTON HOSP CANCER CNTRRAD ONCOLOGY
625 S FAIR OAKS AVE SUITE 100PASADENACA91105DIAGNOSTIC/TREATMENT CENTER
HUNTINGTON OUTPATIENT REHABILITATION
630 SOUTH RAYMOND AVE SUITE 120PASADENACA91105PHYSICAL THERAPY CENTER
OUTPATIENT CARDIOVASCULAR LAB
625 S FAIR OAKS AVE SUITE 345PASADENACA91105DIAGNOSTIC/TREATMENT CENTER
HUNTINGTON HOSP SENIOR CARE NETWORK
837 S FAIR OAKS AVE SUITE 100PASADENACA91105SOCIAL WORK SERVICES
NEUROSCIENCES PROGRAMS
625 S FAIR OAKS AVE SUITE 325PASADENACA91105DIAGNOSTIC/TREATMENT CENTER
PRE-OP TESTING & OUTPATIENT LAB
625 S FAIR OAKS AVE SUITE 355PASADENACA91105DIAGNOSTIC LAB SERVICES
HUNTINGTON HOSP CENTER OCCUPATIONAL HLTH
800 S FAIRMONT AVE SUITE 215PASADENACA91105OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 6APASADENA HOSPITAL ASSOCIATION, LTD., DOING BUSINESS AS HUNTINGTON MEMORIAL HOSPITAL (HMH), COMPLETES AN ANNUAL COMMUNITY BENEFITS REPORT AND POSTS THIS REPORT ON THE HOSPITAL'S WEBSITE, LIKEWISE THIS REPORT IS SUBMITTED TO A STATE AGENCY THAT MAKES IT AVAILABLE TO THE PUBLIC.
SCHEDULE H, PART I, LINE 7MEDICAL CARE SERVICES PROVIDED TO CHARITY AND MEDI-CAL BENEFICIARIES RESULT IN SHORTFALLS FOR THE HOSPITAL. THESE SHORTFALL COSTS ARE NET OF ANY APPLICABLE PAYMENTS RECEIVED FROM CHARITY OR MEDI-CAL. THE METHOD FOR DETERMINING THESE SHORTFALLS IS BASED ON ACTUAL COSTS AS CALCULATED BY A COST ACCOUNTING SYSTEM. THIS ROBUST COST ACCOUNTING SYSTEM PRIMARILY UTILIZES A RELATIVE VALUE UNIT (RVU) COSTING APPROACH WHICH IS CALCULATED USING A SIMULTANEOUS EQUATIONS METHODOLOGY. THE COST ACCOUNTING SYSTEM INCLUDES ALL THE PATIENT TYPES (INPATIENT, OUTPATIENT & EMERGENCY) AND PAYORS (MEDICARE, MEDI-CAL, COMMERCIAL HMO, SENIOR HMO AND ALL OTHERS) SEEKING SERVICES AT THE HOSPITAL. THE UNREIMBURSED MEDICAID PERCENTAGE OF TOTAL EXPENSE IS INDICATING A MARKED DECLINE OVER TAX YEAR 2009 (5.48% IN TY2009 COMPARED TO 3.63% IN TY2011). THE PRIMARY CONTRIBUTOR TO THIS IS RELATED TO THE CALIFORNIA DEPARTMENT OF HEALTHCARE SERVICES HOSPITAL FEE PROGRAM; THIS PROGRAM BEGAN IN TY2010. THIS SUPPLEMENTAL MEDI-CAL (CALIFORNIA MEDICAID) PROGRAM AIMS TO HELP CALIFORNIA HOSPITALS REGAIN SOME OF THE BILLIONS THEY LOST YEAR OVER YEAR DUE TO LOW MEDI-CAL REIMBURSEMENT RATES. FOR TY2011, THIS PROGRAM COVERED 12 MONTHS (JANUARY 1, 2011 THROUGH DECEMBER 31, 2011) AND RESULTED IN HUNTINGTON MEMORIAL HOSPITAL MITIGATING THE MEDI-CAL LOSSES INCURRED BY ABOUT $5 MILLION. SCHEDULE H, PART I, LINE 7G HMH SUBSIDIZED SOME CLINICS AND PROGRAMS RELATED TO LOW-INCOME TRAUMA, SENIOR AND PERINATAL POPULATIONS. THESE INCLUDED A TRAUMA INTERAGENCY COMMUNICATION PROGRAM /TRAINING, LOW-INCOME SENIOR CARE CLINICS, LOW-INCOME MEDICARE/MEDI-CAL CLINICS, LOW-INCOME PERINATAL CLINICS THAT EXPERIENCE SHORTFALLS FROM STATE FUNDED CARE COORDINATION ASSOCIATED WITH THE MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP) FOR LOW INCOME MEDICARE/MEDI-CAL POPULATIONS. NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ARE INCLUDED.
SCHEDULE H, PART IIHMH PLAYS AN ACTIVE ROLE IN COMMUNITY COALITION BUILDING IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AND PUBLIC ORGANIZATIONS ENCOMPASSING THE PUBLIC SECTOR, FAITH COMMUNITY, AND PRIVATE BUSINESS. BEYOND HEALTH CARE, HMH PARTICIPATES IN DEVELOPMENT OF SOCIAL AND ECONOMIC PROGRAMS TO ENCOURAGE IMPROVEMENTS IN SAFETY AND LEADERSHIP TRAINING, RECREATIONAL ACTIVITIES, "NEIGHBORHOOD CLUBS" OFFERING ASSISTANCE TO SINGLE PARENTS AND ELDERLY RESIDENTS, INCREASED INVOLVEMENT OF PARENTS IN SCHOOL POLICIES, ETC. SPECIFICALLY TO HEALTH CARE RELATED COMMUNITY BUILDING OBJECTIVES, HMH ENGAGES IN ACTIVITIES THAT INCLUDE OFFERING AN AMBULATORY CARE CENTER TO UNDER-INSURED AND UNINSURED PERSONS, PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS (SENIOR CARE NETWORK), PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION PROGRAMS ON TOPICS SUCH AS OBESITY PREVENTION, DIABETES AND ASTHMA FOR CHILDREN AND THEIR FAMILIES AS WELL AS ADULTS; PROVIDING COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCE LIBRARY AND PARTNERING WITH COMMUNITY ORGANIZATIONS. THESE ACTIVITIES ILLUSTRATE HUNTINGTON MEMORIAL HOSPITAL'S COMMITMENT TO SUPPORTING AND BUILDING THE COMMUNITY.
SCHEDULE H, PART III, LINE 4BAD DEBT: THE FOOTNOTES TO THE HUNTINGTON MEMORIAL HOSPITAL (HMH) FINANCIAL STATEMENTS INDICATES "THE GROUP [HMH] RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES" FOR BAD DEBT EXPENSE. THIS BAD DEBT EXPENSE IS IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES AND THIS AMOUNT HAS BEEN ENTERED IN SCHEDULE H, PART III, LINE 2. WITH REGARDS TO AN ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POSSIBLY ELIGIBLE FOR FINANCIAL ASSISTANCE: HMH CONDUCTED THIS ESTIMATE BY USING THE BAD DEBT WRITE-OFFS POSTED TO THE RESPECTIVE TRENDED YEARS AND IDENTIFIED THE BAD DEBT SUBSEQUENTLY RECLASSIFIED TO CHARITY. THE AVERAGE OF THE AMOUNTS FOR THE PREVIOUS FOUR YEARS YIELDED APPROXIMATELY 1.49% PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2011 TOTAL NET BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 TO ESTIMATE THE PORTION OF BAD DEBT THAT POTENTIALLY COULD QUALIFY FOR CHARITY IN FUTURE YEARS.
SCHEDULE H, PART III, LINE 8The Medicare shortfall incurred by HMH is a Community Benefit because the Hospital provides needed Acute, Rehabilitative, Psychiatric, Outpatient and Trauma Care to Assist Elderly and Disabled Adults return to good health, all while being paid reimbursement rates from Medicare that cover only a fraction of the cost of providing such care. The reported Medicare shortfall amount is consistent with the filed cost report and is Net of Direct GME Revenues and Costs reflected in Part I. The Medicare Cost Report calculates Medicare Costs for Acute Care Hospitals using ratios of Cost-to-Charges and calculated per diem average.
SCHEDULE H, PART III, LINE 9BHMH does not pursue collection of amounts for care without charge to patients who meet certain criteria and are known to qualify for charity care. Uninsured patients are automatically extended courtesy discounts on all inpatient and emergency services to patients who meet certain low-income guidelines but are not eligible for charity care. The charity policy and procedure seeks to differentiate between patients who demonstrate an inability to pay, versus bad debt, which is the unwillingness of the patient to pay. The courtesy discount averages approximately 70% of gross charges. The balance (approximately 30% of gross charge) is billed to the patient.
SCHEDULE H, PART V, SECTION B, LINE 13GHMH PROVIDES A CONSIDERABLE AMOUNT OF ITS SERVICES WITHOUT CHARGE TO FINANCIALLY ELIGIBLE PATIENTS WHO CANNOT AFFORD TO PAY FOR CARE. ALL MEDICALLY NECESSARY SERVICES ARE AVAILABLE AS UNCOMPENSATED SERVICES, BASED ON NEED. HMH PUBLICIZES THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL, IF INTERESTED. MOREOVER, HMH HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED.
SCHEDULE H, PART V, SECTION B, LINE 19DAT HMH EMERGENCY PATIENTS WILL BE CONSIDERED IN NEED OF FINANCIAL ASSISTANCE UNTIL THE HOSPITAL HAS HAD AN OPPORTUNITY TO ASSESS THE PATIENT'S FINANCIAL CONDITION, WHICH WILL BE THE DETERMINING FACTORS FOR SUCH ASSISTANCE. HMH PROVIDES MEANS-TESTED FINANCIAL ASSISTANCE THAT IS PRIMARILY CATEGORIZED INTO FULL AND PARTIAL ASSISTANCE. TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE, A PATIENT'S OR RESPONSIBLE FAMILY MEMBER'S INCOME MUST BE AT OR BELOW 350% OF THE FEDERAL POVERTY LEVEL. THE PATIENT OR RESPONSIBLE FAMILY MEMBER MUST COMPLETE THE FINANCIAL ASSISTANCE FORM AND INCLUDE THE NECESSARY DOCUMENTATION. PATIENTS WHOSE INCOME IS AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE FINANCIAL ASSISTANCE EQUAL TO 100% OF THE UNINSURED/UNDERINSURED PRICING. PATIENTS WHOSE INCOME IS BETWEEN 200% AND 350% OF THE FEDERAL POVERTY LEVEL WILL RECEIVE A CHARITY DISCOUNT EQUAL TO 50% OF THE UNINSURED/UNDERINSURED PRICE. IN THE EVENT FINANCIAL ASSISTANCE IS NOT A VIABLE OPTION, THE PATIENT WITH NO INSURANCE WILL BE BILLED IN ACCORDANCE WITH THE HMH PRICING OUTLINED BELOW. UNINSURED/UNDERINSURED PRICING: INPATIENT GENERALLY ARE EXTENDED A PRICE SIMILAR TO THAT OF MEDICARE DRG PRICING AND OUTPATIENTS ARE BILLED AT 35% OF ACTUAL (GROSS) CHARGES. WITH REGARDS TO GROSS CHARGES, HMH ENDEAVORS TO MAINTAIN PRICING (GROSS CHARGES) COMPARABLE TO THE MARKET.
NEEDS ASSESSMENTHMH performs a Community Needs Assessment every 3 Years, in accordance with California Community Benefits Legislation For not-For-Profit Hospitals. Review and analysis of health related Data, compared with national benchmarks and regional experiences, combined with consultation with community leaders and representatives Of local agencies, are considered in identifying the top health Issues and opportunities for improvement to arrive at the community needs used in determining the community benefits plan.SCHEDULE H, PART VI, LINE 2
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEThe organization provides education to patients about eligibility for assistance in several ways. Financial counselors are on hand to evaluate patients for their eligibility for assistance under Federal, State, or local government programs, or the Hospital's Charity Care and discount policies, and facilitate application for assistance. Patients who are uninsured are given a notice at the time of admission/registration, and the hospital posts notices informing patients of its Charity Care Policy. Additionally, the Hospital's website posts payment options and alternatives available to patients without healthcare coverage.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONHMH, located in Pasadena, defined the "Community" it serves for purposes of Needs Assessment to include the service area of Pasadena, Alta Dena, San Marino, and South Pasadena. The service area population is estimated at 239,724 as of 2007, and has increased 8% since Census 2000, and is forecast to increase an additional 6% in the next 5 yrs. In comparison to 2007 statistics for Los Angeles County, the service area has a higher proportion of: persons age 18-64 years, and 65 years and older, persons of White, Asian or Pacific Islander and Black races, persons speaking English at home, adults with some college to a college degree, and employed persons. It has a lower proportion of families below poverty level. Heart disease and cancer were the top two leading causes of death in the service area.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHHuntington Memorial Hospital has an open medical staff, and a Community Board (Board of Directors composed of Community Members). The Hospital conducts numerous activities that contribute to promoting the health of the community. In addition to providing charity care for patients without the ability to pay for necessary treatment, absorbing unpaid costs of care for patients with Medi-Cal and Medicare, operating an emergency room on a 24-hour basis, and offering an Ambulatory Care Clinic to serve under-insured and uninsured persons, the hospital is dedicated to providing specialized programs and services for seniors and disabled persons, providing community health education, Prevention, and support programs for a variety of health conditions and diseases, hosting flu clinics, offering a health sciences library and graduate medical education, and partnering with community Organizations.SCHEDULE H, PART VI, LINE 5
STATE FILING OF COMMUNITY BENEFIT REPORTIn accordance with California Senate Bill 697, Community Benefits Legislation, Huntington Memorial Hospital, a private not-for-profit hospital, has submitted a Community Benefits Plan for Fiscal Year 2011 (January 1 to December 31). Senate Bill 697 requires a not-for profit hospital in California to complete the following activities: -Review and reaffirm its mission statement to ensure that its policies integrate and reflect the public interest in meeting its responsibilities as a not-for-profit organization. -Complete and update a needs assessment every three years, evaluating the health needs of the community served by the hospital. -Adopt and file a community benefits plan annually, documenting activities that the hospital has undertaken to address community needs within its mission and financial capacity; and to the extent practicable, assign and report the economic value of community benefits provided in furtherance of its plan.SCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1HUNTINGTON MEDICAL FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1133 N ALTADENA DRIVEAddressLine1
CityPASADENACity
StateCAState
ZIP Code91107ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient954434428EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant450000AmountOfCashGrant
Purpose Of GrantTO SUPPORT THE OPERATION OF THE URGENT CARE CENTER CENTERPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE USAGE OF THE GRANT IS MONITORED BY THE HOSPITAL'S EXTERNAL AFFAIRS AND THE PROGRESS OF THE OPERATION OF THE COMMUNITY URGENT CARE CENTER IS PERIODICALLY REPORTED TO THE BOARD.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Discretionary Spending AccountXDiscretionarySpendingAccount
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base 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
STEPHEN A RALPH
5713720178360040642028723701813301095744000
JANE HADERLEIN
34885009660007454502432902302905673530624000
BERNADETTE L MERLINO
2282100562500251690265830187590354971000
BONNIE L KASS
249652063250010049302837202472604664930599990
JAMES S NOBLE
404438011040008784402432902372506507360720000
DEBRA L TAFOYA
242612055750037920302290239210356304000
PAULA VERRETTE
33350308050002361701191490185010575270000
CHRISTOPHER WILLIAMS
11793805445004788380122830568606691950290410
JEFFREY P WEIGAND
2038840206860266230293860246450305224000
SAMUEL I BRENEISER
19550103093501776405511087900258501000
JAMES C LIU
2342230603501197024500209050264810000
PEGGY CRABTREE
1930772724908666021220281400259254000
REBECCA ARMATO
192415257870123800089380228378000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSUPPLEMENTAL COMPENSATION INFORMATIONIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1AReturnReference
ExplanationPASADENA HOSPITAL ASSOCIATION (PHA) ALLOWS FOR COMPANION TRAVEL TO CERTAIN PRE-APPROVED EVENTS. COMPANION TRAVEL IS TREATED AS TAXABLE COMPENSATION IN MOST CASES. IN THE CASE THAT COMPANION TRAVEL IS NOT TAXABLE COMPENSATION, THE INDIVIDUAL IS PROVIDING A SERVICE TO PHA. THE FOLLOWING OFFICER RECEIVED A BENEFIT FOR COMPANION TRAVEL THAT WAS INTENDED TO BE TAXABLE COMPENSATION: STEPHEN A. RALPH - $2,334 STEPHEN A. RALPH, CEO, HAS MEMBERSHIPS IN THE ATHENAEUM AND THE VALLEY SOCIAL CLUB IN PASADENA. MR. RALPH IS ONLY REIMBURSED FOR THE BUSINESS USE PORTION OF HIS MEMBERSHIP. AUTO ALLOWANCES WERE ADVANCED TO CERTAIN EXECUTIVES AND WERE REPORTED IN THEIR W-2. SCHEDULE J, PART I, LINE 4A CHRISTOPHER WILLIAMS, VP, FACILITIES & SUPPORT, RECEIVED BONUS AND SEVERANCE PACKAGE TOTALING $360,140. PHA ALSO FORGAVE HIS LOAN OF $140,899 IN 2011. SCHEDULE J, PART I, LINE 4B PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) DEFINED BENEFIT RETIREMENT PLAN, EFFECTIVE DECEMBER 31, 2005. THE PLAN COVERS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA. THE NORMAL RETIREMENT DATE OF THE PLAN IS AGE 65. EACH PARTICIPANT OF THE PLAN IS FULLY VESTED AFTER 20 YEARS OF SERVICE, AND BENEFITS ARE PRORATED FOR PARTICIPANTS WITH LESS THAN 20 YEARS OF SERVICE. AS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA, CERTAIN PERSONS LISTED ON PART VII OF THE 990 PARTCIPATE IN THE PLAN. PARTICIPANTS RECEIVED DISTRIBUTION FROM 457F RETIREMENT PLAN IN 2011: JANE HADERLEIN - $62,400 BONNIE L. KASS - $59,999 JAMES S. NOBLE - $72,000 CHRISTOPHER WILLIAMS - $29,041Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN680164610IssuerEIN
CUSIP Number130911J92CUSIPNumber
Date Issued2005-05-18DateIssued
Issue Price236905804IssuePrice
Description Of PurposeSEE PART VIDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired0AmountRetired
Amount Bond Defeased0AmountBondDefeased
Total Proceeds253331343TotalProceeds
Amount In Reserve Fund16002082AmountInReserveFund
Capitalized Interest14917982CapitalizedInterest
Refunding Escrow0RefundingEscrow
Issuance Costs From Proceeds1999157IssuanceCostsFromProceeds
Credit Enhancement0CreditEnhancement
Working Capital Expenditures0WorkingCapitalExpenditures
Capital Expenditures163114000CapitalExpenditures
Other Spent Proceeds56901875OtherSpentProceeds
Amount Unspent3011AmountUnspent
Year Of Subst Completion2008YearOfSubstCompletion
Current RefundingfalseCurrentRefunding
Advance RefundingtrueAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementstrueAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Engage Bond Counsel ContractstrueEngageBondCounselContracts
Any Research AgreementsfalseAnyResearchAgreements
Prcntge Prvt Business Use By Others0.00003PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00003TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuefalseVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line10BusinessNameLine1
FieldValueIRS element (for citing)
Gross Proceeds Invested In GICtrueGrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1GEFCBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC27.TermOfGIC
Regulatory Safe Harbor SatisfiedtrueRegulatorySafeHarborSatisfied
Gross Proceeds InvestedfalseGrossProceedsInvested
Exception To RebatefalseExceptionToRebate
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF PURPOSEIdentifier
Return Reference0ReturnReference
ExplanationSCHEDULE K, PART I, COLUMN(F) THE PURPOSE OF THE BONDS WERE TO CONSTRUCT NEW FACILITIES, EQUIP EXISTING AND NEW FACILITIES, AND TO REFUND BONDS ISSUED 8/13/1996.Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable

FieldValueIRS element (for citing)
Name PersonJAMES S NOBLENamePerson
Purpose Of Loan- HOME LOANPurposeOfLoan
Loan From OrganizationXLoanFromOrganization
Original Principal$400,000OriginalPrincipalAmount
Balance Due368527BalanceDue
DefaultfalseDefault
Approved By BoardtrueApprovedByBoard
Written AgreementtrueWrittenAgreement
FieldValueIRS element (for citing)
Total Balance Due368527TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonSHERRY KIRCHHEIMERNamePerson
FieldValueIRS element (for citing)
RelationshipWIFE OF BOARD OF DIRECTORRelationship
Description Of TransactionEMPLOYMENTDescriptionOfTransaction

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods

Cars And Other Vehicles CarsAndOtherVehicles

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions2NumberOfContributions
Noncash Contribs Rptd F9901600NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts

Securities Miscellaneous SecuritiesMiscellaneous

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions11NumberOfContributions
Noncash Contribs Rptd F990184786NoncashContribsRptdF990
Method Of Determining RevenuesCOST/SELLING PRICEMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNON CASH CONTRIBUTIONSIdentifier
Return ReferenceSCHEDULE M, PART I, LINE 32BReturnReference
ExplanationHUNTINGTON COLLECTION USES RITEWAY TO SELL THE CARS THEY RECEIVED FROM DONORS. RITEWAY WILL ISSUE FORM 1098-C TO THE DONOR IF NECESSARY.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4APATIENT SERVICES: HUNTINGTON HOSPITAL IS A 626-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN PASADENA, CALIFORNIA. FOUNDED IN 1892, HUNTINGTON HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. THE HOSPITAL OFFERS A FULL COMPLEMENT OF ACUTE MEDICAL CARE AND COMMUNITY SERVICES, RANGING FROM GENERAL MEDICINE TO THE FOREMOST SPECIALIZED PROGRAMS IN CARDIOVASCULAR SERVICES, ONCOLOGY, AND THE NEUROSCIENCES. THE HOSPITAL HAS THE ONLY TRAUMA CENTER IN THE REGION. IN ADDITION, HUNTINGTON OFFERS WOMEN'S AND CHILDREN'S SERVICES, STATE-OF-THE ART ORTHOPEDIC SURGERY, IN AND OUTPATIENT PSYCHIATRIC SERVICES AND THE HUNTINGTON HOSPITAL SENIOR CARE NETWORK. AS A TEACHING FACILITY AFFILIATED WITH THE UNIVERSITY OF SOUTHERN CALIFORNIA'S KECK SCHOOL OF MEDICINE, HUNTINGTON SUPPORTS 40 RESIDENTS EACH YEAR, SPECIALIZING IN MEDICINE OR SURGERY. APPROXIMATELY ONE-THIRD OF HUNTINGTON'S RESIDENTS REMAIN IN THE AREA TO PRACTICE, PROVIDING A SEAMLESS TRANSITION THROUGH GENERATIONS OF CARE. RECENTLY, HUNTINGTON HOSPITAL RECEIVED NUMEROUS AWARDS, RECOGNITIONS, AND CERTIFICATIONS: - FULL HOSPITAL-WIDE ACCREDITATION FROM THE JOINT COMMISSION FOR ACHIEVING NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY - GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR THE STROKE CARE AND TOTAL KNEE AND HIP REPLACEMENT - DESIGNATION AS A PRIMARY STROKE CENTER FROM THE JOINT COMMISSION, ONE OF THE FIRST HOSPITALS IN LOS ANGELES COUNTY TO EARN THIS DESIGNATION - MAGNET RECOGNITION BY AMERICAN NURSES CREDENTIALING CENTER - RANKED AS A U.S. NEWS AND WORLD REPORT TOP HOSPITAL (METRO) IN TEN SPECIALTIES, INCLUDING: ORTHOPEDICS, NEUROLOGY AND NEUROSURGERY, UROLOGY, GASTROENTEROLOGY, GERIATRICS, DIABETES AND ENDOCRINOLOGY, PULMONOLOGY, GYNECOLOGY, NEPHROLOGY, AND EAR, NOSE AND THROAT - HUNTINGTON HOSPITAL TRAUMA CENTER HAS BEEN VERIFIED AS A LEVEL II TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AND AD HOC COMMITTEE OF THE COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS (ACS) - NAMED TO TARGET: STROKE HONOR ROLL BY THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION AND ALSO RECEIVED THE AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES - STROKE GOLD PLUS PERFORMANCE ACHIEVEMENT AWARD IN RECOGNITION OF THE HOSPITAL'S HIGH QUALITY, BEST PRACTICE STROKE CENTER - HUNTINGTON-HILL BREAST CENTER RECEIVED ACCREDITATION BY THE AMERICAN COLLEGE OF SURGEONS' NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS - ONE OF ONLY THREE HOSPITALS IN LOS ANGELES COUNTY TO HAVE ACHIEVED THIS HONOR - THE BREAST IMAGING CENTER IS DESIGNATED A CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY - THE AMERICAN COLLEGE OF RADIOLOGY COMMISSION ON QUALITY AND SAFETY HAS ACCREDITED HUNTINGTON HOSPITAL'S TOSHIBA AQUILION ONE 320 FOR COMPUTER TOMOGRAPHY AND TOSHIBA 2005 VANTAGE FOR MAGNETIC REONANCE IMAGING SERVICES - MAXIMUM FIVE-YEAR ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION - BARIATRIC SURGERY CENTER OF EXCELLENCE BY THE AMERICAN SOCIETY FOR METABOLIC AND BARIATRIC SURGERY - THE CHEERS AWARD - BESTOWED BY THE INSTITUTE FOR SAFE MEDICATION PRACTICES - HONORS ORGANIZATIONS THAT HAVE SET A "SUPERLATIVE STANDARD OF EXCELLENCE" IN THE PREVENTION OF MEDICATION ERRORS - OUTSTANDING LEADERSHIP AWARD FROM THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES FOR ELIMINATING VENTILATOR-ASSOCIATED PNEUMONIA- ONE OF ONLY 37 HOSPITALS NATIONWIDE TO BE RECOGNIZED - LAB ACCREDITATION BOARD OF ABRET GRANTED THE HOSPITAL ACCREDITATION FOR OUR NEUROPHYSIOLOGY INTRAOPERATIVE MONITORING LABORATORIES - CENTERS OF DISTINCTION FOR BARIATRIC SURGERY, SPINE SURGERY, KNEE AND HIP JOINT REPLACEMENT, AND HEART AND VASCULAR SERVICES BY THE BLUE CROSS SHIELD ASSOCIATION - ORTHOPEDIC CARE TOTAL JOINT REPLACEMENT AND SPINE SURGERY BY AETNA INSTITUTES OF QUALITY (IOC) - DESIGNATION AS A STEMI (ST SEGMENT ELEVATION MYOCARDIAL INFARCTION) RECEIVING CENTER WHERE EMERGENCY MEDICAL SERVICE PERSONNEL GIVE PATIENTS HAVING POSSIBLE MYOCARDIAL INFARCTIONS A 12-LEAD EKG IN THE FIELD AND A HOSPITAL TEAM IS READY WHEN A PATIENT ARRIVES IN THE EMERGENCY DEPARTMENT - GOLD MEDAL FOR EXCELLENCE IN SUPPORTING ORGAN DONATION FROM THE U.S. DEPARTMENT OF HEALTH SERVICES - HIGH RELIABILITY TEAM AWARD FROM THE VOLUNTEER HOSPITAL ASSOCIATION - ACCREDITATION BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF VASCULAR LABORATORIES (ICAVL) COMMUNITY BENEFITS: HUNTINGTON HOSPITAL PROVIDES CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING THE UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, OPERATING AN EMERGENCY ROOM ON A 24-HOUR BASIS, OFFERING AN AMBULATORY CARE CENTER TO SERVE UNDER-INSURED AND UNINSURED PERSONS, PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND PERSONS WITH DISABILITIES (SENIOR CARE NETWORK), PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION PROGRAMS ON TOPICS SUCH AS OBESITY PREVENTION, DIABETES AND ASTHMA FOR CHILDREN AND THEIR FAMILIES AND ADULTS; PROVIDING COMMUNITY HEALTH EDUCATION AND SUPPORTING PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCES LIBRARY, AND PARTNERING WITH COMMUNITY ORGANIZATIONS. IN ADDITION, IN FISCAL YEAR 2011, HUNTINGTON HOSPITAL PROVIDED GRADUATE MEDICAL EDUCATION PROGRAMS FOR GENERAL SURGERY AND INTERNAL MEDICINE RESIDENTS, PHARMACY RESIDENTS, AND OTHER HEALTH CARE PROFESSIONALS SUCH AS REGISTERED NURSES, RESPIRATORY CARE PRACTITIONERS, PHARMACY TECHNICIANS, PARAMEDICS, RADIOLOGY AND ULTRASOUND TECHNICIANS, PHYSICAL AND OCCUPATIONAL THERAPISTS, CHAPLAINS, DIETITIANS, AND SOCIAL WORKERS.
DESC CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 7ATHE TRUSTEES OF THE COLLIS P. AND HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST HAVE THE POWER OF ELECTING REPLACEMENT TRUSTEES OF THE TRUST'S BOARD IN THEIR CAPACITY AS TRUSTEES. ALL TRUSTEES ALSO SERVE ON THE BOARD OF DIRECTORS OF PASADENA HOSPITAL ASSOCIATION, DBA HUNTINGTON MEMORIAL HOSPITAL.
DESC THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BFINANCIAL DATA IS GATHERED FROM AND VERIFIED BY VARIOUS DIRECTORS. THE DATA USED IN PREPARATION OF THE RETURN BY THE OUTSIDE TAX PREPARER IS REVIEWED BY THE CHIEF FINANCIAL OFFICER PRIOR TO FILING.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CTHE PROCESS OF DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS IS GOVERNED BY THE ORGANIZATION'S POLICIES, WHEREBY INDIVIDUALS IN POSITIONS OF LEADERSHIP (OFFICERS, DIRECTORS, AND MANAGEMENT PERSONNEL) ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. ONCE DISCLOSED, A REVIEW OF ANY POTENTIAL CONFLICTS IS CONDUCTED AT THE LEVEL OF CHIEF EXECUTIVE OFFICER IN CONJUNCTION WITH THE COMPLIANCE OFFICER. BASED ON THIS EVALUATION, IT MAY BE NECESSARY TO FOLLOW-UP WITH THE INDIVIDUAL AND REQUEST ANY ADDITIONAL INFORMATION DEEMED RELEVANT, OR DISCUSS WAYS TO MITIGATE OR ELIMINATE THE RISK OF CONFLICT. ANY CONCERNS OF CONFLICTS OF INTEREST ARE ADDRESSED BY THE AUDIT & COMPLIANCE COMMITTEE AND THE FINDINGS AND RECOMMENDATIONS ARE REPORTED TO THE BOARD OF DIRECTORS. AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE WILL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION OR ARRANGEMENT WITH THE HOSPITAL.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUNForm 990, Part VI, LINES 15A & 15BEXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, AND THE COMMITTEES DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE MEETING IN WHICH COMPENSATION ARRANGEMENTS WERE DETERMINED. REVIEW & APPROVAL OF COMPENSATION FOR ALL TOP MANAGEMENT OFFICIALS, INCLUDING THE CEO, CFO & VP POSITIONS IS CONDUCTED BY THE COMPENSATION COMMITTEE ANNUALLY, AND THE PERSONS WHO SERVE IN THOSE POSITIONS ARE NOT PRESENT DURING DISCUSSIONS RELATED TO THEIR COMPENSATION. COMPARABLE DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS, PREPARED BY INDEPENDENT CONSULTANTS, IS USED TO ESTABLISH COMPENSATION. REVIEW & APPROVAL FOR THE CEO & VPS WAS LAST PERFORMED BY THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING HELD IN MARCH 2012.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLICFORM 990, PART VI, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIISTEPHEN A. RALPH SPENT ON AVERAGE 1 HOUR PER WEEK AS VICE-CHAIR OF HUNTINGTON MEDICAL FOUNDATION AND ON AVERAGE 1 HOUR PER WEEK AS PRESIDENT OF COLLIS P. & HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST. JAMES S. NOBLE SPENT ON AVERAGE 1 HOUR PER WEEK AS ASSISTANT SECRETARY/TREASURER OF COLLIS P. & HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST. ALLEN W. MATHIES JR., MD DEVOTED 1 HOUR PER WEEK TO HUNTINGTON MEDICAL FOUNDATION AND CONGRESS SERVICES CORPORATION. HARVEY LENKIN, LEONARD M. MARANGI, LOIS S. MATTHEWS, PAUL L.H. OUYANG, JAMES F. ROTHENBERG, AND JAYNIE STUDENMUND EACH DEVOTED 1 HOUR PER WEEK TO COLLIS P. & HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST AS BOARD TRUSTEES. JEFFREY P. WEIGAND DEVOTED 38.5 HOURS PER WEEK TO COLLIS P. & HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST AND 16.5 HOURS TO CONGRESS SERVICES CORPORATION.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5UNREALIZED GAIN (LOSS) ON MARKETABLE SECURITIES $ (1,918,849) GAIN (LOSS) ON SUBSIDIARY $ (2,193,486) ACCRUED PENSION $(14,549,168) RATE LOCK TERMINATION BOND 2005 $ 158,342 UNREALIZED GAIN (LOSS) ON INVESTMENTS $ (32,558) UNREALIZED GAIN (LOSS) ON ENDOWMENT INVESTMENTS $ 230,188 ROUNDING $ (1) --------------- TOTAL OTHER CHANGES IN NET ASSETS $(18,305,532)

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
COLLIS P HOWARD HUNTINGTON MEM HOSP TRST
100 W CALIFORNIA BLVDPASADENACA91109956027688SUPPORT PHACA501(C)(3)11, III-FINAfalse
HUNTINGTON MEDICAL FOUNDATION
133 N ALTADENA DRIVE 2ND FLRPASADENACA91107954434428HLTHCARE SVCSCA501(C)(3)3PHAtrue
HMH FLINTRIDGE LA CANADA GUILD
PO BOX 563LA CANADACA91012956016968FUNDRAISINGCA501(C)(3)11, III-FINAfalse
WOMEN'S AUXILIARY HUNTINGTON MEM HOSP
930 S EL MOLINO AVEPASADENACA91106956195080FUNDRAISINGCA501(C)(3)11, III-FINAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
HUNTINGTON AMBULATORY SURGERY CENTER
625 S FAIR OAKS AVE SUITE 380PASADENACA91105273922007SURGERY CENTERCACSCRELATED00false$0false0.00000
HUNTINGTON OUTPATIENT SURGERY CENTER
797 S FAIR OAKS AVEPASADENACA91105954043257SURGERY CENTERCACSCRELATED00false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
CONGRESS SERVICES CORPORATION
804 SOUTH FAIR OAKS AVENUEPASADENACA91105953978299MANAGEMENT SVCSCANAC CORP870131117900961.00000
CHARITABLE REMAINDER TRUSTS (2)
SUPPORTCANATRUST
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgtrueLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HUNTINGTON MEDICAL FOUNDATION
B450000COST
HUNTINGTON MEDICAL FOUNDATION
D826942COST
HUNTINGTON MEDICAL FOUNDATION
L1546827COST
CONGRESS SERVICES CORPORATION
N61256COST
CONGRESS SERVICES CORPORATION
O7669COST
CONGRESS SERVICES CORPORATION
D10158998COST

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRELATED ORG TAXABLE AS PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationLINE 1: HUNTINGTON AMBULATORY SURGERY CENTER 27-392007 625 S FAIR OAKS AVE, SUITE 380 PASADENA, CA 91105 LINE 2: HUNTINGTON OUTPATIENT SURGERY CENTER 95-4043257 797 S FAIR OAKS AVE PASADENA, CA 91105Explanation

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