STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BARLOW RESPIRATORY HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BARLOW RESPIRATORY HOSPITAL (EIN 95-1647809)
Tax period
2018-09-01 to 2019-08-31
Filed
2020-07-10
IRS object ID
202041929349302164
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-07-10T12:24:20-07:00ReturnTs
Tax Period End2019-08-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2018-09-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951647809EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Barlow Respiratory HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBARLBusinessNameControlTxt
Phone2132026881PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Stadium WayAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90026ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAmit MohanPersonNm
Person TitleCEOPersonTitleTxt
Signature2020-07-10SignatureDt
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Stadium WayAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90026ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$68,307,975GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.barlowhospital.orgWebsiteAddressTxt
Type Of Organization OtherYes (X)TypeOfOrganizationOtherInd
Formation1902FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionA not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee405TotalEmployeeCnt
Total Volunteers9TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$36,660PYContributionsGrantsAmt
CY Contributions Grants$35,660CYContributionsGrantsAmt
PY Program Service Revenue$66,600,291PYProgramServiceRevenueAmt
CY Program Service Revenue$66,689,439CYProgramServiceRevenueAmt
PY Investment Income$259,736PYInvestmentIncomeAmt
CY Investment Income$328,399CYInvestmentIncomeAmt
PY Other Revenue$255,075PYOtherRevenueAmt
CY Other Revenue$1,254,477CYOtherRevenueAmt
PY Total Revenue$67,151,762PYTotalRevenueAmt
CY Total Revenue$68,307,975CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,646,940PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$38,703,631CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,753,203PYOtherExpensesAmt
CY Other Expenses$24,655,379CYOtherExpensesAmt
PY Total Expenses$68,400,143PYTotalExpensesAmt
CY Total Expenses$63,359,010CYTotalExpensesAmt
PY Revenues Less Expenses-$1,248,381PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,948,965CYRevenuesLessExpensesAmt
Total Assets BOY$44,586,734TotalAssetsBOYAmt
Total Assets EOY$48,406,087TotalAssetsEOYAmt
Total Liabilities BOY$9,148,977TotalLiabilitiesBOYAmt
Total Liabilities EOY$7,694,088TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$35,437,757NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$40,711,999NetAssetsOrFundBalancesEOYAmt
MissionA not-for-profit, long-term acute care specialty healthcare organization is to improve the quality of life for patients with respiratory and other diseases that may require prolonged acute hospitalization of specialized treatment.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$33,093,980ExpenseAmt
Revenue$35,653,122RevenueAmt
DescHospital provides patient care days of 14,045 days for a total of 435 admissions at Main Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,811,369ExpenseAmt
Revenue$20,330,913RevenueAmt
DescHospital provides patient care days of 8,620 days for a total of 321 admissions at Van Nuys Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$6,781,859ExpenseAmt
Revenue$10,705,404RevenueAmt
DescHospital provides patient care days of 5,338 days for a total of 204 admissions at Whittier Campus location. Patient population includes patients unable to wean off ventilators at short-term acute hospitals and patients with other respiratory diagnoses and critically complex cases.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$50,687,208TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document149IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee405EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Form990 T FiledfalseForm990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Form8282 Filed0Form8282FiledCnt
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Form8899 FiledindfalseForm8899Filedind
Form1098 C FiledfalseForm1098CFiledInd
DAF Excess Business HoldingsfalseDAFExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Org Filed In Lieu Of Form1041falseOrgFiledInLieuOfForm1041Ind
Licensed More Than One StatefalseLicensedMoreThanOneStateInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonEd EngesserPersonNm
Phone2132504200PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Stadium WayAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90026ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Michael D Berger
Chair2.001.00Yes (X)Yes (X)$0$0$0
Diane Naegele
Vice Chair2.001.00Yes (X)Yes (X)$0$0$0
Jason Zayon
Secretary1.000.00Yes (X)Yes (X)$0$0$0
Bradford M Bolger
Board Director1.000.00Yes (X)$0$0$0
Earl E Gales Jr
Board Director1.000.00Yes (X)$0$0$0
Richard F Seiden
Board Director1.000.00Yes (X)$0$0$0
Eric Kleerup MD
Board Director1.000.00Yes (X)$0$0$0
John Van Dyke MD
Board Director1.000.00Yes (X)$0$0$0
Daniel Weinstein
Board Director1.000.00Yes (X)$0$0$0
David Nelson MD
Medical Dir.24.003.00Yes (X)$252,432$0$0
Amit Mohan
President & CEO40.005.00Yes (X)Yes (X)$365,541$0$25,368
Ed Engesser
CFO24.005.00Yes (X)$155,704$0$5,316
Gladys D'Souza
CNO40.000.00Yes (X)$196,178$0$23,778
Kirk Watson
VP, Business Development40.000.00$225,829$0$6,566Yes (X)
Anna Urling
Case Mgr Admitting40.000.00$206,515$0$8,257Yes (X)
Marivic Sorongon
Nursing Supervisor40.000.00$175,047$0$11,636Yes (X)
Paramjeet Athwal
Assistant CNO40.000.00$165,978$0$4,996Yes (X)
Teresita Pecina
Nursing Supervisor40.000.00$165,235$0$12,194Yes (X)
Barbara Allen
Case Mgr Admitting40.000.00$161,906$0$10,539Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,070,365TotalReportableCompFromOrgAmt
Total Other Compensation$108,650TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K103IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Valley Presbyterian Hospital
15107 Vanowen StreetVan NuysCA91409Medical Services$4,168,058
Presbyterian Intercommunity Hsp
12401WashingtonBlWhittierCA90602Medical Services$2,672,023
Kaiser Foundation Health Plan
P O Box 80204Los AngelesCA90080Medical Services$2,119,881
Comprehensive Pharmacy Services
P O Box 638316CincinnatiOH45263Pharmacy Services$597,147
Southland Medical Dialysis
102 S Ardmore AveLos AngelesCA90004Medical Services$580,140
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Government Grants$35,660GovernmentGrantsAmt
Total Contributions$35,660TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Managemnt service rev561000$40,992$40,992
Patient service rev623000$66,648,447$66,648,447
FieldValueIRS element (for citing)
Total Program Service Revenue$66,689,439TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$328,399TotalRevenueColumnAmt
Exclusion$328,399ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$23,500RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$23,500RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$23,500TotalRevenueColumnAmt
Exclusion$23,500ExclusionAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
Cafeteria722210$100,456$100,456
Real Estate Transactions531390$1,000,000$1,000,000
Refund from vendors900099$79,408$79,408

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,113TotalRevenueColumnAmt
Exclusion$51,113ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,230,977OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$68,307,975TotalRevenueColumnAmt
Related Or Exempt Func Income$66,689,439RelatedOrExemptFuncIncomeAmt
Exclusion$1,582,876ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,256,712TotalAmt
Program Services$1,005,370ProgramServicesAmt
Management And General$251,342ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$26,481,222TotalAmt
Program Services$21,184,978ProgramServicesAmt
Management And General$5,296,244ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$787,886TotalAmt
Program Services$630,309ProgramServicesAmt
Management And General$157,577ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,798,526TotalAmt
Program Services$6,238,821ProgramServicesAmt
Management And General$1,559,705ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,379,285TotalAmt
Program Services$1,903,428ProgramServicesAmt
Management And General$475,857ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$451,335TotalAmt
Program Services$361,068ProgramServicesAmt
Management And General$90,267ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$89,894TotalAmt
Program Services$71,915ProgramServicesAmt
Management And General$17,979ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$101,511TotalAmt
Program Services$81,209ProgramServicesAmt
Management And General$20,302ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$57,447TotalAmt
Program Services$45,958ProgramServicesAmt
Management And General$11,489ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,539,660TotalAmt
Program Services$1,231,728ProgramServicesAmt
Management And General$307,932ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,013,789TotalAmt
Program Services$4,811,031ProgramServicesAmt
Management And General$1,202,758ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$349,094TotalAmt
Program Services$279,275ProgramServicesAmt
Management And General$69,819ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$3,433,968TotalAmt
Program Services$2,747,174ProgramServicesAmt
Management And General$686,794ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,590TotalAmt
Program Services$23,672ProgramServicesAmt
Management And General$5,918ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$110,894TotalAmt
Program Services$88,713ProgramServicesAmt
Management And General$22,181ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$698,891TotalAmt
Program Services$559,113ProgramServicesAmt
Management And General$139,778ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Purchased services$10,828,957$8,663,166$2,165,791
General & Administrative$745,037$596,030$149,007
All other expenses$205,312$164,250$41,062

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$63,359,010TotalAmt
Program Services$50,687,208ProgramServicesAmt
Management And General$12,671,802ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,506BOYAmt
EOY$3,448EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,007,463BOYAmt
EOY$82,636EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,229,136BOYAmt
EOY$14,958,652EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$736,563BOYAmt
EOY$607,785EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$969,185BOYAmt
EOY$965,969EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$33,857,946LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$22,510,169LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$5,810,342BOYAmt
EOY$11,347,777EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$663BOYAmt
EOY$1,500,493EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$17,828,876BOYAmt
EOY$18,939,327EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,586,734BOYAmt
EOY$48,406,087EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,088,650BOYAmt
EOY$6,485,263EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,060,327BOYAmt
EOY$1,208,825EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$9,148,977BOYAmt
EOY$7,694,088EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$22,508,944BOYAmt
EOY$28,393,892EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,393,355BOYAmt
EOY$4,375,963EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,535,458BOYAmt
EOY$7,942,144EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$35,437,757BOYAmt
EOY$40,711,999EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,586,734BOYAmt
EOY$48,406,087EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$4,948,965ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$325,277NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Form4720 Filed Section4955 TaxfalseForm4720FiledSection4955TaxInd
Correction MadefalseCorrectionMadeInd
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsYes (true)GrantsOtherOrganizationsInd
Grants Other Organizations$57,447GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesfalseOtherActivitiesInd
Total Lobbying Expenditures$57,447TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1i - Other Activities DescriptionFormAndLineReferenceDesc
ExplanationThe organization pays membership dues to the Hospital Assocation of Southern California (HASC) and National Assocation of Long Term Hospital (NALTH). A portion of the dues paid are used for lobbying activites by HASC and NALTH on behalf of their members. The organization also pays consulting fee to Dunn Consulting for amend potential legislation for its expansion of services.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,721OtherCostOrOtherBasisAmt
Book Value$24,721BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,854,417OtherCostOrOtherBasisAmt
Depreciation$7,405,694DepreciationAmt
Book Value$448,723BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$236,918OtherCostOrOtherBasisAmt
Depreciation$234,410DepreciationAmt
Book Value$2,508BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,146,888OtherCostOrOtherBasisAmt
Depreciation$14,870,065DepreciationAmt
Book Value$2,276,823BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,595,002OtherCostOrOtherBasisAmt
Book Value$8,595,002BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,347,777TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
Due from Affiliates$5,594,865
Insurance receivable$17,605
Investment in net assets of affiliates$12,318,107
Misc. receivable$1,008,750
FieldValueIRS element (for citing)
Total Book Value Other Assets$18,939,327TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to third-party payors$619,450
Professional liability$589,375
FieldValueIRS element (for citing)
Total Liability$1,208,825TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$68,633,252TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$325,277NetUnrealizedGainsInvstAmt
Revenue Not Reported$325,277RevenueNotReportedAmt
Revenue Subtotal$68,307,975RevenueSubtotalAmt
Total Revenue Per Form990$68,307,975TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$63,359,010TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$63,359,010ExpensesSubtotalAmt
Total Expenses Per Form990$63,359,010TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X : FIN48 FootnoteFormAndLineReferenceDesc
ExplanationThe Hospital accounts for uncertain tax positions in accordance with the provisions of Financial Accounting Standards Board ("FASB") Accounting Standards Codification ("ASC") Topic 740-10, "Income Taxes". The Hospital had no material unrecognized tax benefits that would require an adjustment as of August 31, 2019 or 2018. The Hospital files Federal and California exempt organization returns.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$176,379TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$176,379NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,956,330TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,220,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,736,274NetCommunityBenefitExpnsAmt
Total Expense0.02740TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,349,787TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,381,256DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,968,531NetCommunityBenefitExpnsAmt
Total Expense0.04690TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,482,496TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,601,312DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,881,184NetCommunityBenefitExpnsAmt
Total Expense0.07710TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$252,092TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$252,092NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,836TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,836NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$27,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$27,500NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,428TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$282,428NetCommunityBenefitExpnsAmt
Total Expense0.00440TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,764,924TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,601,312DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,163,612NetCommunityBenefitExpnsAmt
Total Expense0.08150TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,986TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,986NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,986TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$13,986NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,556,918BadDebtExpenseAmt
Reimbursed By Medicare$35,945,071ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$32,862,338CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$3,082,733MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Barlow Respiratory HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12000 Stadium WayAddressLine1Txt
CityLos AngelesCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90026ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.barlowhospital.orgWebsiteAddressTxt
State License930000011StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLwww.barlowhospital.orgStrategyWebsiteURLTxt
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.0000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Facility: - Part V, Section B, Line 5The hospital conducted interviews with members of the Board of Directors, members of the Medical Staff, referring physicians, public health officials, and administrative staff of hospitals in the greater Los Angeles area.Part V, Line 14 - Amounts Charged to PatientsFacility : Barlow Respiratory HospitalThe basis for calculating amounts charged to patients is the amount that Medicare would pay if the patients services were covered by Medicare.
Facility: - Part V, Section B, Line 11The hospital CHNA included a review of data available for the community served as well as input from organizations and individuals who represent the community served. The following health needs were targeted to be addressed: Access to careBarlow will continue efforts to bring its expertise in ventilator weaning and treatment of the chronically critically ill to other communities by expanding its service delivery system. We will accomplish this by actively seeking opportunities to open sites to offer our specialized services throughout Los Angeles County. Barlow has a financial assistance policy that supports access to long-term care for uninsured and underinsured patients who do not have the resources to pay for their care. Chronic disease conditionsBarlow will offer support groups for those dealing with multiple chronic health conditions. Support groups are offered free of charge and are open to the community. With a focus on prevention of chronic diseases, Barlow Respiratory Hospital will offer community health fairs that include health education and preventive screenings.Smoking cessationBarlow will continue to develop collaborative partnerships with community organizations to prevent and treat a number of respiratory conditions. We will continue to offer programs that focus on smoking cessation as a strategy to prevent future respiratory diseases and other chronic conditions.Barlow is a regional referral center and our primary service area is defined as the entirety of Los Angeles County. Because of the vast size of this service area, the identified community health needs in the region are many and far reaching. They include:Access to CareChronic Disease ConditionsSmokingHomelessnessMental HealthNutrition and Physical ActivityDue to the enormity of the issues identified in the CHNA, and the relatively modest resources of our organization, we are not able to address all community needs. Rather, we have chosen to address a subset of the prioritized needs that we selected utilizing the following criteria:-Existing organizational infrastructure and capacity - whether the hospital has the programs, systems, staff and support resources in place to address the issue. -Established relationships whether there are established relationships with community partners to address the issue.-Ongoing investment whether existing resources are committed to the issue. Staff time and financial resources for this issue are counted as part of our community benefit effort.- Focus area whether the hospital has acknowledged competencies and expertise to address the issue and the issue fits the organizational mission.
Facility: - Part V, Section B, Line 22dThe hospital facility used the Medicare DRG based payment system to determine payment.

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a - Related Organization Community Benefit ReportThe hospital filed a community benefit report with the California Office of Statewide Health Planning and Development. It is available to the public through that organization and is available upon request from the Hospital.Part I, Line 7 - Financial Assistance and Certain Other Community Benefits at CostThe cost /charge ratio, derived from Worksheet 2, was used to determine costs on line 7 column (f) and column (c).Part II - Community Building ActivitiesThe hospital makes its meeting rooms available at no charge to community based non profit and government organizations ( e.g. police departments and as a polling place for federal, state and local elections) for their meetings and educational sessions, and hosted a breath mobile operated by LAC+USC Medical Center.
Part III, Line 2 - Methodology Used To Estimate Bad Debt ExpenseBad debt expense includes actual charges written off as uncollectible and an estimate of uncollectible bad debt amounts in open accounts at fiscal year end.
Part III, Line 3 - Methodology of Estimated Amount & Rationale for Including in Community BenefitNo bad debt expense is reported as a community benefit.
Part III, Line 4 - Bad Debt ExpenseProvision for doubtful accounts The Hospital provides for an allowance against patient accounts receivable for amounts that could become uncollectible whereby such receivables are reduced to their estimated net realizable value. The Hospital estimates this allowance based on the aging of their accounts receivable, historical collection experience by payer, and other relevant factors. There are various factors that can impact the collection trends, such as changes in the economy, which in turn have an impact on unemployment rates and the number of uninsured, and under-insured patients, the increased burden of co-payments to be made by patients with insurance, and business practices related to collection efforts. These factors continuously change and can have an impact on collection trends and the Hospitals estimation process. The Hospitals policy is to attempt to collect amounts due from patients, including co-payments and deductibles due from patients with insurance, at the time of service while complying with all federal and state laws and regulations.
Part III, Line 8 - Explanation Of Shortfall As Community BenefitThe Medicare Cost Report cost finding methodology was used to determine the cost of services to Medicare covered patients. Approximately 70 % of the Medicare patients that receive care at the hospital are dually eligible for both Medicare and Medi-Cal so they are low income seniors that meet Medi-Cal eligibility criteria and would be have Medi-Cal coverage as their primary coverage if they were less than 65 years of age.
Part III, Line 9b - Provisions On Collection Practices For Qualified PatientsCollection activity by the Hospital will cease when the patient is declared eligible for charity care and will be suspended during the period that the patient is attempting to qualify under the Hospitals Financial Assistance Policy.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd
Rebuttable Presumption ProcfalseRebuttablePresumptionProcInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
Amit Mohan
President & CEO$282,541$83,000$8,250$17,118$390,909
Anna Urling
Case Mgr Admitting$124,990$81,525$1,262$6,995$214,772
Barbara Allen
Case Mgr Admitting$121,521$40,385$3,544$6,995$172,445
David Nelson MD
Medical Dir.$237,432$15,000$252,432
Ed Engesser
CFO$145,704$10,000$4,436$880$161,020
Gladys D'Souza
CNO$196,178$6,078$17,700$219,956
Kirk Watson
VP, Business Development$225,829$6,188$378$232,395
Marivic Sorongon
Nursing Supervisor$175,047$5,058$6,578$186,683
Paramjeet Athwal
Assistant CNO$154,328$11,650$4,618$378$170,974
Teresita Pecina
Nursing Supervisor$165,235$5,059$7,135$177,429

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7: Non-Fixed payments not listed aboveFormAndLineReferenceDesc
ExplanationThe bonus was determined by the compensation committee of the Board of Directors.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Client Note 1Client Note 1 -
Form 990, Part VI, Line 6: Explanation of Classes of Members or ShareholderThe Barlow Group, a California nonprofit public benefit corporation is the only member. The Barlow Group serves as the member of the Barlow Foundation which is the fund raising arm for Barlow Respiratory Hospital. The Barlow Group also serves as the member of the Barlow Ventures which provides skilled nursing care as well as rehab services to discharged patient's from Barlow Respiratory Hospital and other acute and skilled nursing facilities and other patients referred by physicians for services.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing BodyThere are two categories of directors- Designated directors and Selected directors.Designated Directors of which there shall be no more than five (5), shall be the individuals serving in the positions enumerated below:(a)President of Barlow Group;(b)President of the corporation;(c)Medical Director of the Hospital;(d)Chief of the medical staff of the Hospital (the Medical Staff) (duly elected by the Medical Staff).(e)Chairperson of the Board of Barlow Foundation, or another member of the Board of Barlow Foundation as designated by the Barlow Foundation and approved by the Board of Barlow Group.Each Designated Director shall serve on the Board so long as he or she holds at least one of the positions enumerated above.All directors other than the Designated Directors shall be Selected Directors. Pursuant to Section 5220(d) of the California Nonprofit Public Benefit Corporation Law, all Selected Directors shall be designated by the Member and shall serve at the pleasure of the Member. All directors of the corporation shall be individuals also serving on the Members Board of Directors. Selected Directors shall serve for the same term as the Selected Director serves on the Members Board of Directors.Notwithstanding any other provision of these Bylaws, at no time shall the Board include in the aggregate more than forty-nine percent (49%) interested persons as defined by Section 5227 of the California Nonprofit Public Benefit Corporation Law.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or ShareholdersEach of the following powers may be executed only with the prior written approval of the Member:(a)To retain an attorney or firm of attorneys to provide legal services for the corporation and to fix the amount of compensation for such services, except in such a case where the retention of an attorney or firm of attorneys concerns a non-routine situation, such as, by way of example only, the existence of a conflict of interest that requires the use of an attorney or firm of attorneys not previously consented to;(b)To retain an accountant or firm of accountants to provide accounting and auditing services for the corporation and to fix the amount of compensation for such services;(c) To authorize any unbudgeted expenditure in excess of $100,000 for capital improvements to the properties owned or leased by the corporation and not approved by a budget procedure;(d)To establish any programs with respect to marketing and/or public relations, which relate to strategic planning on a system-wide basis for the Barlow Group and its affiliates and to retain any consultants at a cost in excess of $250,000 with respect thereto;(e)To incur or guarantee indebtedness, as so defined in accordance with Generally Accepted Accounting Principles;(f)To mortgage, pledge or otherwise encumber any real property of the corporation, and to mortgage, pledge or otherwise encumber property or assets, other than real property, of the corporation with a value in excess of $50,000;(g)To sell, lease, assign or otherwise transfer any real property of the corporation, and to sell, lease, assign or otherwise transfer property or assets, other than real property, of the corporation with a value in excess of $50,000;(h)To adopt or modify an annual budget and an annual business plan for this corporation;(i)To form a subsidiary or enter into an agreement to act as a general partner;(j)To remove the President, the Chief Financial Officer or the Medical Director from office; and(k)To amend or repeal the Bylaws.
Form 990, Part VI, Line 11b: Form 990 Review ProcessThe Chief Financial Officer and the Finance Department staff will prepare and file the returns. When it is deemed appropriate, consultative support and /or review will be solicited from an external public accounting firm. Prior to filing, the return for each of the Barlow Organizations will be distributed to the Barlow Group Board of Directors for their review. The Chief Executive Officer performs a final review and approves the Annual Information Returns before filing.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of ConflictsThe hospital has a Board of Director Conflict of Interest Policy that all Board members sign at least every two (2) years. The policy requires every director to complete the Director and Officer Questionnaire and identify all known actual or potential conflicts of interest in which they or one or more of their family members may be involved. In addition during deliberations or discussions at any Board of Directors meeting, an individual Board member shall identify any actual or potential conflict of interest, and having so disclosed the actual or potential conflict of interest and the material facts thereof, shall not participate in discussion on that agenda item and shall not vote on the issue.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key EmployeesThe Personnel/Compensation Committee (Committee) of the Board of Directors is charged with the responsibility of establishing and recommending changes to the compensation of the CEO,CFO and Medical Director. The Committee utilizes the Hospital Association of Southern California's Health Executive Compensation Report to benchmark BRH compensation to the marketplace. Specifically the 'Single Facility Southern California Salary Range' amounts for minimum-midpoint-maximum compensation serve as the benchmarks for determining comparative marketplace compensation. The CEO and CFO are eligible to participate in the same paid time off and employee insurance benefits as all Hospital management level employees. The Medical Director and CEO have written contracts which document their compensation and benefits. The committee reviews the experience level of the individual in each position, the individual accomplishments of officer, and the overall accomplishments of the hospital in recommending compensation and/or changes to compensation for these three positions. The Committee's recommendations are then submitted to the full Board of Directors for discussion and approval.
Form 990, Part VI, Line 19: Other Organization Documents Publicly AvailableThe audited financial statements, governing/organizing documents, and conflict of interest policy are all available upon request.
Form 990, Part VIII, Line 11a - Real Estate TransactionsDuring the year ended August 31, 2019, the Hospital executed a purchase and sale agreement for the sale of Barlow-owned real property located on the west side of Stadium Way in Los Angeles, California. The purchase and sale agreement is subject to certain terms, covenants, and conditions which were not met as of the date the financial statements were available to be issued. Pursuant to this agreement, the buyer provided a $1,000,000 nonrefundable deposit recognized as revenue and included in the other revenue balance on the accompanying statement of operations for the year ended August 31, 2019. On September 16, 2019, the Hospital collected the deposit in full.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Barlow Foundation
2000 Stadium WayLos AngelesCA90026954560787FundraisingCA501(c)(3)7Barlow Groupfalse
Barlow Group
2000 Stadium WayLos AngelesCA90026953771980Promote public healthCA501(c)(3)III-FINAfalse
Barlow Ventures
2000 Stadium WayLos AngelesCA90026822403049Provide medical home servicesCA501(c)(3)3Barlow Groupfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd