2011-02-03T17:58:54-06:00 2010-03-31 MOSS ADAMS LLP 3121 WEST MARCH LANE STE 100 STOCKTON CA 95219 990 2009-04-01 237314808 National Health Foundation NATI 2135380700 515 South Figueroa No 1300 Los Angeles CA 90071 J Eugene Grigsby III 2135380700 2011-01-31 1 2099556100 2009 2016-02-24 21:20:13Z J Eugene Grigsby III 515 South Figueroa No 1300 Los Angeles CA 90071 3457876 0 X WWW.NHFcA.ORG X 1973 CA Promote and support more effective health care delivery 17 16 21 0 161800 -43105 2630376 2745882 0 195029 98558 90898 2825405 2935338 0 0 1352209 1403671 0 10552 1749873 1967428 3102082 3371099 -276677 -435761 3772911 5322225 504055 1964677 3268856 3357548 NHF'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. 1 0 731900 CARDIO 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. 524476 RECUPERATIVE 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. 457767 CALIFORNIA PATIENT SAFETY COLLABORATIVE - HOSPITALS WORKING IN COLLABORATIVES SEEK TO IMPROVE THE DELIVERY OF HEALTHCARE AND REDUCE THE NUMBER OF AVOIDABLE PATIENT SAFETY COMPLICATIONS AND DEATHS BY SHARING BEST PRACTICES IN PEER TO PEER LEARNING SITUATIONS. 1289243 National Health Foundation is an independent public charity dedicated to improving and enhancing the healthcare of the underserved by developing and supporting innovative programs that 1) can become independently viable, 2) provide systemic solutions to gaps in healthcare access and delivery, and 3) have the potential to be replicated nationally. Current strategic initiatives focus on underserved families, chronic disease and healthcare delivery. 1289243 3003386 1 1 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 18 0 1 21 1 1 1 0 0 0 0 1 1 0 0 0 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 CA X Scott Twomey 2135380756 515 S Figueroa St no 1300 Los Angeles CA 90071 J Eugene Grigsby III 40.00 X X 211449 0 18223 Michael Stephens 1.00 X X 0 0 0 Jess Womack 1.00 X X 0 0 0 James Barber 1.00 X X 0 0 0 Joseph Salzillo 1.00 X X 0 0 0 Gwen Edwards 1.00 X X 0 0 0 Theodore Bradpiece 1.00 X 0 0 0 john Cochran 1.00 X 0 0 0 casey Condron 1.00 X 0 0 0 Kathy Feeny 1.00 X 0 0 0 Lyndee Knox PhD 1.00 X 0 0 0 linda McGoldrick 1.00 X 0 0 0 kieran P Nolan 1.00 X 0 0 0 norman Ross 1.00 X 0 0 0 jacque Sokolov MD 1.00 X 0 0 0 robert Splawn MD 1.00 X 0 0 0 gerald Sullivan 1.00 X 0 0 0 AZHAR QURESHI 1.00 X 0 0 0 Kelly Bruno 40.00 X 124775 0 9732 Heather Kun PhD 40.00 X 109906 0 7299 Darrielle Ehrheart 40.00 X 96782 0 11510 542912 0 46764 3 0 1 0 HCNCC 1215 K STREET STE 800 SACRAMENTO CA 95812 Patient Safety Collaborative-NORTHERN CA 800000 HASD & IMPERIAL COUNTIES 5575 RUFFIN ROAD STE 225 SAN DIEGO CA 92123 PATIENT SAFETY COLLABORATIVE- SAN DIEGO 400000 CA HOSPITAL MEDICAL CENTER 1401 SOUTH GRAND AVE Los Angeles CA 90015 CARDIO VASCULAR DISEASE PROG 232445 GOOD SAMARITAN HOSPITAL 1225 WILSHIRE BLVD Los Angeles CA 90017 CARDIO VASCULAR DISEASE PROG 231431 HUNTINGTON MEMORIAL HOSPITAL 837 S FAIR OAKS AVE STE 100 PASADENA CA 91105 CARDIO VASCULAR DISEASE PROG 231099 7 116716 177154 354291 2097721 2745882 119695 119695 414215 435352 -21137 -21137 -21137 16284 116716 87186 -70902 -70902 Other revenue 561000 161800 161800 161800 2935338 0 161800 27656 604884 415934 185530 3420 503687 448480 54735 472 29499 26265 3205 29 181863 161930 19763 170 83738 74560 9100 78 986 52 934 79835 66045 13590 200 13294 13294 1566889 1566070 809 10 68711 52409 16238 64 34320 27150 7066 104 86440 68498 17681 261 60744 50941 9581 222 24653 18378 787 5488 4683 3716 953 14 6418 5078 1320 20 STAFF DEVELOPMENT 18043 17062 981 MISC 2412 818 1594 3371099 3003386 357161 10552 316120 773401 216627 256538 1371 916772 150372 138871 13303 11501 3221091 3359614 4399 4399 3772911 5322225 197812 303221 257020 1607859 49223 53597 504055 1964677 X 1702206 1929326 258485 120057 1308165 1308165 3268856 3357548 3772911 5322225 X 0 1 1 X 0 X 1113835 1208198 2848881 2630376 2745882 10547172 1113835 1208198 2848881 2630376 2745882 10547172 2925526 7621646 110820 141273 229284 184396 119695 785468 11332640 0.67250 0.70880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1566650 1097845 80286 1316559 1428222 1867314 584017 -93857 790824 1566650 0.00000 0.91590 0.08410 0 0 150372 138871 11501 11501 Deposits 4399 4399 Deferred Rent 32845 Deferred Compensation 20752 53597 2935338 3371099 -435761 524453 524453 88692 3517399 524453 70902 595355 2922044 13294 13294 2935338 3428707 70902 70902 3357805 13294 13294 3371099 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. Hospital Heroes Luncheon 133000 116716 16284 87186 133000 116716 16284 87186 87186 -70902 X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 J Eugene Grigsby III 189449 0 22000 0 0 0 11396 0 6827 0 229672 0 0 0 Part I, Line 1a Membership 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 7 A 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. Form 990, Part III, line 2 New Program Services There 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 6 THe 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 7a See the description for line 6. Form 990, Part VI, Section A, line 7b See the description for line 6. Form 990, Part VI, Section B, line 11 Complete 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 12c Each 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 15a CEO 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 19 GOVERNING 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. Hospital Association of Southern California 515 South Figueroa 1300 Los Angeles CA 90071 951519378 Hospital advocacy and representation CA 501(c)(6) N/A PROFESSIONAL DATA SERVICES LLC 515 SOUTH FIGUEROA STREET 1300 Los Angeles CA 90071 383710639 collects data on hospitals & provides benchmarking information CA N/A ALLHEALTH INC 515 South Figueroa Street 1300 Los Angeles CA 90071 954690319 Hospital Services CA N/A C MODERN HEALTH SERVICES 515 South Figueroa Street 1300 los Angeles CA 90071 861113784 employee leasing company CA N/A C 0 1 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 Hospital Association of Southern California B 193259 Hospital Association of Southern California C 177154 Hospital Association of Southern California J 85947 hospital Association of Southern California O 126560