Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
|
Total |
||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | 5,609,086 | 8,450,892 | 4,930,094 | 6,817,446 | 4,369,760 | 30,177,278 |
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf .... | 0 | |||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | 0 | |||||
| 4 | Total. Add lines 1 through 3 | 5,609,086 | 8,450,892 | 4,930,094 | 6,817,446 | 4,369,760 | 30,177,278 |
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | 10,757,669 | |||||
| 6 | Public support. Subtract line 5 from line 4. | 19,419,609 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | 5,609,086 | 8,450,892 | 4,930,094 | 6,817,446 | 4,369,760 | 30,177,278 |
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | 245,620 | 119,309 | 225,102 | 248,468 | 348,489 | 1,186,988 |
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | 0 | |||||
| 11 | Total support. Add lines 7 through 10 | 31,364,266 | |||||
Calendar year (or fiscal
year beginning in) ![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | ||||||
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | ||||||
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | ||||||
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | ||||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2020 | (b) 2021 | (c) 2022 | (d) 2023 | (e) 2024 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | ||||||
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | ||||||
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | ||||||
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | ||||||
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
||||
| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
|||||
| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2024 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2024 |
(iii) Distributable Amount for 2024 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2024 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2024 (reasonable cause required-- explain in Part VI).
See instructions. |
||||
| 3 Excess distributions carryover, if any, to 2024: | ||||
| a From 2019....... | ||||
| b From 2020....... | ||||
| c From 2021....... | ||||
| d From 2022....... | ||||
| e From 2023....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2024 distributable amount | ||||
|
i
Carryover from 2019 not applied (see instructions) |
||||
| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2024 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2024 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2024, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
6
Remaining underdistributions for 2024. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
||||
|
7 Excess distributions carryover to 2025. Add lines 3j and 4c. |
||||
| 8 Breakdown of line 7: | ||||
| a Excess from 2020..... | ||||
| b Excess from 2021..... | ||||
| c Excess from 2022..... | ||||
| d Excess from 2023..... | ||||
| e Excess from 2024..... | ||||
| Facts And Circumstances Test |
|---|
| Return Reference | Explanation |
|---|
| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
|---|---|
| FORM 990, PART I LINE 1 & PART III, LINE 1 | MISSION STATEMENT THE MISSION OF USC ARCADIA HOSPITAL FOUNDATION EDUCATES AND INSPIRES THE COMMUNITY TO GENEROUSLY SUPPORT QUALITY MEDICAL CARE AT USC ARCADIA HOSPITAL. |
| FORM 990, PART VI, LINE 2 | CERTAIN INDIVIDUALS LISTED IN PART VII ARE OFFICERS AND DIRECTORS OF THE USC ARCADIA HOSPITAL, A RELATED ORGANIZATION. ALL INDIVIDUALS LISTED WITH RELATED ORGANIZATION HOURS ARE EMPLOYEES OF THE HOSPITAL, A RELATED TAX EXEMPT ORGANIZATION. |
| FORM 990, PART VI, LINES 6 AND 7A | DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS: THE PERSONS WHO SIMULTANEOUSLY SERVE ON THE USC ARCADIA HOSPITAL'S BOARD OF DIRECTORS AND THE FOUNDATION'S BOARD OF DIRECTORS ARE THE CORPORATE MEMBERS. THE CORPORATE MEMBERS ELECT THE DIRECTORS OF THE FOUNDATION AT THEIR ANNUAL MEETING. |
| FORM 990, PART VI, LINE 7B | DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS: THE FOLLOWING MATTERS ARE SUBJECT TO CORPORATE MEMBERS' APPROVAL: (A) ANNUALLY, AUDITED FINANCIAL STATEMENTS AND PERIODICALLY, UNAUDITED FINANCIAL STATEMENTS (WHICH FINANCIAL STATEMENTS ARE TO BE PREPARED IN SUCH FORM WITH SUCH CONTENT, AND AT SUCH INTERVALS AS SHALL BE SPECIFIED BY THE CORPORATE MEMBERS); (B) THE AMENDMENT OR RESTATEMENT OF THE FOUNDATION ARTICLES OF INCORPORATION OR BYLAWS; (C) THE MERGER, CONSOLIDATION, OR DISSOLUTION OF THE FOUNDATION; (D) THE SELECTION OR REMOVAL OF THE INDEPENDENT AUDITOR FOR THE FOUNDATION; (E) THE BORROWING OF FUNDS BY THE FOUNDATION; (F) SUCH OTHER MATTER AS MAY BE REQUIRED BY LAW TO BE SUBMITTED TO THE CORPORATE MEMBERS; (G) OTHER MATTERS DEEMED ADVISABLE BY THE BOARD OF DIRECTORS; AND (H) ANY OTHER MATTER WHICH MAY BE SPECIFIED BY THE CORPORATE MEMBERS. |
| FORM 990, PART VI, LINE 11B | THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW FORM 990: FORM 990 IS PROVIDED TO ALL MEMBERS OF THE GOVERNING BODY PRIOR TO ITS FILING WITH ADEQUATE TIME TO MAKE INQUIRIES OR RECOMMENDATIONS. |
| FORM 990, PART VI, LINE 12C | DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST: BY WRITTEN POLICY, OFFICERS, DIRECTORS, KEY EMPLOYEES AND MANAGERS ARE REQUIRED TO PREPARE ANNUAL DISCLOSURE STATEMENTS TO REFLECT FINANCIALS OR PERSONAL INTEREST IN, OR OBLIGATIONS, WHICH MIGHT AFFECT OR APPEAR TO AFFECT, HIS/HER JUDGEMENT ON BEHALF OF USC ARCADIA HOSPITAL OR USC ARCADIA HOSPITAL FOUNDATION. ALL MATERIAL FACTS ARE GATHERED BY CHIEF COMPLIANCE AND RISK OFFICER (CCRO) AND PRESENTED TO THE CEO AND BOARD CHAIR ANNUALLY OR UPON DISCLOSURE OF AN ACTUAL OR POTENTIAL CONFLICT OF INTEREST. THE BOARD CHAIR AND CEO OF THE HOSPITAL OR THE FOUNDATION AS APPROPRIATE, IN CONSULTATION WITH THE CCRO, ARE RESPONSIBLE FOR ASCERTAINING WHAT IF ANY NEXT STEPS AND/OR ACTIONS MAY BE NECESSARY TO PROTECT THE INTEREST OF THE HOSPITAL OR FOUNDATION. BASED ON THE ASSESSMENT OF THE MATERIALITY OF THE CONFLICT, THE INTERESTED OFFICER OR DIRECTOR MAY BE ASKED TO ONLY PROVIDE INPUT INTO THE DISCUSSION BUT REFRAIN FROM VOTING; OR MAY BE ASKED TO LEAVE THE ROOM DURING THE DISCUSSION AND REFRAIN FROM VOTING. |
| FORM 990, PART VI, LINES 15A & 15B | PROCESS AND REVIEW FOR DETERMINING COMPENSATION OF OFFICERS: ALL OFFICERS AND DIRECTORS RECEIVING COMPENSATION ARE EMPLOYED BY USC ARCADIA HOSPITAL OR THE UNIVERSITY OF SOUTHERN CALIFORNIA, A RELATED TAX-EXEMPT ORGANIZATION. COMPENSATION ARRANGEMENTS ARE ESTABLISHED PURSUANT TO A PROCESS THAT SATISFIED THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS PROVIDED FOR IN IRC SEC 4958 (EXCESS BENEFIT TRANSACTION TAX). THIS PROCESS REQUIRES A REVIEW OF COMPENSATION DETERMINATIONS BY DISINTERESTED PERSONS, THE USE OF COMPARABILITY DATA, AND CONTEMPORANEOUS DOCUMENTATION OF THE DECISION-MAKING PROCESS.THE HOSPITAL BOARD PERFORMS PERIODIC REVIEW AND DETERMINATION OF APPROPRIATE COMPENSATION LEVELS FOR THE PREVIOUSLY MENTIONED OFFICERS AND KEY EMPLOYEES BASED UPON EXTERNAL SALARY DATA. THEIR MOST RECENT REVIEW INCLUDED BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EMPLOYEES INCLUDING TOTAL ECONOMIC BENEFITS PAID BY ORGANIZATIONS WHICH THE GOVERNING BODY BELIEVES ARE SIMILAR SITUATED FOR SIMILAR JOB RESPONSIBILITIES, AS OBTAINED FROM INDEPENDENT THIRD-PARTY SOURCES. THE BOARD'S WRITTEN RECORDS INCLUDE THE (1) TERMS OF THE ARRANGEMENT WITH THE DISQUALIFIED PERSON (INCLUDING THE DATE THE ARRANGEMENT WAS APPROVED); (2) A LIST OF MEMBERS PRESENT DURING THE DEBATE OF THE TRANSACTION (AND HOW THE MEMBERS VOTED WHEN IT WAS APPROVED); AND (3) A DESCRIPTION OF THE COMPARABLE DATA RELIED ON BY THE COMMITTEE. THE KEY DELIBERATIONS, A DESCRIPTION OF THE COMPARABILITY DATA, HOW IT WAS OBTAINED, THE MEMBERS PRESENT AND HOW THEY VOTED WAS DOCUMENTED IN THE EXECUTIVE COMPENSATION COMMITTEE MINUTES. THE RESULTS OF THE EXECUTIVE COMPENSATION COMMITTEE OF USC ARCADIA HOSPITAL RELATED TO THE FOUNDATION PRESIDENT IS REVIEWED AND APPROVED BY THE FOUNDATION'S EXECUTIVE COMMITTEE. THIS PROCESS WAS COMPLETED FOR ALL OFFICERS AND KEY EMPLOYEES IN 2025. |
| FORM 990, PART VI, LINE 19 | AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF THE INTEREST POLICY, AND FINANCIAL STATEMENTS TO GENERAL PUBLIC: UNDER CURRENT FEDERAL TAX LAW, THE ORGANIZATION IS NOT REQUIRED TO MAKE ITS GOVERNING DOCUMENTS, ETC. AVAILABLE FOR PUBLIC INSPECTION. HOWEVER, THE ORGANIZATION DOES MAKE ITS FORM 990 AVAILABLE UPON REQUEST. |
| FORM 990, PART VII, SECTION A | THE TITLE FOR TOM HOFFMAN IS DIRECTOR, CHAIR (UNTIL 12/31/24), IMMEDIATE PAST-CHAIR (AS OF 1/1/25). THE TITLE FOR GRACE HUANG, M.D. IS DIRECTOR, SECRETARY (UNTIL 12/31/24), CHAIR (AS OF 1/1/25). THE TITLE FOR RICHARD BUTKATA, M.D. IS DIRECTOR, IMMEDIATE PAST CHAIR (AS OF 12/31/24). THE TITLE FOR WILLIAM GRIGG IS ASSISTANT TREASURER (UNTIL 7/7/24) AND FORMER ASSISTANT TREASURER (UNTIL 1/17/25). |
| FORM 990, PART IX, LINE 11A | MANAGEMENT FEE: ALL PERSONNEL RELATED ACTIVITIES AT USC ARCADIA HOSPITAL FOUNDATION ARE PERFORMED BY USC ARCADIA HOSPITAL EMPLOYEES, INCLUDING THE FOUNDATION PRESIDENT. MANAGEMENT FEES REPRESENT A REIMBURSEMENT OF THESE COSTS TO HOSPITAL. |
| FORM 990, PART XI, LINE 9 | OTHER CHANGES IN NET ASSETS OR FUND BALANCES: CHANGE IN VALUE OF CHARITABLE REMAINDER TRUST: ($2,724) ----------- TOTAL ($2,724) |
| Software ID: | |
| Software Version: |