USC ARCADIA HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- USC ARCADIA HOSPITAL (EIN 95-1643336)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-14
- IRS object ID
- 202203189349307865
- Schema version
- 2021v4.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-14T11:35:42-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18101 VON KARMAN AVE SUITE 1700 | AddressLine1Txt |
| City | IRVINE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92612 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643336 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC ARCADIA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % WILLIAM GRIGG | InCareOfNm |
| Business Name Control | USCA | BusinessNameControlTxt |
| Phone | 6268988000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST HUNTINGTON DRIVE | AddressLine1Txt |
| City | ARCADIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91007 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM GRIGG | PersonNm |
| Person Title | SVP/CFO | PersonTitleTxt |
| Phone | 6264454441 | PhoneNum |
| Signature | 2022-11-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | WILLIAM | PersonFirstNm |
| Person Last | GRIGG | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Phone | 9497942300 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Change | Yes (X) | NameChangeInd |
| Principal Officer | WILLIAM GRIGG | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST HUNTINGTON DRIVE | AddressLine1Txt |
| City | ARCADIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $367,454,705 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.USCARCADIAHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1912 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HIGH-QUALITY HEALING SERVICES WHILE CARING FOR THE PATIENTS EMOTIONAL AND SPIRITUAL NEEDS AND ENABLING THEM TO ACHIEVE HEALTH FOR LIFE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 16 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1835 | TotalEmployeeCnt |
| Total Volunteers | 182 | TotalVolunteersCnt |
| Total Gross UBI | $459,497 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $31,175 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,595,414 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,574,614 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $276,919,786 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $265,711,151 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,279,383 | PYInvestmentIncomeAmt |
| CY Investment Income | $32,941,339 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,541,537 | PYOtherRevenueAmt |
| CY Other Revenue | $2,436,740 | CYOtherRevenueAmt |
| PY Total Revenue | $302,336,120 | PYTotalRevenueAmt |
| CY Total Revenue | $306,663,844 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $38,430 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $37,117 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $133,125,350 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $134,067,007 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $155,089,848 | PYOtherExpensesAmt |
| CY Other Expenses | $157,588,445 | CYOtherExpensesAmt |
| PY Total Expenses | $288,253,628 | PYTotalExpensesAmt |
| CY Total Expenses | $291,692,569 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $14,082,492 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $14,971,275 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $610,492,590 | TotalAssetsBOYAmt |
| Total Assets EOY | $630,924,626 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $352,712,644 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $365,474,350 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $257,779,946 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $265,450,276 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE HIGH-QUALITY HEALING SERVICES WHILE CARING FOR THE PATIENT'S EMOTIONAL AND SPIRITUAL NEEDS AND ENABLING THEM TO ACHIEVE HEALTH FOR LIFE. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $234,686,622 | ExpenseAmt |
| Grant | $37,117 | GrantAmt |
| Revenue | $265,711,151 | RevenueAmt |
| Desc | USC ARCADIA HOSPITAL IS A 348-LICENSED BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN ARCADIA, CA. FOUNDED IN 1903, USC ARCADIA HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. USC ARCADIA HOSPITAL PROVIDES CLINICAL SERVICES, DIAGNOSTIC TESTING, INPATIENT AND OUTPATIENT SURGERY, INTENSIVE CARE UNITS, CARDIAC CATHETERIZATION, CARDIAC SURGERY, CHEST PAIN CENTER, A STROKE PROGRAM, CANCER SERVICES, HIP AND KNEE REPLACEMENT, SPINE SURGERY, MATERNITY SERVICES, WEIGHT LOSS SURGERY, PHYSICAL THERAPY, ACUTE PHYSICAL REHABILITATION, AND WOUND HEALING. | Desc |
| Total Program Service Expenses | $234,686,622 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 211 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1835 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 16 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WILLIAM GRIGG | PersonNm |
| Phone | 6268212310 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST HUNTINGTON DRIVE | AddressLine1Txt |
| City | ARCADIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91007 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAN AUSMAN | |||||||||
| DIRECTOR/PRESIDENT/CEO | 39.5 | 0.5 | Yes (X) | Yes (X) | $1,172,839 | $0 | $14,040 | ||
| WILLIAM GRIGG | |||||||||
| ASSISTANT TREASURER/CFO | 39.5 | 0.5 | Yes (X) | $557,483 | $0 | $17,248 | |||
| STEVE SISTO | |||||||||
| SR. VICE PRESIDENT/COO | 40.0 | 0.0 | $551,526 | $0 | $22,740 | Yes (X) | |||
| BALA S CHANDRASEKHAR MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.0 | 0.0 | $539,475 | $0 | $22,740 | Yes (X) | |||
| CLIFFORD DANIELS | |||||||||
| CHIEF STRATEGY OFFICER | 40.0 | 0.0 | $384,297 | $0 | $21,417 | Yes (X) | |||
| JOHN PEEPLES | |||||||||
| VP/HUMAN RESOURCES | 40.0 | 0.0 | $383,372 | $0 | $9,075 | Yes (X) | |||
| DEBORAH L MCCOY | |||||||||
| VP/CHIEF NURSING OFFICER | 40.0 | 0.0 | $362,333 | $0 | $15,656 | Yes (X) | |||
| CATHERINE TONECK | |||||||||
| CHIEF COMPLIANCE&RISK OFFICER | 40.0 | 0.0 | $358,682 | $0 | $12,860 | Yes (X) | |||
| KATHRYN J PUNCER | |||||||||
| ASSISTANT SECRETARY | 39.5 | 0.0 | Yes (X) | $97,851 | $0 | $17,063 | |||
| E DEWAYNE MCMULLIN | |||||||||
| DIRECTOR/SECRETARY | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES ROMO | |||||||||
| DIRECTOR/CHAIRMAN | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| AJA TULLENERS LESH PHD RN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW LEE MD | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GEORGE P BLANCO | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN MCFARLANE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL TSIA | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| REVEREND SANDRA K OLEWINE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD HALE JR | |||||||||
| DIRECTOR | 2.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM M PETMECKY III | |||||||||
| DIR/TREASURER/VICE CHAIRMAN | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DIANE GIN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| NATALIE POOLE | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ELIAS TARAKJI MD | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS VAN KIRK | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN LUSSIER | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,407,858 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $152,839 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 333 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| REHABCARE | |||||
| 1733 FORSYTH BLVD STE 1700 | ST LOUIS | MO | 63105 | REHAB SERVICES | $3,553,885 |
| ARCADIA HOSPITALIST MEDICAL GROUP | |||||
| 111 N SEPULVEDA BLVD SUITE 210 | MANHATTAN | CA | 90266 | PHYSICIAN FEES | $2,022,000 |
| RENOVO SOLUTIONSLLC | |||||
| 4 EXECUTIVE CIRCLE SUITE 185 | IRVINE | CA | 92614 | MAINTENANCE | $1,671,950 |
| ARCADIA INTENSIVIST GROUP INC | |||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | PHYSICIAN FEES | $1,296,185 |
| INDEPENDENT ACUTE DIALYSIS SERVICE | |||||
| 1711 IVY BRIDGE ROAD | GLENDALE | CA | 91207 | DIALYSIS | $1,277,075 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 34 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,569,139 | RelatedOrganizationsAmt |
| Government Grants | $1,005,475 | GovernmentGrantsAmt |
| Noncash Contributions | $34,967 | NoncashContributionsAmt |
| Total Contributions | $5,574,614 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICE REVENUE | 541900 | $265,143,392 | $265,143,392 |
| REBATES | 900099 | $567,759 | $567,759 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $265,711,151 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,701,300 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $48,162 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,653,138 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $92,030,900 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $60,790,861 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,240,039 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,240,039 | TotalRevenueColumnAmt |
| Exclusion | $31,240,039 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| CHILDCARE | 624410 | $940,999 | $411,335 | $529,664 |
| EMPLOYEE/VISITOR MEALS | 722514 | $765,173 | $765,173 | |
| INTEREST ON PATIENT ACCOUNTS | 900099 | $175,769 | $175,769 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $554,799 | TotalRevenueColumnAmt |
| Exclusion | $554,799 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,436,740 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $306,663,844 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $265,711,151 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $459,497 | UnrelatedBusinessRevenueAmt |
| Exclusion | $34,918,582 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,117 | TotalAmt |
| Program Services | $37,117 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,450,790 | TotalAmt |
| Management And General | $2,450,790 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,715,808 | TotalAmt |
| Program Services | $83,699,123 | ProgramServicesAmt |
| Management And General | $28,016,685 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,285,307 | TotalAmt |
| Program Services | $989,992 | ProgramServicesAmt |
| Management And General | $295,315 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,875,963 | TotalAmt |
| Program Services | $8,377,078 | ProgramServicesAmt |
| Management And General | $2,498,885 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,739,139 | TotalAmt |
| Program Services | $5,960,978 | ProgramServicesAmt |
| Management And General | $1,778,161 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,300,673 | TotalAmt |
| Management And General | $1,300,673 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,176 | TotalAmt |
| Management And General | $344,176 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,890 | TotalAmt |
| Management And General | $26,890 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,303,170 | TotalAmt |
| Program Services | $30,869,713 | ProgramServicesAmt |
| Management And General | $1,433,457 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,819 | TotalAmt |
| Management And General | $122,819 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,099,968 | TotalAmt |
| Program Services | $8,693,225 | ProgramServicesAmt |
| Management And General | $1,406,743 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,294,322 | TotalAmt |
| Management And General | $5,294,322 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,683,639 | TotalAmt |
| Program Services | $2,441,353 | ProgramServicesAmt |
| Management And General | $1,242,286 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,011 | TotalAmt |
| Program Services | $10,561 | ProgramServicesAmt |
| Management And General | $85,450 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,699 | TotalAmt |
| Program Services | $5,675 | ProgramServicesAmt |
| Management And General | $17,024 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,495,479 | TotalAmt |
| Program Services | $8,872,039 | ProgramServicesAmt |
| Management And General | $2,623,440 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,359,746 | TotalAmt |
| Program Services | $10,385,636 | ProgramServicesAmt |
| Management And General | $2,974,110 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,586,615 | TotalAmt |
| Program Services | $908,406 | ProgramServicesAmt |
| Management And General | $678,209 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $42,567,974 | $41,941,518 | $626,456 |
| MEDICAL PROVIDER FEE | $15,796,678 | $15,796,678 | |
| EQUIP RENTAL & MAINT | $5,779,048 | $5,709,084 | $69,964 |
| MEDICAL TRANSCRIPTIONS | $301,310 | $301,310 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,407,228 | TotalAmt |
| Program Services | $9,687,136 | ProgramServicesAmt |
| Management And General | $3,720,092 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,692,569 | TotalAmt |
| Program Services | $234,686,622 | ProgramServicesAmt |
| Management And General | $57,005,947 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,450 | BOYAmt |
| EOY | $2,150 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,286,703 | BOYAmt |
| EOY | $26,388,368 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,735,836 | BOYAmt |
| EOY | $42,970,787 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,598,685 | BOYAmt |
| EOY | $15,393,532 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,875,984 | BOYAmt |
| EOY | $4,392,070 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,138,203 | BOYAmt |
| EOY | $50,950,832 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $479,524,236 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $258,602,716 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $223,475,598 | BOYAmt |
| EOY | $220,921,520 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $198,953,789 | BOYAmt |
| EOY | $221,745,113 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,495,638 | BOYAmt |
| EOY | $21,301,605 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,152,420 | BOYAmt |
| EOY | $20,895,536 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,777,284 | BOYAmt |
| EOY | $5,963,113 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,492,590 | BOYAmt |
| EOY | $630,924,626 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,432,651 | BOYAmt |
| EOY | $86,063,824 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $260,289,402 | BOYAmt |
| EOY | $256,847,964 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,219,195 | BOYAmt |
| EOY | $6,540,663 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,771,396 | BOYAmt |
| EOY | $16,021,899 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $352,712,644 | BOYAmt |
| EOY | $365,474,350 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $243,096,641 | BOYAmt |
| EOY | $253,152,989 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,683,305 | BOYAmt |
| EOY | $12,297,287 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $257,779,946 | BOYAmt |
| EOY | $265,450,276 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,492,590 | BOYAmt |
| EOY | $630,924,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $14,971,275 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$9,044,062 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $1,743,117 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $26,890 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $26,890 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | LOBBYING ACTIVITIES USC ARCADIA HOSPITAL SOUTHERN CALIFORNIA PAID DUES OF APPROXIMATELY $211,844 TO THE CALIFORNIA HOSPITAL ASSOCIATION AND CALIFORNIA ASSOCIATION OF HOSPITAL AND HEALTH SYSTEMS. OF THESE DUES, $26,890 IS ATTRIBUTABLE TO LOBBY RELATED EXPENSES FOR HEALTHCARE ISSUES | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,537,635 | BeginningYearBalanceAmt |
| Contributions | $1,018,818 | ContributionsAmt |
| End Year Balance | $4,556,453 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,479,485 | BeginningYearBalanceAmt |
| Contributions | $70,287 | ContributionsAmt |
| Other Expenditures | $12,137 | OtherExpendituresAmt |
| End Year Balance | $3,537,635 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,057,555 | BeginningYearBalanceAmt |
| Contributions | $421,930 | ContributionsAmt |
| End Year Balance | $3,479,485 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,784,134 | BeginningYearBalanceAmt |
| Contributions | $273,421 | ContributionsAmt |
| End Year Balance | $3,057,555 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,686,234 | BeginningYearBalanceAmt |
| Contributions | $110,500 | ContributionsAmt |
| Other Expenditures | $12,600 | OtherExpendituresAmt |
| End Year Balance | $2,784,134 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $226,946,813 | OtherCostOrOtherBasisAmt |
| Depreciation | $93,283,056 | DepreciationAmt |
| Book Value | $133,663,757 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $18,516,282 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,180,363 | DepreciationAmt |
| Book Value | $1,335,919 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $220,255,172 | OtherCostOrOtherBasisAmt |
| Depreciation | $148,113,645 | DepreciationAmt |
| Book Value | $72,141,527 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $13,805,969 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,652 | DepreciationAmt |
| Book Value | $13,780,317 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $220,921,520 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| SELF-INSURANCE CLAIMS | $12,653,633 |
| LEASES | $1,527,435 |
| OTHER LIABILITIES | $1,840,831 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,021,899 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART V, LINE 4 | FormAndLineReferenceDesc |
| Explanation | INTENDED USE OF ENDOWMENT FUNDS UNRESTRICTED SUPPORT ENDOWMENT $ 1,840,972 STROKE CENTER $ 1,000,000 HOMELESS RESPITE CARE $ 582,848 EMERGENCY SERVICES $ 427,413 CHAPLAINCY $ 285,921 CHARITY CARE $ 218,818 NURSING EDUCATION $ 156,717 HEALTH CAREERS EDUCATION $ 38,463 MATERNAL CHILD HEALTH $ 5,301 ----------- TOTAL $ 4,556,453 | ExplanationTxt |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | false | GrantRecordsMaintainedInd |
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $9,520,230 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $9,520,230 | SubtotalSpentAmt |
| Total Spent | $9,520,230 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | Yes (true) | PassiveForeignInvestmestCoInd |
| Foreign Partnership | Yes (true) | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE F, PART I, LINE 3, COLUMN F | FormAndLineReferenceDesc |
| Explanation | THE ACCRUAL METHOD WAS USED FOR AMOUNTS ON LINE 3. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $511,700 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $511,700 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,987,757 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,372,045 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,615,712 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09810 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,268,699 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,268,699 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00430 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,768,156 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,372,045 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,396,111 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10420 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,037,650 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,037,650 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $853,973 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,141,200 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,819,722 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $5,711,197 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,108,525 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,711,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,852,397 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,146,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02450 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $83,479,501 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $46,224,442 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $37,542,286 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12870 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $535,894 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $535,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $535,894 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $535,894 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Reimbursed By Medicare | $84,312,228 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $95,452,147 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,139,919 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC ARCADIA HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST HUNTINGTON DRIVE | AddressLine1Txt |
| City | ARCADIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.USCARDIA.ORG | WebsiteAddressTxt |
| State License | 930000103 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Facility Reporting Group | 1 | FacilityReportingGroupCd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USC ARCADIA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 20 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PT V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PT V,SEC C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E | THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. |
| SCHEDULE H, PART V, SECTION B, LINE 5 | USC ARCADIA HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT COMPILED A VARIETY OF DEMOGRAPHIC AND HEALTH DATA AND INFORMATION, GATHERED FROM BOTH PRIMARY AND SECONDARY DATA SOURCES. WE DID TAKE INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY, INCLUDING THOSE WITH SPECIAL KNOWLEDGE OF OR EXPERTISE IN PUBLIC HEALTH. FINDINGS ARE BASED ON SURVEYS WITH REPRESENTATIVES OF COMMUNITY AND PUBLIC ORGANIZATIONS CONDUCTED OVER A FIVE-WEEK PERIOD BEGINNING IN MID-SEPTEMBER 2019. THE FIRST PHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT INVOLVED COLLECTION AND ANALYSIS OF NUMEROUS DEMOGRAPHIC AND HEALTH STATUS AND DATA AND INFORMATION FOR THE HOSPITAL SERVICE AREA AND SERVICE PLANNING AREA (SPA) 3 - SAN GABRIEL VALLEY. THE FOLLOWING TYPES OF DATA WERE ANALYZED: POPULATION, HOUSEHOLD AND FAMILY DEMOGRAPHICS; BIRTH STATISTICS, DEATH STATISTICS, DESIGNATED HEALTH PROFESSIONAL SHORTAGE AREAS, LARGE-SCALE HOUSEHOLD TELEPHONE SURVEYS DESIGNED TO MEASURE HEALTH ACCESS, UTILIZATION OF HEALTH SERVICES, AND HEALTH BEHAVIORS. WHEREVER POSSIBLE, THE SERVICE AREA HEALTH EXPERIENCE WAS BENCHMARKED TO HEALTHY PEOPLE 2020 TARGETS. IN ADDITION, TO ASSIST WITH PROVIDING CONTEXT TO THE DEMOGRAPHICS, THE HOSPITAL SERVICE AREA IS COMPARED TO LOS ANGELES COUNTY. THE FOLLOWING WERE IDENTIFIED AS THE COMMUNITY'S TOP HEALTH ISSUES (BASED ON FREQUENCY OF OVERALL MENTION): - ACCESS TO HEALTH CARE SPECIFIC TO HEALTH INSURANCE COVERAGE, AVAILABILITY OF PROVIDERS IN THE COMMUNITY, LANGUAGE BARRIERS, AND LACK OF TRANSPORTATION. - DISEASE PREVENTION AND HEALTH PROMOTION, SPECIFIC TO DIABETES, OBESITY, HEART DISEASE, HIGH BLOOD PRESSURE, CANCER, MENTAL HEALTH AND DEMENTIA, AND INFLUENZA AND PNEUMONIA. ACCORDING TO MANY OF THOSE INTERVIEWED, THE SAN GABRIEL VALLEY IN GENERAL AND PERSONS OF ALL AGES, REGARDLESS OF INCOME OR RACIAL/ETHNIC AND CULTURAL BACKGROUNDS, ARE AFFECTED BY THESE HEALTH ISSUES. FOR EXAMPLE, MANY FACE CHALLENGES ASSOCIATED WITH HEALTH CARE ACCESS AND ALZHEIMER'S DISEASE AFFECTS ALL AGE SIXTY AND OLDER. NEIGHBORHOOD AREAS SPECIFICALLY MENTIONED BY THOSE PARTICIPATING IN THE COMMUNITY INTERVIEWS INCLUDED: - ARCADIA - ALHAMBRA - DUARTE - EL MONTE - MONROVIA - SAN GABRIEL - TEMPLE CITY POPULATIONS SPECIFICALLY IDENTIFIED BY THOSE PARTICIPATING IN THE INTERVIEWS: - LOWER SOCIOECONOMIC STATUS - LOWER EDUCATIONAL ATTAINMENT - CHINESE IMMIGRANT FAMILIES WITH LIMITED ENGLISH PROFICIENCY - SPANISH-SPEAKING PERSONS - RACIAL AND ETHNIC MINORITIES - ASIANS, LATINOS, AND AFRICAN AMERICANS - CHILDREN AND ADOLESCENTS - WOMEN - SENIORS - HOMELESS PERSONS THE SECOND PHASE OF THE NEEDS ASSESSMENT FOCUSED ON QUALITATIVE PRIMARY RESEARCH. REPRESENTATIVES FROM THE HOSPITAL AGREED THAT TELEPHONE INTERVIEWS WITH HEALTH DEPARTMENT CONTACTS AND REPRESENTATIVES FROM PUBLIC AND PRIVATE ORGANIZATIONS WOULD BE A COST-EFFECTIVE APPROACH TO GAIN AN UNDERSTANDING OF IMPORTANT HEALTH ISSUES AND POTENTIAL OPPORTUNITIES TO COLLABORATE WITH THESE ORGANIZATIONS. THE FOLLOWING SOURCES OF DATA AND INFORMATION WERE USED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT: - CALIFORNIA DEPARTMENT OF EDUCATION - CALIFORNIA DEPARTMENT OF PUBLIC HEALTH - CENTER FOR SOCIAL SCIENCES RESEARCH AT UNIVERSITY OF CALIFORNIA AT BERKELEY - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH - LOS ANGELES HOMELESS SERVICES AUTHORITY - LOS ANGELES COUNTY 211.COM - CLARITAS - OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT - UCLA CENTER FOR HEALTH POLICY RESEARCH - UNITED STATES DEPARTMENT OF HEALTH AND HUMAN SERVICES THE HOSPITAL UTILIZED THE INPUT RECEIVED FROM ALL OF THE ABOVE ORGANIZATIONS, PLUS QUANTITATIVE DATA GATHERED FROM THE HOSPITAL AND PUBLIC SOURCES TO IMPROVE OUR UNDERSTANDING OF KEY HEALTH ISSUES IN THE SAN GABRIEL VALLEY, AND TO IDENTIFY POTENTIAL OPPORTUNITIES TO COLLABORATE WITH THESE ORGANIZATIONS TO IMPROVE THE OVERALL HEALTH STATUS OF OUR SERVICE AREA POPULATION. |
| SCHEDULE H, PART V, SECTION B, LINE 7A | THE CHNA IS AVAILABLE AT: https://www.uscarcadiahospital.org/About-Us/Community-Reports.aspx |
| SCHEDULE H, PART V, SECTION B, LINE 10A | THE IMPLEMENTATION STRATEGY IS AVAILABLE AT: https://www.uscarcadiahospital.org/About-Us/Community-Reports.aspx |
| SCHEDULE H, PART V, SECTION B, LINE 11 | BASED ON QUANTITATIVE AND QUALITATIVE ANALYSIS, USC ARCADIA HOSPITAL'S 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (2019 CHNA) IDENTIFIED TWO SIGNIFICANT HEALTH NEEDS: - ACCESS TO HEALTH CARE SERVICES AND CONTINUITY OF CARE - DISEASE PREVENTION AND HEALTH PROMOTION. THE IMPLEMENTATION STRATEGY ADDRESSES BOTH SIGNIFICANT PRIORITY HEALTH NEEDS, WITHIN THE HOSPITAL'S MISSION AND FINANCIAL CAPACITY. THE FOLLOWING OUTLINES THE ACTIONS USC ARCADIA HOSPITAL OF SOUTHERN CALIFORNIA WILL TAKE TO ADDRESS THESE COMMUNITY HEALTH NEEDS, PLANNED COLLABORATIONS, AND EVALUATION PLANS. SIGNIFICANT HEALTH NEED: ACCESS TO HEALTH SERVICES FOR ADULTS AN IMPORTANT SOURCE OF ACCESS TO ADULT HEALTH SERVICES IS USC ARCADIA HOSPITAL'S EMERGENCY DEPARTMENT. THE 26-BED EMERGENCY DEPARTMENT IS OPEN 24-HOURS A DAY AND IS APPROVED BY LOS ANGELES COUNTY EMERGENCY MEDICAL SERVICES AS A STROKE CENTER AND STEMI RECEIVING CENTER. USC ARCADIA HOSPITAL'S EMERGENCY DEPARTMENT IS ALSO CERTIFIED AS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP). USC ARCADIA HOSPITAL WILL CONTINUE TO OFFER A FREE PHYSICIAN REFERRAL SERVICE TO ASSIST AREA RESIDENTS WITH FINDING A PHYSICIAN, EITHER BY TELEPHONE TO A DEDICATED PHYSICIAN REFERRAL CENTER OR VIA WEB SEARCH. WE WILL ALSO CONTINUE TO PROVIDE A DEDICATED CHINESE HOT LINE. PHYSICIAN REFERRALS ARE FULFILLED BASED ON PHYSICIAN SPECIALTY, LOCATION, GENDER, LANGUAGE, AND OFFICE HOURS; AND HEALTH INSURANCE (INCLUDING MEDICAL AND SENIOR INSURANCE PLANS). USC ARCADIA HOSPITAL'S COMMUNITY OUTREACH DEPARTMENT STAFF WILL CONTINUE TO RESPOND TO THE HEALTH NEEDS OF OUR COMMUNITY. STAFF MEMBERS ACTIVELY COLLABORATE WITH AREA ORGANIZATIONS TO ADDRESS THE UNIQUE NEEDS OF PERSONS LIVING IN OUR SERVICE AREA. SOME EXAMPLES INCLUDE ACTIVE PARTICIPATION IN CHINESE (LUNAR) NEW YEAR STREET FESTIVAL AND AN ASIAN HEALTH FAIR; AND PROGRAM DEVELOPMENT AND COORDINATION WITH AREA SENIOR CENTERS TO PROVIDE SUPPORT FOR SCREENINGS AND HEALTH FAIRS. PLANNED COLLABORATIONS: TO IMPROVE ACCESS TO HEALTH SERVICES IN OUR COMMUNITY, LEADERSHIP AND STAFF WILL REMAIN ACTIVE IN THE FOLLOWING GROUPS: HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, LOS ANGELES COUNTY SERVICE PLANNING AREA (SPA) 3 COUNCIL, ARCADIA COMMUNITY COORDINATING COUNCIL, MONROVIA COMMUNITY COORDINATING COUNCIL, ASIAN PACIFIC DIABETES COALITION, SOUTHERN CALIFORNIA WOMEN'S HEALTH CONFERENCE, AS WELL AS VARIOUS JOINT OPERATING COMMITTEES (COMPRISED OF LEADERS FROM THE HOSPITAL, LOCAL PHYSICIANS ORGANIZATIONS, AND HEALTH PLANS). EVALUATION PLAN: USC ARCADIA HOSPITAL WILL MONITOR AND REPORT: ACTIVITY IN OUR EMERGENCY DEPARTMENT, PERSONS SERVED BY PHYSICIAN REFERRALS, AND RESULTS OF CALIFORNIA HEALTH INTERVIEW SURVEYS FOR SERVICE PLANNING AREA 3 (SAN GABRIEL VALLEY) BENCHMARKED TO HEALTHY PEOPLE 2020 NATIONAL OBJECTIVES FOR: NON-ELDERLY PERSONS WITH HEALTH INSURANCE, USUAL SOURCE OF ONGOING CARE, DELAYS IN GETTING MEDICAL CARE, DELAYS IN GETTING PRESCRIPTION MEDICATIONS, DEATHS DUE TO CORONARY HEART DISEASE AND CIRRHOSIS, SENIORS WHO RECEIVED A FLU SHOT, AND SENIORS WITH HIGH BLOOD PRESSURE. SIGNIFICANT HEALTH NEED: DISEASE PREVENTION AND HEALTH PROMOTION TO ADDRESS THE COMMUNITY NEED FOR SERVICES FOR HEALTH CONDITIONS, USC ARCADIA HOSPITAL WILL CONTINUE TO PROVIDE STRONG DIAGNOSTIC AND TREATMENT SERVICES ADDRESSING HEART DISEASE, STROKE, AND CANCER: USC ARCADIA HOSPITAL'S HIGHLY SPECIALIZED CARDIAC SERVICES INCLUDE: - AVAILABILITY OF A CARDIAC CARE TEAM 24-HOURS A DAY, SEVEN DAYS A WEEK - DEDICATED HANDLING OF STEMI PATIENTS IN THE HOSPITAL'S EMERGENCY DEPARTMENT - THREE CARDIAC CATHETERIZATION LABORATORIES - TWO DEDICATED OPERATING ROOMS FOR OPEN-HEART SURGERY AND VALVE REPLACEMENTS - SPECIALIZED CORONARY CARE UNIT AND CARDIAC PATIENT CARE UNIT - INPATIENT AND OUTPATIENT CARDIAC REHABILITATION PROGRAMS USC ARCADIA HOSPITAL IS A DESIGNATED STROKE RECEIVING CENTER FOR LA COUNTY EMS. USC ARCADIA HOSPITAL ALSO PROVIDES NEURO-INTERVENTIONAL RADIOLOGY SERVICES. USC ARCADIA HOSPITAL OFFERS THE FULL COMPLEMENT OF ONCOLOGY SERVICES, INCLUDING EARLY DETECTION CANCER SCREENINGS, SURGERY, CHEMOTHERAPY, RECONSTRUCTIVE SURGERY, PAIN MANAGEMENT, AND SUPPORT GROUPS. USC ARCADIA HOSPITAL ALSO PROVIDES HOSPITAL AND PHYSICIAN SERVICES AT TWO SPECIALIZED OUTPATIENT CLINICS: GYN ONCOLOGY INSTITUTE AND THE INSTITUTE FOR SURGICAL SPECIALTIES - TO CONTINUE TO EXPAND ACCESS TO OUTSTANDING CLINICAL SERVICES TO RESIENTS AND VISITORS ACROSS OUR SERVICE AREA. TO PROACTIVELY ADDRESS HEALTH CONDITIONS OF IMPORTANCE TO RESIDENTS OF THE SERVICE AREA, USC ARCADIA HOSPITAL WILL PROVIDE ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS, AS FOLLOWS: - HEALTH FAIRS AND SCREENINGS: USC ARCADIA HOSPITAL WILL PARTICIPATE IN HEALTH FAIRS ADDRESSING SENIORS AND ADULTS, THE LATINO COMMUNITY, AND THE ASIAN COMMUNITY. - BLOOD PRESSURE TESTING: USC ARCADIA HOSPITAL WILL OFFER BLOOD PRESSURE SCREENINGS ON A MONTHLY BASIS AT SCHEDULED TIMES AT THE ARCADIA COMMUNITY CENTER, MONROVIA COMMUNITY CENTER, AND SIERRA MADRE HART PARK HOUSE; AND CONTINUE TO SPONSOR A HEART CHECK CENTER FREE BLOOD PRESSURE TESTING KIOSK DISPLAY AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA, WHICH SERVED 30,875 BLOOD PRESSURE SCREENINGS IN 2019. - CARDIAC SUPPORT GROUP: USC ARCADIA HOSPITAL WILL CONTINUE TO PROVIDE A "MENDED HEART" PROGRAM FOR HEART PATIENTS AND THEIR CAREGIVERS WHO HAVE HAD EXPERIENCE OR HAVE BEEN DIAGNOSED WITH HEART PROBLEMS. - DIABETES CLASSES: TO ASSIST THOSE WITH DIABETES USC ARCADIA HOSPITAL WILL OFFER SPECIALIZED CLASSES. THESE FREE DIABETES MANAGEMENT CLASSES (4-WEEK SERIES FOR TWO HOURS EACH SESSIONS) ARE TAUGHT BY A TEAM THAT INCLUDES A REGISTERED NURSE, DIABETES EDUCATOR, REGISTERED DIETITIAN, AND A PHYSICAL THERAPIST. THE CLASSES DISCUSS TOPICS SUCH AS EATING WITH DIABETES, EXERCISE, BLOOD GLUCOSE MONITORING, MEDICATIONS, AND PREVENTING COMPLICATIONS. WE WILL CONTINUE TO PROVIDE DIABETES MANAGEMENT SUPPORT GROUPS FOR THOSE DEALING WITH DIABETES. - CANCER WORKSHOPS: TO RAISE AWARENESS AND ASSIST THOSE WITH CANCER, USC ARCADIA HOSPITAL WILL OFFER CANCER SURVIVOR PROGRAMS AS A BODY-AND-MIND STRENGTHENING PROGRAM FOR SURVIVORS OF ANY TYPE OF CANCER. - HEALTH MINISTRIES PROGRAM: CONTINUE TO ASSIST LOCAL CONGREGATIONS BY PROVIDING GUIDANCE, SUPPORT, AND RESOURCES TO PARISH NURSES AND HEALTH CABINETS. - 50+ HEALTH CONNECTION PROGRAM: CONTINUE TO PROVIDE HEALTH EDUCATION, SCREENING SERVICES, AND PHYSICIAN REFERRALS FOR SENIORS. - EXPANDED WEB SITE: CONTINUE TO PROVIDE ADDITIONAL HEALTH INFORMATION SPECIFIC TO HEART DISEASE, STROKE, DIABETES, CANCER AND INJURIES AND A COMMUNITY CALENDAR OF EVENTS, COMPLETE WITH REGISTRATION INFORMATION, LOCATIONS, DATES, AND TIMES. THOSE INTERESTED CAN ALSO FOLLOW THE HOSPITAL ON VARIOUS SOCIAL MEDIA PLATFORMS INCLUDING FACEBOOK, TWITTER, YOUTUBE, PINTEREST, LINKEDIN, AND YELP. PLANNED COLLABORATIONS: TO SUPPORT DISEASE PREVENTION AND HEALTH PROMOTION ACTIVITIES, USC ARCADIA HOSPITAL WILL WORK CLOSELY WITH CHURCHES; CITIES OF ARCADIA, MONROVIA AND SIERRA MADRE; AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AND WESTFIELD SANTA ANITA MALL. EVALUATION PLAN: USC ARCADIA HOSPITAL WILL MONITOR AND REPORT PARTICIPATION, ATTENDANCE AND PROGRAM EVALUATIONS AT VARIOUS COMMUNITY ACTIVITIES; RESULTS OF CALIFORNIA HEALTH INTERVIEW SURVEYS BENCHMARKED TO HEALTHY PEOPLE 2020 NATIONAL OBJECTIVES FOR: DIAGNOSED WITH HIGH BLOOD PRESSURE, DIAGNOSED WITH DIABETES, HEALTHY WEIGHT AND OBESITY; AND ANALYSIS OF AGE-ADJUSTED DEATH RATES DUE TO CORONARY HEART DISEASE, STROKE, DIABETES-RELATED DEATHS, AND VARIOUS CANCERS. LOS ANGELES COUNTY DID NOT MEET THE OBJECTIVES RELATED TO HOMICIDE AND CHRONIC LIVER DISEASE AND CIRRHOSIS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IDENTIFIED TWO HEALTH NEEDS NOT DIRECTLY ADDRESSED BY THE SERVICES PROVIDED BY THE HOSPITAL. THEY ARE HOMELESSNESS AND FOOD INSECURITY. WHILE THE HOSPITAL DOES NOT HAVE ANY PROGRAMS THAT SEEK TO ALLEVIATE HOMELESSNESS, THE HOSPITAL DOES PROVIDE EMERGENCY AND OTHER URGENT MEDICAL CARE TO HOMELESS INDIVIDUALS. AS PART OF THE MEDICAL SERVICES THE HOSPITAL MAY PROVIDE FOOD, CLOTHING, MEDICINE AND DIRECT NOMINAL CASH ASSISTANCE TO HOMELESS PATIENTS ON DISCHARGE TO ENSURE THEY HAVE ACCESS TO FOLLOW UP CARE OR HAVE TRANSPORTATION TO FAMILY OR FACILITIES THAT CAN PROVIDE TEMPORARY HOUSING. REGARDING FOOD SECURITY, AGAIN THE HOSPITAL HAS NO DIRECT PROGRAMS WHICH ADDRESS THE ISSUE, BUT MAY UPON DISCHARGE PROVIDE FOOD OR NOMINAL CASH ASSISTANCE, IN ADDITION TO REFERRALS TO FOOD BANKS, TO PATIENTS WHO HAVE BEEN IDENTIFIED AT RISK FOR FOOD INSECURITY |
| SCHEDULE H, PART V, SECTION B, LINES 16A, 16B, & 16C | THE FAP, FAP APPLICATION AND PLAIN LANGUAGE SUMMARY OF THE FAP ARE AVAILABLE AT: https://www.uscarcadiahospital.org/For-Patients-Visitors-Vendors/Financial -Assistance-for-Patients.aspx |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 7 | COST OF CHARITY IS ON THE HOSPITAL'S COST ACCOUNTING SYSTEM, WHICH ADDRESSES ALL PATIENT SEGMENTS. OTHER BENEFITS - BASED ON ACTUAL COSTS PROVIDED BY VARIOUS DEPARTMENTS OF THE ORGANIZATION AND COLLECTED/VALIDATED BY THE COMMUNITY OUTREACH DEPARTMENT. |
| SCHEDULE H, PART I, LINE 7G | NONE OF THE COSTS ARE ATTRIBUTABLE TO PHYSICIAN CLINICS. |
| SCHEDULE H, PART II | 2021 COMMUNITY BUILDING ACTIVITIES IN YEAR 2021, USC ARCADIA HOSPITAL PROVIDED A VARIETY OF PROGRAMS AND SERVICES IN SUPPORT OF THE COMMUNITY. SOME OF THE SERVICES PROVIDED WERE: - SPONSORED A HEART CHECK CENTER FREE BLOOD PRESSURE AND BODY MASS INDEX (BMI) TESTING KIOSK AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA, PERFORMING 256 BLOOD PRESSURE SCREENINGS AND 313 BMI SCREENINGS (LIMITED IN TIME DUE TO SAFE AT HOME ORDERS DURING THE COVID-19 PANDEMIC). - PROVIDED INFORMATIONAL LECTURES AT VARIOUS COMMUNITY AND VIRTUAL EVENTS THROUGHOUT THE YEAR, INCLUDING: - JANUARY 26: VIRTUAL TALK ON WELL WOMAN CARE DURING COVID-19 PANDEMIC - MARCH 6: VIRTUAL TALK ON COVID-19 LATEST TREATMENTS AND VACCINATIONS - MARCH 10: UNITED HEALTH CARE NEW MEMBER ORIENTATION - - APRIL 7: UNITED HEALTH CARE NEW MEMBER ORIENTATION - MANDARIN - APRIL 8: UNITED HEALTH CARE NEW MEMBER ORIENTATION - CANTONESE - MAY 5: UNITED HEALTH CARE NEW MEMBER ORIENTATION - MANDARIN - MAY 13: UNITED HEALTH CARE NEW MEMBER ORIENTATION - CANTONESE - JULY 8: VIRTUAL TALK ON LOSE WEIGHT, GAIN HEALTH - JULY 27: CRIME PREVENTION AND COMMUNITY SAFETY TALK AT USC ARCADIA HOSPITAL - AUGUST 28: VIRTUAL TALK ON AFIB IN MANDARIN - OCTOBER 16: MOUNT WILSON TRAIL RACE 2021 IN SIERRA MADRE - OCTOBER 23: VIRTUAL TALK ON COVID-19 BOOSTER SHOTS AND THE FLU SEASON - OCTOBER 23: WORLD JOURNAL SENIOR HEALTH AND WELLNESS EXPO AT EL MONTE TAIPEI CULTURAL CENTER - OCTOBER 29: HALLOWEEN HAUNTING IN DOWNTOWN ARCADIA - NOVEMBER 9: FLU SHOT CLINIC AT ARCADIA COMMUNITY CENTER - NOVEMBER 12: SOUTHERN CALIFORNIA WOMEN'S CONFERENCE AT PASADENA HILTON AND ONLINE - DECEMBER 2: FLU SHOT CLINIC AT ARCADIA COMMUNITY CENTER |
| SCHEDULE H, PART III, LINE 2 | USC ARCADIA HOSPITAL ADOPTED THE FINANCIAL ACCOUNTING STANDARDS BOARD'S ACCOUNTING STANDARDS UPDATE 2014-09 TOPIC 606 (ASU 606) EFFECTIVE JANUARY 1, 2019. ASU 606 AND THE HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION (HFMA) DIFFERENTIATE BAD DEBT FROM IMPLICIT PRICE CONCESSIONS. ACCORDINGLY, USC ARCADIA HOSPITAL NO LONGER SEPARATELY PRESENTS A PROVISION FOR BAD DEBTS ON THE STATEMENT OF OPERATIONS OR THE RELATED ALLOWANCE FOR BAD DEBTS ON THE BALANCE SHEET. |
| SCHEDULE H, PART III, LINE 8 | THE EXTENT TO WHICH ANY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT: MEDICARE SHORTFALLS ARE REPORTED AS A COMMUNITY BENEFIT BECAUSE THE COST OF PROVIDING HEALTHCARE TO THE PATIENTS EXCEEDS THE REIMBURSEMENT. IN SUMMARY, THE HEALTHCARE SERVICES ARE PROVIDED OR RENDERED AT A LOSS. THE METHODOLOGY FOR CALCULATING THE LOSS IS BASED ON THE AS FILED MEDICARE COST REPORT. COSTING METHODOLOGY USED: MEDICARE COST IS CALCULATED USING THE COST-TO- CHARGE RATIO. |
| SCHEDULE H, PART III, LINE 9B | CHARITY CARE PROVISION: IF A PATIENT IS DEEMED TO QUALIFY FOR 100% FINANCIAL ASSISTANCE THE PATIENT LIABILITY IS WRITTEN OFF ENTIRELY AND THERE ARE NO FURTHER COLLECTION ACTIVITIES. HOWEVER, IF A PATIENT IS QUALIFIED FOR A PARTIAL FINANCIAL ASSISTANCE WRITE OFF (INCOME FALLS BETWEEN 201% AND 350% OF THE FEDERAL POVERTY GUIDELINES) THE AMOUNT APPROVED FOR FINANCIAL ASSISTANCE IS WRITTEN OFF BASED ON A TIER SCALE AND WRITTEN OFF AS A PARTIAL ASSISTANCE APPROVAL. THIS LEAVES THE PATIENT A SMALL PERCENTAGE AS PATIENT LIABILITY. UNINSURED PATIENTS ARE ENCOURAGED TO APPLY FOR USC ARCADIA HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM (UNCOMPENSATED CARE). PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE WILL BE REPORTED TO CREDIT AGENCIES, IN ACCORDANCE WITH THE USC ARCADIA HOSPITAL'S BAD DEBT POLICY. ACCOUNTS WILL NOT BE APPROVED FOR LEGAL ACTION (BEYOND REPORTING TO CREDIT AGENCIES) UNTIL THE AGENCY SCREENS THE PATIENT FOR UNDERCOMPENSATED CARE. ONLY THOSE PATIENTS WHOSE INCOME EXCEEDS 200% OF FEDERAL POVERTY GUIDELINES WILL BE APPROVED FOR LEGAL ACTION. USC ARCADIA HOSPITAL WILL NOT GARNISH WAGES. |
| SCHEDULE H, PART VI, LINE 2 | IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT, USC ARCADIA HOSPITAL COMBINED QUANTITATIVE DATA ABOUT SERVICE AREA DEMOGRAPHICS, AVAILABILITY OF HEALTH INSURANCE, HEALTH ACCESS TO AND UTILIZATION OF KEY SERVICES, HEALTH STATUS, AND HEALTH BEHAVIORS WITH QUALITATIVE DATA ON OPINIONS OF IMPORTANT HEALTH ISSUES IN THE COMMUNITY. THE FOLLOWING CRITERIA WERE USED TO IDENTIFY AND PRIORITIZE SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY: - HEALTHY PEOPLE 2020 METRICS - NUMBER OF PERSONS AFFECTED - IDENTIFICATION AND/OR VALIDATION AS AN IMPORTANT HEALTH ISSUE BY COMMUNITY LEADERS - IDENTIFIED BY COMMUNITY ORGANIZATIONS AS AN OPPORTUNITY TO WORK COLLABORATIVELY TO ADDRESS HEALTH ISSUE. |
| SCHEDULE H, PART VI, LINE 3 | USC ARCADIA HOSPITAL INFORMS MEDICAL STAFF AND EMPLOYEES OF AVAILABLE LOW AND NO-COST RESOURCES. THIS INFORMATION IS DISTRIBUTED THROUGH COMMUNITY OUTREACH RESOURCE TABLES AT EMPLOYEE FAIRS, INTERNAL BULLETINS, AND MANAGEMENT MEETINGS. THE HOSPITAL ALSO PROVIDES MEDICARE COUNSELING TO STAFF AND EMPLOYEES. USC ARCADIA HOSPITAL DISTRIBUTES ITS FINANCIAL ASSISTANCE POLICY AND RELEVANT CONTACT INFORMATION TO PATIENTS UPON THEIR ADMITTANCE TO THE HOSPITAL. USC ARCADIA HOSPITAL POSTS ITS FINANCIAL ASSISTANCE POLICY IN THE EMERGENCY AND ADMITTING DEPARTMENTS. THIS INFORMATION IS ALSO PROVIDED TO PATIENTS UPON DISCHARGE AND IS PROVIDED AMONG THE BILLING DOCUMENTS. |
| SCHEDULE H, PART VI, LINE 4 | THE SERVICE AREA POPULATION (2019) IS ESTIMATED AT 783,391 PERSONS. THE POPULATION IN THE SERVICE AREA IS FORECAST TO INCREASE 2.5 PERCENT IN THE NEXT FIVE YEARS, TO 803,197 PERSONS. GROWTH PROJECTIONS FOR HOUSEHOLDS AND FAMILIES ARE ESTIMATED TO INCREASE 2.7 PERCENT AND 2.6 PERCENT, RESPECTIVELY. THE FOLLOWING TABLE SUMMARIZES THE SERVICE AREA POPULATION, HOUSEHOLDS, AND FAMILIES AS WELL AS THE PERCENT CHANGE PROJECTED FOR 2024 (OVER A FIVE-YEAR PERIOD). THE 2019 DEMOGRAPHIC DISTRIBUTION IS AS FOLLOWS: - AGE GROUP: - 21 TO 64 YEARS - 59% - UNDER 21 YEARS - 25% - 65 YEARS AND OVER - 16% - RACE/ETHNICITY - WHITE - 17.7% - BLACK - 2.9% - AMERICAN INDIAN/ALASKAN NATIVE - 0.1% - ASIAN - 33.0% - NATIVE HAWAIIAN OR PACIFIC ISLANDER - 0.1% - HISPANIC - 44.3% - SOME OTHER RACE - 0.2% - TWO OR MORE RACES - 1.7% - LANGUAGE SPOKEN AT HOME: - ENGLISH ONLY - 35.0% - SPANISH - 33.9% - ASIAN OR PACIFIC ISLAND LANGUAGE - 28.1% - EUROPEAN LANGUAGE - 2.5% - OTHER LANGUAGE - 0.5% - SERVICE AREA AVERAGE HOUSEHOLD INCOME - $99,905 - SERVICE AREA PERCENTAGE BELOW FEDERAL POVERTY LEVEL ($26,200 FOR FAMILY OF FOUR) - 11.4% VS LOS ANGELES COUNTY AVERAGE OF 13.2% - NUMBER OF HOSPITALS SERVING THE COMMUNITY - FOUR: USC ARCADIA, MONROVIA MEMORIAL, CITY OF HOPE, SAN GABRIEL VALLEY (OF THESE, 2 ARE SPECIALTY HOSPITALS - CITY OF HOPE AND MONROVIA). |
| SCHEDULE H, PART VI, LINE 5 | USC ARCADIA HOSPITAL'S BOARD OF DIRECTORS CONSISTS ALMOST ENTIRELY OF MEMBERS WHO RESIDE IN ITS SERVICE AREA. THE BOARD IS DEDICATED TO MEETING THE UNIQUE HEALTH NEEDS AND DEMANDS IN ITS COMMUNITY. ADDITIONALLY, THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF WHICH ENCOURAGES PHYSICIAN COVERAGE FOR NEEDED SERVICES. TO PROACTIVELY ADDRESS HEALTH CONDITIONS OF THE SERVICE AREA, USC ARCADIA HOSPITAL PROVIDED ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS FOR ADULTS. FOR 2021, THE HOSPITAL PROVIDED: - SPONSORED A HEART CHECK CENTER FREE BLOOD PRESSURE TESTING KIOSK DISPLAY AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA. -TO ASSIST THOSE WITH DIABETES AND RELATED HEALTH CONDITIONS, USC ARCADIA HOSPITAL OFFERED A NUMBER OF SPECIALIZED CLASSES IN FISCAL YEAR 2021. LICENSED DIETITIANS ASSISTED COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT IN A VARIETY OF MONTHLY PROGRAMS, INCLUDING: BARIATRIC NUTRITION CLASS, BARIATRIC SUPPORT GROUP, GESTATIONAL DIABETES, OBESITY AND WEIGHT LOSS, WOUND, AND CANCER, RENAL AND OTHER NUTRITIONAL CONSULTS. -TO MEET THE NEEDS OF ACTIVE, OLDER ADULTS, USC ARCADIA HOSPITAL OFFERS OUR "50+ HEALTH CONNECTION" PROGRAM. THIS PROGRAM ALLOWS MEMBERS TO PARTICIPATE IN FREE HEALTH EDUCATION, SCREENINGS, ANNUAL FLU CLINICS, AND PHYSICIAN REFERRALS. -IN 2021, USC ARCADIA HOSPITAL HELD TWO FLU SHOT CLINICS (ON NOVEMBER 9 AND DECEMBER 2) AT ARCADIA COMMUNITY CENTER. -USC ARCADIA HOSPITAL AND ARCADIA RECREATION AND COMMUNITY SERVICES HOSTED TEN VIRTUAL HEALTH TALKS BY PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ADDRESSING THE FOLLOWING TOPICS: - JANUARY 19: SLEEP, SLEEP DISORDERS, INSOMNIA SOLUTIONS AND SLEEP AND MENTAL HEALTH - FEBRUARY 23: HEALTH AND MOBILITY: FEELING STRONG, STEADY AND SAFE - APRIL 16: COVID-19 LATEST UPDATES AND VACCINATIONS - APRIL 23: UNDERSTANDING PSORIATIC ARTHRITIS AND PSORIASIS - MAY 4: GIVE YOUR IMMUNE SYSTEM A BOOST WHILE REDUCING STRESS - MAY 25: UNDERSTAND YOUR RISK FOR STROKE - JUNE 25: HERE COMES THE SUN! PREVENTING SKIN CANCER AND HEALTHY SUMMERTIME TIPS - JULY 16: STAY ACTIVE BY KEEPING YOUR JOINTS HEALTHY - SEPTEMBER 30: IRREGULAR HEARTBEAT: ATRIAL FIBRILLATION AND HEART HEALTH - NOVEMBER 16: GOOD FAT VS BAD FAT: HEALTHY HOLIDAY COOKING DEMO - BEGINNING IN FEBRUARY, A STROKE AND BRAIN INJURY SUPPORT GROUP - OPEN TO ANY STROKE OR BRAIN INJURY SURVIVOR OR CARE PARTNER IN THE COMMUNITY - MET MONTHLY. - HEALTH MINISTRIES PROGRAM THAT ASSISTS LOCAL CONGREGATIONS TO PROVIDE GUIDANCE, SUPPORT, AND RESOURCES TO PARISH NURSES AND HEALTH CABINETS. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN CALIFORNIA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | SCHOLARSHIPS | GrantTypeTxt |
| Recipient | 14 | RecipientCnt |
| Cash Grant | $37,117 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORS GRANTS: USC ARCADIA HOSPITAL PROVIDES FINANCIAL ASSISTANCE TO FUND THE EDUCATIONAL NEEDS OF HOSPITAL STAFF BASED ON BOTH MERIT AND NEEDS-BASED CRITERIA. REQUIREMENTS ARE PUBLISHED IN ADVANCE AND CANDIDATES ARE REQUIRED TO SUBMIT AN APPLICATION AND SUPPORTING DOCUMENTS DEMONSTRATING THAT THEY MEET THE REQUIREMENTS. FINALLY, BEFORE FUNDS ARE DISBURSED TO THE CANDIDATES THEY MUST SUBMIT DOCUMENTS PROVING THAT THEY ARE PARTICIPATING IN THE COURSE OR COURSES FOR WHICH THEY ARE RECEIVING THE SCHOLARSHIP. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BALA S CHANDRASEKHAR MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $424,368 | $0 | $100,695 | $0 | $14,412 | $0 | $8,700 | $0 | $14,040 | $0 | $562,215 | $0 | $0 | $0 |
| CLIFFORD DANIELS | ||||||||||||||
| CHIEF STRATEGY OFFICER | $305,690 | $0 | $74,101 | $0 | $4,506 | $0 | $8,478 | $0 | $12,939 | $0 | $405,714 | $0 | $0 | $0 |
| DEBORAH L MCCOY | ||||||||||||||
| VP/CHIEF NURSING OFFICER | $273,015 | $0 | $66,580 | $0 | $22,738 | $0 | $8,496 | $0 | $7,160 | $0 | $377,989 | $0 | $0 | $0 |
| CATHERINE TONECK | ||||||||||||||
| CHIEF COMPLIANCE&RISK OFFICER | $269,043 | $0 | $66,266 | $0 | $23,373 | $0 | $5,700 | $0 | $7,160 | $0 | $371,542 | $0 | $0 | $0 |
| JOHN PEEPLES | ||||||||||||||
| VP/HUMAN RESOURCES | $289,459 | $0 | $71,709 | $0 | $22,204 | $0 | $8,575 | $0 | $500 | $0 | $392,447 | $0 | $0 | $0 |
| DAN AUSMAN | ||||||||||||||
| DIRECTOR/PRESIDENT/CEO | $827,466 | $0 | $323,101 | $0 | $22,272 | $0 | $0 | $0 | $14,040 | $0 | $1,186,879 | $0 | $0 | $0 |
| WILLIAM GRIGG | ||||||||||||||
| ASSISTANT TREASURER/CFO | $446,537 | $0 | $105,402 | $0 | $5,544 | $0 | $8,700 | $0 | $8,548 | $0 | $574,731 | $0 | $0 | $0 |
| STEVE SISTO | ||||||||||||||
| SR. VICE PRESIDENT/COO | $435,536 | $0 | $105,322 | $0 | $10,668 | $0 | $8,700 | $0 | $14,040 | $0 | $574,266 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | USC ARCADIA HOSPITAL PAID COUNTRY CLUB DUES ON BEHALF OF DAN AUSMAN, PRESIDENT/CEO. HOWEVER, NONE OF THE DUES IS INCLUDED IN HIS TAXABLE INCOME AS IT WAS STRICTLY FOR BUSINESS USE ONLY. |
| SCHEDULE J, PART I, LINE 4B | USC ARCADIA HOSPITAL (USCAH) HAS A FUNDED NONCONTRIBUTORY DEFINED SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENTS FOR CERTAIN EXECUTIVE OFFICERS. LIFE INSURANCE PREMIUM PAYMENTS ARE PAID ON BEHALF OF EACH PARTICIPANT AND ARE SCHEDULED TO BE REPAID TO USCAH FROM THE DEATH BENEFIT ASSOCIATED WITH EACH LIFE INSURANCE CONTRACT. USCAH MAY RECEIVE PROCEEDS FROM THE DEATH BENEFIT IN EXCESS OF THE LOAN AMOUNTS. THE PREMIUM LOANS ARE SECURED THROUGH COLLATERAL AGREEMENTS ON THE CASH VALUE AND DEATH BENEFIT FOR EACH INSURANCE CONTRACT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN: - DAN AUSMAN - CLIFFORD DANIELS - MICHAEL DRIEBE - WILLIAM GRIGG - STEVE SISTO - BALA CHANDRASEKHAR - ROBERTA MCCAFFREY NO INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING THE YEAR. |
| SCHEDULE J, PART I, LINE 7 | CERTAIN EXECUTIVE TEAM MEMBERS ARE ELIGIBLE TO RECEIVE PERFORMANCE BASED AWARDS WHEN CERTAIN METRIC BASED GOALS ARE MET. GOALS ARE RELATED TO PATIENT SATISFACTION, PATIENT SAFETY, QUALITY OF CARE, AND FINANCIAL PERFORMANCE. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 680164610 | BondIssuerEIN |
| CUSIP | 13081KAX8 | CUSIPNum |
| Bond Issued | 2018-11-12 | BondIssuedDt |
| Issue Price | $251,770,000 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | false | DefeasedInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Pool Financing | false | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $0 | RetiredAmt |
| Bond Defeased | $0 | BondDefeasedAmt |
| Total Proceeds | $266,422,428 | TotalProceedsAmt |
| In Reserve Fund | $0 | InReserveFundAmt |
| Capitalized Interest | $0 | CapitalizedInterestAmt |
| Refunding Escrow | $263,719,202 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $2,352,213 | IssuanceCostsFromProceedsAmt |
| Credit Enhancement | $0 | CreditEnhancementAmt |
| Working Capital Expenditures | $0 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $0 | CapitalExpendituresAmt |
| Other Spent Proceeds | $351,013 | OtherSpentProceedsAmt |
| Unspent | $0 | UnspentAmt |
| Substantial Completion | 2011 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (true) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | false | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (true) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (true) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | false | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | false | MgmtContractBondFincdPropInd |
| Any Research Agreements | false | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0 | PrivateBusUseByOthersPct |
| Bond Iss Meet Prvt Sec Pymt Test | false | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedPropInd |
| Remedial Action Taken | false | RemedialActionTakenInd |
| Procs Nonqualified Bond Remdtd | Yes (true) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (true) | RebateNotDueYetInd |
| Exception To Rebate | false | ExceptionToRebateInd |
| No Rebate Due | false | NoRebateDueInd |
| Variable Rate Issue | false | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | false | HedgeIdentifiedInBksAndRecInd |
Hedge Provider Name HedgeProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGICInd |
GIC Provider Name GICProviderName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 0 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Proceeds Invested | false | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (true) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (true) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part I, Line A, Column (F) | THE PROCEEDS OF THE SERIES 2018 BONDS REFINANCED A 2009 PROJECT, WHICH ADDRESSED THE HOSPITAL'S OBLIGATION TO MEET THE CALIFORNIA SEISMIC SAFETY ACT'S REQUIREMENT, BY REPAYING IN FULL A 2015 TAXABLE LOAN. THE 2015 LOAN DEFEASED THE SERIES 2009 FHA INSURED MORTGAGE REVENUE BONDS WHICH FINANCED THE 2009 PROJECT. |
| Schedule K, Part II, Line 3 | DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS TOTAL PROCEEDS OF ISSUE DIFFERS FROM THE ISSUE PRICE REPORTED IN PART I (BOND ISSUES), COLUMN (E) DUE TO THE PREMIUM OF THE BOND. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| BALA CHANDRASEKHAR | |||||||
| CHIEF MEDICAL OFFICER | SPLIT $ LIFE INS | Yes (X) | $2,110,734 | $2,217,628 | false | Yes (true) | Yes (true) |
| CLIFFORD DANIELS | |||||||
| CHIEF STRATEGY OFFICER | SPLIT $ LIFE INS | Yes (X) | $1,522,654 | $1,602,555 | false | Yes (true) | Yes (true) |
| DAN AUSMAN | |||||||
| PRESIDENT/CEO | SPLIT $ LIFE INS | Yes (X) | $5,480,104 | $5,796,040 | false | Yes (true) | Yes (true) |
| STEVE SISTO | |||||||
| SR. VICE PRESIDENT/COO | SPLIT $ LIFE INS | Yes (X) | $2,844,000 | $3,020,814 | false | Yes (true) | Yes (true) |
| WILLIAM GRIGG | |||||||
| ASSISTANT TREASURER/CFO | SPLIT $ LIFE INS | Yes (X) | $2,614,294 | $2,756,495 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $15,393,532 | TotalBalanceDueAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART II | FormAndLineReferenceDesc |
| Explanation | USC ARCADIA HOSPITAL (USCAH) HAS A FUNDED NONCONTRIBUTORY DEFINED SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENTS FOR CERTAIN EXECUTIVE OFFICERS. LIFE INSURANCE PREMIUM PAYMENTS ARE PAID ON BEHALF OF EACH PARTICIPANT AND ARE SCHEDULED TO BE REPAID TO USCAH FROM THE DEATH BENEFIT ASSOCIATED WITH EACH LIFE INSURANCE CONTRACT. USCAH MAY RECEIVE PROCEEDS FROM THE DEATH BENEFIT IN EXCESS OF THE LOAN AMOUNTS. THE PREMIUM LOANS ARE SECURED THROUGH COLLATERAL AGREEMENTS ON THE CASH VALUE AND DEATH BENEFIT FOR EACH INSURANCE CONTRACT. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, BOX C | PURSUANT TO ITS AMENDED ARTICLES OF INCORPORATION, AS OF JULY 2022, THE METHODIST HOSPITAL OF SOUTHERN CALIFORNIA CHANGED ITS NAME TO USC ARCADIA HOSPITAL ("THE HOSPITAL"USCAH"). |
| FORM 990, PART I, LINE 6 | NUMBER OF VOLUNTEERS AND HOURS THE NUMBER OF VOLUNTEERS AND HOURS SERVED IS DETERMINED THROUGH AN ACTUAL UNDUPLICATED COUNT OF VOLUNTEERS. HOURS OF SERVICE ARE LOGGED AS VOLUNTEERS CLOCK IN AND OUT FOR VARIOUS ASSIGNMENTS. VOLUNTEERS SERVE IN SUPPORTIVE ROLES TO ENHANCE THE PATIENT EXPERIENCE. VOLUNTEERS PROVIDE NON-MEDICAL SERVICES AND INFORMATION TO PATIENTS AND FAMILIES; ASSIST WITH WAY FINDING AND ERRANDS/ESCORT. VOLUNTEERS ALSO PROVIDE HOSPITALITY SERVICES TO WAITING AREAS AND PATIENT AND FAMILY VISITORS. THEY MAY ASSIST IN CLINICAL AREAS BY SUPPORTING THE SERVICES OF THE DEPARTMENT SUCH AS ASSEMBLY OF EDUCATIONAL PACKETS FOR PATIENTS. ADMINISTRATIVE VOLUNTEERS MAY SERVICE IN DEPARTMENTS ASSISTING OFFICE STAFF WITH FILING AND ERRANDS. VOLUNTEERS ALSO SERVE OUTSIDE THE HOSPITAL ENVIRONMENT PRODUCING BABY BLANKETS, HATS, CANCER RESOURCE CENTER GIFTS AND VARIOUS GIFTS FOR PATIENTS AND THEIR FAMILIES. |
| FORM 990, PART VI, LINE 6 | MEMBERS OR STOCKHOLDERS OF THE ORGANIZATION THE MEMBERS OF THIS CORPORATION SHALL BE THOSE PERSONS WHO FROM TIME TO TIME COMPRISE THE BOARD OF DIRECTORS OF THE CORPORATION AND THOSE PERSONS WHO FROM TIME TO TIME ARE ELECTED OFFICERS OF THE EXECUTIVE COMMITTEE OF THE UNITED METHODIST WOMEN, CALIFORNIA PACIFIC CONFERENCE. |
| FORM 990, PART VI, LINE 7A | THE MEMBERS OF THE CORPORATION ELECT THE DIRECTORS OF THE BOARD. |
| FORM 990, PART VI, LINE 11 | PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW THE FORM 990 THE FORM 990 IS PROVIDED TO AND REVIEWED WITH BOARD MEMBERS IN ADVANCE OF ITS FILING WITH ADEQUATE TIME TO MAKE AND ANSWER INQUIRIES. |
| FORM 990, PART VI, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST ALL OFFICERS AND DIRECTORS ARE REQUIRED TO ANNUALLY COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT AND FILE IT WITH THE VP, CHIEF COMPLIANCE AND RISK OFFICER, OR THE PRESIDENT OF USC ARCADIA HOSPITAL, FOR REVIEW. A SUMMARY OF THE DISCLOSURES WILL BE PREPARED BY THE VP, CHIEF COMPLIANCE AND RISK OFFICER AND SUBMITTED TO THE FINANCE, AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS FOR THEIR REVIEW AND DISCUSSION. SUCH DISCUSSION WILL BE FORWARDED AS AN EXECUTIVE SUMMARY TO THE FULL BOARD AT THE NEXT BOARD MEETING. IF THERE IS A CHANGE IN AN INTERESTED PARTY'S DISCLOSED CONFLICTS AT ANY TIME DURING THE YEAR, SUCH CHANGE IS REQUIRED TO BE DISCLOSED IMMEDIATELY IN WRITING TO THE PRESIDENT AND/OR THE VP, CHIEF COMPLIANCE AND RISK OFFICER OF THE HOSPITAL. AN INDIVIDUAL COVERED BY THIS POLICY IS REQUIRED TO NOTIFY THE VP, CHIEF COMPLIANCE AND RISK OFFICER, PRESIDENT OR CHAIRMAN OF THE BOARD OF ANY TRANSACTION WHICH MIGHT INVOLVE A CONFLICT OF INTEREST. WHEN A POTENTIAL CONFLICT ARISES, THE VP, CHIEF COMPLIANCE AND RISK OFFICER WILL NOTE SUCH DISCLOSURE(S) AND WORK WITH THE INDIVIDUAL(S) TO ENACT PROCEDURES THAT REMOVE THE PRESENCE OF SAID CONFLICT. BASED ON THE ASSESSMENT OF THE MATERIALITY OF THE CONFLICT, THE INTERESTED OFFICER OR DIRECTOR MAY BE ASKED TO ONLY PROVIDE INPUT INTO THE DISCUSSION BUT REFRAIN FROM VOTING; OR MAY BE REMOVED FROM THE DISCUSSION AS WELL AS REFRAINED FROM VOTING. CONFLICTS WHICH PRESENT MORE COMPLEX RESPONSES, RISK, OR COMMUNICATION CHALLENGES WILL BE DISCUSSED WITH THE PRESIDENT AND THE CHAIRMAN OF THE BOARD. |
| FORM 990, PART VI, LINES 15A & 15B | COMPENSATION ARRANGEMENTS INVOLVING ANY OF THE ORGANIZATION'S OFFICERS OR KEY EMPLOYEES ARE ESTABLISHED PURSUANT TO A PROCESS THAT SATISFIES THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS PROVIDED FOR IN IRC SEC 4958 (EXCESS BENEFIT TRANSACTION TAX. THIS PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, THE USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE DECISION MAKING PROCESS. THE BOARD PERFORMS PERIODIC REVIEW AND DETERMINATION OF APPROPRIATE COMPENSATION LEVELS FOR THE PREVIOUSLY MENTIONED OFFICERS AND KEY EMPLOYEES BASED UPON EXTERNAL SALARY DATA. THEIR MOST RECENT REVIEW INCLUDED A REPORT FROM AN INDEPENDENT THIRD-PARTY COMPENSATION CONSULTANT WHICH USED BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EMPLOYEES, INCLUDING TOTAL ECONOMIC BENEFITS PAID BY ORGANIZATIONS WHICH THE GOVERNING BODY BELIEVES ARE SIMILARLY SITUATED FOR SIMILAR JOB RESPONSIBILITIES, AS OBTAINED FROM INDEPENDENT THIRD-PARTY SOURCES. THE BOARD'S WRITTEN RECORDS INCLUDE (1) THE TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. THE KEY DELIBERATIONS, A DESCRIPTION OF THE COMPARABILITY DATA, HOW IT WAS OBTAINED, THE MEMBERS PRESENT AND HOW THEY VOTED, WERE DOCUMENTED IN THE EXECUTIVE COMMITTEE MINUTES FOR ITS MEETING IN 2021. |
| FORM 990, PART VI, LINE 19 | AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC UNDER CURRENT FEDERAL LAW THE ORGANIZATION IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE FOR PUBLIC INSPECTION. HOWEVER, THE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST, ATTACHED TO PUBLIC INSPECTION COPY OF THE FORM 990 AND ARE AVAILABLE ON THE EMMA WEBSITE. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS: CHANGES IN UNRESTRICTED NET ASSETS $ 4,129,134 CHANGES IN RESTRICTED NET ASSETS $ (2,386,017) ---------------- TOTAL $ 1,743,117 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REGISTRY TOTAL FEES:22880777 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL SPECIALISTS TOTAL FEES:7941937 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER PROFESSIONAL FEES TOTAL FEES:1480456 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARCADIA ACCOUNTABLE CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 WEST HUNTINGTON DRIVE | AddressLine1Txt |
| City | ARCADIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91007 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455513761 | EIN |
| Primary Activities | INACTIVE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | USCAH | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ALDERGATE MEDICAL SERVICES | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 953702057 | SUPPORT ORG | CA | 501(c)(3) | 12a | USCAH | Yes (true) |
| USC ARCADIA HOSPITAL FDN | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 953407027 | FUNDRAISING | CA | 501(c)(3) | 7 | USCAH | Yes (true) |
| WOMEN'S AUXILLARY OF METHODIST HOSPITAL | ||||||||||
| 300 WEST HUNTINGTON DRIVE | ARCADIA | CA | 91007 | 954123357 | HEALTHCARE | CA | 501(c)(3) | 12d | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (4 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| USC ARCADIA HOSPITAL FDN | ||
| o | $1,276,600 | ACCRUAL |
| USC ARCADIA HOSPITAL FDN | ||
| n | $150,878 | ACTUAL |
| USC ARCADIA HOSPITAL FDN | ||
| q | $326,834 | ACTUAL |
| USC ARCADIA HOSPITAL FDN | ||
| c | $4,569,139 | ACCRUAL |