NATIONAL HEALTH FOUNDATION: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NATIONAL HEALTH FOUNDATION (EIN 23-7314808)
Tax period
2009-04-01 to 2010-03-31
Filed
2011-02-03
IRS object ID
201110349349301311
Schema version
2009v1.7
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)
Timestamp2011-02-03T17:58:54-06:00Timestamp
Tax Period End Date2010-03-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13121 WEST MARCH LANE STE 100AddressLine1
CitySTOCKTONCity
StateCAState
ZIP Code95219ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-04-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN237314808EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1National Health FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNATINameControl
Phone2135380700Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1515 South Figueroa No 1300AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJ Eugene Grigsby IIIName
TitlePresident/CEOTitle
Phone2135380700Phone
Date Signed2011-01-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone2099556100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJ Eugene Grigsby IIINameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1515 South Figueroa No 1300AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Gross Receipts3457876GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.NHFcA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1973YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionPromote and support more effective health care deliveryActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees21TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI161800TotalGrossUBI
Net Unrelated Business Txbl Income-43105NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2630376ContributionsGrantsPriorYear
Contributions Grants Current Year2745882ContributionsGrantsCurrentYear
Program Service Revenue CY0ProgramServiceRevenueCY
Investment Income Prior Year195029InvestmentIncomePriorYear
Investment Income Current Year98558InvestmentIncomeCurrentYear
Other Revenue Current Year90898OtherRevenueCurrentYear
Total Revenue Prior Year2825405TotalRevenuePriorYear
Total Revenue Current Year2935338TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year1352209SalariesEtcPriorYear
Salaries Etc Current Year1403671SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year10552TotalFundrsngExpCurrentYear
Other Expense Prior Year1749873OtherExpensePriorYear
Other Expenses Current Year1967428OtherExpensesCurrentYear
Total Expenses Prior Year3102082TotalExpensesPriorYear
Total Expenses Current Year3371099TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-276677RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-435761RevenuesLessExpensesCY
Total Assets BOY3772911TotalAssetsBOY
Total Assets EOY5322225TotalAssetsEOY
Total Liabilities BOY504055TotalLiabilitiesBOY
Total Liabilities EOY1964677TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY3268856NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY3357548NetAssetsOrFundBalancesEOY
Mission DescriptionNHF's mission is to improve and enhance the health of the underserved by developing and supporting programs that can become independently viable, provide systemic solutions to gaps in health care access and delivery and have the potential to be replicated nationally.MissionDescription
Significant New Program Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense731900Expense
DescriptionCARDIO VASCULAR DISEASE PROGRAM - Developed by the Los Angeles Chronic Disease Management Consortium (hospitals and NHF) to address the needs of low-income, ethnically diverse populations with the goal of reducing risk, delaying onset, and/or reducing the progression of CVD. At its core are two distinct activities: outreach and lifestyle workshops. Outreach will include community education, risk assessments, and medical referrals. The lifestyle workshops will focus on modifiable risk factor reduction, especially in the areas of nutrition, physical activity, and smoking cessation.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense524476Expense
DescriptionRECUPERATIVE CARE - EXPANDS RECUPERATIVE CARE (LIMITED MEDICAL NEED) BED CAPACITY FOR HOMELESS INDIVIDUALS DISCHARGED FROM HOSPITALS WITHIN LOS ANGELES COUNTY BY INCLUDING PUBLIC AND PRIVATE SECTOR PARTICIPATION.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense457767Expense
DescriptionCALIFORNIA PATIENT SAFETY COLLABORATIVE - HOSPITALS WORKING IN COLLABORATIVES SEEK TO IMPROVE THE DELIVERY OF HEALTHCARE AND REDUCE THE NUMBER OF AVOIDABLE PATIENT SAFETY COMPLICATIONS AND DEATHS BY SHARING BEST PRACTICES IN PEER TO PEER LEARNING SITUATIONS.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense1289243Expense
DescriptionNational Health Foundation is an independent public charity dedicated to improving and enhancing the healthcare of the underserved by developing and supporting innovative programs that 1) can become independently viable, 2) provide systemic solutions to gaps in healthcare access and delivery, and 3) have the potential to be replicated nationally. Current strategic initiatives focus on underserved families, chronic disease and healthcare delivery.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp1289243TotalOfOtherProgramServiceExp
Total Program Service Expense3003386TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109618NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees21NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions1QuidProQuoContributions
Quid Pro Quo Disclosure1QuidProQuoDisclosure
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Scott TwomeyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2135380756TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 S Figueroa St no 1300AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
J Eugene Grigsby III
President/CEO40.00XX211449018223
Michael Stephens
Chairman of the Board1.00XX000
Jess Womack
Vice Chair1.00XX000
James Barber
Vice Chair Ex Officio1.00XX000
Joseph Salzillo
Treasurer1.00XX000
Gwen Edwards
Secretary1.00XX000
Theodore Bradpiece
member1.00X000
john Cochran
member1.00X000
casey Condron
member1.00X000
Kathy Feeny
member1.00X000
Lyndee Knox PhD
member1.00X000
linda McGoldrick
member1.00X000
kieran P Nolan
member1.00X000
norman Ross
member1.00X000
jacque Sokolov MD
member1.00X000
robert Splawn MD
member1.00X000
gerald Sullivan
member1.00X000
AZHAR QURESHI
member1.00X000
Kelly Bruno
VP Programs40.00X12477509732
Heather Kun PhD
VP Research & Evaluation40.00X10990607299
Darrielle Ehrheart
VP Administration40.00X96782011510
FieldValueIRS element (for citing)
Total Reportable Comp From Org542912TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation46764TotalOtherCompensation
Number Individuals GT100 K3NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HCNCC
1215 K STREET STE 800SACRAMENTOCA95812Patient Safety Collaborative-NORTHERN CA800000
HASD & IMPERIAL COUNTIES
5575 RUFFIN ROAD STE 225SAN DIEGOCA92123PATIENT SAFETY COLLABORATIVE- SAN DIEGO400000
CA HOSPITAL MEDICAL CENTER
1401 SOUTH GRAND AVELos AngelesCA90015CARDIO VASCULAR DISEASE PROG232445
GOOD SAMARITAN HOSPITAL
1225 WILSHIRE BLVDLos AngelesCA90017CARDIO VASCULAR DISEASE PROG231431
HUNTINGTON MEMORIAL HOSPITAL
837 S FAIR OAKS AVE STE 100PASADENACA91105CARDIO VASCULAR DISEASE PROG231099
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Fundraising Events116716FundraisingEvents
Related Organizations177154RelatedOrganizations
Government Grants354291GovernmentGrants
All Other Contributions2097721AllOtherContributions
Total Contributions2745882TotalContributions

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column119695TotalRevenueColumn
Exclusion$119,695ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities414215Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities435352Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-21137Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-21137TotalRevenueColumn
Exclusion-$21,137ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events16284GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events116716CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses87186FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-70902TotalRevenueColumn
Exclusion-$70,902ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOther revenueDescription
Business Code561000BusinessCode
Total Revenue Column161800TotalRevenueColumn
Unrelated Business Revenue161800UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue161800TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column2935338TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue161800UnrelatedBusinessRevenue
Exclusion$27,656ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total604884Total
Program Services415934ProgramServices
Management And General185530ManagementAndGeneral
Fundraising3420Fundraising

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total503687Total
Program Services448480ProgramServices
Management And General54735ManagementAndGeneral
Fundraising472Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total29499Total
Program Services26265ProgramServices
Management And General3205ManagementAndGeneral
Fundraising29Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total181863Total
Program Services161930ProgramServices
Management And General19763ManagementAndGeneral
Fundraising170Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total83738Total
Program Services74560ProgramServices
Management And General9100ManagementAndGeneral
Fundraising78Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total986Total
Program Services52ProgramServices
Management And General934ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total79835Total
Program Services66045ProgramServices
Management And General13590ManagementAndGeneral
Fundraising200Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total13294Total
Management And General13294ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1566889Total
Program Services1566070ProgramServices
Management And General809ManagementAndGeneral
Fundraising10Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total68711Total
Program Services52409ProgramServices
Management And General16238ManagementAndGeneral
Fundraising64Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total34320Total
Program Services27150ProgramServices
Management And General7066ManagementAndGeneral
Fundraising104Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total86440Total
Program Services68498ProgramServices
Management And General17681ManagementAndGeneral
Fundraising261Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total60744Total
Program Services50941ProgramServices
Management And General9581ManagementAndGeneral
Fundraising222Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total24653Total
Program Services18378ProgramServices
Management And General787ManagementAndGeneral
Fundraising5488Fundraising

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4683Total
Program Services3716ProgramServices
Management And General953ManagementAndGeneral
Fundraising14Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total6418Total
Program Services5078ProgramServices
Management And General1320ManagementAndGeneral
Fundraising20Fundraising

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
STAFF DEVELOPMENT1804317062981
MISC24128181594

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total3371099Total
Program Services3003386ProgramServices
Management And General357161ManagementAndGeneral
Fundraising10552Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY316120BOY
EOY773401EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY216627BOY
EOY256538EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1371BOY
EOY916772EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis150372LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec138871LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY13303BOY
EOY11501EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY3221091BOY
EOY3359614EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4399BOY
EOY4399EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY3772911BOY
EOY5322225EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY197812BOY
EOY303221EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY257020BOY
EOY1607859EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49223BOY
EOY53597EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY504055BOY
EOY1964677EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1702206BOY
EOY1929326EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY258485BOY
EOY120057EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1308165BOY
EOY1308165EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3268856BOY
EOY3357548EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY3772911BOY
EOY5322225EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org170b1 AviXPubliclySupportedOrg170b1Avi

Gifts Grants Contrib Received170 GiftsGrantsContribReceived170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1113835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1208198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2848881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2630376CurrentTaxYearMinus1Year
Current Tax Year2745882CurrentTaxYear
Total10547172Total

Total170 Total170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years1113835CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years1208198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2848881CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year2630376CurrentTaxYearMinus1Year
Current Tax Year2745882CurrentTaxYear
Total10547172Total
FieldValueIRS element (for citing)
Amounts Subst Contributors Total2925526AmountsSubstContributorsTotal
Public Support Total1707621646PublicSupportTotal170

Gross Investment Income170 GrossInvestmentIncome170

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years110820CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years141273CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years229284CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year184396CurrentTaxYearMinus1Year
Current Tax Year119695CurrentTaxYear
Total785468Total
FieldValueIRS element (for citing)
Total Support11332640TotalSupport
Public Support Pertcentage1700.67250PublicSupportPertcentage170
Public Support Pertcent Prior Year0.70880PublicSupportPertcentPriorYear
Thirty Three Percnt Tests CY170XThirtyThreePercntTestsCY170

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1867314BeginningOfYearBalance
Contributions584017Contributions
Investment Earnings Or Losses-93857InvestmentEarningsOrLosses
Other Expenditures790824OtherExpenditures
End Of Year Balance1566650EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.91590PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.08410TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis150372OtherCostOrOtherBasis
Depreciation138871Depreciation
Book Value11501BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings11501TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDepositsDescription
Book Value4399BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets4399TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Deferred Rent$32,845
Deferred Compensation$20,752
FieldValueIRS element (for citing)
Total Of Amounts53597TotalOfAmounts
Total Revenue2935338TotalRevenue
Total Expenses3371099TotalExpenses
Excess Or Deficit For Year-435761ExcessOrDeficitForYear
Net Unrealized GL On Investments524453NetUnrealizedGLOnInvestments
Total Adjustments524453TotalAdjustments
Excess Or Deficit Per FS88692ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt3517399TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments524453NetUnrealizedGainsInvestments
Other Revenues70902OtherRevenues
Revenue Not Rptd F990595355RevenueNotRptdF990
Revenue Subtotal2922044RevenueSubtotal
Investment Expenses Not Included13294InvestmentExpensesNotIncluded
Revenue Not Rptd On Fin Stmt13294RevenueNotRptdOnFinStmt
Total Revenue Per Form9902935338TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt3428707TotExpensesEtcAuditedFinclStmt
Other Expenses Included70902OtherExpensesIncluded
Expenses Not Rptd F99070902ExpensesNotRptdF990
Expenses Subtotal3357805ExpensesSubtotal
Investment Expenses Not Included213294InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt13294ExpensesNotRptdOnFinStmt
Total Expenses Per Form9903371099TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:Temporarily restricted net assets are available to be used in any manner necessary to run the designated program for which they are restricted. Balances as of March 31, 2010 are anticipated to be fully used within the next fiscal year absent program extensions or additional funding. Permanently restricted net assets consist of investments in perpetuity, the income from which is expendable to support NHF's specific programs and operations as designated by the donor.
Part X:Description of Uncertain Tax Positions Under FIN 48:NHF adopted the provisions of FASB Accounting Standards Codification (ASC) 740-10, Income Taxes, relating to accounting for uncertain tax positions on April 1, 2009, which had no financial statement impact. NHF would recognize the tax benefit from uncertain tax positions only if it is more likely than not that the tax positions will be sustained on examination by the tax authorities, based on the technical merits of the position. The tax benefit is measured based on the largest benefit that has a greater than 50% likelihood of being realized upon ultimate settlement. As of March 31, 2010 and 2009, NHF had no uncertain tax positions rquiring accrual.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Hospital Heroes LuncheonNameOfEvent1
Gross Receipts Event1133000GrossReceiptsEvent1
Charitable Contributions Event1116716CharitableContributionsEvent1
Gross Revenue Event116284GrossRevenueEvent1
Other Direct Expenses Event187186OtherDirectExpensesEvent1
Gross Receipts Total133000GrossReceiptsTotal
Charitable Contributions Total116716CharitableContributionsTotal
Gross Revenue Total Events16284GrossRevenueTotalEvents
Other Direct Expenses Total Events87186OtherDirectExpensesTotalEvents
Direct Expense Summary Events87186DirectExpenseSummaryEvents
Net Income Summary-70902NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1J Eugene Grigsby IIIBusinessNameLine1
FieldValueIRS element (for citing)
Base Compensation Filing Org189449BaseCompensationFilingOrg
Comp Based On Related Orgs0CompBasedOnRelatedOrgs
Bonus Filing Org22000BonusFilingOrg
Bonus Related Orgs0BonusRelatedOrgs
Other Compensation Filing Org0OtherCompensationFilingOrg
Other Compensation Related Orgs0OtherCompensationRelatedOrgs
Deferred Comp Filing Org11396DeferredCompFilingOrg
Deferred Comp Related Orgs0DeferredCompRelatedOrgs
Nontaxable Benefits Filing Org6827NontaxableBenefitsFilingOrg
Nontaxable Benefits Related Orgs0NontaxableBenefitsRelatedOrgs
Total Compensation Filing Org229672TotalCompensationFilingOrg
Total Compensation Related Orgs0TotalCompensationRelatedOrgs
Comp Report Prior990 Filing Org0CompReportPrior990FilingOrg
Comp Report Prior990 Related Orgs0CompReportPrior990RelatedOrgs

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aMembership for a social club is partially or fully paid by the organization for one officer. None of the benefit paid for by the organization is treated as taxable compensation to the listed person.
Part I, Line 7A bonus for the CEO is determined based upon objectively verifiable measurements as agreed to by the Board at the beginning of each fiscal year. The bonus is a function of meeting board approved budget requirements and criteria outlined by the compensation committee.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Form 990, Part III, line 2New Program ServicesThere are two new programs in the current year, the Cardio Vascular Disease program funded by Watts Health Foundation and the Good Hope Foundation grants (see line 4 for description).
Form 990, Part VI, Section A, line 6THe organization has one class of membership, which are the members of the Executive Committee of the Board of Directors of the Hospital Association of Southern California. Significant decisions of the governing body require the approval of a majority of the members. The members may appoint and may remove or replace Directors of the governing body, although no such actions occurred during the tax year.
Form 990, Part VI, Section A, line 7aSee the description for line 6.
Form 990, Part VI, Section A, line 7bSee the description for line 6.
Form 990, Part VI, Section B, line 11Complete file-ready Forms 990, 990-T, 199 and 109 are reviewed by the Audit Committee and once approved, they are then reviewed by the entire Board and not filed with the IRS and FTB until so approved by the Board.
Form 990, Part VI, Section B, line 12cEach year, any person who served at any time during the tax year on the Board is requested to complete the conflict of interest questionnaire and is requested to give notice if a reportable event occurs subsequent to the completion of the questionnaire. Completed and submitted conflict of interest questionnaires (and updates) are periodically reviewed for compliance to our published policy by the Governance, Accountability & Nominating Committee.
Form 990, Part VI, Section B, line 15aCEO compensation is independently reviewed by the Compensation Committee and all details are brought forth to the entire Board of Directors for their consideration.
Form 990, Part VI, Section C, line 19GOVERNING DOCUMENTS and CONFLICT OF INTEREST POLICY ARE not MADE AVAILABLE to the public. THe audited statement of activity and the audited statement of financial position are published on the organization's website.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Hospital Association of Southern CaliforniaBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 South Figueroa 1300AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
EIN951519378EIN
Primary ActivitiesHospital advocacy and representationPrimaryActivities
Legal Domicile StateCALegalDomicileState
Exempt Code Section501(c)(6)ExemptCodeSection
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PROFESSIONAL DATA SERVICES LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1515 SOUTH FIGUEROA STREET 1300AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
EIN383710639EIN
Primary Activitycollects data on hospitals & provides benchmarking informationPrimaryActivity
Legal Domicile StateCALegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
ALLHEALTH INC
515 South Figueroa Street 1300Los AngelesCA90071954690319Hospital ServicesCAN/AC
MODERN HEALTH SERVICES
515 South Figueroa Street 1300los AngelesCA90071861113784employee leasing companyCAN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Hospital Association of Southern California
B193259
Hospital Association of Southern California
C177154
Hospital Association of Southern California
J85947
hospital Association of Southern California
O126560

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