HENRY MAYO NEWHALL MEMORIAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- HENRY MAYO NEWHALL MEMORIAL HOSPITAL (EIN 95-2821104)
- Tax period
- 2017-10-01 to 2018-09-30
- Filed
- 2019-08-14
- IRS object ID
- 201912269349301556
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-08-14T10:57:31-05:00 | ReturnTs |
| Tax Period End | 2018-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 390859910 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER TILLY VIRCHOW KRAUSE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S 6TH ST 2300 | AddressLine1Txt |
| City | MINNEAPOLIS | CityNm |
| State Abbreviation | MN | StateAbbreviationCd |
| ZIP | 55402 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 952821104 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO NEWHALL MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | HENR | BusinessNameControlTxt |
| Phone | 6612002000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PARKWAY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | TED D SIROTTA | PersonNm |
| Person Title | SENIOR VP/CFO | PersonTitleTxt |
| Phone | 6612002000 | PhoneNum |
| Signature | 2019-08-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAWRENCE H MOHR CPA | PreparerPersonNm |
| PTIN | P00447603 | PTIN |
| Phone | 6128764500 | PhoneNum |
| Preparation | 2019-08-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 73.24.24.118 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-08-14 | IPDt |
| IP Tm | 07:09:55 | IPTm |
| IP Timezone | CD | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | F928441D2398D0B4DCF9932C1CB380BE5D4089C9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | ROGER E SEAVER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PARKWAY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $406,523,387 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HENRYMAYO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF SANTA CLARITA VALLEY AND SURROUNDING AREAS, AND IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH COMPASSION AND EXCELLENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2354 | TotalEmployeeCnt |
| Total Volunteers | 442 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $4,740,818 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,169,520 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $329,529,917 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $359,299,917 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,095,058 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,188,003 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,897,227 | PYOtherRevenueAmt |
| CY Other Revenue | $7,352,818 | CYOtherRevenueAmt |
| PY Total Revenue | $341,263,020 | PYTotalRevenueAmt |
| CY Total Revenue | $384,010,258 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,587,768 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $20,957,656 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $156,148,412 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $164,741,774 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $171,911,685 | PYOtherExpensesAmt |
| CY Other Expenses | $201,124,412 | CYOtherExpensesAmt |
| PY Total Expenses | $334,647,865 | PYTotalExpensesAmt |
| CY Total Expenses | $386,823,842 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,615,155 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,813,584 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $487,164,798 | TotalAssetsBOYAmt |
| Total Assets EOY | $497,226,293 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $306,836,451 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $318,729,654 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $180,328,347 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $178,496,639 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF SANTA CLARITA VALLEY AND SURROUNDING AREAS, AND IMPROVE THE HEALTH OF OUR COMMUNITY THROUGH COMPASSION AND EXCELLENCE IN HEALTHCARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $327,683,569 | ExpenseAmt |
| Grant | $4,086,122 | GrantAmt |
| Revenue | $371,051,985 | RevenueAmt |
| Desc | TO PROVIDE HEALTH CARE SERVICES TO THE CITIZENS OF SANTA CLARITA VALLEY AND SURROUNDING AREAS. THE HOSPITAL HAD 56,853 PATIENT DAYS DURING THE YEAR. WE ALSO PROVIDED SERVICES FOR 69,959 EMERGENCY VISITS. 80% OF TOTAL HOSPITAL INPATIENT ADMITS (EXCLUDING NEWBORNS) ARE ADMITTED THROUGH THE EMERGENCY ROOM. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $16,971,534 | ExpenseAmt |
| Grant | $16,871,534 | GrantAmt |
| Desc | TO SUPPORT GENERAL OPERATIONS OF HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION, AN AFFILIATE TO THE HOSPITAL. DURING FISCAL YEAR 2018, A UNIQUE TRANSFER WAS MADE TO THE FOUNDATION TO FINANCE A REAL PROPERTRY ACQUISITION. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $344,655,103 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 313 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2354 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RICHARD KIM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6612002000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PARKWAY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ROGER E SEAVER | ||||||||||
| PRESIDENT/CEO | 40.00 | 0.50 | Yes (X) | Yes (X) | $949,386 | $0 | $53,015 | |||
| JOHN BARSTIS MD | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ROBERT BENJAMIN | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| MARK CHAMBERLAIN | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| LAKHBINDER DHANDA MD | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| SONYA ENGLE | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| JUDY FISH | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| CHERI FLEMING | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| RUSSELL HANLIN | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| DONALD KIMBALL | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| CHRIS LUECHTEFELD | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| ROSCOE MARTER MD | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| DON NISHIGUCHI MD | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| CRAIG PETERS | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| TODD STEVENS | ||||||||||
| TRUSTEE | 0.00 | 0.50 | Yes (X) | $0 | $0 | $0 | ||||
| LARRY R KIDD | ||||||||||
| SR VP/CCO | 40.00 | 0.00 | Yes (X) | $431,335 | $0 | $39,380 | ||||
| TED D SIROTTA | ||||||||||
| SR VP/CFO | 40.00 | 0.00 | Yes (X) | $71,996 | $0 | $8,089 | ||||
| MARK A PULEO | ||||||||||
| VP/CHRO | 40.00 | 0.00 | $240,608 | $0 | $53,505 | Yes (X) | ||||
| JONATHAN S MILLER | ||||||||||
| VP-FACILTY/SUPPORT | 40.00 | 0.00 | $231,367 | $0 | $44,615 | Yes (X) | ||||
| KINGMAN HO MD | ||||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | $389,484 | $0 | $46,330 | Yes (X) | ||||
| PAIGE E HEAPHY | ||||||||||
| VP PERFORMANCE MGMT | 40.00 | 0.00 | $249,570 | $0 | $42,921 | Yes (X) | ||||
| JENNIFER R CASTALDO | ||||||||||
| VP/CNO | 40.00 | 0.00 | $164,346 | $0 | $10,595 | Yes (X) | ||||
| RAY B MOSS | ||||||||||
| VP/CIO | 40.00 | 0.00 | $115,827 | $0 | $14,428 | Yes (X) | ||||
| KEITH BOYLE | ||||||||||
| DIRECTOR OF SERVICE EXCELLENCE | 40.00 | 0.00 | $197,706 | $0 | $24,355 | Yes (X) | ||||
| ADNAN E HAMID | ||||||||||
| DIRECTOR OF IT | 40.00 | 0.00 | $198,437 | $0 | $28,612 | Yes (X) | ||||
| DONNA G FERGUSON | ||||||||||
| DIRECTOR OF SURGERY | 40.00 | 0.00 | $192,549 | $0 | $29,131 | Yes (X) | ||||
| MARIA B SARTE | ||||||||||
| CLINICAL RN | 40.00 | 0.00 | $196,929 | $0 | $6,212 | Yes (X) | ||||
| HAROUTIOUN SHAMAMIAN | ||||||||||
| DIRECTOR OF PHARMACY | 40.00 | 0.00 | $226,743 | $0 | $17,025 | Yes (X) | ||||
| CR BOB HUDSON | ||||||||||
| VP/CFO (FORMER) | 40.00 | 0.00 | $349,090 | $0 | $27,341 | Yes (X) | ||||
| CYNTHIA A PETERSON | ||||||||||
| VP/CIO (FORMER) | 40.00 | 0.00 | $180,544 | $0 | $1,196 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,385,917 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $446,750 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 367 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BERNARDS BROS INC | |||||
| 555 FIRST ST | SAN FERNANDO | CA | 91340 | CONSTRUCTION | $50,784,605 |
| SODEXO INC & AFFILIATES | |||||
| 9801 WASHINGTON BLVD | GAITHERSBURG | MD | 20878 | OTHER PURCHASED SERVICES | $9,139,565 |
| CALIFORNIA REHABILITATION SERVICES | |||||
| 333 E GLENOAKS BLVD STE 204 | GLENDALE | CA | 91207 | MEDICAL PURCHASED SERVICES | $7,042,219 |
| FACEY MEDICAL GROUP | |||||
| 26357 MCBEAN PARKWAY | VALENCIA | CA | 91355 | MEDICAL PURCHASED SERVICES | $3,301,912 |
| MEDEFIS INC | |||||
| 2121 N 117TH AVE STE 200 | OMAHA | NE | 68164 | MEDICAL PURCHASED SERVICES | $2,685,491 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 108 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,335,977 | RelatedOrganizationsAmt |
| Government Grants | $6,710,256 | GovernmentGrantsAmt |
| All Other Contributions | $123,287 | AllOtherContributionsAmt |
| Total Contributions | $9,169,520 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTHCARE SERVICES | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $359,299,917 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $359,299,917 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $359,299,917 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,670,714 | TotalRevenueColumnAmt |
| Exclusion | $2,670,714 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,179,609 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,179,609 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,179,609 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,179,609 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,246,432 | SecuritiesAmt |
| Other | $3,783,986 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $21,223,796 | SecuritiesAmt |
| Other | $1,289,333 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,022,636 | SecuritiesAmt |
| Other | $2,494,653 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,517,289 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $5,517,289 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| REBATES & REFUNDS | 621110 | $1,694,514 | $1,694,514 | |
| FITNESS CENTER REVENUE | 621110 | $1,614,357 | $1,614,357 | |
| CAFETERIA SALES | 621110 | $1,118,039 | $1,118,039 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,746,299 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,746,299 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $6,173,209 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $384,010,258 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $371,051,985 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,788,753 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,581,626 | TotalAmt |
| Program Services | $17,581,626 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,376,030 | TotalAmt |
| Program Services | $3,376,030 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,826,461 | TotalAmt |
| Program Services | $3,350,241 | ProgramServicesAmt |
| Management And General | $476,220 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $130,854,687 | TotalAmt |
| Program Services | $114,837,148 | ProgramServicesAmt |
| Management And General | $16,017,539 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,546,371 | TotalAmt |
| Program Services | $3,156,270 | ProgramServicesAmt |
| Management And General | $390,101 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,615,683 | TotalAmt |
| Program Services | $13,723,681 | ProgramServicesAmt |
| Management And General | $2,892,002 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,898,572 | TotalAmt |
| Program Services | $8,819,496 | ProgramServicesAmt |
| Management And General | $1,079,076 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,786,554 | TotalAmt |
| Program Services | $62,335 | ProgramServicesAmt |
| Management And General | $1,724,219 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $542,749 | TotalAmt |
| Program Services | $22,985 | ProgramServicesAmt |
| Management And General | $519,764 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,918 | TotalAmt |
| Management And General | $16,918 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,062 | TotalAmt |
| Management And General | $201,062 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,351,622 | TotalAmt |
| Program Services | $42,733,165 | ProgramServicesAmt |
| Management And General | $8,618,457 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $799,539 | TotalAmt |
| Program Services | $216,447 | ProgramServicesAmt |
| Management And General | $583,092 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,246,191 | TotalAmt |
| Program Services | $330,238 | ProgramServicesAmt |
| Management And General | $1,915,953 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,858,188 | TotalAmt |
| Management And General | $3,858,188 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,341,044 | TotalAmt |
| Program Services | $7,754,840 | ProgramServicesAmt |
| Management And General | $586,204 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,149 | TotalAmt |
| Program Services | $115,985 | ProgramServicesAmt |
| Management And General | $223,164 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,604 | TotalAmt |
| Program Services | $90,553 | ProgramServicesAmt |
| Management And General | $52,051 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,225,307 | TotalAmt |
| Program Services | $4,218,921 | ProgramServicesAmt |
| Management And General | $6,386 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,245,743 | TotalAmt |
| Program Services | $17,245,743 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,741,916 | TotalAmt |
| Program Services | $2,741,916 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $47,288,741 | $47,288,741 |
| QUALITY ASSURANCE FEES | $23,343,858 | $23,343,858 |
| BAD DEBT | $21,642,387 | $21,642,387 |
| SOFTWARE IMPAIRMENT | $5,850,830 | $5,850,830 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,160,010 | TotalAmt |
| Program Services | $6,151,667 | ProgramServicesAmt |
| Management And General | $3,008,343 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $386,823,842 | TotalAmt |
| Program Services | $344,655,103 | ProgramServicesAmt |
| Management And General | $42,168,739 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,087,066 | BOYAmt |
| EOY | $36,228,877 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,990,467 | BOYAmt |
| EOY | $5,535,319 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,335,450 | BOYAmt |
| EOY | $53,193,930 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,944,383 | BOYAmt |
| EOY | $5,990,170 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,219,582 | BOYAmt |
| EOY | $3,051,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $473,465,136 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $189,950,501 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,632,334 | BOYAmt |
| EOY | $283,514,635 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,949,891 | BOYAmt |
| EOY | $95,371,751 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,547,814 | BOYAmt |
| EOY | $1,089,771 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,457,811 | BOYAmt |
| EOY | $13,250,608 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,164,798 | BOYAmt |
| EOY | $497,226,293 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,118,291 | BOYAmt |
| EOY | $69,559,616 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,387,587 | BOYAmt |
| EOY | $2,345,110 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,119,412 | BOYAmt |
| EOY | $225,001,900 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $10,500,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,211,161 | BOYAmt |
| EOY | $11,323,028 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,836,451 | BOYAmt |
| EOY | $318,729,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,669,347 | BOYAmt |
| EOY | $169,354,607 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,659,000 | BOYAmt |
| EOY | $9,142,032 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,328,347 | BOYAmt |
| EOY | $178,496,639 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $487,164,798 | BOYAmt |
| EOY | $497,226,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$2,813,584 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $981,876 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $16,918 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $16,918 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | FOR THE FISCAL YEAR ENDED 9/30/18, THE ORGANIZATION PARTICIPATED WITH THE CALIFORNIA HOSPITAL ASSOCIATION TO ADVOCATE POSITIVE HEALTHCARE POLICIES FOR HOSPITALS. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,225,812 | OtherCostOrOtherBasisAmt |
| Book Value | $3,225,812 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $200,926,938 | OtherCostOrOtherBasisAmt |
| Depreciation | $98,285,588 | DepreciationAmt |
| Book Value | $102,641,350 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $119,131,744 | OtherCostOrOtherBasisAmt |
| Depreciation | $91,664,557 | DepreciationAmt |
| Book Value | $27,467,187 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $150,180,642 | OtherCostOrOtherBasisAmt |
| Depreciation | $356 | DepreciationAmt |
| Book Value | $150,180,286 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $283,514,635 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DEFERRED RENT | $1,161,279 |
| QUALITY ASSURANCE FEE DEFERRED REVENUE | $8,980,966 |
| ESTIMATED THIRD PARTY LIABILITIES | $1,180,783 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $11,323,028 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $381,616,104 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $981,876 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $981,876 | RevenueNotReportedAmt |
| Revenue Subtotal | $380,634,228 | RevenueSubtotalAmt |
| Other Revenues Not Included | $3,376,030 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $3,376,030 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $384,010,258 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $383,447,812 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $383,447,812 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $3,376,030 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $3,376,030 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $386,823,842 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | THE ORGANIZATION IS EXEMPT FROM INCOME TAXES PURSUANT TO SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE ("IRC") AND A SIMILAR PROVISION OF STATE LAW. ACCORDINGLY, NO PROVISION FOR INCOME TAXES FOR THIS ENTITY HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE ORGANIZATION IS SUBJECT TO FEDERAL INCOME TAX ON ANY UNRELATED BUSINESS TAXABLE INCOME. THE ORGANIZATION HAS NO UNCERTAIN TAX POSITIONS AT SEPTEMBER 30, 2018 AND 2017. |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | CHARITY CARE (GROSS CHARGES) 3,376,030. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | CHARITY CARE (GROSS CHARGES) 3,376,030. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $576,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $576,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,925,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,925,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03340 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,501,090 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,501,090 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03490 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,319,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,319,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,319,669 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,319,669 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,820,759 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $18,820,759 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $21,642,387 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $63,475,733 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $87,857,404 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$24,381,671 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 TOWER IMAGING VALENCIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | OUTPATIENT RADIOLOGY SERVICE | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO NEWHALL MEMORIAL HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PKWY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.HENRYMAYO.COM | WebsiteAddressTxt |
| State License | 930000206 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | TRAUMA CENTER | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO NEWHALL MEMORIAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTPPS://WWW.HENRYMAYO.COM/COMMUNITY | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HENRYMAYO.COM/DOCUMENTS/HENRY-MAYO-2017-IMPLEMENTATION-STRATEGY-FINAL.PDF | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | HTTPS://WWW.HENRYMAYO.COM/SITE-SEARCH/?C=FAP | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HENRY MAYO NEWHALL MEMORIAL HOSPITAL | PART V, SECTION B, LINE 5: HENRY MAYO NEWHALL HOSPITAL COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 AS REQUIRED BY STATE AND FEDERAL LAW. DATA COLLECTION:THIS ASSESSMENT INCORPORATED COMPONENTS OF PRIMARY DATA COLLECTION AND SECONDARY DATA ANALYSIS THAT FOCUSED ON THE HEALTH AND SOCIAL NEEDS OF THE SERVICE AREA. THE CHNA EXAMINED UP-TO-DATE DATA SOURCES TO PRESENT COMMUNITY DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, HEALTH CARE ACCESS, BIRTH CHARACTERISTICS, LEADING CAUSES OF DEATH, CHRONIC DISEASE, HEALTH BEHAVIORS, MENTAL HEALTH AND SUBSTANCE ABUSE, AND PREVENTIVE PRACTICES. THESE DATA ARE PRESENTED IN THE CONTEXT OF LOS ANGELES COUNTY AND CALIFORNIA STATE, FRAMING THE SCOPE OF AN ISSUE AS IT RELATES TO THE BROADER COMMUNITY. INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY:TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PEOPLE WHO REPRESENTED THE INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWENTY-TWO (22) INTERVIEWS WERE COMPLETED FROM JUNE THROUGH SEPTEMBER 2016. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. |
| HENRY MAYO NEWHALL MEMORIAL HOSPITAL | PART V, SECTION B, LINE 11: THE CHNA IDENTIFIED SIGNIFICANT HEALTH NEEDS IN THE HOSPITAL SERVICE AREA. THESE NEEDS WERE PRIORITIZED, WITH INPUT FROM THE COMMUNITY:1. MENTAL HEALTH2. ACCESS TO HEALTH CARE3. SUBSTANCE USE AND MISUSE (ALCOHOL, DRUGS, TOBACCO)4. HEART DISEASE5. OVERWEIGHT/OBESITY6. CANCER7. DIABETES8. PREVENTIVE PRACTICES (SCREENINGS, VACCINES)9. ASTHMA10. DENTAL CARE |
| PART V, SECTION B: | HENRY MAYO NEWHALL MEMORIAL HOSPITALLINE 16B, FAP APPLICATION WEBSITE:HTTPS://WWW.HENRYMAYO.COM/PATIENTS-VISITORS/PATIENT/BILLING-AND-INSURANCE/FINANCIAL-APPLICATION-PROCESS/HENRY MAYO NEWHALL MEMORIAL HOSPITALLINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE: HTTPS://WWW.HENRYMAYO.COM/SITE-SEARCH/?C=FAP |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, COMMUNITY BUILDING ACTIVITIES: | PAGE 9 - 10 OF THE COMMUNITY BENEFIT PACKAGE WHICH IS ATTACHED. |
| PART III, LINE 2: | THE ORGANIZATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYER SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYER SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE CARRYING AMOUNT OF PATIENT ACCOUNTS RECEIVABLE IS REDUCED BY BAD DEBT ALLOWANCES THAT REFLECT MANAGEMENT'S BEST ESTIMATE OF THE AMOUNTS THAT WILL NOT BE COLLECTED. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE ORGANIZATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. DURING THE TAX YEAR, THE ORGANIZATION MADE A CHANGE IN POLICY LARGELY ELIMINATING THE CONTRACTUAL DISCOUNT FOR SELF-PAY ACCOUNTS AND INCREASING THE ESTIMATED ALLOWANCE FOR DOUBTFUL ACCOUNTS ON SELF-PAY BALANCES WHICH RESULTED IN HIGHER BAD DEBT EXPENSE AMOUNT IN THE CURRENT TAX YEAR COMPARED TO THE PRIOR TAX YEAR. |
| PART III, LINE 8: | 100% INCLUDED IN THE COMMUNITY BENEFIT PACKAGE. COST METHODOLOGY IS COST ACCOUNTING SYSTEM. |
| PART VI, LINE 2: | HENRY MAYO COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016, AS REQUIRED BY STATE AND FEDERAL LAW. CALIFORNIA SENATE BILL 697 AND THE PATIENT PROTECTION AND AFFORDABLE CARE ACT AND IRS SECTION 501(R)(3) DIRECT TAX-EXEMPT HOSPITALS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOP AN IMPLEMENTATION STRATEGY, EVERY THREE YEARS. THE COMMUNITY HEALTH NEEDS ASSESSMENT IS A PRIMARY TOOL USED BY THE HOSPITAL TO DETERMINE ITS COMMUNITY BENEFIT PLAN, WHICH OUTLINES HOW IT WILL GIVE BACK TO THE COMMUNITY, IN THE FORM OF HEALTH CARE AND OTHER COMMUNITY SERVICES, TO ADDRESS UNMET COMMUNITY HEALTH NEEDS. |
| PART VI, LINE 3: | PAGE 7 - 10 OF THE COMMUNITY BENEFIT PACKAGE WHICH IS ATTACHED. |
| PART VI, LINE 4: | PAGE 3 - 4 OF THE COMMUNITY BENEFIT PACKAGE WHICH IS ATTACHED. |
| PART VI, LINE 5: | PAGE 7 - 10 OF THE COMMUNITY BENEFIT PACKAGE WHICH IS ATTACHED. |
| PART VI, LINE 6: | PAGE 12 - 13 OF THE COMMUNITY BENEFIT PACKAGE WHICH IS ATTACHED. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||||||||
| 23845 MCBEAN PKWY | VALENCIA | CA | 91355 | 953849903 | 501(C)(3) | $16,047,120 | TO FINANCE REAL PROPERTY ACQUISITION OF ACC BUILDING | |
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||||||||
| 23845 MCBEAN PKWY | VALENCIA | CA | 91355 | 953849903 | 501(C)(3) | $824,414 | TO SUPPORT GENERAL OPERATIONS OF THE FOUNDATION, AN AFFILIATE TO THE HOSPITAL | |
| HENRY MAYO MANAGEMENT SERVICE ORGANIZATION | ||||||||
| 23845 MCBEAN PKWY | VALENCIA | CA | 91355 | 475250569 | $100,000 | TO SUPPORT GENERAL OPERATIONS | ||
| AMERICAN CANCER SOCIETY | ||||||||
| 250 WILLIAMS STREET NW | ATLANTA | GA | 30303 | 131788491 | 501(C)(3) | $10,500 | 2018 SPONSORSHIP WALK TO END ALZHEIMER | |
| AMERICAN DIABETES ASSOCIATION | ||||||||
| 2451 CRYSTAL DRIVE SUITE 900 | ARLINGTON | VA | 22202 | 131623888 | 501(C)(3) | $10,000 | PLATINUM SPONSORSHIP - RELAY FOR LIFE | |
| AMERICAN HEART ASSOCIATION | ||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(C)(3) | $10,000 | SPONSORSHIP-LA F18 HEART WALK | |
| CHILD AND FAMILY CENTER | ||||||||
| 21545 CENTRE POINTE PARKWAY | SANTA CLARITA | CA | 91350 | 953941342 | 501(C)(3) | $7,500 | SILVER & TITLE SPONSOR-KID EXPO | |
| CITY OF SANTA CLARITA | ||||||||
| 23920 VALENCIA BLVD SUITE 100 | SANTA CLARITA | CA | 91355 | 954133918 | GOVERNMENT | $14,000 | 2018 BUSINESS SPONSORSHIP-CITY OF SANTA CLARITA EVENTS | |
| COLLEGE OF THE CANYONS FOUNDATION | ||||||||
| 26455 ROCKWELL CYN RD UNIVERSITY | VALENCIA | CA | 91355 | 953574259 | 501(C)(3) | $112,830 | FUNDING FULL TIME INSTRUCTOR POSITION IN NURSING. SPONSORSHIP CHANCELLOR CIRCLE BENEFIT | CENTER 263 |
| NORTH EAST VALLEY HEALTH CORPORATION | ||||||||
| 1172 N MACLAY AVE | SAN FERNANDO | CA | 91340 | 237120632 | 501(C)(3) | $266,000 | SUPPORT CONSTRUCTION OF THE NEW CLINIC ON LYONS AVE, NEWHALL. SPONSORSHIP 45TH ANNIV GALA. SPONSORSHIP TEAM NEVHC FOR SC MARATHON. | |
| SANTA CLARITA COMMUNITY DEVELOPMENT | ||||||||
| 23752 NEWHALL AVE | SANTA CLARITA | CA | 91321 | 954587823 | 501(C)(3) | $71,012 | FUNDING LABOR & SPONSORSHIP SOUP FOR THE SOUL EVENT | |
| SANTA CLARITA VALLEY CHAMBER OF COMMERCE | ||||||||
| 28494 WESTINGHOUSE PLACE 114 | SANTA CLARITA | CA | 91355 | 611386679 | 501(C)(6) | $5,900 | SPONSORSHIPS FOR STATE OF THE COUNTY LUNCHEON AND 2018 INSTALLATION GALA. | |
| SANTA CLARITA VALLEY ECONOMIC | ||||||||
| 26455 ROCKWELL CYN RD UNIVERSITY | VALENCIA | CA | 91355 | 954133918 | 501(C)(6) | $18,600 | 2018 BOARD & ANNUAL INVESTOR CONTRIBUTIONS | CENTER 263 |
| SOROPTIMIST INTERNATIONAL OF VALENCIA | ||||||||
| PO BOX 802275 | SANTA CLARITA | CA | 91380 | 954834196 | 501(C)(3) | $9,000 | SPONSORSHIP-RED CARPET RUNWAY (DIOR LEVEL). PLATINUM SPONSORSHIP-BRAS FOR A CAUSE | |
| WILLIAM S HART EDUCATION FOUNDATION | ||||||||
| 24343 MAGIC MOUNTAIN PKWY | VALENCIA | CA | 91355 | 454705593 | 501(C)(3) | $25,000 | "STOP THE BLEED" | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 10 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | CHARITY CARE (GROSS CHARGES) - HENRY MAYO NEWHALL HOSPITAL | GrantTypeTxt |
| Recipient | 2285 | RecipientCnt |
| Non Cash Assistance | $3,376,030 | NonCashAssistanceAmt |
| Valuation Method Used | OTHER | ValuationMethodUsedDesc |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | THE HOSPITAL ASSISTS INDIVIDUALS WHO ARE UNINSURED BY PROVIDING CHARITY CARE. THIS IS APPLIED BY FOLLOWING THE HOSPITAL'S CHARITY CARE POLICY. THIS POLICY IS ADMINISTERED THROUGH THE BUSINESS SERVICE AND PATIENT ACCESS DEPARTMENTS OF THE HOSPITAL. |
| PART II: | GRANTS ARE PROVIDED TO SUPPORT GENERAL OPERATIONS OF HENRY MAYO MANAGEMENT SERVICE ORGANIZATION AND HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION, AFFILIATES TO THE HOSPITAL. |
| PART III: | PATIENTS MEETING CERTAIN CRITERIA UNDER THE CHARITY CARE POLICY MAY RECEIVE HEALTHCARE SERVICES AT NO CHARGE OR AT AMOUNTS LESS THAN ESTABLISHED RATES. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROGER E SEAVER | ||||||||||||||
| PRESIDENT/CEO | $509,559 | $0 | $384,800 | $0 | $55,027 | $0 | $31,500 | $0 | $21,515 | $0 | $1,002,401 | $0 | $0 | $0 |
| LARRY R KIDD | ||||||||||||||
| SR VP/CCO | $341,312 | $0 | $75,000 | $0 | $15,023 | $0 | $31,500 | $0 | $7,880 | $0 | $470,715 | $0 | $0 | $0 |
| MARK A PULEO | ||||||||||||||
| VP/CHRO | $229,098 | $0 | $1,154 | $0 | $10,356 | $0 | $21,718 | $0 | $31,787 | $0 | $294,113 | $0 | $0 | $0 |
| JONATHAN S MILLER | ||||||||||||||
| VP-FACILTY/SUPPORT | $215,073 | $0 | $0 | $0 | $16,294 | $0 | $19,903 | $0 | $24,712 | $0 | $275,982 | $0 | $0 | $0 |
| KINGMAN HO MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $366,491 | $0 | $14,000 | $0 | $8,993 | $0 | $19,303 | $0 | $27,027 | $0 | $435,814 | $0 | $0 | $0 |
| PAIGE E HEAPHY | ||||||||||||||
| VP PERFORMANCE MGMT | $248,632 | $0 | $0 | $0 | $938 | $0 | $18,494 | $0 | $24,427 | $0 | $292,491 | $0 | $0 | $0 |
| JENNIFER R CASTALDO | ||||||||||||||
| VP/CNO | $146,807 | $0 | $15,175 | $0 | $2,364 | $0 | $5,624 | $0 | $4,971 | $0 | $174,941 | $0 | $0 | $0 |
| RAY B MOSS | ||||||||||||||
| VP/CIO | $105,115 | $0 | $10,175 | $0 | $537 | $0 | $4,250 | $0 | $10,178 | $0 | $130,255 | $0 | $0 | $0 |
| KEITH BOYLE | ||||||||||||||
| DIRECTOR OF SERVICE EXCELLENCE | $186,653 | $0 | $9,281 | $0 | $1,772 | $0 | $9,733 | $0 | $14,622 | $0 | $222,061 | $0 | $0 | $0 |
| ADNAN E HAMID | ||||||||||||||
| DIRECTOR OF IT | $184,492 | $0 | $10,445 | $0 | $3,500 | $0 | $3,900 | $0 | $24,712 | $0 | $227,049 | $0 | $0 | $0 |
| DONNA G FERGUSON | ||||||||||||||
| DIRECTOR OF SURGERY | $179,893 | $0 | $10,680 | $0 | $1,976 | $0 | $9,703 | $0 | $19,428 | $0 | $221,680 | $0 | $0 | $0 |
| MARIA B SARTE | ||||||||||||||
| CLINICAL RN | $192,471 | $0 | $3,609 | $0 | $849 | $0 | $6,212 | $0 | $0 | $0 | $203,141 | $0 | $0 | $0 |
| HAROUTIOUN SHAMAMIAN | ||||||||||||||
| DIRECTOR OF PHARMACY | $207,336 | $0 | $18,408 | $0 | $999 | $0 | $0 | $0 | $17,025 | $0 | $243,768 | $0 | $0 | $0 |
| CR BOB HUDSON | ||||||||||||||
| VP/CFO (FORMER) | $193,487 | $0 | $144,000 | $0 | $11,603 | $0 | $21,923 | $0 | $5,418 | $0 | $376,431 | $0 | $0 | $0 |
| CYNTHIA A PETERSON | ||||||||||||||
| VP/CIO (FORMER) | $39,539 | $0 | $7,208 | $0 | $133,797 | $0 | $1,196 | $0 | $0 | $0 | $181,740 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE HOSPITAL HAS A POLICY AND PROCEDURE THAT PROVIDES GUIDELINES AND RESTRICTIONS FOR TRAVEL EXPENSE REIMBURSEMENT. THE WRITTEN POLICY STIPULATES THAT IF AN EMPLOYEE, FOR PERSONAL REASONS, HAS HIS OR HER SPOUSE OR OTHER MEMBERS OF HIS OR HER FAMILY ACCOMPANY HIM OR HER WHILE TRAVELING ON HOSPITAL BUSINESS, REIMBURSEMENT WILL BE FOR THE EMPLOYEE'S QUALIFIED EXPENSES ONLY. HOSPITAL EXECUTIVES MAY HAVE SPOUSE OR OTHER FAMILY MEMBER'S TRAVEL EXPENSES REIMBURSED BY THE HOSPITAL IF SUCH TRAVEL IS DEEMED TO HAVE A HOSPITAL BUSINESS PURPOSE. |
| PART I, LINES 4A-B | CYNTHIA PETERSON RECEIVED A SEVERANCE PAYMENT OF $109,800 WHICH IS INCLUDED ON SCH J PART II, COLUMN B (III) HENRY MAYO NEWHALL MEMORIAL HOSPITAL HAS A SERP (SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN) OF WHICH ONLY ONE OF ITS EMPLOYEES PARTICIPATES, ROGER SEAVER. THE AMOUNT OF BENEFIT PAID IN THE CURRENT YEAR INCLUDED ON SCHEDULE J, PART II, (B)(II) IS $128,800. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| A | 680164610 | 2013-12-06 | $25,000,000 | FINANCE AND REFINANCE FACILITY | 0 | 0 | 0 | |
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| B | 680164610 | 2013-12-06 | $35,000,000 | FINANCE AND REFINANCE FACILITY | 0 | 0 | 0 | |
| CA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | ||||||||
| C | 680164610 | 2014-02-05 | $70,780,579 | FINANCE AND REFINANCE FACILITY | 0 | 0 | 0 | 13080SCJ1 |
| CALIFORNIA PUBLIC FINANCE AUTHORITY | ||||||||
| D | 474447476 | 2017-02-03 | $115,072,912 | FINANCE AND REFINANCE FACILITY | 0 | 0 | 0 | 13057EAL8 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Credit EnhancementCreditEnhancementAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $5,650,000 | $25,000,000 | $272,183 | $5,002,611 | $19,725,206 | 2016 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $9,350,000 | $35,000,000 | $381,056 | $7,003,656 | $27,615,288 | 2016 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| C | $1,330,000 | $70,780,579 | $1,141,054 | $20,092,467 | $38,854,112 | 2017 | 0 | Yes (1) | Yes (1) | Yes (1) | $1,692,946 |
| D | $115,072,912 | $1,455,316 | $85,000,000 | $28,617,596 | 2019 | Yes (1) | 0 | 0 | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 7: | HAS BEEN ANSWERED NO FOR THE 2017 FORM 990 (YEAR ENDING 09/30/18). THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES AFTER YEAR-END. THIS WILL BE ANSWERED YES GOING FORWARD. |
| PART V: | HAS BEEN ANSWERED NO FOR THE 2017 FORM 990 (YEAR ENDING 09/30/18). THE ORGANIZATION HAS ESTABLISHED WRITTEN PROCEDURES AFTER YEAR-END. THIS WILL BE ANSWERED YES GOING FORWARD. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| DON NISHIGUCHI | |||
| DON NISHIGUCHI, MD - TRUSTEE | $36,000 | PROFESSIONAL FEES | 0 |
| LAKHBINDER DHANDA | |||
| LAKHBINDER DHANDA, MD - TRUSTEE | $23,850 | PROFESSIONAL FEES | 0 |
| KRYSTLE SEAVER | |||
| FAMILY MEMBER OF OFFICER | $62,366 | WAGES | 0 |
| KATHERINE DUNN | |||
| FAMILY MEMBER OF TRUSTEE | $90,759 | WAGES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE BOARD OF DIRECTORS, CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEWED THE ENTIRE FORM 990 RETURN PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | ALL BOARD MEMBERS ARE REQUIRED TO READ THE CONFLICT OF INTEREST POLICY AND COMPLETE A FORMAL CONFLICT OF INTEREST QUESTIONNAIRE AND RESULTS OF ANY CONFLICT, IF ANY, WOULD BE REPORTED TO THE FULL BOARD. BOARD MEMBERS ARE AWARE AND REMINDED OF THE HOSPITAL'S FIDUCIARY RESPONSIBILITY IN REPORTING CONFLICTS OF INTEREST. THERE HAVE BEEN CIRCUMSTANCES WHERE A CONFLICT OF INTEREST EXISTS AND IT HAS BEEN DISCLOSED TO THE BOARD OF DIRECTORS. THE CONFLICT OF INTEREST FORMS ARE REQUIRED TO BE UPDATED ON AN ANNUAL BASIS. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATIONS'S CEO AND EXECUTIVE MANAGEMENT COMPENSATION ARE DETERMINED THROUGH THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT CONSULTANT, AND BOARD OF DIRECTOR APPROVAL. OTHER KEY EMPLOYEES AND MANAGEMENT OF THE ORGANIZATION RECEIVE PERFORMANCE REVIEWS ANNUALLY AND RATINGS ARE APPLIED THAT SUGGEST THE PERCENTAGE OF SALARY INCREASE. PERCENTAGES ARE DETERMINED THROUGH MARKET SURVEYS DONE BY HUMAN RESOURCES AND APPROVED EACH YEAR VIA THE BUDGET AND APPROVAL PROCESS. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICE: PROGRAM SERVICE EXPENSES 41,801,432. MANAGEMENT AND GENERAL EXPENSES 5,968,044. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 47,769,476. CONSULTING AND MANAGEMENT FEES: PROGRAM SERVICE EXPENSES 931,733. MANAGEMENT AND GENERAL EXPENSES 2,650,413. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,582,146. |
| FORM 990, PART XII, LINE 2C: | NEITHER THE OVERSIGHT PROCESS FOR THE AUDIT OR THE SELECTION PROCESS OF THE INDEPENDENT ACCOUNTANT CHANGED DURING THE TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO CARE NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PKWY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 824876499 | EIN |
| Primary Activities | HEALTHCARE NETWORK | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO NEWHALL MEMORIAL HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||||||||||
| 23845 MCBEAN PKWY | VALENCIA | CA | 91355 | 953849903 | RAISE FUNDS | CA | 501(C)(3) | LINE 7 | HOSPITAL | Yes (1) |
| SANTA CLARITA HEALTHCARE ASSOCIATION | ||||||||||
| 23845 MCBEAN PKWY | VALENCIA | CA | 91355 | 953921194 | INACTIVE | CA | 501(C)(3) | LINE 3 | HOSPITAL | 0 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TOWER IMAGING VALENCIA | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5455 WILSHIRE BLVD STE 1120 | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90036 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 201345767 | EIN |
| Primary Activities | RADIOLOGY SERVICES | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $725,587 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,360,815 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.50000 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HENRY MAYO MANAGEMENT SERVICE ORGANIZATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 23845 MCBEAN PKWY | AddressLine1Txt |
| City | VALENCIA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91355 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 475250569 | EIN |
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $100,000 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $462,047 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||
| C | $2,335,977 | ACTUAL AMOUNT |
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||
| D | $12,489,701 | AMOUNT GUARANTEED |
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||
| B | $16,871,534 | ACTUAL AMOUNT |
| HENRY MAYO MANAGEMENT SERVICE ORGANIZATION | ||
| B | $100,000 | ACTUAL AMOUNT |
| HENRY MAYO NEWHALL MEMORIAL HEALTH FOUNDATION | ||
| K | $185,214 | ACTUAL AMOUNT |