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Nonprofiteer
← USC ARCADIA HOSPITAL FOUNDATION

Form 990 for tax year 2023

Filed by USC ARCADIA HOSPITAL FOUNDATION.

Totals

Total revenue
$6,710,834
Total expenses
$3,367,195
Contributions and grants received
$6,817,446
Grants paid
$1,446,414
Program services expenses (Part IX)
$1,446,414
Management and general expenses
$610,282
Fundraising expenses
$1,310,499
Program service expenses (Part III)
$1,446,414

Program services were 43.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Listed in Part VII

  • DAN F AUSMAN

    FORMER HOSPITAL PRESIDENT

    Total calculated
    $2,540,937
    From this org
    $0
    From related orgs
    $2,525,373
    Other
    $15,564
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $351,821 related
    Bonus
    $0 + $1,552,850 related
    Other
    $0 + $620,702 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $15,564 related
    Filer's total
    $0 + $2,540,937 related

  • IKENNA MMEJE

    HOSPITAL PRESIDENT

    Total calculated
    $618,367
    From this org
    $0
    From related orgs
    $594,821
    Other
    $23,546
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $535,934 related
    Bonus
    $0 + $58,333 related
    Other
    $0 + $554 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $23,546 related
    Filer's total
    $0 + $618,367 related

  • WILLIAM GRIGG

    ASST. TREASURER

    Total calculated
    $561,484
    From this org
    $0
    From related orgs
    $536,642
    Other
    $24,842
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $472,711 related
    Bonus
    $0 + $58,387 related
    Other
    $0 + $5,544 related
    Deferred
    $0 + $9,900 related
    Nontaxable benefits
    $0 + $14,942 related
    Filer's total
    $0 + $561,484 related

  • MICHAEL D DRIEBE

    PRESIDENT (UNTIL 3/22/24)

    Total calculated
    $349,634
    From this org
    $0
    From related orgs
    $332,322
    Other
    $17,312
    Hours/week
    48 + 2 related

    Schedule J breakdown matched by us

    Base
    $0 + $247,812 related
    Bonus
    $0 + $77,679 related
    Other
    $0 + $6,831 related
    Deferred
    $0 + $9,707 related
    Nontaxable benefits
    $0 + $7,605 related
    Filer's total
    $0 + $349,634 related

  • JAY HARVILL

    DIRECTOR - PLANNED GIFTS

    Total calculated
    $215,730
    From this org
    $0
    From related orgs
    $188,353
    Other
    $27,377
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $184,189 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $2,664 related
    Deferred
    $0 + $5,846 related
    Nontaxable benefits
    $0 + $21,531 related
    Filer's total
    $0 + $215,730 related

  • CLARA DRISCOLL

    DIR - PLND GIFTS & FDN RELAT

    Total calculated
    $181,582
    From this org
    $0
    From related orgs
    $168,985
    Other
    $12,597
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $163,223 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $4,262 related
    Deferred
    $0 + $4,992 related
    Nontaxable benefits
    $0 + $7,605 related
    Filer's total
    $0 + $181,582 related

  • GLORIA RICO

    DIRECTOR - MAJOR GIFTS

    Total calculated
    $171,267
    From this org
    $0
    From related orgs
    $152,852
    Other
    $18,415
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $150,638 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $714 related
    Deferred
    $0 + $4,676 related
    Nontaxable benefits
    $0 + $13,739 related
    Filer's total
    $0 + $171,267 related

  • MAGDALENA TRIGUEROS TORRES

    DIR-ANNUAL GIVING

    Total calculated
    $157,424
    From this org
    $0
    From related orgs
    $150,111
    Other
    $7,313
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $148,365 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $246 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $7,313 related
    Filer's total
    $0 + $157,424 related

  • YURI CASCO

    DIR - DONOR ENG & SPC EVENTS

    Total calculated
    $154,294
    From this org
    $0
    From related orgs
    $141,700
    Other
    $12,594
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $0 + $139,907 related
    Bonus
    $0 + $1,500 related
    Other
    $0 + $293 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $12,594 related
    Filer's total
    $0 + $154,294 related

  • CHAO-YI MONICA CHEN

    MANAGER - DONOR SYSTEMS

    Total calculated
    $119,530
    From this org
    $0
    From related orgs
    $108,478
    Other
    $11,052
    Hours/week
    50

  • GINA KUGELMAN

    ASST. SECRETARY

    Total calculated
    $108,013
    From this org
    $0
    From related orgs
    $91,442
    Other
    $16,571
    Hours/week
    50

  • TOM HOFFMAN

    SEE SCHEDULE O FOR TITLE

    Total calculated
    $0
    Hours/week
    2

  • MELINDA ROGERS

    SEE SCHEDULE O FOR TITLE

    Total calculated
    $0
    Hours/week
    2

  • SHARON KWAN

    DIR., TREAS. (AS OF 1/1/24)

    Total calculated
    $0
    Hours/week
    2

  • GRACE HUANG MD

    DIRECTOR/SECRETARY

    Total calculated
    $0
    Hours/week
    2

  • RICHARD BUKATA MD

    SEE SCHEDULE O FOR TITLE

    Total calculated
    $0
    Hours/week
    2

  • RALPH LIU

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • PHILIP WOOD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JEROME YUAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KEVIN ZHANG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SANDRA CHEN LAU

    PRESIDENT (AS OF 3/25/24)

    Total calculated
    $0
    Hours/week
    48 + 2 related

  • TOM BRADY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • LIZ BRUNY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SHIRLEY CHI MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • REBECCA IGLESIAS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • PATTY NIJJAR

    SEE SCHEDULE O FOR TITLE

    Total calculated
    $0
    Hours/week
    2

  • NATALIE POOLE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • JULIE ROYBAL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • MICKEY SEGAL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • DOUGLAS VAN KIRK

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • EILEEN WANG

    DIRECTOR (AS OF 1/1/24)

    Total calculated
    $0
    Hours/week
    2

  • SHERRY WANG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • ALAN WHITMAN

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • SUSAN WOO

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • KAREN ZHANG

    DIRECTOR

    Total calculated
    $0
    Hours/week
    2

  • BARBARA MILLER

    EX-OFFICIO

    Total calculated
    $0
    Hours/week
    2

  • STEPHEN SOLDO MD

    DIRECTOR (UNTIL 12/31/23)

    Total calculated
    $0
    Hours/week
    2

  • GANG DING

    DIRECTOR (UNTIL 12/31/23)

    Total calculated
    $0
    Hours/week
    2

  • KIN HUI

    DIRECTOR (UNTIL 12/31/23)

    Total calculated
    $0
    Hours/week
    2

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 3
COMPENSATION OF THE ORGANIZATION'S CEO/EXECUTIVE DIRECTOR: THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, USC ARCADIA HOSPITAL (USCAH), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. PLEASE SEE SCHEDULE O NARRATIVE FOR FORM 990, PART VI, LINES 15A AND 15B FOR A DESCRIPTION OF THE PROCESS.
SCHEDULE J, PART I, LINE 4A
DANIEL AUSMAN, IN CONNECTION WITH HIS SEPARATION FROM USC ARCADIA HOSPITAL, WAS ENTITLED TO A TOTAL OF $610,923 DURING CALENDAR YEAR 2023. THIS PAYMENT IS INCLUDED IN HIS SCHEDULE J, PART II, COLUMN (B)(III).
SCHEDULE J, PART I, LINE 4B
USC ARCADIA HOSPITAL (USCAH) HAS A FUNDED NONCONTRIBUTORY DEFINED SPLIT-DOLLAR LIFE INSURANCE ARRANGEMENTS FOR CERTAIN EXECUTIVE OFFICERS. LIFE INSURANCE PREMIUM PAYMENTS ARE PAID ON BEHALF OF EACH PARTICIPANT AND ARE SCHEDULED TO BE REPAID TO USCAH FROM THE DEATH BENEFIT ASSOCIATED WITH EACH LIFE INSURANCE CONTRACT. USCAH MAY RECEIVE PROCEEDS FROM THE DEATH BENEFITS IN EXCESS OF THE LOAN AMOUNTS. THE PREMIUM LOANS ARE SECURED THROUGH COLLATERAL AGREEMENTS ON THE CASH VALUE AND DEATH BENEFIT FOR EACH INSURANCE CONTRACT. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THIS PLAN: - DAN AUSMAN - MICHAEL DRIEBE - WILLIAM GRIGG NO INDIVIDUALS RECEIVED PAYMENTS FROM THE PLAN DURING THE YEAR.
SCHEDULE J, PART II
DURING CALENDAR YEAR 2023, THE INDIVIDUALS REPORTED ON SCHEDULE J PART II WERE PAID BY USC ARCADIA HOSPITAL OR THE UNIVERSITY OF SOUTHERN CALIFORNIA, BOTH RELATED TAX-EXEMPT ORGANIZATIONS. FOR PURPOSES OF FORM 990 REPORTING, A COMMON LAW EMPLOYEE ANALYSIS HAS BEEN COMPLETED BY THE FILING ORGANIZATION TO DETERMINE ITS KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2023
Filed
15 May 2025
IRS schema version
2023v6.0
Source object
202531359349311703

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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