2020-11-12T12:16:12-06:00 2019-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE STE 1700 IRVINE CA 92612 990 2019-01-01 951643336 METHODIST HOSPITAL OF SOUTHERN CALIFORNIA % WILLIAM GRIGG METH 6268988000 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 WILLIAM GRIGG SVP & CFO 6264454441 2020-11-11 true KARA ADAMS P00023315 9497942300 76.103.183.71 33577420203175000011 2020-11-12 P 3DA1F1B82F1CF242F6379E1C886A6A4AC487A3BE 51C4998C5913022E3A5D61F6BD50BFEF30E5C5AD 2019 2021-01-29 14:40:06Z WILLIAM GRIGG 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 420558536 false X WWW.METHODISTHOSPITAL.ORG X 1937 CA TO PROVIDE HIGH-QUALITY HEALING SERVICES WHILE CARING FOR THE PATIENT'S EMOTIONAL AND SPIRITUAL NEEDS AND ENABLING THEM TO ACHIEVE HEALTH FOR LIFE. 16 15 2200 561 -23586 -23586 4000711 3924103 297691469 288487956 3312351 3215492 2968475 3453336 307973006 299080887 18236 38102 0 0 138448195 137548026 0 0 0 170790619 141696767 309257050 279282895 -1284044 19797992 493885086 548341578 322374834 333709568 171510252 214632010 TO PROVIDE HIGH-QUALITY HEALING SERVICES WHILE CARING FOR THE PATIENT'S EMOTIONAL AND SPIRITUAL NEEDS AND ENABLING THEM TO ACHIEVE HEALTH FOR LIFE. false false 232024975 38102 288487956 METHODIST HOSPITAL IS A 348-LICENSED BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN ARCADIA, CA. FOUNDED IN 1903, METHODIST HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. METHODIST 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. 232024975 true true false true false false false false false true true false false false true false false true false false true false false false false false true true false true true true false false false false false true false false true false false false false false true true true true false false true 202 0 true 2200 true false false false false false false false false false false true false X 16 15 false false false false true true false true true false false true true true true true true true true false CA X WILLIAM GRIGG 6268212310 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 DAN AUSMAN DIRECTOR/PRESIDENT/CEO 38.5 1.5 X X 1300840 0 14040 WILLIAM GRIGG ASSISTANT TREASURER/CFO 39.5 0.5 X 593231 0 25894 STEVE SISTO SR. VICE PRESIDENT/COO 40.0 0.0 X 588442 0 19691 BALA S CHANDRASEKHAR CHIEF MEDICAL OFFICER 40.0 0.0 X 567763 0 19643 CLIFFORD DANIELS CHIEF STRATEGY OFFICER 40.0 0.0 X 413732 0 18520 DEBORAH L MCCOY VP/CHIEF NURSING OFFICER 40.0 0.0 X 388475 0 8104 CATHERINE TONECK CHIEF COMPLIANCE&RISK OFFICER 40.0 0.0 X 369881 0 13437 JOHN PEEPLES VP/HUMAN RESOURCES 40.0 0.0 X 296881 0 908 KATHRYN J PUNCER ASSISTANT SECRETARY 39.5 0.5 X 99063 0 12613 E DEWAYNE MCMULLIN DIRECTOR/SECRETARY 2.0 1.0 X X 0 0 0 JAMES ROMO DIRECTOR/CHAIRMAN 2.0 3.0 X X 0 0 0 AJA TULLENERS LESH PH DIRECTOR 2.0 0.0 X 0 0 0 ANDREW LEE MD DIRECTOR 2.0 0.0 X 0 0 0 GEORGE P BLANCO DIRECTOR 2.0 0.0 X 0 0 0 KEVIN MCFARLANE DIRECTOR 2.0 0.0 X 0 0 0 MICHAEL TSIA DIRECTOR 2.0 0.0 X 0 0 0 REVEREND SANDRA K OLE DIRECTOR 2.0 0.0 X 0 0 0 RICHARD HALE JR DIRECTOR 2.0 1.0 X 0 0 0 WILLIAM M PETMECKY I DIR/TREASURER/VICE CHAIRMAN 2.0 3.0 X X 0 0 0 DIANE GIN DIRECTOR 2.0 0.0 X 0 0 0 NATALIE POOLE DIRECTOR 2.0 0.0 X 0 0 0 ELIAS TARAKJI MD DIRECTOR 2.0 0.0 X 0 0 0 DOUGLAS VAN KIRK DIRECTOR 2.0 0.0 X 0 0 0 KEVIN LUSSIER DIRECTOR 2.0 0.0 X 0 0 0 4618308 0 132850 298 false true false REHABCARE GROUP EAST INC 680 SOUTH FOURTH STREET LOUISVILLE KY 40202 REHABILITATION SVCS 3349624 RENOVO SOLUTIONS LLC 4 EXECUTIVE CIR 185 IRVINE CA 92614 MEDICAL EQUIP/MAINT. 1670109 UNIVERSAL PROTECTION SERVICE LP 1551 N TUSTIN AVENUE STE 650 SANTA ANA CA 92705 SECURITY SERVICES 610421 DAVIS WRIGHT TREMAINE LLP 865 S FIGUEROA ST SUITE 2400 LOS ANGELES CA 90017 LEGAL SERVICES 603189 FRASER WATSON CROUTCH LLP 100 W BROADWAY 650 GLENDALE CA 91210 LEGAL SERVICES 442770 54 3924103 0 3924103 PATIENT SERVICE REVENUE 541900 287972259 287972259 0 0 REBATES 900099 515697 515697 0 0 288487956 1376361 -23586 1399947 0 0 0 0 0 123310055 6725 121477649 1832406 6725 1839131 1839131 0 0 0 0 0 0 0 0 0 EMPLOYEE/VISITOR MEALS 722514 1362998 0 0 1362998 CHILDCARE 624410 1447960 0 0 1447960 INTEREST ON PATIENT ACCOUNTS 900099 411891 0 0 411891 230487 0 0 230487 3453336 299080887 288487956 -23586 6692414 0 38102 38102 0 0 2653814 2653814 0 113958150 92643175 21314975 1540727 1224041 316686 10964128 8710527 2253601 8431207 6698230 1732977 0 1012928 1012928 394127 394127 33525 33525 0 0 20931128 20696630 234498 102742 102742 9492411 8684662 807749 4045072 4045072 0 3346417 2222590 1123827 229179 25210 203969 0 82384 20596 61788 11764079 9233514 2530565 0 14324367 11355687 2968680 1194600 704105 490495 MEDICAL SUPPLIES 44453694 44339617 114077 0 MEDICAL PROVIDER FEE 9377912 9377912 0 0 EQUIP RENTAL & MAINT 6172140 4340585 1831555 0 MEDICAL TRANSCRIPTIONS 823833 823833 0 0 13916229 10885959 3030270 279282895 232024975 47257920 0 0 2450 2450 33353384 39039616 0 0 46451065 44634045 5671135 8278872 0 0 0 0 3729993 3767648 12241084 18499705 459527150 231592531 234865822 227934619 124527221 164596439 12493457 17022987 16563169 18800743 0 0 3986306 5764454 493885086 548341578 36978528 49062077 0 0 0 0 263608332 262882937 0 0 0 0 0 0 5562104 3549844 16225870 18214710 322374834 333709568 X 157592830 200087236 13917422 14544774 171510252 214632010 493885086 548341578 X 19797992 21069960 16224 2237582 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 33525 33525 false SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES METHODIST HOSPITAL SOUTHERN CALIFORNIA PAID DUES OF APPROXIMATELY $232,463 TO THE CALIFORNIA HOSPITAL ASSOCIATION AND CALIFORNIA ASSOCIATION OF HOSPITAL AND HEALTH SYSTEMS. OF THESE DUES, $33,525 IS ATTRIBUTABLE TO LOBBY RELATED EXPENSES FOR HEALTHCARE ISSUES. 3057555 421930 3479485 2784134 273421 3057555 2686234 110500 12600 2784134 2627558 58676 2686234 1984892 642666 2627558 1.00000 false true true 0 226714989 82551618 144163371 18507162 16091057 2416105 209557501 132928852 76628649 4747498 21004 4726494 227934619 0 SELF-INSURANCE CLAIMS 13527000 LEASES 2200441 DUE TO THIRD PARTY PAYORS 879417 OTHER LIABILITIES 1607852 18214710 SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS UNRESTRICTED SUPPORT ENDOWMENT $ 1,778,470 HOMELESS RESPITE CARE $ 606,881 EMERGENCY SERVICES $ 407,413 CHAPLAINCY $ 267,422 CHARITY CARE $ 218,818 NURSING EDUCATION $ 156,717 HEALTH CAREERS EDUCATION $ 38,464 MATERNAL CHILD HEALTH $ 5,300 ----------- TOTAL $ 3,479,485 Central America and the Caribbean Investments 7035395 7035395 7035395 true false true true false false SCHEDULE F, PART I, LINE 3, COLUMN F THE ACCRUAL METHOD WAS USED FOR AMOUNTS ON LINE 3. true true X true X true X true true true false true true 600018 600018 0.00210 52147216 31458697 20688519 0.07410 235194 235194 0.00080 52982428 31458697 21523731 0.07710 2566002 2566002 0.00920 919355 529004 390351 0.00140 8851030 6362965 2488065 0.00890 12336387 6891969 5444418 0.01950 65318815 38350666 26968149 0.09660 680277 680277 0.00240 680277 680277 0.00240 true 98498958 105857681 -7358723 X true true 1 1 METHODIST HOSPITAL OF SOUTHERN CALIFO 300 WEST HUNTINGTON DRIVE ARCADIA CA 910073402 WWW.METHODISTHOSPITAL.ORG LICENSE #930000103 X X X 1 METHODIST HOSPITAL OF SOUTHERN CA 1 false false true X X X X X X X X X 19 true false false true X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 200. 350. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PT V, SEC C X X X X X X true X false X X X X true X false false 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 METHODIST 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 METHODIST 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, METHODIST 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 DEMENTAI, 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 METHODIST 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 METHODIST HOSPITAL UTILIZED THE INPUT RECEIVED FROM ALL OF THE ABOVE ORGANIZATIONS, PLUS QUANTITATIVE DATA GATHERED FROM METHODIST 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.METHODISTHOSPITAL.ORG/ABOUT-US/COMMUNITY-REPORTS.ASPX SCHEDULE H, PART V, SECTION B, LINE 10A THE IMPLEMENTATION STRATEGY IS AVAILABLE AT: HTTPS://WWW.METHODISTHOSPITAL.ORG/ABOUT-US/COMMUNITY-REPORTS.ASPX SCHEDULE H, PART V, SECTION B, LINE 11 BASED ON QUANTITATIVE AND QUALITATIVE ANALYSIS, METHODIST 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 METHODIST 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 METHODIST 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. METHODIST HOSPITAL'S EMERGENCY DEPARTMENT IS ALSO CERTIFIED AS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP). METHODIST 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). METHODIST 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: METHODIST 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, METHODIST HOSPITAL WILL CONTINUE TO PROVIDE STRONG DIAGNOSTIC AND TREATMENT SERVICES ADDRESSING HEART DISEASE, STROKE, AND CANCER: METHODIST 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 METHODIST HOSPITAL IS A DESIGNATED STROKE RECEIVING CENTER FOR LA COUNTY EMS. METHODIST HOSPITAL ALSO PROVIDES NEURO-INTERVENTIONAL RADIOLOGY SERVICES. METHODIST HOSPITAL OFFERS THE FULL COMPLEMENT OF ONCOLOGY SERVICES, INCLUDING EARLY DETECTION CANCER SCREENINGS, SURGERY, CHEMOTHERAPY, RECONSTRUCTIVE SURGERY, PAIN MANAGEMENT, AND SUPPORT GROUPS. METHODIST 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, METHODIST HOSPITAL WILL PROVIDE ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS, AS FOLLOWS: - HEALTH FAIRS AND SCREENINGS: METHODIST HOSPITAL WILL PARTICIPATE IN HEALTH FAIRS ADDRESSING SENIORS AND ADULTS, THE LATINO COMMUNITY, AND THE ASIAN COMMUNITY. - BLOOD PRESSURE TESTING: METHODIST 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: METHODIST 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 METHODIST 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, METHODIST 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, METHODIST 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: METHODIST 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 CORONARY HEART DISEASE AND CIRRHOSIS DEATHS. 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. IN REGARDS TO 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.methodisthospital.org/for-patients-visitors/financial-assistan ce-for-patients.aspx SCHEDULE H, PART I, LINE 7 COST OF CHARITY IS ON THE HOSPITALS 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 2019 COMMUNITY BUILDING ACTIVITIES IN FISCAL YEAR 2019, METHODIST HOSPITAL PROVIDED A VARIETY OF PROGRAMS AND SERVICES IN SUPPORT OF THE COMMUNITY. SOME OF THE SERVICES PROVIDED WERE: - OFFERED BLOOD PRESSURE SCREENINGS ON A MONTHLY BASIS AT SCHEDULED TIMES AT THE ARCADIA COMMUNITY CENTER, MONROVIA COMMUNITY CENTER, AND SIERRA MADRE HART PARK HOUSE (421 ADULTS SERVED WITH BLOOD PRESSURE SCREENINGS AT THESE LOCATIONS). - SPONSORED A HEART CHECK CENTER FREE BLOOD PRESSURE AND BODY MASS INDEX (BMI) TESTING KIOSK AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA, PERFORMING 30,875 BLOOD PRESSURE SCREENINGS AND 3,624 BMI SCREENINGS. - PROVIDED ON-SITE SCREENINGS (BLOOD PRESSURE AND/OR BODY MASS INDEX) AND INFORMATIONAL LECTURES AT VARIOUS COMMUNITY EVENTS THROUGHOUT THE YEAR, INCLUDING: - ASIAN AMERICAN EXPO ON JANUARY 19 - 20 AT THE POMONA FAIRPLEX - LUNAR NEW YEAR FESTIVAL ON FEBRUARY 9 IN ALHAMBRA - DERBY DAY 5K WALK/RUN ON APRIL 6 AT SANTA ANITA RACE TRACK IN ARCADIA - PASADENA HUMANE SOCIETY HEALTH FAIR ON APRIL 12 IN PASADENA - HEART FORUM LECTURE ON APRIL 16 AT VANCE AUDITORIUM AT METHODIST HOSPITAL - ARCADIA PANCAKE BREAKFAST ON MAY 4 AT ARCADIA FIRE STATION 106 - TASTE OF DUARTE ON MAY 8 AT WESTMINSTER GARDENS - MOUNT WILSON TRAIL RACE ON MAY 25 IN SIERRA MADRE - STROKE FORUM LECTORE ON MAY 30 AT METHODIST HOSPITAL - ARCADIA CHAMBER BUSINESS SHOWCASE ON JUNE 1 AT WESTFIELD SANTA ANITA MALL - FOOTHILL UNITY BACK-TO-SCHOOL EVENT ON AUGUST 6 AT SANTA ANITA RACE TRACK - CHINESE UNIVERSITY ALUMNI ASSOCIATION EDUCATIONAL ON AUGUST 10 AT THE TAIPEI CULTURAL CENTER - SENIOR HEALTH FAIR ON SEPTEMBER 20 AT ARCADIA RECREATION AND COMMUNITY SERVICES - WALMART HEALTH AND WELLNESS FAIR ON SEPTEMBER 21 AT THE WALMART SUPER CENTER - SOUTHERN CALIFORNIA WOMEN'S CONFERENCE ON NOVEMBER 1 AT THE PASADENA HILTON - ASIAN HEALTH FAIR ON NOVEMBER 3 AT METHODIST HOSPITAL SCHEDULE H, PART III, LINE 2 METHODIST 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, METHODIST 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 METHODIST'S FINANCIAL ASSISTANCE PROGRAM (UNCOMPENSATED CARE). PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE WILL BE REPORTED TO CREDIT AGENCIES, IN ACCORDANCE WITH THE METHODIST 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. METHODIST HOSPITAL WILL NOT GARNISH WAGES. SCHEDULE H, PART VI, LINE 2 IN PREPARING THE COMMUNITY HEALTH NEEDS ASSESSMENT, METHODIST 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 TARGET NOT MET - NUMBER OF PERSONS AFFECTED - IDENTIFICATION AND/OR VALIDATION AS AN IMPORTANT HEALTH ISSUE IN THE COMMUNITY CONSULTATION - IDENTIFIED BY COMMUNITY ORGANIZATIONS AS AN OPPORTUNITY TO WORK COLLABORATIVELY TO ADDRESS HEALTH ISSUE. SCHEDULE H, PART VI, LINE 3 METHODIST 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. METHODIST HOSPITAL DISTRIBUTES ITS FINANCIAL ASSISTANCE POLICY AND RELEVANT CONTACT INFORMATION TO PATIENTS UPON THEIR ADMITTANCE TO THE HOSPITAL. METHODIST 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: METHODIST, 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 METHODIST 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, METHODIST HOSPITAL PROVIDED ADDITIONAL RESOURCES THROUGH HEALTH EDUCATION AND SCREENING PROGRAMS FOR ADULTS. FOR 2019, THE HOSPITAL PROVIDED: - HEALTH FAIRS AND SCREENINGS: METHODIST HOSPITAL HELD TWO HEALTH FAIRS SPECIFIC TO SENIORS AND ADULTS IN SEPTEMBER; ONE IN APRIL IN PASADENA, AND ONE SPECIFIC TO THE ASIAN COMMUNITY IN NOVEMBER AT THE HOSPITAL. - BLOOD PRESSURE TESTING: METHODIST HOSPITAL OFFERED 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 CONTINUED TO SPONSOR A HEART CHECK CENTER FREE BLOOD PRESSURE TESTING KIOSK DISPLAY AT THE WESTFIELD SANTA ANITA MALL IN ARCADIA. - CARDIAC SUPPORT GROUP: METHODIST HOSPITAL CONTINUED TO PROVIDE A "MENDED HEART" PROGRAM FOR HEART PATIENTS AND THEIR CAREGIVERS WHO HAVE HAD EXPERIENCE OR HAVE BEEN DIAGNOSED WITH HEART PROBLEMS. - CANCER WORKSHOPS: TO RAISE AWARENESS AND ASSIST THOSE WITH CANCER, METHODIST HOSPITAL OFFERED STEPPING FORWARD, A BODY-AND-MIND STRENGTHENING PROGRAM FOR SURVIVORS OF ANY TYPE OF CANCER. ADDITIONALLY, METHODIST HOSPITAL OFFERES THE POSITIVE APPEARANCE CENTER AT METHODIST HOSPTIAL TO PROVIDE FREE PERSONAL CONSULTATIONS IN A PRIVATE SETTING TO ASSIST PATIENTS TO MANAGE CHANGES DURING VARIOUS STAGES OF CANCER AND ITS TREATMENT. - DIABETES CLASSES AND SUPPORT GROUP: TO ASSIST THOSE WITH DIABETES, METHODIST HOSPITAL OFFERED SPECIALIZED CLASSES IN FISCAL YEAR 2019. A FREE DIABETES MANAGEMENT CLASS (4-WEEK SERIES FOR TWO HOURS EACH SESSION), OFFERED MONTHLY, AND TAUGHT BY A TEAM THAT INCLUDES A REGISTERED NURSE, DIABETES EDUCATOR, REGISTERED DIETITIAN, AND A PHYSICAL THERAPIST, DISCUSSED TOPICS SUCH AS EATING AND DIABETES, EXERCISE, BLOOD GLUCOSE MONITORING, MEDICATIONS, AND PREVENTION OF COMPLICATIONS. IN ADDITION, A DIETITIAN ASSISTED COMMUNITY MEMBERS WITH EDUCATION AND SUPPORT FOR DIABETES MANAGEMENT, WOUND HEALING, OBESITY AND WEIGHT LOSS, BARIATRIC NUTRITION CLASS AND SUPPORT GROUP, AND GESTATIONAL DIABETES. - HEALTH MINISTRIES PROGRAM: CONTINUED TO PROVIDE HEALTH EDUCATION AND TRAINING, INFORMATION AND RESOURCES FOR MEMBER CONGREGATIONS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE HOSPITAL FILES A COMMUNITY BENEFIT REPORT IN CALIFORNIA. true SCHOLARSHIPS 23 38102 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORS GRANTS: METHODIST HOSPITAL OF SOUTHERN CALIFORNIA 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. X true true X X X X X false true false false false false false true false DAN AUSMAN DIRECTOR/PRESIDENT/CEO 744895 0 453066 0 102879 0 0 0 14040 0 1314880 0 0 0 WILLIAM GRIGG ASSISTANT TREASURER/CFO 429321 0 160298 0 3612 0 5648 0 20246 0 619125 0 0 0 STEVE SISTO SR. VICE PRESIDENT/COO 422722 0 160176 0 5544 0 5651 0 14040 0 608133 0 0 0 BALA S CHANDRASEKHAR MD CHIEF MEDICAL OFFICER 403956 0 153139 0 10668 0 5603 0 14040 0 587406 0 0 0 CLIFFORD DANIELS CHIEF STRATEGY OFFICER 296674 0 112694 0 4364 0 5581 0 12939 0 432252 0 0 0 DEBORAH L MCCOY VP/CHIEF NURSING OFFICER 263742 0 98494 0 26239 0 944 0 7160 0 396579 0 0 0 CATHERINE TONECK CHIEF COMPLIANCE&RISK OFFICER 253248 0 95270 0 21363 0 6277 0 7160 0 383318 0 0 0 JOHN PEEPLES VP/HUMAN RESOURCES 271759 0 3800 0 21322 0 495 0 413 0 297789 0 0 0 SCHEDULE J, PART I, LINE 1A METHODIST HOSPITAL OF SOUTHERN CALIFORNIA 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 METHODIST HOSPITAL OF SOUTHERN CALIFORNIA (MHSC) 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 MHSC FROM THE DEATH BENEFIT ASSOCIATED WITH EACH LIFE INSURANCE CONTRACT. MHSC 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 - STEVEN SISTO - BALA CHANDRASEKHAR 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. A CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13081KAX8 2018-12-11 251770000 SEE PART VI false false false A 0 0 266422428 0 0 263719202 2673226 0 0 0 0 30000 true false true true A false false false false 0 false false false true A false true false false false false 0 false 0 false true A true SCHEDULE K, PART I, LINE A, COLUMN (F) THE PROCEEDS OF THE SERIES 2018 BONDS REFINANCED A 2009 PROJECT, WHICH ADDRESSED THE HOSPITALS OBLIGATION TO MEET THE CALIFORNIA SEISMIC SAFETY ACTS REQUIREMENT, BY PREPAYING 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 AS OF 12/31/2019 DIFFERS FROM THE ISSUE PRICE REPORTED IN PART I (BOND ISSUES), COLUMN (E) DUE TO THE PREMIUM OF THE BOND. BALA CHANDRASEKHAR CHIEF MEDICAL OFFICER SPLIT $ LIFE INS X 840135 840135 false true true CLIFFORD DANIELS CHIEF STRATEGY OFFICER SPLIT $ LIFE INS X 607519 607519 false true true DAN AUSMAN PRESIDENT/CEO SPLIT $ LIFE INS X 2959039 2959039 false true true MICHAEL DRIEBE PRESIDENT OF THE FOUNDATION SPLIT $ LIFE INS X 472216 472216 false true true ROBERTA MCCAFFREY FORMER CHIEF NURSING OFFICER SPLIT $ LIFE INS X 594306 594306 false true true STEVE SISTO SR. VICE PRESIDENT/COO SPLIT $ LIFE INS X 1660216 1660216 false true true WILLIAM GRIGG ASSISTANT TREASURER/CFO SPLIT $ LIFE INS X 1145441 1145441 false true true 8278872 SCHEDULE L, PART II METHODIST HOSPITAL OF SOUTHERN CALIFORNIA (MHSC) 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 MHSC FROM THE DEATH BENEFIT ASSOCIATED WITH EACH LIFE INSURANCE CONTRACT. MHSC 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. 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 THIRTEEN 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 METHODIST 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 2019. 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 $1,610,229 CHANGES IN RESTRICTED NET ASSETS $ 627,353 ---------------- TOTAL $2,237,582 ARCADIA ACCOUNTABLE CARE LLC 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 455513761 INACTIVE CA 0 0 MHSC METHODIST HOSPITAL FOUNDATION 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 953407027 FUNDRAISING CA 501(C)(3) 7 MHSC true WOMEN'S AUXILLARY OF METHODIST HOSPITAL 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 954123357 HEALTHCARE CA 501(c)(3) 12D-III NA false ALDERGATE MEDICAL SERVICES 300 WEST HUNTINGTON DRIVE ARCADIA CA 91007 953702057 SUPPORT ORG CA 501(c)(3) 12A-1 MHSC true false false true false false false false false false false false false false true true false true false false METHODIST HOSPITAL FOUNDATION c 3924103 ACCRUAL METHODIST HOSPITAL FOUNDATION o 1235371 ACCRUAL METHODIST HOSPITAL FOUNDATION n 135433 ACTUAL METHODIST HOSPITAL FOUNDATION q 360259 ACTUAL