HUNTINGTON MEDICAL FOUNDATION: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HUNTINGTON MEDICAL FOUNDATION (EIN 95-4434428)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-10-16
- IRS object ID
- 201232909349300813
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-10-16T12:43:35-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18111 VON KARMAN AVENUE SUITE 1000 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 954434428 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HUNTINGTON MEDICAL FOUNDATION - COPY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % Matthew Snyder | InCareOfName |
| Name Control | HUNT | NameControl |
| Phone | 6263978369 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 N Altadena Drive 2nd Floor | AddressLine1 |
| City | Pasadena | City |
| State | CA | State |
| ZIP Code | 91107 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW SNYDER | Name |
| Title | COO | Title |
| Date Signed | 2012-10-11 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9497942300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Name Of Principal Officer Person | MATTHEW SNYDER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 N Altadena Dr 2nd Floor | AddressLine1 |
| City | Pasadena | City |
| State | CA | State |
| ZIP Code | 91107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 24904802 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.huntingtonmedical.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1993 | YearFormation |
| State Legal Domicile | CA | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 10 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 3 | NbrIndependentVotingMembers |
| Total Nbr Employees | 205 | TotalNbrEmployees |
| Total Nbr Volunteers | 3 | TotalNbrVolunteers |
| Total Gross UBI | 30117 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 300000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 450000 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 24361909 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 24355106 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 0 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 102068 | OtherRevenuePriorYear |
| Other Revenue Current Year | 99696 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 24763977 | TotalRevenuePriorYear |
| Total Revenue Current Year | 24904802 | 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 | 5505025 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6709616 | 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 | 22511848 | OtherExpensePriorYear |
| Other Expenses Current Year | 22553663 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 28016873 | TotalExpensesPriorYear |
| Total Expenses Current Year | 29263279 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -3252896 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -4358477 | RevenuesLessExpensesCY |
| Total Assets BOY | 7872437 | TotalAssetsBOY |
| Total Assets EOY | 6369570 | TotalAssetsEOY |
| Total Liabilities BOY | 47894851 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 50750461 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -40022414 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -44380891 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE THROUGH INNOVATIVE PROGRAMS. WE ARE RESPONSIVE TO OUR COMMUNITY'S NEED AND SENSITIVE TO FINANCIAL RESPONSIBILITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 21434864 | Expense |
| Grants | 0 | Grants |
| Revenue | 24212820 | Revenue |
| Description | FOUNDATION'S ACTIVITY IN PUBLIC HEALTH EDUCATION, DELIVERY OF COMMUNITY MEDICAL SERVICES AND URGENT CARE SERVICES THROUGH PASADENA COMMUNITY URGENT CARE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 269102 | Expense |
| Grants | 0 | Grants |
| Revenue | 233968 | Revenue |
| Description | CLINICAL RESEARCH SEE SCHEDULE O FOR ADDITIONAL DETAILS. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8015 | Expense |
| Grants | 0 | Grants |
| Revenue | 8015 | Revenue |
| Description | YOUNG AND HEALTHY, FIVE ACRES SEE SCHEDULE O FOR ADDITIONAL DETAILS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 21711981 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 205 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 10 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 3 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | CA | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Matthew Snyder | NamePerson |
| Telephone Number | 6263978369 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 133 N Altadena Dr 2nd Floor | AddressLine1 |
| City | Pasadena | City |
| State | CA | State |
| ZIP Code | 91107 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Craig Lucas Esq | |||||||
| Chair | 1.0 | X | X | 0 | 0 | 0 | |
| Stephen A Ralph | |||||||
| Vice-Chair | 1.0 | X | X | 0 | 790374 | 305370 | |
| George Cummings | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| Allen W Mathies JR MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 12000 | 27186 | ||
| Gary Lorden PhD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| Pamela Lee MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| Chien Fang MD | |||||||
| SECRETARY | 1.0 | X | X | 0 | 0 | 0 | |
| John Rodarte MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| Richard Wear MD | |||||||
| DIRECTOR | 1.0 | X | 0 | 0 | 0 | ||
| Wendy Karsten | |||||||
| CEO | 40.0 | X | X | 244086 | 0 | 5825 | |
| Matthew Snyder | |||||||
| Director of Finance | 40.0 | X | 107471 | 0 | 878 | ||
| Amy Ibach | |||||||
| PCUC Physician Assistant | 40.0 | 122335 | 0 | 6305 | X | ||
| Mischelle Turner | |||||||
| PCUC Physician Assistant | 40.0 | 121839 | 0 | 90 | X | ||
| Elena Forster | |||||||
| Dermatology Phys. Assistant | 32.0 | 119547 | 0 | 123 | X | ||
| Alicia Basmadjian | |||||||
| PCUC Physician Assistant | 40.0 | 105031 | 0 | 2973 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 820309 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 802374 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 348750 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Huntington Foundation Medical Group | |||||
| 133 N Altadena Dr 2nd Floor | PASADENA | CA | 91107 | MEDICAL SERVICES | 10178353 |
| Allscripts | |||||
| 24630 Network Place | CHICAGO | IL | 60673 | INFORMATION SERVICES | 478998 |
| Outlook Associates | |||||
| 18022 Cowan Ste 255 | IRVINE | CA | 92614 | CONSULTING SERVICES | 177835 |
| Unitrade International | |||||
| 1941 Montecito Drive | GLENDALE | CA | 91208 | CONSULTING SERVICES | 118885 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 450000 | RelatedOrganizations |
| Total Contributions | 450000 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HUNTINGTON MEDICAL FDN-PATIENT CARE | 621111 | 24083006 | 24083006 | |
| Clinical Research-Patient Care | 621111 | 233968 | 233968 | |
| MSO MANAGEMENT FEE | 561110 | 30117 | 30117 | |
| YOUNG AND HEALTHY, FIVE ACRES PROGRAM | 621111 | 8015 | 8015 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 24355106 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Copy Records-Admin | 541519 | 53514 | 53514 |
| HCP Bonus/Chart Review | 621110 | 28400 | 28400 |
| All other revenue | 900099 | 17782 | 17782 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 99696 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24904802 | TotalRevenueColumn |
| Related Or Exempt Function Income | 24424685 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 30117 | UnrelatedBusinessRevenue |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358260 | Total |
| Program Services | 71652 | ProgramServices |
| Management And General | 286608 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5364485 | Total |
| Program Services | 4121369 | ProgramServices |
| Management And General | 1243116 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 507410 | Total |
| Program Services | 409983 | ProgramServices |
| Management And General | 97427 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 479461 | Total |
| Program Services | 358641 | ProgramServices |
| Management And General | 120820 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15967 | Total |
| Management And General | 15967 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14341 | Total |
| Management And General | 14341 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10864198 | Total |
| Program Services | 10463894 | ProgramServices |
| Management And General | 400304 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61226 | Total |
| Program Services | 31654 | ProgramServices |
| Management And General | 29572 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4577311 | Total |
| Program Services | 4322633 | ProgramServices |
| Management And General | 254678 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1298514 | Total |
| Management And General | 1298514 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1518023 | Total |
| Program Services | 1283570 | ProgramServices |
| Management And General | 234453 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7849 | Total |
| Program Services | 534 | ProgramServices |
| Management And General | 7315 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21991 | Total |
| Program Services | 5695 | ProgramServices |
| Management And General | 16296 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2738710 | Total |
| Management And General | 2738710 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 481738 | Total |
| Management And General | 481738 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 161566 | Total |
| Program Services | 91688 | ProgramServices |
| Management And General | 69878 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 407492 | 407492 | |
| ADMIN EXPENSE | 296845 | 55284 | 241561 |
| Charity Care | 87892 | 87892 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 29263279 | Total |
| Program Services | 21711981 | ProgramServices |
| Management And General | 7551298 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2133261 | BOY |
| EOY | 377793 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3204802 | BOY |
| EOY | 3113922 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 844089 | BOY |
| EOY | 1586570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 6412181 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5129041 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1944599 | BOY |
| EOY | 1283140 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -254314 | BOY |
| EOY | 8145 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7872437 | BOY |
| EOY | 6369570 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24304229 | BOY |
| EOY | 27159839 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23590622 | BOY |
| EOY | 23590622 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47894851 | BOY |
| EOY | 50750461 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -40022414 | BOY |
| EOY | -44380891 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -40022414 | BOY |
| EOY | -44380891 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7872437 | BOY |
| EOY | 6369570 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -4358477 | ReconcilationRevenueExpenses |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1271238 | OtherCostOrOtherBasis |
| Depreciation | 1140014 | Depreciation |
| Book Value | 131224 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 589169 | OtherCostOrOtherBasis |
| Depreciation | 446029 | Depreciation |
| Book Value | 143140 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4551774 | OtherCostOrOtherBasis |
| Depreciation | 3542998 | Depreciation |
| Book Value | 1008776 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1283140 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PAYABLE DUE TO HMH | Description |
| Amount | $23,590,622 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 23590622 | TotalOfAmounts |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen A Ralph | |||||||||||||
| 0 | 571372 | 0 | 178360 | 0 | 40642 | 0 | 287237 | 0 | 18133 | 0 | 1095744 | 0 | 0 |
| Wendy Karsten | |||||||||||||
| 214386 | 0 | 29700 | 0 | 0 | 0 | 0 | 0 | 5825 | 0 | 249911 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SUPPLEMENTAL COMPENSATION INFORMATION | Identifier |
| Return Reference | SCHEDULE J, PART I, LINE 4B | ReturnReference |
| Explanation | 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. STEPHEN A. RALPH PARTICIPATES IN THE PLAN AND DID NOT RECEIVE A PAYOUT DURING 2011. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | HUNTINGTON FOUNDATION MEDICAL GROUP | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | SEE PART V | Relationship |
| Amount Of Transaction | 10178353 | AmountOfTransaction |
| Description Of Transaction | MEDICAL SERVICES PAYMENTS | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATIONSHIP BETWEEN INTERESTED PERSONS & THE ORGANIZATION | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | THE SCHEDULE L, PART IV BUSINESS TRANSACTION WITH HUNTINGTON FOUNDATION MEDICAL GROUP RELATES TO CHIEN FANG, PAMELA LEE, JOHN RODARTE AND RICHARD WEAR BEING THE DIRECTORS OF BOTH HUNTINGTON MEDICAL FOUNDATION AND HUNTINGTON FOUNDATION MEDICAL GROUP. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| REASON FOR AMENDED RETURN | ORIGINAL RETURN WAS FILED WITH A FORM 8453-EO THAT WAS MISSING A SIGNATURE. | |
| STATEMENT PROGRAM SERVICE ACCOMPLISHMENTS | FOUNDED IN 1994, THE HUNTINGTON MEDICAL FOUNDATION'S (HMF) MISSION IS TO PROVIDE THE HIGHEST QUALITY, MOST PATIENT FRIENDLY HEALTHCARE TO THE COMMUNITY THROUGH INNOVATIVE PROGRAMS, DEDICATED PROFESSIONALS AND THE CREATION OF SYNERGISTIC COLLABORATIONS BETWEEN THE PRIVATE AND PUBLIC SECTORS. HMF IS A CALIFORNIA NONPROFIT, PUBLIC BENEFIT CORPORATION LOCATED IN THE SAN GABRIEL VALLEY AND AFFILIATED WITH HUNTINGTON MEMORIAL HOSPITAL. WE ARE DEDICATED TO IMPROVE THE EFFICIENCY AND UTILIZATION OF HEALTH SERVICES WHILE MAINTAINING AN IMPORTANT BALANCE IN THE QUALITY OF CARE DELIVERED TO THE COMMUNITY. THE PRIMARY OBJECTIVE OF HMF IS THE OPERATION OF A HEALTH MANAGEMENT SERVICES ORGANIZATION TO PROVIDE MEDICAL SERVICES TO THE COMMUNITY. HMF PROVIDES HEALTH AND EDUCATIONAL SERVICES TO THE LOCAL COMMUNITY SUCH AS: - HMF MAINTAINS AN ONSITE IMMUNIZATION CLINIC, LOCATED AT THE PASADENA COMMUNITY URGENT CARE, AS WELL AS PROVIDING IMMUNIZATION FAIRS AROUND THE SAN GABRIEL VALLEY. - HMF PROVIDES OCCUPATIONAL HEALTH CARE OFFERING WORKERS COMP, EMPLOYEE SCREENINGS, AND HEALTH AND WELLNESS CONSULTATIONS TO THE LOCAL BUSINESS COMMUNITY - HMF PROVIDES PRIMARY CARE TO CHILDREN AND THEIR FAMILIES IN THE YOUNG & HEALTHY PROGRAM AND FIVE ACRES PROGRAMS. - HMF PARTICIPATES, HOSTS, SPONSORS AND PROVIDES HEALTH EDUCATION SERVICES TO THE COMMUNITY THROUGH PROGRAMS AT THE YMCA, LOCAL SCHOOLS, AND OTHER AGENCIES ON TOPICS SUCH AS EFFECTIVE PARENTING, DIET AND WEIGHT MANAGEMENT, ASTHMA, ALLERGY MANAGEMENT AND SEX EDUCATION FOR PARENTS AND YOUTH. - HMF PROMOTES THE OVERALL HEALTH OF THE COMMUNITY AT LARGE, PARTNERING WITH THE PASADENA HEALTH CONSORTIUM, TO PROVIDE SERVICES THAT FOCUS ON IMPROVING THE HEALTH, WELFARE AND GENERAL QUALITY OF LIFE TO THE RESIDENTS OF THE COMMUNITY. - HMF ACTIVELY PARTICIPATES IN MEDICAL RESEARCH PROGRAMS. CURRENTLY WE HAVE PARTICIPANTS IN PHASE III AND IV CLINICAL TRIALS. THE HUNTINGTON MEDICAL FOUNDATION HAS A PROVEN HISTORY OF PROVIDING CHRONIC CARE TO PATIENTS IN THE SAN GABRIEL VALLEY. HMF MANAGES THREE ADULT MEDICINE OFFICES, THREE PEDIATRIC OFFICES, A SPECIALTY CARE OFFICE, AN URGENT CARE CLINIC, AN OCCUPATIONAL MEDICINE FACILITY, AN IMMUNIZATION CLINIC, AN AFTER HOURS PEDIATRIC WALK-IN CLINIC IN ARCADIA, CLINICAL TRIALS, AS WELL AS JOINT VENTURES WITH THE HUNTINGTON HOSPITAL INCLUDING A RESIDENCY PROGRAM FOR OUTPATIENT CARE, LAB DRAW STATIONS IN PHYSICIAN OFFICES, AND BILLING SERVICES TO VARIOUS HOSPITAL OUTPATIENT SERVICES. HMF CURRENTLY HAS PHYSICIANS BOARDED IN INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, ENDOCRINOLOGY, ADDICTION MEDICINE, DERMATOLOGY, NEUROLOGY, ALLERGY & IMMUNOLOGY, NUTRITION AND PODIATRY. IN OCTOBER 2010, THE HUNTINGTON MEDICAL FOUNDATION OPENED THE PASADENA COMMUNITY URGENT CARE (PCUC) IN THE EASTERN PORTION OF PASADENA, AN UNDERSERVED AREA AS A RESULT OF THE LOSS OF THE ST. LUKE MEDICAL CENTER. THE PCUC SERVES TO REDUCE THE OVERSATURATED AND NON-ACUTE, AND ACUTE, NON-EMERGENT PATIENTS CURRENTLY BEING SEEN AT THE HUNTINGTON HOSPITAL EMERGENCY DEPARTMENT (ER), THUS LESSENING THE STRAIN ON THE ER AS WELL AS DECREASING THE AMOUNT OF ER DIVERSIONS THAT OCCUR DUE TO OVER UTILIZATION. THE DECREASE OF NON-ACUTE AND ACUTE, NON-EMERGENT PATIENTS, ESTIMATED AT 30% OF THE CURRENT ER PATIENT POPULATION, WILL GREATLY REDUCE THE WAIT TIME FOR PATIENTS REQUIRING REAL, EMERGENT MEDICAL CARE. THE PASADENA COMMUNITY URGENT CARE PROVIDES SERVICE TO THOSE PRIMARILY LOCATED IN 12 ZIP CODES (PASADENA AND SURROUNDING CITIES) IN THE SAN GABRIEL VALLEY AREA OF LOS ANGELES COUNTY. THOSE SERVED REFLECT THE DIVERSITY OF THE TARGET AREA, WHERE 44 PERCENT OF HOUSEHOLDS ARE HISPANIC, 25.9 PERCENT WHITE, 7.8 PERCENT BLACK, 19.2 PERCENT ASIAN AND 3.1 PERCENT OF OTHER ETHNICITIES. THE FACILITY PROVIDES BOTH PEDIATRIC AND ADULT CARE. DEMOGRAPHICS OF URGENT CARE PATIENTS ARE VARIED, HOWEVER, THE POPULATION SERVED POSSESS A HIGH PERCENTAGE OF INDIVIDUALS WITH A PREDOMINANTLY LOW INCOME LEVEL (<200 PERCENT OF FEDERAL POVERTY LEVEL). IN ADDITION, A HIGH PERCENTAGE OF THE PREDOMINANTLY LOW INCOME LEVEL INDIVIDUALS LACK ACCESS TO OTHER HEALTH CARE RESOURCES. THESE PATIENT TYPES OFTEN USE THE EMERGENCY ROOM INAPPROPRIATELY FOR NON-ACUTE CONDITIONS AND ACUTE NON-EMERGENT CONDITIONS. ONE OF THE MAIN OBJECTIVES OF THE PCUC IS TO INTERCEPT THESE PATIENTS BEFORE THEY FURTHER IMPACT THE ER AND PROVIDE NON-EMERGENT MEDICAL CARE WHILE EDUCATING AND CONNECTING THEM WITH THE APPROPRIATE PRIMARY CARE RESOURCE IN THE COMMUNITY. WE ANTICIPATE SEEING APPROXIMATELY 250 UNINSURED AND UNDERINSURED PATIENTS PER MONTH AT THE PCUC. LOCATIONS & ADDRESSES: ADULT MEDICINE OFFICE: 10 CONGRESS STREET, SUITE 208, PASADENA, CA 91105 375 HUNTINGTON DRIVE, SUITE G, SAN MARINO, CA 91108 65 N MADISON AVE., SUITE 800, PASADENA, CA 91101 PEDIATRIC OFFICE: 55 E. CALIFORNIA BLVD, SUITE 200, PASADENA, CA 91105 1346 FOOTHILL BLVD, SUITE 204, LA CANADA, CA 91011 301 HUNTINGTON DR., SUITE 320, ARCADIA, CA 91006 SPECIALTY CARE OFFICE: 55 E. CALIFORNIA BLVD., SUITE 201, PASADENA, CA 91105 PASADENA COMMUNITY URGENT CARE AND OCCUPATIONAL HEALTH FACILITY: 3160 E. DEL MAR BLVD. SUITE 110, PASADENA, CA 91107 IMMUNIZATION CLINIC: 3160 E. DEL MAR BLVD. SUITE 110, PASADENA, CA 91107 AFTERHOURS PEDIATRIC WALK IN CLINIC: 301 HUNTINGTON DR., SUITE 320, ARCADIA, CA 91006 CLINICAL TRIALS 375 HUNTINGTON DRIVE, SUITE G, SAN MARINO, CA 91108 | FORM 990, PART III, QUESTIONS 4A-C |
| BUSINESS RELATIONSHIP BETWEEN OFFICERS, DIRECTORS, ETC. | CHIEN FANG, PAMELA LEE, JOHN RODARTE AND RICHARD WEAR HAVE A BUSINESS RELATIONSHIP. | FORM 990, PART VI, QUESTION 2 |
| CHANGES TO GOVERNING DOCUMENTS | THE BYLAWS WERE AMENDED AND RESTATED TO INCREASE THE SIZE OF THE BOARD OF DIRECTORS FROM 10 TO 13, TO INCREASE THE NUMBER OF MEDICAL GROUP PHYSICIAN DIRECTORS FROM 2 TO 4, TO IDENTIFY THE MEDICAL GROUP CHAIRPERSON AND VICE-CHAIRPERSON AS EX OFFICIO MEMBERS OF THE BOARD, TO ADD RESERVED POWERS TO THE SOLE MEMBER OF THE ORGANIZATION, TO ADD APPROVAL POWER TO THE SOLE MEMBER OF THE ORGANIZATION, TO AMEND THE LANGUAGE REGARDING THE CONFLICT OF INTEREST POLICY, TO OFFICIALLY ADD AN AUDIT COMMITTEE, AND TO REMOVE CERTAIN COMMITTEES AS STANDING COMMITTEES OF THE BOARD. | FORM 990, PART VI, QUESTION 4 |
| MEMBERS OR STOCKHOLDERS OF THE ORGANIZATION | THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, PASADENA HOSPITAL ASSOCIATION (PHA). | FORM 990, PART VI, QUESTION 6 |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | MEMBER MAY APPOINT ANY OR ALL OF THE DIRECTORS, EXCEPT EX OFFICIO DIRECTORS. | Form 990, PART VI, QUESTION 7A |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | THE FOLLOWING ACTIONS OF THE BOARD ARE NOT VALID, AND SHALL NOT BE IMPLEMENTED UNTIL APPROVED BY THE MEMBER: (1) ANY EXPENDITURES WHICH INDIVIDUALLY OR IN THE AGGREGATE EXCEED THE CORPORATION'S BUDGET BY MORE THAN 10% ANNUALLY; (2) ADOPT ANY ARTICLE OR BYLAW CHANGE; (3) IMPLEMENT ANY MAJOR CORPORATE ACTS INCLUDING MERGER, CONSOLIDATION, AFFILIATION, DISSOLUTION, SALE OR TRANSFER OF SUBSTANTIAL PORTION OF THE CORPORATION'S ASSETS; AND (4) MATERIALLY CHANGE THE BUSINESS OR BUSINESS PURPOSE OF THE CORPORATION. REVIEW PROCESS FORM 990, PART VI, QUESTION 11B ALL FORM 990 REPORTING WAS REVIEWED INTERNALLY WITH SENIOR MANAGEMENT. ALL QUESTIONS AND CHANGES PROPOSED WERE ADDRESSED PRIOR TO FILING. A COMPLETE COPY OF THE FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF THE BOARD OF DIRECTORS PRIOR TO ITS SUBMISSION TO THE INTERNAL REVENUE SERVICE. | FORM 990, PART VI, QUESTION 7B |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | CONFLICTS OF INTEREST POLICY & PROCEDURES: A. THE OPERATIONS OF HMF PROVIDE A VITAL HEALTHCARE SERVICE AND ARE SUBJECT TO THE SCRUTINY OF GOVERNMENTAL AGENCIES AND MEMBERS OF THE GENERAL PUBLIC. THE INDIVIDUALS WHO, BY VIRTUE OF THEIR POSITIONS WITH THE FOUNDATION, CAN COMMIT THE ORGANIZATION IN FINANCIAL DEALINGS MUST BE EVER MINDFUL OF POTENTIAL CONFLICTS BETWEEN DUTIES IMPOSED BY THEIR POSITIONS AND THE PERSONAL INTEREST. B. EACH INTERESTED PERSON IS SUBJECT TO A LEGAL OBLIGATION TO PERFORM THE DUTIES OF HIS OR HER POSITION HONESTLY AND IN GOOD FAITH, IN A MANNER THE INTERESTED PERSON BELIEVES TO BE IN THE BEST INTERESTS OF THE FOUNDATION, AND TO EXERCISE THE SAME DEGREE OF SKILL AND CARE AS AN ORDINARILY PRUDENT PERSON IN SIMILAR CIRCUMSTANCES WOULD EXERCISE. C. THOSE WHO HAVE THE AUTHORITY TO COMMIT THE FOUNDATION IN FINANCIAL DEALINGS MUST EXERCISE THE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVING THEIR DUTIES AND MAY NOT USE THEIR POSITIONS OR KNOWLEDGE GAINED THERE FROM FOR THEIR PERSONAL BENEFIT. THE INTERESTS OF THE FOUNDATION MUST HAVE THE FIRST PRIORITY AND ALL PURCHASES OF GOODS AND SERVICES AND OTHER TRANSACTIONS MUST BE PURSUED ON A BASIS WHICH SECURES FOR THE FOUNDATION FULL COMPETITIVE ADVANTAGES AS TO PRODUCT, SERVICES AND PRICE. SUCH PERSONS ARE EXPECTED TO DISCLOSE, IN THE MANNER SET FORTH BELOW, ANY INTEREST THAT MAY PRODUCE A CONFLICT. NO TRANSACTION INVOLVING A POTENTIAL CONFLICT OF INTEREST MAY BE CONSUMMATED UNTIL ALL FACTS SURROUNDING SUCH A TRANSACTION HAVE BEEN DISCLOSED TO THE CHIEF EXECUTIVE OFFICER OF THE FOUNDATION, AND THE TRANSACTION HAS BEEN APPROVED BY THE BOARD OF DIRECTORS, OR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (WHEN SO AUTHORIZED), AFTER FINDING THAT THE TRANSACTION IS JUST, FAIR AND REASONABLE AS TO THE FOUNDATION AND IN ITS BEST INTEREST. D. AN INTERESTED PERSON WHO IS A MEMBER OF THE GOVERNING BOARD OF A COMPETITOR, TO THE EXTENT IT IS DETERMINED BY THE BOARD OF DIRECTORS OF THE FOUNDATION THAT SUCH DIRECTOR WOULD BE UNABLE TO FULFILL HIS OR HER DUTY OF LOYALTY TO BOTH THE FOUNDATION AND THE COMPETITOR, MAY NOT ALSO SERVE AS A MEMBER OF THE BOARD OF DIRECTORS OR OFFICER OF THE FOUNDATION. E. NO INTERESTED PERSON WHO IS AN OFFICER, EMPLOYEE, SUBSTANTIAL SHAREHOLDER OR WHO HAS ANY OTHER RELATIONSHIP WITH ANY COMPETITOR, MAY COMMUNICATE DIRECTLY OR INDIRECTLY ANY INFORMATION REGARDING THE FOUNDATION'S PROPOSED FUTURE PRICING OR MARKETING PLANS TO SUCH COMPETITOR OR REGARDING SUCH COMPETITOR'S PROPOSED FUTURE PRICING OR MARKETING PLANS TO THE FOUNDATION. IN ORDER TO AVOID ANY INFERENCE OF A HORIZONTAL PRICE OR MARKET DIVISION AGREEMENT, ANY SUCH INTERESTED PERSON SHOULD REPORT IN WRITING HIS OR HER RELATIONSHIP TO A COMPETITOR OF THE FOUNDATION AS PROVIDED IN THE PROCEDURE SECTION BELOW. F. NO INTERESTED PERSON MAY APPROPRIATE OR DIVERT TO OTHERS ANY OPPORTUNITY FOR PROFIT IN CONNECTION WITH A TRANSACTION IN WHICH IT IS KNOWN, OR COULD BE REASONABLY ANTICIPATED, THAT THE FOUNDATION IS OR WOULD BE INTERESTED. SUCH OPPORTUNITIES INCLUDE, BUT ARE NOT LIMITED TO, ACQUISITION OF REAL OR PERSONAL PROPERTY, APPOINTMENT OF SUPPLIERS, OR DESIGN OR DEVELOPMENT OF NEW PRODUCTS, SERVICES OR AREAS OF BUSINESS RELATED TO THE FOUNDATION'S PRESENT OR PLANNED PRODUCT AND SERVICE AREAS. G. EACH INTERESTED PERSON WITH ACCESS TO CONFIDENTIAL INFORMATION REGARDING THE FOUNDATION OR THE FOUNDATION'S BUSINESS IS EXPECTED TO HOLD SUCH INFORMATION IN CONFIDENCE AND TO REFRAIN FROM EITHER USING SUCH INFORMATION FOR PERSONAL GAIN OR DISCLOSING IT UNNECESSARILY OUTSIDE THE SCOPE OF THE INTERESTED PERSON'S DUTIES WITH RESPECT TO THE FOUNDATION. H. IF ANY INTERESTED PERSON OR FAMILY MEMBER OBTAINS A SUBSTANTIAL FINANCIAL INTEREST IN, OR BECOMES A DIRECTOR, OFFICER, EMPLOYEE OR AGENT OF, ANY SUPPLIER, PURCHASER OR COMPETITOR, THE INTERESTED PERSON SHALL DISCLOSE SUCH INTEREST AS PROVIDED IN THE PROCEDURE. MONITORING AND ENFORCING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY: ALL THE BOARD MEMBERS AND WENDY KARSTEN HAVE SIGNED THE CONFLICT OF INTEREST POLICY. IT WILL BE ENFORCED BY REVIEW OF THE QUESTIONNAIRE FOR POTENTIAL CONFLICTS BY THE CEO AND IF NECESSARY THE BOARD PRESIDENT SPEAKS WITH ANY DIRECTOR WHO HAS A POTENTIAL CONFLICT TO MAKE A FINAL DETERMINATION. ANY DIRECTOR WITH A CONFLICT IS NOT INVOLVED IN THE DECISION-MAKING PROCESS FOR ANY TRANSACTION IN WHICH A CONFLICT MAY EXIST. | FORM 990, PART VI, QUESTION 12C |
| PROCESS FOR DETERMINING COMPENSATION | ANNUALLY, THE BOARD SHALL APPOINT NOT LESS THAN TWO BOARD MEMBERS TO REVIEW AND RECOMMEND THE COMPENSATION OF ALL EXECUTIVES AND KEY EMPLOYEES OF THE ORGANIZATION, AS DEFINED BY THE FORM 990 REPORTING REQUIREMENTS. COMPENSATION SHALL BE BASED ON PERFORMANCE AND COMPARABLE MARKET DATA, AS REPORTED BY THE AMERICAN MEDICAL GROUP ASSOCIATION AND PUBLISHED ANNUALLY AS WELL AS ANY ADDITIONAL INDEPENDENT SOURCES OF COMPARABLE MARKET DATA. COMPREHENSIVE REVIEW IS FOR ALL MANAGERS, DIRECTOR OF FINANCE, AND CEO. THIS PROCESS WAS LAST DONE BY DECEMBER 31, 2011 AND IS PERFORMED ANNUALLY. THE DELIBERATIONS AND DECISION OF THE COMPENSATION COMMITTEE ARE DOCUMENTED IN THE MINUTES. | FORM 990, PART VI, QUESTIONS 15A & 15B |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS OF THE ORGANIZATION ARE AVAILABLE TO THE PUBLIC UPON REQUEST. | FORM 990, PART VI, QUESTION 19 |
| RELATED COMPENSATION | STEPHEN A. RALPH SPENT ON AVERAGE 1 HOUR PER WEEK AS VICE CHAIR OF HUNTINGTON MEDICAL FOUNDATION. HOWEVER, HIS COMPENSATION WAS PAID BY PASADENA HOSPITAL ASSOCIATION (PHA), FOR WHICH HE SPENT ON AVERAGE 55 HOURS PER WEEK AS THE PRESIDENT/CEO. ALLEN W. MATHIES JR., MD DEVOTED 1 HOUR PER WEEK TO PHA AND CONGRESS SERVICES CORPORATION. | Form 990, Part VII |
| AUDIT COMMITTEE | FOR MOST OF 2011, HUNTINGTON MEDICAL FOUNDATION (HMF) DID NOT HAVE AN AUDIT COMMITTEE. HMF IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF PASADENA HOSPITAL ASSOCIATION, WHICH DOES HAVE A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE CONSOLIDATED AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. | FORM 990, PART XII, QUESTION 2C |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Pasadena Hospital Association (DBA HMH) | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 W California Blvd | AddressLine1 |
| City | Pasadena | City |
| State | CA | State |
| ZIP Code | 91105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951644036 | EIN |
| Primary Activities | HLTH CARE SVS | PrimaryActivities |
| Legal Domicile State | CA | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 3 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | false | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CONGRESS SERVICES CORPORATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 804 SOUTH FAIR OAKS AVENUE | AddressLine1 |
| City | PASADENA | City |
| State | CA | State |
| ZIP Code | 91105 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953978299 | EIN |
| Primary Activity | MANAGEMENT SVCS | PrimaryActivity |
| Legal Domicile State | CA | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | true | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |