2020-11-16T16:30:16-06:00 2019-12-31 ERNST & YOUNG US LLP 18101 VON KARMAN AVE SUITE 1700 IRVINE CA 92612 990 2019-01-01 951644036 Pasadena Hospital Association LTD % SCOTT ARMSTRONG PASA 6263975000 100 WEST CALIFORNIA BLVD PASADENA CA 91105 LORI J MORGAN MD MBA PRESIDENT & CEO 6263975000 2020-11-16 true KARA ADAMS P00023315 9497942300 2020-11-13 172.88.243.146 33577420203215000038 2020-11-16 P 4163E2BAC37EC3B0508D4606D02AD589A07FBFAD F991D6D3E7059131D89F76663626030BF402C6D1 2019 2021-01-29 14:40:06Z LORI J MORGAN MD MBA 100 WEST CALIFORNIA BLVD PASADENA CA 91105 696134585 false X www.huntingtonhospital.org X 1892 CA AT HUNTINGTON HOSPITAL, OUR MISSION IS TO PROVIDE EXCELLENT HEALTH CARE AND COMPASSIONATE SERVICE TO EACH PERSON BY BRINGING TOGETHER OUTSTANDING PHYSICIANS (SEE SCHEDULE O) 27 24 4140 1762 2500 0 27569246 26442219 655580341 658985253 15196315 6587702 2196162 2139667 700542064 694154841 748566 697655 0 0 361104007 365643144 0 0 3551902 317130790 333793511 678983363 700134310 21558701 -5979469 1107235142 1232829063 534964758 641188334 572270384 591640729 X SEE SCHEDULE O false false 621822306 697655 659313283 SEE SCHEDULE O 621822306 true true false true false false false false false true true false false true true true false true false false true false false false true false true true true true true true false false false false false true false true true true true false false false false true true true false false true 645 0 true 4140 true true true false false false false true true false false false false true false true false X 27 24 false false false false false true false true true false false true true true true true true true true true true CA X SCOTT ARMSTRONG 6263978596 100 WEST CALIFORNIA BLVD PASADENA CA 91105 X LORI J MORGAN MD MB BD OF DIR/PRESIDENT & CEO 55.0 1.0 X 1447521 0 226207 JANE HADERLEIN SVP PHILANTHROPY & PR 55.0 0.0 X 1042266 0 189488 STEPHEN A RALPH BD OF DIRECTORS-PRES. EMERITUS 55.0 1.0 X X 979721 0 81364 RAJINDER S TAKHAR SVP, STRAT & PRVDR INTEGRATION 50.0 5.0 X 861328 0 103848 DEBRA A ORTEGA CHRO & SVP ADMINISTRATIVE SVCS 55.0 0.0 X 785720 0 116260 SCOTT GROOM SVP, CIO 55.0 0.0 X 669522 0 75849 GABRIELLA SHERMAN MD VP QUALITY & CLINICAL OPS 50.0 0.0 X 594828 0 53511 GLORIA M SANCHEZ-RICO SVP & CHIEF NURSING OFFICER 55.0 0.0 X 471076 0 156851 STEVEN L MOHR SVP & CFO 50.0 5.0 X 557400 0 59015 PAULA VERRETTE SVP & CMO QUALITY & PHYS. SVCS 50.0 5.0 X 543404 0 44012 JOHN F GOEDERS VP STRATEGIC PLANNING/REVENUE 55.0 0.0 X 451399 0 74103 EUGENE E GUTIEREZ IV FORMER KEY EMPLOYEE 0.0 0.0 X 463693 0 26115 TIMOTHY S ALBERT HHP EXECUTIVE MEDICAL DIRECTOR 0.0 50.0 X 465634 0 16311 GAIL CINEXI VP, CLINICAL & SUPPORT SVCS 55.0 0.0 X 361569 0 89139 CATHERINE L CHADWELL EXEC DIRECTOR PHILANTHROPY 55.0 0.0 X 260314 0 118270 SCOTT A ARMSTRONG EXEC DIR FINANCE OPERATIONS 50.0 5.0 X 337034 0 33039 TERENCE OU VP, ENTERPRISE COMPL/RISK/INT 55.0 0.0 X 296325 0 57095 ILIN OHANESSIANS DIR AMBOP, NEURO, REHAB 40.0 10.0 X 290199 0 36269 CHARLES J CASEY-SUDVA INTERIM CIO 55.0 0.0 X 274827 0 25387 PHUC X MAI DIRECTOR PHARMACY 55.0 0.0 X 279917 0 17017 JEFFREY P WEIGAND CONGRESS ADMIN AND REAL ESTATE 4.0 36.0 X 184310 0 14745 DEBRA L TAFOYA FORMER KEY EMPLOYEE 0.0 0.0 X 168000 0 -30785 HENRY BOWLES MD BOARD OF DIRECTORS 1.0 0.0 X 52200 0 0 ALLEN W MATHIES JR BOARD OF DIRECTORS 1.0 0.0 X 20185 26000 0 JAYNIE STUDENMUND CHAIRMAN/TRUSTEE 1.0 0.0 X 0 0 0 ARMANDO L GONZALEZ F VICE CHAIRMAN/TRUSTEE 1.0 1.0 X 0 0 0 MICHELLE QUINONES CHIN BOARD OF DIRECTORS 1.0 1.0 X 0 0 0 WAYNE BRANDT TREASURER/TRUSTEE 1.0 1.0 X 0 0 0 SHARON ARTHOFER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 WILLIAM J BOGAARD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 LOUISE HENRY BRYSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 REED GARDINER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 AKILA GIBBS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 RONALD L HAVNER JR BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 CHRISTOPHER G HEDLEY BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 R SCOTT JENKINS BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL JOHNSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 DAVID M KIRCHHEIMER BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELLEN LEE BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 SIMON LI BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 M CHRISTIAN MITCHELL BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ELIZABETH GRAHAM OLSON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 KATHLEEN KATHY GOOD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JAMES SHANKWILER MD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ROSEMARY RARY SIMMON BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 ROBERT Y YU BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 RENEE YING BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 JOHN L MOTHERSHEAD BOARD OF DIRECTORS 1.0 0.0 X 0 0 0 PAUL LH OUYANG BOARD - CHAIR (THRU 3/19) 1.0 0.0 X X 0 0 0 11858392 26000 1583110 1101 true true false SWINERTON BUILDERS 17731 MITCHELL N 200 IRVINE CA 92614 FACILITY CAP. PROJ. 3945836 BERNARDS 555 FIRST STREET SAN FERNANDO CA 91340 FACILITY CAP. PROJ. 3514244 JACOBS PROJECT MANAGEMENT CO PO BOX 888862 LOS ANGELES CA 900888862 FACILITY CAP. PROJ. 3394779 JR ABBOTT CONSTRUCTION INC 25 EAST CALIFORNIA BLVD PASADENA CA 91105 FACILITY CAP. PROJ. 2160291 HDR ARCHITECTURE INC 8404 INDIAN HILLS OMAHA NE 68114 FACILITY CAP. PROJ. 2077472 132 20093 243050 4945016 1895844 19338216 280029 26442219 NET PATIENT SRVS REVENUE 622110 649732035 649732035 0 0 RENTAL INCOME 531120 3094881 3094881 0 0 PARKING REVENUE 812930 2309261 2309261 0 0 MANAGEMENT SRVS REVENUE 541610 275677 273177 2500 0 LABORATORY REVENUE 621511 172575 172575 0 0 3400824 3400824 0 658985253 5527676 5527676 525323 525323 0 0 0 0 874119 9638 349054 525065 9638 534703 534703 213450 243050 219771 -6321 0 0 0 1818808 1410919 407889 407889 CONCIERGE SERVICES REVENUE 900099 1322278 0 1322278 MEDICAL STAFF REVENUE 900099 328030 328030 0 0 FOOD SERVICES 722310 87791 0 87791 1738099 694154841 659310783 2500 8405660 511856 511856 185799 185799 0 0 0 10481503 10281299 200204 137215 137215 248184257 221714344 25358541 1111372 21056793 18698123 2251713 106957 64414639 58142197 5944102 328340 21368737 19287000 1983352 98385 0 1889670 1889670 715689 715689 64805 64805 0 319224 319224 67771783 55853648 11204307 713828 1639469 24508 1614751 210 28645542 23275431 5032915 337196 32861742 29535953 3174976 150813 0 17271743 15605197 1600933 65613 586445 226913 228334 131198 0 608437 225179 227717 155541 8567815 7726497 803167 38151 0 20539345 18654754 1815499 69092 4782844 4501519 268568 12757 MEDICAL SUPPLIES 100974716 100974716 0 0 HOSPITAL FEE PROGRAM 45379035 45379035 0 0 FOOD/DAYCARE/CLINICAL/MED 707932 707932 0 0 DONATION ADMIN FEE 77349 0 77349 0 389926 591705 -234024 32245 700134310 621822306 74760102 3551902 0 10813 12575 17527076 38012373 13392977 14633646 108888397 106435327 794689 681702 0 0 0 0 14572784 13539177 54366873 66533125 931062349 407150464 449770659 523911885 394879059 351101770 0 0 927668 508339 2957809 2957809 49146338 114501335 1107235142 1232829063 88263266 96707691 0 0 31813219 45521058 317901917 332243338 0 0 0 0 0 0 0 0 96986356 166716247 534964758 641188334 X 462022379 470333842 110248005 121306887 572270384 591640729 1107235142 1232829063 X -5979469 34301567 -8951753 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 64805 64805 false false SCHEDULE C, PART II-B, LINE 11 POLITICAL CAMPAIGN AND LOBBYING ACTIVITIES PASADENA HOSPITAL ASSOCIATION PAID DUES OF $75,507 AND $359,187 TO THE CALIFORNIA HOSPITAL ASSOCIATION AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA, RESPECTIVELY. OF THESE DUES, $17,608 AND $47,197, RESPECTIVELY, WERE ATTRIBUTABLE TO LOBBYING EXPENSES FOR HEALTHCARE ISSUES. 144790738 5785066 12499471 4717009 158358266 151216655 1231164 -3186052 4471029 144790738 143584070 5490913 9377743 7236071 151216655 140883835 6064407 4353141 7717313 143584070 136386305 9138016 844778 5485264 140883835 0.40120 0.25920 0.33960 false true true 0 492431069 228402446 264028623 281828313 178748018 103080295 156802967 0 156802967 523911885 OP. LEASE RIGHT OF USE ASSET 51913378 DUE FROM AFFILIATES 42835563 LEGACIES & BEQUEST ASSET 11162655 DUE FROM THIRD PARTY PAYORS 5344099 CONTRACT ACQUISTION COST 1591004 CASH VALUE INSURANCE 959543 ACCRUED RECEIVABLE DONATIONS 415927 INCENTIVE TO LESSEE 279166 114501335 0 ACCRUED PENSION COST 75292326 LEASE LIABILITY - OPERATING 51913378 ACCRUED SELF INSURANCE CLAIMS 26934101 CAPITAL LEASE & OTH FINANCING 11952104 PV GIFT ANNUITY & CRT 624338 166716247 X SCHEDULE D, PART V, LINE 4 INTENDED USE OF ENDOWMENT FUNDS BOARD DESIGNATED ENDOWMENT CONSISTS OF THE FUNDS THAT OUR BOARD PUT ASIDE FOR CURRENT OR FUTURE PROJECTS. TERM ENDOWMENT ARE THE FUNDS WE RECEIVED FROM RESTRICTED DONATIONS TO BE USED IN OPERATIONS. PERMANENT ENDOWMENT FUNDS ARE KEPT IN OUR INVESTMENT PORTFOLIO AND WE USE THE INVESTMENT RETURN TO FUND OUR OPERATION. SCHEDULE D, PART X, LINE 2 FIN 48(ASC740) FOOTNOTE HH HAS BEEN DETERMINED TO QUALIFY AS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A) AS ORGANIZATIONS DESCRIBED IN SECTIONS 501(C)(3) OF THE CODE. MOST OF THE INCOME RECEIVED BY THE ASSOCIATION IS EXEMPT FROM TAXATION, AS INCOME RELATED TO THE MISSION OF THE ORGANIZATION. ACCORDINGLY, THERE IS NO MATERIAL PROVISION FOR INCOME TAXES FOR THESE ENTITIES. HOWEVER, SOME OF THE INCOME RECEIVED BY THE EXEMPT ENTITIES IS SUBJECT TO TAXATION AS UNRELATED BUSINESS INCOME. THE ASSOCIATION AND ITS AFFILIATES FILE FEDERAL AND STATE INCOME TAX RETURNS. THE ASSOCIATION COMPLETED AN ANALYSIS OF ITS TAX POSITIONS, IN ACCORDANCE WITH ASC 740, INCOME TAXES, AND DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN. THE ASSOCIATION HAS RECOGNIZED NO INTEREST OR PENALTIES RELATED TO UNCERTAIN TAX POSITIONS. THE ASSOCIATION IS SUBJECT TO ROUTINE AUDITS BY THE TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. true Central America and the Caribbean 0 0 Investments 20967208 0 0 0 0 20967208 20967208 true false true true false false SCHEDULE F, PART I, LINE 3 THE AMOUNT OF THE INVESTMENTS IN PART I WAS DETERMINED USING MARKET VALUE. FALL FESTIVAL 456500 243050 213450 25215 1153 3800 189603 0 456500 243050 213450 25215 1153 3800 189603 219771 -6321 true true true X true X true true false true true 1192 5232491 1984930 3247561 0.00450 29293 95699138 59087257 36611881 0.05100 30485 100931629 61072187 39859442 0.05550 25 734504 6764647 7066 6757581 0.00940 3 1717 23816437 1459741 22356696 0.03120 5 6231 6323716 368693 5955023 0.00830 1 1491737 361900 1129837 0.00160 5 1527 587655 587655 0.00080 39 743979 38984192 2197400 36786792 0.05130 39 774464 139915821 63269587 76646234 0.10680 2 153 108001 0 108001 0.00020 1 545 289369 289369 0.00040 1 208 36439 36439 0.00000 4 906 433809 0 433809 0.00060 true 11995627 114872 137962197 160194338 -22232141 X true true HASC(INDIRECT OWNER) OUTPATIENT SURGERY 0.9982 0.0018 HOPIC OUTPATIENT IMAGING 0.3 0.7 HHI LLC OUTPATIENT IMAGING 0.5 0.5 1 1 HUNTINGTON MEMORIAL HOSPITAL 100 WEST CALIFORNIA BLVD PASADENA CA 91105 WWW.HUNTINGTONHOSPITAL.ORG 930000372 X X X X X HUNTINGTON HOSPITAL 1 false false true X X X X X X X X X 19 true false true true X SEE PART V, SECTION C X SEE PART V, SECTION C X true 20 true SEE PART V, SECTION C false true X 200. 350. X X true true X X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X X true X false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE PRIORITIZATION PROCESSES USED FOR SIGNIFICANT HEALTH NEEDS ARE PRESENTED IN BOTH THE 2019 CHNA AND 2020-2022 IMPLEMENTATION STRATEGY. FOR A DESCRIPTION OF THE PROCESS SEE PAGES 58-60 OF THE 2019 CHNA AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/WP-CONTENT/UPLOADS/2020/06/PASADENA-CHN A-V21-11-26-2019.PDF HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/WP-CONTENT/UPLOADS/2020/04/IMPLEMENTATI ON-STRATEGY-2019.PDF SCHEDULE H, PART V, SECTION B, LINE 5 IN THE 2019 CHNA, THE QUALITATIVE PROCESS GATHERED INFORMATION FROM NINE LISTENING SESSIONS WITH AREA RESIDENTS AND 32 INDIVIDUAL INTERVIEWS. REPRESENTATIVES IN THE LISTENING SESSIONS WERE ORGANIZED INTO THE FOLLOWING GROUPS, REPRESENTING VULNERABLE POPULATIONS: - AFRICAN AMERICAN YOUTH - AFRICAN AMERICAN ADULTS - ASIAN AMERICAN (CHINESE) ADULTS - LGBTQ SENIORS - SPANISH-SPEAKING LATINA MOTHERS - SENIOR ADULTS (MULTIPLE LISTENING SESSIONS) INTERVIEWS WERE CONDUCTED WITH A WIDE VARIETY OF ORGANIZATIONAL LEADERS, INCLUDING REPRESENTATIVES FROM THE FOLLOWING: - FAITH-BASED ORGANIZATIONS/FAITH COMMUNITY - AMBULATORY CARE CLINICS/MEDICALLY UNDERSERVED ADULTS - MATERNAL CARE MANAGEMENT PROGRAM/EXPECTANT AFRICAN AMERICAN MOTHERS AND FAMILIES - YOUTH-ADVOCACY NON-PROFIT ORGANIZATIONS/AT-RISK YOUTH - GOVERNMENTAL CHILD SERVICES AGENCY/YOUTH, FAMILIES, AT-RISK CHILDREN AND FAMILIES - BEHAVIORAL AND MENTAL HEALTH CARE AGENCY/MENTAL HEALTH MEDICALLY UNDERSERVED - LOCAL SCHOOL DISTRICT - PASADENA DEPARTMENT OF PUBLIC HEALTH - LOS ANGELES COUNTY DEPARTMENT OF PUBLIC HEALTH, SERVICE PLANNING AREA 3 (SAN GABRIEL VALLEY) - LOS ANGELES COUNTY DEPARTMENT OF MENTAL HEALTH - HEALTH CONSORTIUM OF THE GREATER SAN GABRIEL VALLEY - EAST SAN GABRIEL VALLEY CONSORTIUM FOR THE HOMELESS - SAN GABRIEL VALLEY ECONOMIC PARTNERSHIP - AMERICAN CANCER SOCIETY, INC. - CALIFORNIA DIVISION THE INPUT FROM THESE INDIVIDUALS AND ORGANIZATIONAL LEADERS AND REPRESENTATIVES WAS PROVIDED DURING THE PERIOD OF MID-JANUARY THROUGH MID-NOVEMBER 2019. SCHEDULE H, PART V, SECTION B, LINE 6B HUNTINGTON HOSPITAL CONDUCTED THE 2019 CHNA IN PARTNERSHIP WITH THE PASADENA PUBLIC HEALTH DEPARTMENT. SCHEDULE H, PART V, SECTION B, LINE 7A HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/COMMUNITY/COMMUNITY-BENEFIT/ SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE: HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/WP-CONTENT/UPLOADS/2020/06/PASADENA-CHN A-V21-11-26-2019.PDF SCHEDULE H, PART V, SECTION B, LINE 10A HOSPITAL FACILITY'S WEBSITE: HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/WP-CONTENT/UPLOADS/2020/04/IMPLEMENTATI ON-STRATEGY-2019.PDF OTHER WEBSITE: HTTPS://WWW.HUNTINGTONHOSPITAL.ORG/WP-CONTENT/UPLOADS/2020/04/IMPLEMENTATI ON-STRATEGY-2019.PDF SCHEDULE H, PART V, SECTION B, LINE 11 BASED ON THE RESULTS OF THE PRIORITIZATION PROCESS, A HUNTINGTON HOSPITAL CHNA WORKGROUP, WITH EXECUTIVE MANAGEMENT TEAM PARTICIPATION, DETERMINED THAT THE HOSPITAL'S FOUR PRIORITY HEALTH NEEDS FOR THE NEXT THREE YEARS, 2020 - 2022, WILL BE: - ACCESS TO HEALTH CARE SERVICES, WITH A FOCUS ON IMPROVING ACCESS TO HEALTH CARE SERVICES AND STRENGTHENING THE CONTINUUM OF CARE - OLDER ADULTS AND AGING, WITH A FOCUS ON SUPPORTING INDEPENDENCE AND HEALTHY AGING - MATERNAL/INFANT AND CHILD/ADOLESCENT HEALTH, WITH A FOCUS ON CHILD AND ADOLESCENT HEALTH, WITH A FOCUS ON IMPROVING STUDENT HEALTH AND RELATED ISSUES SUCH AS MENTAL HEALTH AND HOUSING AND FOOD INSECURITY - EXERCISE, NUTRITION AND WEIGHT, WITH AN EMPHASIS ON SUPPORTING HEALTHY LIFESTYLES FOR EACH OF HEALTH NEEDS IDENTIFIED ABOVE, SUPPORTING PROGRAMS AND SERVICES - AS WELL AS COMMUNITY PARTNERSHIPS - DIRECTLY RELATED TO BOTH MENTAL HEALTH AND FOOD AND HOUSING INSECURITY ARE ADDRESSED. NUMEROUS PROGRAMS IN RESPONSE TO THESE NEEDS ARE PRESENTED IN THE IMPLEMENTATION STRATEGY, INCLUDING ENROLLMENT AND NAVIGATION ASSISTANCE, SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND LIFE SITUATIONS (SUCH AS PREGNANCY, CHILDBIRTH, FOOD INSECURITY AND GRIEF), TAILORED EDUCATION SESSIONS, SOCIAL PROGRAMMING, AND RESOURCES TO INCREASE INDEPENDENCE AND HEALTH. THESE SIGNIFICANT HEALTH NEEDS WERE SELECTED BECAUSE APPROACHES TO THEIR IMPROVEMENT ARE COMPATIBLE WITH THE HOSPITAL'S MISSION, VISION, CORE VALUES AND COMMITMENT; RESOURCES AND EXPERTISE, PROVIDING THE BEST OPPORTUNITY TO POSITIVELY ASSIST AND SUPPORT OUR COMMUNITY. 1. ACCESS TO HEALTH CARE SERVICES MEASURABLE OBJECTIVE: INCREASE ACCESS TO HEALTH CARE SERVICES FOR NONELDERLY RESIDENTS OF GREATER PASADENA. SUPPORTING STRATEGIES: - PROVIDE NAVIGATION ASSISTANCE TO OBTAIN HEALTH INSURANCE AND/OR SERVICES AVAILABLE FOR VULNERABLE PERSONS - PROVIDE HEALTHCARE OUTREACH SERVICES - OFFER AFFORDABLE, HIGH-QUALITY PRIMARY AND SPECIALTY HEALTHCARE TO THE UNDERSERVED POPULATION - PROVIDE MEDICAL CLINICS IN THE COMMUNITY TO SUPPLEMENT EXISTING SERVICES TO REACH ADULT UNDERSERVED RESIDENTS - PROVIDE SUPPORT TO PUBLIC AND PRIVATE ENTITIES TO ENHANCE HEALTH CARE SERVICES 2. OLDER ADULTS AND AGING MEASURABLE OBJECTIVE: INCREASE ACCESS TO A VARIETY OF DEDICATED PROGRAMS FOR SENIORS THAT FOSTER INDEPENDENCE AND WELL-BEING. SUPPORTING STRATEGIES: - PROVIDE OLDER ADULTS AND THEIR FAMILY CAREGIVERS WITH ENROLLMENT ASSISTANCE, SERVICES, INFORMATION, EDUCATION, AND SUPPORT - COORDINATE, INFORM, AND ADMINISTER FLU SHOTS DURING FLU SEASON IN A VARIETY OF CONVENIENT LOCATIONS - SUPPORT PERSONS WITH CHRONIC DISEASES, LIMITED RESOURCES, AND PSYCHOSOCIAL ISSUES WHICH LEAD TO HOSPITALIZATION AND THREATEN INDEPENDENCE - SUPPORT LOW-INCOME SENIORS TO LIVE INDEPENDENTLY IN THEIR HOMES - SUPPORT LOW-INCOME SENIORS WHO LACK TRANSPORTATION TO LIVE INDEPENDENTLY IN THEIR HOMES - OFFER ONGOING, YEAR-ROUND OPPORTUNITIES FOR VOLUNTEERING, AS A MEANS TO INCREASE SOCIAL PARTICIPATION AND HEALTHY AGING 3. MATERNAL/INFANT AND CHILD/ADOLESCENT HEALTH MEASURABLE OBJECTIVE: INCREASE ACCESS TO A VARIETY OF DEDICATED PROGRAMS THAT FOSTER HEALTH AND WELL-BEING. SUPPORTING STRATEGIES: - PROVIDE ROUTINE MATERNITY TOURS AND ORIENTATIONS, PREPARED CHILDBIRTH EDUCATION CLASSES, SUPPORT PROGRAMS TO ASSIST WITH PREGNANCY AND POSTPARTUM, AND SPECIALIZED PROGRAMS FOR PARENTS WITH AN INFANT IN THE NICU - PROVIDE NO-COST SERVICES INCLUDING INDIVIDUAL ASTHMA EDUCATION AND AN ASTHMA CLINIC FOR CHILDREN, ADOLESCENT AND ADULTS - PURSUE DEVELOPMENT OF STRATEGIES TO REDUCE HOSPITAL SURPLUS FOOD VIA PARTNERING WITH COMMUNITY ORGANIZATIONS TO REDISTRIBUTE FOOD - CONTINUE GRANT-FUNDED EFFORT TO INSTITUTE SPECIALIZED PROGRAMMING WITH PUSD - WORK COLLABORATIVELY WITH PUSD AND AREA PUBLIC AND COMMUNITY ORGANIZATIONS TO ENHANCE EFFORTS TO ASSIST HOMELESS CHILDREN AND THEIR FAMILIES PROVIDE HEALTH EDUCATION AND SUPPORT IN THE COMMUNITY 4. EXERCISE, NUTRITION AND WEIGHT MEASURABLE OBJECTIVE: INCREASE PARTICIPATION IN DEDICATED COMMUNITY PROGRAMS AND SERVICES TO MAINTAIN HEALTHY LIFESTYLES. SUPPORTING STRATEGIES: - PROVIDE HEALTH EDUCATION AND SUPPORT IN THE COMMUNITY - PROVIDE HEALTH EDUCATION AND SUPPORT FOR INDIVIDUALS AND CAREGIVERS WITH DIABETES - PURSUE DEVELOPMENT OF A PROGRAM OF TARGETED OUTREACH - VIA BARBERSHOPS - TO AFRICAN AMERICAN MEN - ON AN ONGOING BASIS, OFFER SPECIALIZED SUPPORT GROUPS AND SERVICES FOR INDIVIDUALS, FAMILIES, AND CAREGIVERS SCHEDULE H, PART V, SECTION B, LINE 16A https://www.huntingtonhospital.org/patients/cost-of-care/#financial-assist ance SCHEDULE H, PART V, SECTION B, LINES 16B https://www.huntingtonhospital.org/patients/cost-of-care/#financial-assist ance SCHEDULE H, PART V, SECTION B, LINES 16C https://www.huntingtonhospital.org/patients/cost-of-care/#financial-assist ance SCHEDULE H, PART V, SECTION B, LINE 16J PHA PROVIDES A CONSIDERABLE AMOUNT OF ITS SERVICES WITHOUT CHARGE TO FINANCIALLY ELIGIBLE PATIENTS WHO CANNOT AFFORD TO PAY FOR CARE. ALL MEDICALLY NECESSARY SERVICES ARE AVAILABLE AS UNCOMPENSATED SERVICES, BASED ON NEED. PHA PUBLICIZES THE FINANCIAL ASSISTANCE POLICY ON THE FACILITY'S WEBSITE. MOREOVER, INCLUDED ON THE BACK OF EACH BILLING STATEMENT IS A DISCLAIMER REGARDING FINANCIAL ASSISTANCE BEING AVAILABLE AND A CONTACT NUMBER TO CALL, IF INTERESTED. IN ADDITION, PHA HAS SIGNAGE POSTED IN THE ADMITTING AND EMERGENCY ROOM AREAS. A WRITTEN COPY OF THIS POLICY IS AVAILABLE UPON REQUEST, AS INDICATED ON THIS SIGNAGE DISPLAYED. SCHEDULE H, PART V, SECTION B, LINE 20D HUNTINGTON HAS A PRESUMPTIVE ELIGIBILITY PROCESS BUT IT IS APPLIED AFTER NOTIFICATION EFFORTS DESCRIBED IN OUR FAP BUT NO RESPONSE FROM THE PATIENT AND COLLECTION EFFORTS HAVE BEEN EXHAUSTED. AS SUCH, IT DOES NOT CURRENTLY MEET ALL THE REQUIREMENTS IN SECTION 1.501(R)-6(C)(2). HOWEVER, HUNTINGTON DOES MEET THE REQUIREMENTS UNDER SECTION 1.501(R)-6(C)(3) FOR REASONABLE EFFORTS BASED ON NOTIFICATION AND PROCESSING OF APPLICATIONS AS DESCRIBED IN OUR FAP. THE HOSPITAL CONTINUES TO ASSESS AND CONSIDER IMPLEMENTING PRESUMPTIVE ELIGIBILITY PROCESS BEFORE REFERRING ACCOUNTS TO COLLECTION AGENCIES IN THE FUTURE. 9 HUNTINGTON AMBULATORY SURGERY CENTER 625 S FAIR OAKS AVE SUITE 380 PASADENA CA 91105 AMBULATORY SURGERY CENTER HUNTINGTON HOSPITAL CANCER CTRRAD ONCOL 625 S FAIR OAKS AVE SUITE 355 PASADENA CA 91105 DIAGNOSTIC TREATMENT CENTER HUNTINGTON OUTPATIENT IMAGING CENTER LLC 223 N 1ST AVE SUITE 201 ARCADIA CA 91106 OUTPATIENT IMAGING CENTER HUNTINGTON OUTPATIENT REHABILITATION 630 S RAYMOND AVE SUITE 120 PASADENA CA 91105 REHABILITATION SERVICES HUNTINGTON HOSPITAL SENIOR CARE NETWORK 100 W CALIFORNIA BLVD PASADENA CA 91105 SOCIAL WORK SERVICES HUNTINGTON HILL IMAGING LLC 1509 WEST CAMERON AVE SUITE D-100 WEST COVINA CA 91790 OUTPATIENT IMAGING CENTER PRE OP TESTING AND OP LABORATORY 625 S FAIR OAKS AVE SUITE 345 PASADENA CA 91105 OUTPATIENT LABORATORY SVCS NEUROSCIENCES PROGRAM 625 S FAIR OAKS AVE SUITE 325 PASADENA CA 91105 DIAGNOSTIC TREATMENT CENTER OUTPATIENT CARDIOVASCULAR LABORATORY 625 S FAIR OAKS AVE SUITE 345 PASADENA CA 91105 DIAGNOSTIC TREATMENT CENTER SCHEDULE H, PART I, LINE 3C WITH REGARDS TO DETERMINING ELIGIBILITY FOR CHARITABLE CARE, PASADENA HOSPITAL ASSOCIATION (PHA) HAS ESTABLISHED A STANDARD BY USING THE GROSS INCOME, THE FEDERAL POVERTY LEVELS, FAMILY SIZE, GEOGRAPHIC AREA AND OTHER PERTINENT FACTORS. FOR FINANCIAL ASSISTANCE CONSIDERATION, (CHARITY CARE POLICY), MONETARY ASSETS ARE INCLUDED IN DETERMINING ELIGIBILITY. THE FIRST TEN THOUSAND DOLLARS ($10,000) OF A PATIENT'S MONETARY ASSETS SHALL NOT BE COUNTED IN DETERMINING ELIGIBILITY, NOR SHALL 50 PERCENT OF A PATIENT'S MONETARY ASSETS OVER THE FIRST TEN THOUSAND DOLLARS ($10,000) BE COUNTED IN DETERMINING ELIGIBILITY. DISCOUNTS UNDER OTHER FINANCIAL DISCOUNT POLICIES DO NOT COUNT MONETARY ASSETS IN DETERMINING ELIGIBILITY. HOWEVER, THE FEDERAL POVERTY LEVEL CONTINUES AS A SIGNIFICANT THRESHOLD IN THE ELIGIBILITY PROCESS. SCHEDULE H, PART I, LINES 7A & 7B MEDICAL CARE SERVICES PROVIDED TO CHARITY AND MEDI-CAL BENEFICIARIES RESULT IN SHORTFALLS FOR THE HOSPITAL. THESE SHORTFALL COSTS ARE NET OF ANY APPLICABLE PAYMENTS RECEIVED FROM CHARITY OR MEDI-CAL. THE METHOD FOR DETERMINING THESE SHORTFALLS IS BASED ON ACTUAL COSTS AS CALCULATED BY A COST ACCOUNTING SYSTEM. THIS ROBUST COST ACCOUNTING SYSTEM PRIMARILY UTILIZES A RELATIVE VALUE UNIT (RVU) COSTING APPROACH WHICH IS CALCULATED USING A SIMULTANEOUS EQUATIONS METHODOLOGY. THE COST ACCOUNTING SYSTEM INCLUDES ALL THE PATIENT TYPES (INPATIENT, OUTPATIENT & EMERGENCY) AND PAYORS (MEDICARE, MEDI-CAL, COMMERCIAL HMO, SENIOR HMO AND ALL OTHERS) SEEKING SERVICES AT THE HOSPITAL. THE UNREIMBURSED MEDICAID PERCENTAGE OF TOTAL EXPENSE IS INDICATING AN INCREASE OVER THE PREVIOUS YEAR OF TY 12/31/18 (5.15% IN TY 12/31/18 COMPARED TO 5.24% IN TY 12/31/19). THIS SUPPLEMENTAL MEDI-CAL (CALIFORNIA MEDICAID) PROGRAM AIMED TO HELP CALIFORNIA HOSPITALS REGAIN SOME OF THE BILLIONS THEY LOST YEAR OVER YEAR DUE TO LOW MEDI-CAL REIMBURSEMENT RATES. FOR TY 12/31/19, THE IMPACT OF THE HOSPITAL FEE PROGRAM WAS A $1.4 MILLION LOSS WHICH WAS RECORDED BY HUNTINGTON MEMORIAL HOSPITAL. THIS LOSS IS INCLUDED ON SCHEDULE H, PART I, LINE 7(B). FOR THE NEXT 30-MONTH HOSPITAL PROGRAM PERIOD BEGINNING JULY 1, 2019, THE HOSPITAL IS PROJECTED TO BE A NET CONTRIBUTOR OF $14.8M HOWEVER, THE HOSPITAL HAS APPLIED FOR GRANT FUNDING FROM THE CALIFORNIA HEALTH FOUNDATION & TRUST (CHFT) ON AUGUST 12, 2020. SCHEDULE H, PART I, LINES 7E-7H THESE PROGRAMS AND OCCURRENCES DETERMINED THE NET COMMUNITY BENEFITS EXPENSES BY COMPILING THE TOTAL COMMUNITY EXPENSES LESS THE DIRECT OFFSETTING REVENUES (INCLUDING RESTRICTED GRANTS, IF APPLICABLE), ASSOCIATED WITH THESE ACTIVITIES. IN ADDITION TO THE DIRECT EXPENSES, INDIRECT EXPENSES WERE INCLUDED TO ACCOUNT FOR OVERHEAD COSTS TO CONDUCT THE PROGRAMS. THE METHOD USED IS THE "OTHER METHOD" BY CALCULATING DIRECT EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS. SCHEDULE H, PART I, LINES 7E-7H THESE PROGRAMS AND OCCURRENCES DETERMINED THE NET COMMUNITY BENEFITS EXPENSES BY COMPILING THE TOTAL COMMUNITY EXPENSES LESS THE DIRECT OFFSETTING REVENUES (INCLUDING RESTRICTED GRANTS, IF APPLICABLE), ASSOCIATED WITH THESE ACTIVITIES. IN ADDITION TO THE DIRECT EXPENSES, INDIRECT EXPENSES WERE INCLUDED TO ACCOUNT FOR OVERHEAD COSTS TO CONDUCT THE PROGRAMS. THE METHOD USED IS THE "OTHER METHOD" BY CALCULATING DIRECT EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS.PROGRAMS. EXPENSES (WAGE AND NONWAGE EXPENSES) ATTRIBUTABLE TO THE RESPECTIVE PROGRAMS. SCHEDULE H, PART I, LINE 7E, COLUMN B THE NUMBER OF PERSONS SERVED FOR THE COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFITS OPERATION PROGRAMS INCLUDES THE NUMBER OF INDIVIDUALS VISITING THE PHA AND HEALTHY PASADENA WEBSITES, AMOUNG OTHER RELATED PROGRAMS. EXAMPLES OF THESE OTHER PROGRAMS INCLUDES BREAST CANCER AWARENESS, HEART DISEASE AWARENESS, DIABETES EDUCATION AND SUPPORT GROUPS, HEALTH FAIRS, CANCER SUPPORT GROUPS, NICU SUPPORT GROUPS ACTIVITIES AND SIMILAR PROGRAMS. SCHEDULE H, PART I, LINE 7G PHA SUBSIDIZED SOME CLINICS AND PROGRAMS RELATED TO LOW-INCOME TRAUMA, SENIOR AND PERINATAL POPULATIONS. THESE INCLUDED A TRAUMA INTERAGENCY COMMUNICATION PROGRAM/TRAINING, LOW-INCOME SENIOR CARE CLINICS, LOW-INCOME MEDICARE/MEDI-CAL CLINICS, LOW-INCOME PERINATAL CLINICS THAT EXPERIENCE SHORTFALLS FROM STATE FUNDED CARE COORDINATION ASSOCIATED WITH THE MULTIPURPOSE SENIOR SERVICES PROGRAM (MSSP) FOR LOW INCOME MEDICARE/MEDI-CAL POPULATIONS. NO COSTS ATTRIBUTABLE TO PHYSICIAN CLINICS ARE INCLUDED. SCHEDULE H, PART II PHA PLAYS AN ACTIVE ROLE IN COMMUNITY COALITION BUILDING IN COLLABORATION WITH A BROAD RANGE OF COMMUNITY AND PUBLIC ORGANIZATIONS ENCOMPASSING THE PUBLIC SECTOR, THE FAITH COMMUNITY, AND PRIVATE BUSINESSES. BEYOND HEALTH CARE, PHA PARTICIPATES IN DEVELOPMENT OF SOCIAL AND ECONOMIC PROGRAMS TO ENCOURAGE IMPROVEMENTS IN SAFETY AND LEADERSHIP TRAINING, RECREATIONAL ACTIVITIES, INCREASED INVOLVEMENT OF PARENTS IN SCHOOL POLICIES, ETC. SPECIFICALLY, TO HEALTH CARE RELATED COMMUNITY BUILDING OBJECTIVES, PHA ENGAGES IN ACTIVITIES THAT INCLUDE OFFERING AN AMBULATORY CARE CENTER TO UNDER-INSURED AND UNINSURED PERSONS, PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS (SENIOR CARE NETWORK), PROVIDING DEDICATED, MULTI-SESSION COMMUNITY HEALTH EDUCATION PROGRAMS ON TOPICS SUCH AS HIGH BLOOD PRESSURE, DIABETES AND ASTHMA FOR CHILDREN AND THEIR FAMILIES AS WELL AS ADULTS; PROVIDING COMMUNITY HEALTH EDUCATION AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A HEALTH SCIENCE LIBRARY AND PARTNERING WITH COMMUNITY ORGANIZATIONS. THESE ACTIVITIES ILLUSTRATE HUNTINGTON MEMORIAL HOSPITAL'S COMMITMENT TO SUPPORTING AND BUILDING THE COMMUNITY. SCHEDULE H, PART III, SECTION A, LINE 2 REGARDING PHA BAD DEBT, PHA RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED ON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYOR TYPES. THE PROVISION FOR DOUBTFUL ACCOUNTS ARE RECORDED NET OF ANY PAYMENTS, CONTRACTUAL ALLOWANCES AND DISCOUNTS. SCHEDULE H, PART III, SECTION A, LINE 3 WITH REGARDS TO AN ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS POSSIBLY ELIGIBLE FOR FINANCIAL ASSISTANCE: PHA CONDUCTED THIS ESTIMATE BY USING THE BAD DEBT WRITE-OFFS POSTED TO THE RESPECTIVE TRENDED YEARS AND IDENTIFIED THE BAD DEBT SUBSEQUENTLY RECLASSIFIED TO CHARITY. THE AVERAGE OF THE AMOUNTS FOR THE PREVIOUS FIVE YEARS YIELDED APPROXIMATELY 0.87 PERCENT. THIS PERCENTAGE WAS APPLIED TO THE 2019 TOTAL NET BAD DEBT EXPENSE REPORTED IN PART III, LINE 2 TO ESTIMATE THE PORTION OF BAD DEBT THAT POTENTIALLY COULD QUALIFY FOR CHARITY IN FUTURE YEARS. THE PATIENT IS PROVIDED INFORMATION VIA HOSPITAL NOTIFICATION AT THE REGISTRATION POINTS OF ACCESS. ADDITIONALLY, THE HOSPITAL PROVIDES THE PATIENT WITH INFORMATION ON THE ELIGIBILITY OPTION AND APPLICATION WITH THE FIRST TWO HOSPITAL STATEMENTS ALONG WITH THE PROVISION OF A LINK VIA THE HOSPITAL WEBSITE. INFORMATION IS ALSO INDICATED ON THE PATIENT STATEMENT WHICH INCLUDE A PATIENT FRIENDLY SUMMARY OF THE OPTION AND THE PROCESS. THIS IS ALSO THE SAME INFORMATION PROVIDED ON THE STATE OSHPD WEBSITE (FAP, FAA AND PLAIN LANGUAGE SUMMARY). SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT: THE FOOTNOTES TO THE PHA FINANCIAL STATEMENTS INCLUDE A BAD DEBT FOOTNOTE THAT CAN BE FOUND ON PAGE 23 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS RETURN. SCHEDULE H, PART III, LINE 8 (A) THE MEDICARE SHORTFALL INCURRED BY PHA IS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL PROVIDES NEEDED ACUTE, REHABILITATIVE, PSYCHIATRIC, OUTPATIENT AND TRAUMA CARE TO ASSIST ELDERLY AND DISABLED ADULTS RETURN TO GOOD HEALTH, ALL WHILE BEING PAID REIMBURSEMENT RATES FROM MEDICARE THAT COVER ONLY A FRACTION OF THE COST OF PROVIDING SUCH CARE. THE REPORTED MEDICARE SHORTFALL AMOUNT IS CONSISTENT WITH THE FILED COST REPORT AND IS NET OF DIRECT GRADUATE MEDICAL EDUCATION REVENUES AND COSTS REFLECTED IN PART I. (B) THE MEDICARE COST REPORT CALCULATES MEDICARE COSTS FOR ACUTE CARE HOSPITALS USING RATIOS OF COST-TO-CHARGES AND CALCULATED PER DIEM AVERAGE. SCHEDULE H, PART III, LINE 9B PHA DOES NOT PURSUE COLLECTION OF AMOUNTS FOR CARE WITHOUT CHARGE TO PATIENTS WHO MEET CERTAIN CRITERIA AND ARE KNOWN TO QUALIFY FOR CHARITY CARE. UNINSURED PATIENTS ARE AUTOMATICALLY EXTENDED COURTESY DISCOUNTS ON ALL INPATIENT AND EMERGENCY SERVICES TO PATIENTS WHO MEET CERTAIN LOW-INCOME GUIDELINES BUT ARE NOT ELIGIBLE FOR CHARITY CARE. THE CHARITY POLICY AND PROCEDURE SEEKS TO DIFFERENTIATE BETWEEN PATIENTS WHO DEMONSTRATE AN INABILITY TO PAY, VERSUS BAD DEBT, WHICH IS THE UNWILLINGNESS OF THE PATIENT TO PAY. THE COURTESY DISCOUNT AVERAGES APPROXIMATELY 70% OF GROSS CHARGES. THE BALANCE (APPROXIMATELY 30% OF GROSS CHARGE) IS BILLED TO THE PATIENT. SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT PHA PERFORMS A COMMUNITY HEALTH NEEDS ASSESSMENT EVERY 3 YEARS, IN ACCORDANCE WITH CALIFORNIA COMMUNITY BENEFITS LEGISLATION FOR NOT-FOR-PROFIT HOSPITALS AND FEDERAL SECTION 501(R) REQUIREMENTS. REVIEW AND ANALYSIS OF DEMOGRAPHICS AND HEALTH-RELATED DATA, COMPARED WITH NATIONAL BENCHMARKS AND REGIONAL EXPERIENCES, COMBINED WITH CONSULTATION WITH COMMUNITY LEADERS AND REPRESENTATIVES OF LOCAL AGENCIES INCLUDING THOSE SERVING THE POOR, MINORITY AND OTHER VULNERABLE POPULATIONS, ARE CONSIDERED IN IDENTIFYING THE PRIORITY HEALTH NEEDS AND OPPORTUNITIES FOR IMPROVEMENT TO ARRIVE AT THE COMMUNITY HEALTH NEEDS USED IN DETERMINING THE 2020-2022 IMPLEMENTATION STRATEGY AND ANNUAL COMMUNITY BENEFITS PLAN FOR THE HOSPITAL'S SERVICE AREA OF GREATER PASADENA. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE ORGANIZATION PROVIDES EDUCATION TO PATIENTS ABOUT ELIGIBILITY FOR ASSISTANCE IN SEVERAL WAYS. FINANCIAL COUNSELORS ARE ON HAND TO EVALUATE PATIENTS FOR THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR THE HOSPITAL'S CHARITY CARE AND DISCOUNT POLICIES, AND FACILITATE APPLICATION FOR ASSISTANCE. PATIENTS WHO ARE UNINSURED ARE GIVEN A NOTICE AT THE TIME OF ADMISSION/REGISTRATION, AND THE HOSPITAL POSTS NOTICES INFORMING PATIENTS OF ITS CHARITY CARE POLICY. ADDITIONALLY, THE HOSPITAL'S WEBSITE POSTS PAYMENT OPTIONS AND ALTERNATIVES AVAILABLE TO PATIENTS WITHOUT HEALTHCARE COVERAGE. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE 2019 CHNA OF GREATER PASADENA FOCUSES ON THE HUNTINGTON HOSPITAL PRIMARY SERVICE AREA, A GEOGRAPHIC AREA THAT IS COMPRISED OF NINE CONTIGUOUS ZIP CODES AND INCLUDES THE COMMUNITIES OF PASADENA (ZIP CODES 91101, 91103, 91104, 91105, 91106, 91107), ALTADENA (ZIP CODE 91101), SOUTH PASADENA (ZIP CODE 91030), AND SAN MARINO (ZIP CODE 91108). PHA IS THE ONLY HOSPITAL FACILITY WITHIN THE GREATER PASADENA AREA (CHNA SERVICE AREA), HOWEVER PHA IS ONE OF 16 ACUTE CARE HOSPITALS IN THE SAN GABRIEL VALLEY AND THE ONLY LEVEL II TRAUMA CENTER AS WELL AS THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) IN THE REGION. THE POPULATION OF GREATER PASADENA IS 235,819, REPRESENTING APPROXIMATELY 2.3% OF THE ENTIRE POPULATION OF LOS ANGELES COUNTY. AMONG THE HIGHLIGHTS: - THERE ARE 25,628 CHILDREN UNDER 18 YEARS OF AGE IN GREATER PASADENA (18% OF THE POPULATION) AND 21,921 ADULTS OVER 65 YEARS OF AGE IN GREATER PASADENA (15% OF THE POPULATION). IN THE LAST TEN YEARS, THE PERCENTAGE OF CHILDREN HAS DECREASED BY 10% AND THE PERCENTAGE OF OLDER ADULTS HAS INCREASED BY 15% - THE POPULATION OF GREATER PASADENA IS RACIALLY AND ETHNICALLY DIVERSE, WITH WHITES COMPROMISING APPROXIMATELY 36% OF THE TOTAL POPULATION, HISPANICS 34%, ASIANS 16%, AND BLACKS (10%) - THE MAJORITY OF THE POPULATION SPEAKS ENGLISH AT HOME (57%), FOLLOWED BY SPANISH (23%), MANDARIN AND OTHER ASIAN LANGUAGES (13%), AND INDO-EUROPEAN LANGUAGES INCLUDING ARMENIAN (6%) - MEDIAN HOUSEHOLD INCOME IN 2019 WAS $92,266 - MEDIAN INCOME WAS SIGNIFICANTLY LOWER IN TWO OF THE ZIP CODES OF THE GREATER PASADENA AREA (MEDIAN HOUSEHOLD INCOME WAS $64,223 IN ZIP CODE 91101 AND $69,334 IN ZIP CODE 91103) - EDUCATIONAL ATTAINMENT OF ADULTS 25 YEARS AND OLDER IS HIGH, WITH APPROXIMATELY 51% HAVING EARNED A BACHELORS DEGREE OR HIGHER; HOWEVER, APPROXIMATELY 12% OF ADULTS DO NOT HAVE A HIGH SCHOOL DIPLOMA - AN ESTIMATED 8.3% OF FAMILIES IN GREATER PASADENA LIVED BELOW THE FEDERAL POVERTY LEVEL - 16.3% OF PERSONS 65 YEARS AND OLDER LIVED BELOW IN THE FEDERAL POVERTY LEVEL - THERE WERE 677 HOMELESS INDIVIDUALS IN THE CITY OF PASADENA AS OF JANUARY 2019; 25% ARE CHRONICALLY HOMELESS AND 40% ARE OVER AGE 50 YEARS - THE RATE OF INSURED PERSONS IN PASADENA HAS INCREASED STEADILY SINCE 2010, TO 90% IN 2017 - LEADING CAUSES OF DEATH AND PREMATURE DEATH INCLUDE HEART DISEASE, STROKE, HYPERTENSIVE DISEASES AND CANCER - RACIAL DISPARITIES EXIST AMONG INFLUENZA AND PNEUMONIA DEATHS, WITH DEATHS HIGHEST AMONG WHITES - THE OVERALL NUMBER OF BIRTHS HAS DECLINED BY ABOUT 50 BIRTHS EACH YEAR IN THE PAST TEN YEARS, RESULTING IN 25% FEWER BIRTHS IN PASADENA - PRENATAL CARE ACCESS IS LOWEST AMONG BLACK MOTHERS AND HISPANIC MOTHERS WHEN COMPARED TO WHITES AND ASIAN MOTHERS - THE THREE-YEAR AVERAGE RATES OF INFANT MORTALITY ARE HIGHEST AMONG BLACK INFANTS AND EXCEED THE HEALTHY PEOPLE 2020 GOAL - APPROXIMATELY 10% OF NEW MOTHERS REPORTED PRENATAL DEPRESSION SYMPTOMS AND 15% REPORTED POSTPARTUM DEPRESSION SYMPTOMS (THE RATE APPEARS TO BE DECLINING) - APPROXIMATELY 36% OF ADOLESCENTS ARE OVERWEIGHT/OBESE IN SPA 3 - APPROXIMATELY 56% OF ADULTS ARE OVERWEIGHT/OBESE IN SPA 3 SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH PHA HAS AN OPEN MEDICAL STAFF, AND A COMMUNITY BOARD (BOARD OF DIRECTORS COMPOSED OF COMMUNITY MEMBERS). THE HOSPITAL CONDUCTS NUMEROUS ACTIVITIES THAT CONTRIBUTE TO PROMOTING THE HEALTH OF THE COMMUNITY. IN ADDITION TO PROVIDING CHARITY CARE FOR PATIENTS WITHOUT THE ABILITY TO PAY FOR NECESSARY TREATMENT, ABSORBING UNPAID COSTS OF CARE FOR PATIENTS WITH MEDI-CAL AND MEDICARE, OPERATING AN EMERGENCY ROOM ON A 24-HOUR BASIS, AND OFFERING AN AMBULATORY CARE CLINIC TO SERVE UNDER-INSURED AND UNINSURED PERSONS, THE HOSPITAL IS DEDICATED TO PROVIDING SPECIALIZED PROGRAMS AND SERVICES FOR SENIORS AND DISABLED PERSONS, PROVIDING COMMUNITY HEALTH EDUCATION, PREVENTION, AND SUPPORT PROGRAMS FOR A VARIETY OF HEALTH CONDITIONS AND DISEASES, HOSTING FLU CLINICS, OFFERING A CENTER FOR HEALTH EVIDENCE AND GRADUATE MEDICAL EDUCATION, AND PARTNERING WITH COMMUNITY ORGANIZATIONS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT IN ACCORDANCE WITH CALIFORNIA SENATE BILL 697, COMMUNITY BENEFITS LEGISLATION, PHA, A PRIVATE NOT-FOR-PROFIT HOSPITAL, HAS SUBMITTED A COMMUNITY BENEFITS PLAN FOR FISCAL YEAR 2019 (JANUARY 1 TO DECEMBER 31). SENATE BILL 697 REQUIRES A NOT-FOR-PROFIT HOSPITAL IN CALIFORNIA TO COMPLETE THE FOLLOWING ACTIVITIES: - REVIEW AND REAFFIRM ITS MISSION STATEMENT TO ENSURE THAT IT'S POLICIES INTEGRATE AND REFLECT THE PUBLIC INTEREST IN MEETING ITS RESPONSIBILITIES. - COMPLETE AND UPDATE A NEEDS ASSESSMENT EVERY THREE YEARS, EVALUATING THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL. - ADOPT AND FILE A COMMUNITY BENEFITS PLAN ANNUALLY, DOCUMENTING ACTIVITIES THAT THE HOSPITAL HAS UNDERTAKEN TO ADDRESS COMMUNITY NEEDS WITHIN ITS MISSION AND FINANCIAL CAPACITY; AND TO THE EXTENT PRACTICABLE, ASSIGN AND REPORT THE ECONOMIC VALUE OF COMMUNITY BENEFITS PROVIDED IN FURTHERANCE OF ITS PLAN. true HUNTINGTON MEDICAL RESEARCH 99 NORTH EL MOLINO AVE PASADENA CA 91101 951757119 501(C)(3) 262806 SPONSOR AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 75231 135613797 501(C)(3) 140000 SPONSOR HELUNA HEALTH 13300 CROSSROADS PARKWAY NORTH SUI CITY OF INDUSTRY CA 91746 952557063 501(C)(3) 10000 SPONSOR PASADENA RONALD MCDONALD HOUSE 763 S PASADENA AVE PASADENA CA 91105 953167869 501(C)(3) 10000 SPONSOR COMMUNITY CENTER OF LA CANADA 4469 CHEVY CHASE DR LA CANADA FLINTRIDGE CA 91011 951950612 501(C)(3) 7500 SPONSOR CONVALESCENT AID SOCIETY 3255 E FOOTHILL BLVD PASADENA CA 91107 951782304 501(C)(3) 7500 SPONSOR 6 0 SCHOLARSHIPS 22 110000 INDIGENT ASSISTANCE 807 75799 FMV CLOTHING SCHEDULE I, PART IV PROCEDURES FOR MONITORING THE USE OF GRANTS PASADENA HOSPITAL ASSOCIATION, LTD. MONITORS THE SPONSORSHIP AND SCHOLARSHIPS UP FRONT WHEN DETERMINING WHO THE GRANTS ARE AWARDED TO: SPONSORSHIPS WERE GIVEN TO OTHER NON-PROFIT ORGANIZATIONS FOR THEIR FUNDRAISING EVENTS. SCHOLARSHIPS WERE GIVEN TO THE QUALIFIED EMPLOYEES. EVERY SCHOLARSHIP RECIPIENT MUST SHOW PROOF OF ACTIVE ENROLLMENT IN A FORMAL ACADEMIC PROGRAM. EACH SCHOLARSHIP HAS CERTAIN CRITERIA BASED ON DONOR REQUIREMENTS. THE APPLICANTS ARE PROVIDED WITH THE LIST OF CRITERIA AHEAD OF TIME AND THEY SELECT WHICH SCHOLARSHIP THEY ARE APPLYING FOR BASED ON THEIR PERFORMANCE. X true true X X X X X X true true false false false false false false false ILIN OHANESSIANS DIR AMBOP, NEURO, REHAB 217639 0 63977 0 8583 0 18939 0 17330 0 326468 0 0 0 LORI J MORGAN MD MBA BD OF DIR/PRESIDENT & CEO 926120 0 364080 0 157321 0 211807 0 14400 0 1673728 0 0 0 STEPHEN A RALPH BD OF DIRECTORS-PRES. EMERITUS 599721 0 246000 0 134000 0 74401 0 6963 0 1061085 0 115000 0 TIMOTHY S ALBERT HHP EXECUTIVE MEDICAL DIRECTOR 337772 0 0 0 127862 0 5100 0 11211 0 481945 0 0 0 JANE HADERLEIN SVP PHILANTHROPY & PR 434364 0 149850 0 458052 0 172783 0 16705 0 1231754 0 437810 0 PAULA VERRETTE SVP & CMO QUALITY & PHYS. SVCS 364726 0 151191 0 27487 0 38821 0 5191 0 587416 0 0 0 STEVEN L MOHR SVP & CFO 428842 0 100000 0 28558 0 45333 0 13682 0 616415 0 0 0 RAJINDER S TAKHAR SVP, STRAT & PRVDR INTEGRATION 527253 0 178200 0 155875 0 86763 0 17085 0 965176 0 117600 0 DEBRA A ORTEGA CHRO & SVP ADMINISTRATIVE SVCS 329692 0 108900 0 347128 0 104556 0 11704 0 901980 0 323039 0 DEBRA L TAFOYA FORMER KEY EMPLOYEE 0 0 0 0 168000 0 -30785 0 0 0 137215 0 0 0 CHARLES J CASEY-SUDVARY INTERIM CIO 252056 0 22771 0 0 0 8057 0 17330 0 300214 0 0 0 EUGENE E GUTIEREZ IV FORMER KEY EMPLOYEE 208911 0 68343 0 186439 0 16988 0 9127 0 489808 0 32124 0 GLORIA M SANCHEZ-RICO SVP & CHIEF NURSING OFFICER 329367 0 116550 0 25159 0 140146 0 16705 0 627927 0 4500 0 CATHERINE L CHADWELL EXEC DIRECTOR PHILANTHROPY 226918 0 33396 0 0 0 100940 0 17330 0 378584 0 0 0 JOHN F GOEDERS VP STRATEGIC PLANNING/REVENUE 278000 0 105037 0 68362 0 56763 0 17340 0 525502 0 65999 0 GABRIELLA SHERMAN MD VP QUALITY & CLINICAL OPS 387569 0 95482 0 111777 0 36816 0 16695 0 648339 0 95567 0 PHUC X MAI DIRECTOR PHARMACY 254545 0 25372 0 0 0 312 0 16705 0 296934 0 0 0 SCOTT GROOM SVP, CIO 448662 0 123750 0 97110 0 65955 0 9894 0 745371 0 0 0 JEFFREY P WEIGAND CONGRESS ADMIN AND REAL ESTATE 184310 0 0 0 0 0 14745 0 0 0 199055 0 0 0 TERENCE OU VP, ENTERPRISE COMPL/RISK/INT 237567 0 37830 0 20928 0 40000 0 17095 0 353420 0 0 0 SCOTT A ARMSTRONG EXEC DIR FINANCE OPERATIONS 242200 0 85127 0 9707 0 15954 0 17085 0 370073 0 0 0 GAIL CINEXI VP, CLINICAL & SUPPORT SVCS 288882 0 54418 0 18269 0 83474 0 5665 0 450708 0 0 0 SCHEDULE J, PART I, LINE 1A SUPPLEMENTAL COMPENSATION INFORMATION DR. LORI MORGAN, MD, MBA, CEO HAS A MEMBERSHIP IN ATHENAEUUM AND THE VALLEY HUNT CLUB, WHICH ARE SOCIAL CLUBS IN PASADENA. THE USAGE OF CLUBS WAS PRIMARILY FOR BUSINESS PURPOSES. SCHEDULE J, PART I, LINE 4A SUPPLEMENTAL COMPENSATION INFORMATION THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE YEAR. DEBRA L. TAFOYA - $168,000 EUGENE E. GUTIEREZ IV - $128,911 SCHEDULE J, PART I, LINE 4B 457(F) NON-QUALIFIED RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) NON-QUALIFIED RETIREMENT PLAN, EFFECTIVE DECEMBER 15, 2005. THE PURPOSE OF THE PLAN IS TO ENCOURAGE RETENTION OF PEOPLE WHO ARE CRITICAL TO THE LONG-TERM HEALTH AND MISSION OF OUR ORGANIZATION, AND TO ENCOURAGE THEM TO THINK IN TERMS OF SPENDING THEIR FULL CAREERS WITH US. THIS BENEFITS THE ORGANIZATION WITH CONTINUITY AND STABILITY OF KEY MEMBERS OF OUR LEADERSHIP TEAM. THE PLAN COVERS CERTAIN MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA. PARTICIPANTS IN THIS PLAN ARE NOT ELIGIBLE TO PARTICIPATE IN THE 457(F) RETENTION PLAN AT THE SAME TIME. AS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA, CERTAIN PERSONS LISTED ON PART VII OF THE 990 PARTICIPATE IN THE PLAN. THE NORMAL RETIREMENT DATE OF THE PLAN IS AGE 65. EACH PARTICIPANT OF THE PLAN IS FULLY VESTED AT THE NORMAL RETIREMENT DATE OR WHEN THE PARTICIPANT'S AGE PLUS YEARS OF SERVICE EQUALS SEVENTY-FIVE. FOR PARTICIPANTS WITH LESS THAN 20 YEARS OF SERVICE THE NORMAL RETIREMENT BENEFIT IS PRO-RATED. THE BENEFITS ACCRUED FOR EACH INDIVIDUAL UNDER OUR 457(F) RETIREMENT PLAN WERE PAID IN A LUMP SUM UPON VESTING. THIS PLAN WAS CLOSED TO NEW ENTRANTS EFFECTIVE JANUARY 1, 2014. 457(F) NON-QUALIFIED RETENTION PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED A 457(F) NON-QUALIFIED RETENTION PLAN, EFFECTIVE DECEMBER 15, 2005. THE PURPOSE OF THE PLAN IS TO ENCOURAGE RETENTION OF PEOPLE WHO ARE CRITICAL TO THE LONG-TERM HEALTH AND MISSION OF OUR ORGANIZATION, AND TO ENCOURAGE THEM TO THINK IN TERMS OF SPENDING THEIR FULL CAREERS WITH US. THIS BENEFITS THE ORGANIZATION WITH CONTINUITY AND STABILITY OF KEY MEMBERS OF OUR LEADERSHIP TEAM. THE PLAN COVERS CERTAIN MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA. AS MEMBERS OF THE EXECUTIVE MANAGEMENT TEAM OF PHA, CERTAIN PERSONS LISTED ON PART VII OF THE 990 PARTICIPATE IN THE PLAN. THE BENEFITS ACCRUED FOR EACH INDIVIDUAL UNDER OUR 457(F) RETENTION PLAN WERE PAID IN A LUMP SUM UPON VESTING. PARTICIPANTS VEST AFTER THREE YEARS OF SERVICE. DURING THE VESTING PERIOD, THE RETENTION PLAN BENEFIT IS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THE FOLLOWING INDIVIDUAL PARTICIPATED IN THE 457(F) RETENTION PLAN DURING THE YEAR AND RECEIVED A TAXABLE PAYOUT THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION: STEPHEN A. RALPH - $115,000 RAJINDER S. TAKHAR - $117,600 EUGENE E. GUTIEREZ IV - $30,400 JOHN F. GOEDERS - $65,999 GABRIELLA SHERMAN, MD - $82,797 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN: PASADENA HOSPITAL ASSOCIATION (PHA) ADOPTED THE EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN, EFFECTIVE JANUARY 1, 2014 FOR THE BENEFIT OF A SELECT GROUP OF EXECUTIVE MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. THE PURPOSE OF THE PLAN IS TO ENHANCE THE ABILITY OF THE HOSPITAL TO ATTRACT AND RETAIN QUALIFIED MANAGEMENT OR HIGHLY COMPENSATED PERSONNEL. PARTICIPATION IN THE PLAN IS LIMITED TO EMPLOYEES WHO (I) QUALIFY FOR INCLUSION IN A GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES", (II) ARE CLASSIFIED AS EXECUTIVES AT THE VICE PRESIDENT, SENIOR VICE PRESIDENT AND EXECUTIVE VICE PRESIDENT LEVEL OR ABOVE, AND (III) ARE NOT PARTICIPATING IN THE 457(F) RETIREMENT PLAN. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED A TAXABLE PAYOUT THAT IS INCLUDED IN SCHEDULE J, PART II, COLUMN B(III) AS OTHER REPORTABLE COMPENSATION. THE 2019 PAYOUTS WERE RELATED TO THE INITIAL YEAR PLAN CONTRIBUTIONS FOR PARTICIPANTS THAT WERE VESTED IN THE INITIAL PLAN YEAR OF 2014: JANE HADERLEIN - $437,810 DEBRA A. ORTEGA - $323,039 EUGENE E. GUTIEREZ IV - $1,724 GLORIA M. SANCHEZ-RICO - $4,500 GABRIELLA SHERMAN, MD - $12,770 ADDITIONAL AMOUNTS RELATING TO THE 457(F) EXECUTIVE SUPPLEMENTAL RETIREMENT PLAN WERE ACCRUED DURING 2019 TO PROPERLY REFLECT PRIOR YEAR ACTIVITY. A ca Statewide Communities Development AUTHORITY 680164610 13080SCT9 2014-05-07 51196500 SEE PART VI false false false B CA Statewide Communities Development Authority 680164610 13080SEA8 2014-12-04 168043186 SEE PART VI false false false C CA Statewide Communities Development Authority 680164610 13080STK0 2018-05-02 108846145 SEE PART VI false false false A 0 0 51558216 0 0 0 670021 0 0 50985200 0 1468 false false true true B 7895000 0 168098746 0 0 0 2478240 0 0 0 165620506 0 false true true true C 240000 0 112003132 0 0 0 1712276 0 0 44163102 0 66127754 false false false true A false false false false 0.00000 0.00000 0.00000 false false false true B false true true true false 0.00000 0.00000 0.00000 false false false true C false false false false 0.00000 0.00000 0.00000 false false false true A false false false true false false 0 false 0 true true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true BOND ISSUE A PART I, COLUMN (F): THE BONDS WERE ISSUED TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF HEALTH FACILITIES OF HUNGTINGTON MEMORIAL HOSPITAL. PART II, LINE 3: THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2(C): THE 5TH YEAR REBATE WAS PREPARED BY BLX GROUP LLC AND DATED MAY 7, 2019. BOND ISSUE B PART I, COLUMN (F): THE BONDS REFUND THE SERIES 2005 (ISSUED 05/18/15). PART II, LINE 3: THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART II, LINE 13: SINCE THE PROCEEDS OF THE 2014 BONDS ARE USED FOR REFUNDING PURPOSES, THE YEAR OF SUBSTANTIAL COMPLETION IS NOT APPLICABLE. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PART III, LINE 6. THE ORGANIZATION HAS NOT UNDERTAKEN AN ANALYSIS OF THE PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. PART IV, LINE 2 (C): THE 5TH YEAR REBATE WAS PREPARED BY BLX GROUP LLC AND DATED DECEMBER 15, 2019. BOND ISSUE C PART I, COLUMN (F): THE BONDS WERE ISSUED TO FINANCE THE ACQUISITION, CONSTRUCTION, IMPROVEMENT AND EQUIPPING OF HEALTH FACILITIES OF HUNGTINGTON MEMORIAL HOSPITAL. PART II, LINE 3: THE DIFFERENCE BETWEEN PART I, COLUMN (E) AND PART II, LINE 3 IS DUE TO INTEREST EARNINGS ON INVESTED BOND PROCEEDS. PART III, LINE 7: AS PROVIDED IN TREASURY REGULATION SECTION 1.141-4(C)(2)(I)(B), THE AMOUNT OF PRIVATE PAYMENTS TAKEN INTO ACCOUNT UNDER THE PRIVATE PAYMENT TEST MAY NOT EXCEED THE AMOUNT OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS USE. ACCORDINGLY, THE AMOUNT OF PRIVATE PAYMENTS FOR THE REPORTING PERIOD DOES NOT EXCEED THE AMOUNT STATED IN PRIVATE SECURITY TEST WITH RESPECT TO THE BONDS, AS THE LEVEL OF PRIVATE BUSINESS USE AND/OR UNRELATED TRADE OR BUSINESS REPORTED IN PART III, LINE 6, IS NOT IN EXCESS OF AMOUNTS PERMITTED UNDER SECTION 145 OF THE CODE. LORI J MORGAN MD CURRENT OFFICER HOME LOAN X 850000 681702 false true true 681702 SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 24591825 MEDICAL SUPPLIES false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 17536154 CONSTRUCTIONS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 5063433 PATIENT REVENUE SYSTEM false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 4189561 FOOD SVCS AND MGMT false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 3450595 CONSTRUCTIONS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2819723 CONSTRUCTIONS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2251566 INSURANCE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 2167740 HEALTH PLAN TPA false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1838141 LEGAL false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1593733 CONSULTING SVCS false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 1464380 MEDICAL GROUP false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 766071 EXTENDED BUSINESS OFFICE false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 730915 LEGAL false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 646506 PURCHASING SUPPLIES MGMT false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 561044 PUBLICATION false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 440671 MEDICAL GROUP false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 354300 PARKING MANAGEMENT false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 229234 LEGAL false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 143133 LEGAL false SUBSTANTIAL CONTRIBUTOR SUBSTANTIAL CONTRIBUTOR 127486 CONSTRUCTIONS false X 1 1300 SELLING PRICE X 21 278729 SELLING PRICE 0 false true true SCHEDULE M, COLUMN (B) THE AMOUNTS IN COLUMN B REPRESENT THE NUMBER OF CONTRIBUTIONS RECEIVED. SCHEDULE M, LINE 32A SOLICITATION, PROCESSING, OR NONCASH CONTRIBUTIONS HUNTINGTON HOSPITAL USES MORGAN STANLEY TO SELL THE STOCK DONATIONS AND RITEWAY TO SELL THE CARS RECEIVED FROM DONORS. RITEWAY WILL ISSUE FORM 1099-C TO THE DONOR IF NECESSARY. FORM 990, PART I, LINE 1 CARING NURSES, PROFESSIONAL STAFF AND ADVANCED TECHNOLOGIES. OUR VISION, MISSION, AND CORE VALUES GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. FORM 990, PART III, LINE 1 AT HUNTINGTON HOSPITAL, OUR MISSION IS TO PROVIDE EXCELLENT HEALTH CARE AND COMPASSIONATE SERVICE TO EACH PERSON BY BRINGING TOGETHER OUTSTANDING PHYSICIANS, CARING NURSES, PROFESSIONAL STAFF AND ADVANCED TECHNOLOGIES. OUR VISION, MISSION, AND CORE VALUES GUIDE OUR ORGANIZATION'S COMMITMENT TO COMMUNITY NEEDS. FORM 990, PART III, LINE 4A FOUNDED IN 1892, HUNTINGTON HOSPITAL IS COMMITTED TO PROVIDING EXCELLENT PATIENT CARE DELIVERED WITH COMPASSION AND RESPECT. HUNTINGTON HOSPITAL IS A 619-BED, NOT-FOR-PROFIT COMMUNITY HOSPITAL LOCATED IN PASADENA, CALIFORNIA. THE HOSPITAL OFFERS A FULL COMPLEMENT OF ACUTE MEDICAL CARE AND COMMUNITY SERVICES, RANGING FROM GENERAL MEDICINE TO THE FOREMOST SPECIALIZED PROGRAMS IN CARDIOVASCULAR SERVICES, ONCOLOGY, AND THE NEUROSCIENCES. THE HOSPITAL HAS THE ONLY LEVEL II TRAUMA CENTER IN THE REGION AS WELL AS THE ONLY LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU). IN ADDITION, HUNTINGTON HOSPITAL OFFERS WOMEN'S AND CHILDREN'S SERVICES, STATE-OF-THE ART ORTHOPEDIC SURGERY, IN-AND OUTPATIENT PSYCHIATRIC SERVICES, HUNTINGTON HOSPITAL SENIOR CARE NETWORK, AND HUNTINGTON AMBULATORY CARE CENTER. THROUGH AN ONGOING PARTNERSHIP BETWEEN HUNTINGTON HOSPITAL AND SHRINERS HOSPITALS FOR CHILDREN SOUTHERN CALIFORNIA, INPATIENT SURGICAL AND MEDICAL SERVICES FOR PEDIATRIC PATIENTS ARE AVAILABLE AT HUNTINGTON HOSPITAL AND THE MEDICAL TEAM PROVIDES ADVANCED POST-SURGICAL CARE. A SHRINERS FOR CHILDREN MEDICAL CENTER (LOCATED ACROSS THE STREET FROM THE HOSPITAL CAMPUS) OFFERS SPECIALTY CARE SERVICES FOR PEDIATRIC PATIENTS IN THE REGION. IN 2018, HUNTINGTON HOSPITAL AND PROVIDENCE ST. JOSEPH HEALTH ENTERED INTO AN AGREEMENT TO FURTHER EXPAND ACCESS TO QUALITY CARE. PROVIDENCE ST. JOSEPH HEALTH, WHICH INCLUDES 12 MEDICAL INSTITUTIONS ACROSS LOS ANGELES AND ORANGE COUNTIES, CONTRACTS EXCLUSIVELY WITH HUNTINGTON HOSPITAL IN THE SAN GABRIEL VALLEY FOR ALL ACUTE CARE HOSPITAL AND OUTPATIENT CLINICAL SERVICES. HUNTINGTON HOSPITAL ALSO PARTNERS WITH UNIVERSITY OF SOUTHERN CALIFORNIA (USC) INSTITUTE FOR MATERNAL-FETAL HEALTH TO OFFER A FETAL SURGERY PROGRAM IN PASADENA ENCOMPASSING HIGH-RISK PERINATAL CARE, SURGERY AND NICU EXPERTISE. AS A TEACHING FACILITY AFFILIATED WITH THE KECK SCHOOL OF MEDICINE OF USC, HUNTINGTON HOSPITAL SUPPORTED 25 INTERNAL MEDICINE AND 17 GENERAL SURGERY RESIDENTS IN 2019. MORE THAN ONE-THIRD OF THESE RESIDENTS REMAIN IN THE AREA TO PRACTICE, PROVIDING A SEAMLESS TRANSITION THROUGH GENERATIONS OF CARE. RECENTLY, HUNTINGTON HOSPITAL RECEIVED NUMEROUS AWARDS, RECOGNITIONS, AND CERTIFICATIONS: - FULL HOSPITAL-WIDE ACCREDITATION FROM THE JOINT COMMISSION FOR ACHIEVING NATIONAL STANDARDS FOR HEALTH CARE QUALITY AND SAFETY - ACCREDITED AS A PEDIATRIC MEDICAL CENTER (PMC) - GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR STROKE CARE - GOLD SEAL OF APPROVAL FROM THE JOINT COMMISSION FOR TOTAL KNEE AND HIP REPLACEMENT PROGRAM - HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTER FROM THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION - GOLD LEVEL WORKPLACE HEALTH ACHIEVEMENT FROM THE AMERICAN HEART ASSOCIATION, RECOGNIZING THE HOSPITALS WORKPLACE HEALTH PROGRAMS AND WORKFORCE HEALTH - DESIGNATION AS A STEMI (ST SEGMENT ELEVATION MYOCARDIAL INFARCTION) RECEIVING CENTER WHERE EMERGENCY MEDICAL SERVICE PERSONNEL GIVE PATIENTS HAVING POSSIBLE MYOCARDIAL INFARCTIONS A 12-LEAD EKG IN THE FIELD AND A HOSPITAL TEAM IS READY WHEN A PATIENT ARRIVES IN THE EMERGENCY DEPARTMENT - MAGNET DESIGNATION BY AMERICAN NURSES CREDENTIALING CENTER. MAGNET DESIGNATION REPRESENTS THE HIGHEST LEVEL OF NATIONAL RECOGNITION TO HEALTH CARE ORGANIZATIONS THAT DEMONSTRATE SUSTAINED EXCELLENCE IN NURSING CARE IN A HEALTHY, COLLABORATIVE, AND PROFESSIONAL WORK ENVIRONMENT. ONLY SEVEN PERCENT OF ALL ACUTE CARE HEALTH CARE ORGANIZATIONS HAVE OBTAINED THIS PRESTIGIOUS RECOGNITION - SILVER-LEVEL BEACON AWARD FOR EXCELLENCE IN CRITICAL CARE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES (AACN) - MAXIMUM FIVE-YEAR ACCREDITATION FROM THE ACCREDITATION COUNCIL FOR GRADUATE MEDICAL EDUCATION (ACGME) - HOSPITAL COMPARE 5-STAR BY THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS), THE HIGHEST POSSIBLE CMS RATING FOR OVERALL EXCELLENCE - HUNTINGTON HOSPITAL TRAUMA CENTER IS CERTIFIED AS A LEVEL II TRAUMA CENTER BY THE VERIFICATION REVIEW COMMITTEE (VRC), AN AD HOC COMMITTEE OF THE COMMITTEE ON TRAUMA (COT) OF THE AMERICAN COLLEGE OF SURGEONS (ACS) - EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) - LEVEL III NEONATAL INTENSIVE CARE USE WITH CALIFORNIA CHILDRENS SERVICES (CCS) CERTIFICATION - HUNTINGTON HOSPITAL RECEIVED LEAPFROG SAFETY GRADE OF "A" FOR SPRING 2020, BASED ON 28 MEASURES OF PUBLICLY AVAILABLE HOSPITAL SAFETY DATA. PRESIDENT AND CEO OF THE LEAPFROG GROUP, RECOGNIZED THAT "AS THE NATION COPES WITH A CHALLENGING PANDEMIC, OUR GRATITUDE EXTENDS TO HOSPITAL LEADERSHIP AND HEALTH CARE WORKERS EVERYWHERE FOR THEIR TREMENDOUS DEDICATION." - RECOGNIZED BY U.S. NEWS AND WORLD REPORT FOR BEST HOSPITAL RANKINGS 2019-20, #10 BEST HOSPITAL IN CALIFORNIA, #5 HOSPITAL IN LOS ANGELES METRO AREA, RANKED AMONG THE BEST IN THE COUNTRY IN FOUR ADULT SPECIALTIES AND RATED HIGH PERFORMING IN TWO ADULT SPECIALTIES AND SEVEN PROCEDURES AND CONDITIONS - RECOGNIZED AS AMONG AMERICAS 100 BEST HOSPITALS FOR CARDIAC CARE AND CORONARY INTERVENTION, BY HEALTHGRADES - HUNTINGTON HOSPITAL CANCER CENTER RECEIVED FULL THREE-YEAR ACCREDITATION FROM THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER - JIM AND ELEANOR RANDALL BREAST CENTER RECEIVED A FULL THREE-YEAR ACCREDITATION FROM THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC), ONE OF ONLY THREE HOSPITALS IN LOS ANGELES COUNTY TO ACHIEVE THIS LEVEL OF ACCREDITATION - JIM AND ELEANOR RANDALL BREAST CENTER RECOGNIZED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY - ACCREDITED FACILITY FOR ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTERSOCIETAL ACCREDITATION COMMISSION (IAC) - HUNTINGTON HOSPITAL AWARDED THE BABY-FRIENDLY DESIGNATION FROM BABY-FRIENDLY USA, A CREDENTIALING PROGRAM FOR HOSPITALS THAT IS PART OF AN INTERNATIONAL INITIATIVE LED BY THE WORLD HEALTH ORGANIZATION (WHO) AND THE UNITED NATIONS CHILDREN FUND (UNICEF). THE DESIGNATION IS CONSIDERED THE GOLD STANDARD OF CARE AND DEMONSTRATES OUR WOMENS AND CHILDRENS SERVICES COMMITMENT TO PATIENT AND FAMILY-CENTERED CARE - HUNTINGTON HOSPITAL WAS ACCREDITED BY THE METABOLIC AND BARIATRIC SURGERY ACCREDITATION AND QUALITY IMPROVEMENT PROGRAM (MBSAQIP) - BLUE CROSS BLUE SHIELD ASSOCIATION CENTERS OF DISTINCTION FOR KNEE AND HIP REPLACEMENT SURGERIES, BARIATRIC SURGERY, CARDIAC CARE, AND SPINAL SURGERY - HUNTINGTON HOSPITAL BECAME A PARTICIPANT OF THE AMERICAN JOINT REPLACEMENT REGISTRY (AJRR), A CENTRAL REGISTRY FOR DATA ON TOTAL HIP AND KNEE ARTHROPLASTIES AT THE HOSPITAL AND OTHER PARTICIPATING SITES THROUGHOUT THE COUNTRY - ORTHOPEDIC PROGRAM NAMED TO 100 HOSPITALS AND HEALTH SYSTEMS WITH GREAT ORTHOPEDIC PROGRAMS, BY BECKERS HOSPITAL REVIEW - NEUROPHYSIOLOGY INTRAOPERATIVE MONITORING LABORATORIES AND EPILEPSY ACCREDITATION FROM THE LAB ACCREDITATION BOARD OF ABRET - RECOGNIZED AT THE HIGHEST POSSIBLE LEVEL BY THE HEALTHCARE INFORMATION AND MANAGEMENT SYSTEMS SOCIETY (HMSS) FOR THE ADOPTION AND UTILIZATION OF ELECTRONIC MEDICAL RECORD (EMR) SYSTEMS AT HOSPITALS AROUND THE WORLD FORM 990, PART VI, LINE 7A INDIVIDUALS WITH POWER TO ELECT MEMBERS OF THE GOVERNING BODY THE TRUSTEES OF THE COLLIS P. AND HOWARD HUNTINGTON MEMORIAL HOSPITAL TRUST (TRUST) HAVE THE POWER TO ELECT REPLACEMENT TRUSTEES OF THE TRUST'S BOARD IN THEIR CAPACITY AS TRUSTEES. ALL TRUSTEES ALSO SERVE ON THE BOARD OF DIRECTORS OF PASADENA HOSPITAL ASSOCIATION, LTD., DBA HUNTINGTON HOSPITAL. FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW FORM 990 FINANCIAL DATA IS GATHERED FROM AND VERIFIED BY VARIOUS DIRECTORS. THE DATA USED IN PREPARATION OF THE RETURN BY THE OUTSIDE TAX PREPARER IS REVIEWED BY THE BOARD OF DIRECTORS PRIOR TO FILING. A COPY OF THE FORM 990 WAS DISTRIBUTED TO ALL VOTING MEMBERS OF THE BOARD AT THE SEPTEMBER 2020 BOARD MEETING. DURING THE BOARD MEETING, MANAGEMENT PRESENTED AND DISCUSSED CERTAIN DISCLOSURES AND INFORMATION INCLUDED IN THE FORM 990. FORM 990, PART VI, LINE 12C MONITORING TRANSACTIONS FOR CONFLICTS OF INTEREST THE PROCESS OF DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS IS GOVERNED BY THE ORGANIZATION'S POLICIES, WHEREBY INDIVIDUALS IN POSITIONS OF LEADERSHIP (OFFICERS, DIRECTORS, AND MANAGEMENT PERSONNEL) ARE REQUIRED TO DISCLOSE POTENTIAL CONFLICTS. ONCE DISCLOSED, A REVIEW OF ANY POTENTIAL CONFLICTS IS CONDUCTED AT THE LEVEL OF CHIEF EXECUTIVE OFFICER IN CONJUNCTION WITH THE COMPLIANCE OFFICER. BASED ON THIS EVALUATION, IT MAY BE NECESSARY TO FOLLOW-UP WITH THE INDIVIDUAL AND REQUEST ANY ADDITIONAL INFORMATION DEEMED RELEVANT, OR DISCUSS WAYS TO MITIGATE OR ELIMINATE THE RISK OF CONFLICT. ANY CONCERNS OF CONFLICTS OF INTEREST ARE ADDRESSED BY THE AUDIT & COMPLIANCE COMMITTEE AND THE FINDINGS AND RECOMMENDATIONS ARE REPORTED TO THE BOARD OF DIRECTORS. AFTER DISCUSSION WITH THE INTERESTED PERSON, HE/SHE WILL LEAVE THE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED. PERSONS WITH A CONFLICT ARE PROHIBITED FROM PARTICIPATING IN THE GOVERNING BODY'S DELIBERATIONS AND DECISIONS REGARDING THE TRANSACTION OR ARRANGEMENT WITH HUNTINGTON HOSPITAL. FORM 990, PART VI, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION EXECUTIVE COMPENSATION IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE GOVERNING BOARD, AND THE COMMITTEE'S DELIBERATIONS AND DECISIONS ARE DOCUMENTED CONTEMPORANEOUSLY IN THE MINUTES OF THE MEETING IN WHICH COMPENSATION ARRANGEMENTS WERE DETERMINED. REVIEW & APPROVAL OF COMPENSATION FOR ALL TOP MANAGEMENT OFFICIALS, INCLUDING THE CEO, CFO & VP POSITIONS IS CONDUCTED BY THE COMPENSATION COMMITTEE ANNUALLY, AND THE PERSONS WHO SERVE IN THOSE POSITIONS ARE NOT PRESENT DURING DISCUSSIONS RELATED TO THEIR COMPENSATION. COMPARABLE DATA FOR SIMILAR POSITIONS AND ORGANIZATIONS, PREPARED BY INDEPENDENT CONSULTANTS, IS USED TO ESTABLISH COMPENSATION. REVIEW & APPROVAL FOR THE CEO & VP'S WAS LAST PERFORMED BY THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING HELD ON FEBRUARY 25, 2019. FORM 990, PART VI, LINE 19 PROCESS FOR MAKING DOCUMENTS AVAILABLE TO THE PUBLIC THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS ACCRUED PENSION $(6,345,932) LOSS ON SUBSIDIARIES $(2,798,988) HARRIS FUND DISTRIBUTION $193,167 ------------ TOTAL $(8,951,753) COLLIS P HOWARD HUNTINGTON MEM HOS TRUST 100 WEST CALIFORNIA BLVD PASADENA CA 91105 956027688 SUPPORT PHA CA 501(c)(3) 12C NA false HUNTINGTON MEDICAL FOUNDATION 100 WEST CALIFORNIA BLVD PASADENA CA 91105 954434428 HLTHCARE SVCS CA 501(c)(3) 3 PHA true HMH FLINTRIDGE LA CANADA GUILD PO BOX 5463 LA CANADA CA 91012 956016968 FUND RAISING CA 501(c)(3) 12C NA false WOMEN'S AUXILIARY HUNTINGTON MEM HOSP 930 S EL MOLINO AVE PASADENA CA 91106 956195080 FUND RAISING CA 501(c)(3) 12C NA false HUNTINGTON AMBULATORY SURG CTR SEE PART VII PASADENA CA 91105 273922007 SURGERY CENTER CA PHA Related -1764128 13236280 false 0 true 0.99820 ANGEL CARE HEALTH NETWORK LLC SEE PART VII WESTLAKE VILLAGE CA 91362 472296213 HEALTHCARE CA N/A RELATED -172823 159584 false 0 true 0.12500 CONGRESS SERVICES CORPORATION 100 WEST CALIFORNIA BLVD PASADENA CA 91105 953978299 MANAGEMENT SVCS CA PHA C Corp 228180 3117768 1.00000 true CHARITABLE REMAINDER TRUST (3) 000000000 SUPPORT CA NA Trust false true true true false false false false false true true true true false true false true true false CONGRESS SERVICES CORPORATION b 2379660 COST COLLIS P & HOWARD HUNTINGTON MEM HOSP TRUST c 4945016 COST HUNTINGTON MEDICAL FOUNDATION j 997227 COST HUNTINGTON AMBULATORY SURGERY CENTER j 1875354 COST HUNTINGTON MEDICAL FOUNDATION k 363325 COST CONGRESS SERVICES CORPORATION l 52602 COST HUNTINGTON AMBULATORY SURGERY CENTER l 362985 COST HUNTINGTON MEDICAL FOUNDATION l 621551 COST CONGRESS SERVICES CORPORATION m 170580 COST HUNTINGTON MEDICAL FOUNDATION m 3388140 COST CONGRESS SERVICES CORPORATION o 718738 COST HUNTINGTON MEDICAL FOUNDATION o 197701 COST HUNTINGTON AMBULATORY SURGERY CENTER q 231007 COST HUNTINGTON MEDICAL FOUNDATION r 8135000 COST HUNTINGTON AMBULATORY SURGERY CENTER r 1274371 COST ANGEL CARE HEALTH NETWORK LLC b 300000 COST SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS A PARTNERSHIP HUNTINGTON AMBULATORY SURGERY CENTER, LLC EIN: 27-3922007 ADDRESS: SOUTH FAIR OAKS AVE, SUITE 380, PASADENA, CA 91105 ANGEL CARE HEALTH NETWORK LLC EIN: 47-2296213 ADDRESS: 4553 LA TIENDA ROAD, WESTLAKE VILLAGE, CA 91362