MEMORIAL HEALTH SERVICES: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SERVICES (EIN 95-1643381)
- Tax period
- 2021-07-01 to 2022-06-30
- Filed
- 2023-05-12
- IRS object ID
- 202311329349303911
- Schema version
- 2021v4.2
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-05-12T10:55:27-05:00 | ReturnTs |
| Tax Period End | 2022-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 225 S LAKE AVE SUITE 900 | AddressLine1Txt |
| City | PASADENA | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 91101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643381 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SERVICES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 7143773002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | KAREN TESTMAN | PersonNm |
| Person Title | EVP, CFO | PersonTitleTxt |
| Phone | 7143773002 | PhoneNum |
| Signature | 2023-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | KAREN | PersonFirstNm |
| Person Last | TESTMAN | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | LAUREN A HAVERLOCK | PreparerPersonNm |
| PTIN | P00545829 | PTIN |
| Phone | 3104770450 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIALCARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KAREN TESTMAN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $909,132,766 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 5661 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEMORIALCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1937 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1060 | TotalEmployeeCnt |
| Total Volunteers | 10 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,921,335 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,977,654 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $229,310,501 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $247,657,220 | CYProgramServiceRevenueAmt |
| PY Investment Income | $69,206,864 | PYInvestmentIncomeAmt |
| CY Investment Income | $154,157,494 | CYInvestmentIncomeAmt |
| PY Other Revenue | $9,099,063 | PYOtherRevenueAmt |
| CY Other Revenue | $6,988,611 | CYOtherRevenueAmt |
| PY Total Revenue | $311,537,763 | PYTotalRevenueAmt |
| CY Total Revenue | $411,780,979 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $45,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $246,700 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $121,997,514 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $124,332,252 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $182,434,974 | PYOtherExpensesAmt |
| CY Other Expenses | $194,928,595 | CYOtherExpensesAmt |
| PY Total Expenses | $304,477,488 | PYTotalExpensesAmt |
| CY Total Expenses | $319,507,547 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,060,275 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $92,273,432 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $3,700,941,895 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,483,340,551 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,658,285,692 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,705,437,195 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,042,656,203 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $777,903,356 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES, BY BENEFITING, PERFORMING THE FUNCTIONS OF AND CARRYING OUT THE PURPOSES OF THE NONPROFIT, TAX-EXEMPT HOSPITALS AND OTHER HEALTHCARE PROVIDERS OF WHICH THE ORGANIZATION IS THE SOLE MEMBER ("THE SUPPORTED ORGANIZATION"), AND SUPPORTING THE PURPOSES AND ACTIVITIES OF THE SUPPORTED ORGANIZATIONS BY PROVIDING THEM WITH ADMINISTRATIVE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $169,626,132 | ExpenseAmt |
| Grant | $246,700 | GrantAmt |
| Revenue | $247,657,220 | RevenueAmt |
| Desc | SEE SCHEDULE OTHE ORGANIZATION, MEMORIAL HEALTH SERVICES, IS THE PARENT NONPROFIT CORPORATION OF A NONPROFIT INTEGRATED HEALTH CARE DELIVERY SYSTEM, KNOWN AS THE MEMORIALCARE HEALTH SYSTEM (MEMORIALCARE). MEMORIAL HEALTH SERVICES IS THE SOLE MEMBER OF (1) LONG BEACH MEMORIAL MEDICAL CENTER, A CALIFORNIA NONPROFIT CORPORATION WHICH OPERATES MEMORIALCARE LONG BEACH MEDICAL CENTER AND MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH, (2) ORANGE COAST MEMORIAL MEDICAL CENTER, A CALIFORNIA NONPROFIT CORPORATION, AND (3) SADDLEBACK MEMORIAL MEDICAL CENTER, A CALIFORNIA NONPROFIT CORPORATION. MEMORIALCARE'S LARGEST PROGRAM SERVICES CONSIST OF PROVIDING INPATIENT AND OUTPATIENT HOSPITAL CARE TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. MEMORIALCARE HOSPITALS ARE COMMITTED TO MEETING THE HEALTH CARE NEEDS OF PATIENTS WHO MAY BE UNINSURED OR UNDERINSURED, AND PROVIDE MEDICALLY NECESSARY SERVICES, WITHOUT COST OR AT A REDUCED COST, TO PATIENTS WHO QUALIFY BASED ON INCOME. IN THE YEAR ENDING JUNE 30, 2022, MEMORIALCARE HOSPITALS OPERATED 1,280 BEDS, RECORDED 253,942 PATIENT DAYS, DISCHARGED 51,947 PATIENTS, PROVIDED 25,071 SURGICAL PROCEDURES, DELIVERED 9,590 BABIES, AND HAD 173,392 EMERGENCY DEPARTMENT VISITS.MEMORIAL HEALTH SERVICES IS THE SOLE MEMBER OF MEMORIALCARE MEDICAL FOUNDATION (MCMF), A CALIFORNIA NONPROFIT CORPORATION AND MEDICAL PRACTICE FOUNDATION DESCRIBED IN SECTION 1206(L) OF THE CALIFORNIA HEALTH AND SAFETY CODE, WHICH PROVIDES COMPREHENSIVE OUTPATIENT CLINICAL SERVICES AT APPROXIMATELY 40 SITES THROUGHOUT ORANGE AND LOS ANGELES COUNTIES IN THE AREAS OF INTERNAL MEDICINE, FAMILY MEDICINE, AND MULTIPLE OTHER SPECIALTIES. ALSO, MCMF PROVIDES ADMINISTRATION, MANAGEMENT AND CONTRACTING SERVICES FOR EXCLUSIVE PRIMARY CARE PROVIDERS AND A SPECIALTY NETWORK OF AFFILIATED INDIVIDUAL AND PHYSICIAN GROUPS. MCMF ALSO OPERATES SEVERAL AMBULATORY SURGERY CENTERS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES. ADDITIONALLY, MCMF IS PART OF SEVERAL JOINT VENTURE PARTNERSHIPS FOR DIALYSIS CLINICS AND IMAGING CENTERS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES. FOR THE YEAR ENDING JUNE 30, 2022, MCMF PROVIDED 793,866 CLINIC VISITS AND PERFORMED 45,410 AMBULATORY SURGERIES. | Desc |
| Total Program Service Expenses | $169,626,132 | 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 |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | 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 | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | 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 | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 998 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1060 | 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 |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | 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 | ADOLFO CHANEZ | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7143773411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (39 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| BARRY S ARBUCKLE | ||||||||||
| PRESIDENT/CEO | 50.00 | 10.00 | Yes (X) | Yes (X) | $4,120,677 | $0 | $1,795,264 | |||
| RICHARD A GRANIERE | ||||||||||
| EVP/CHIEF INV OFF/TREAS(THRU 1/3/22) | 59.00 | 1.00 | Yes (X) | $1,443,792 | $0 | $129,109 | ||||
| KAREN A TESTMAN | ||||||||||
| EVP, CHIEF FINANCIAL OFFICER | 59.00 | 1.00 | Yes (X) | $1,061,177 | $0 | $422,734 | ||||
| HELEN L MACFIE | ||||||||||
| SVP, CHIEF TRANSFORMATION OFF | 60.00 | 0.00 | $1,179,320 | $0 | $176,657 | Yes (X) | ||||
| THOMAS J LEARY | ||||||||||
| SVP, CHIEF LEGAL OFFICER | 60.00 | 0.00 | $833,785 | $0 | $237,640 | Yes (X) | ||||
| STEVEN BEAL | ||||||||||
| SVP, INFO SYSTEMS/CIO | 60.00 | 0.00 | $659,776 | $0 | $212,601 | Yes (X) | ||||
| LAURIE D SICAEROS | ||||||||||
| CHIEF STRATEGY OFFICER | 60.00 | 0.00 | Yes (X) | $691,716 | $0 | $137,093 | ||||
| CATHY D CAPALDI | ||||||||||
| SVP, BUSINESS DEV, MARK & COMM | 60.00 | 0.00 | $578,534 | $0 | $178,562 | Yes (X) | ||||
| JOHN D CASCELL | ||||||||||
| SVP, MANAGED CARE | 60.00 | 0.00 | $564,726 | $0 | $181,971 | Yes (X) | ||||
| BRIAN C STUCKMAN | ||||||||||
| SVP SUPPLY CHAIN & ANCILLARY | 60.00 | 0.00 | $553,024 | $0 | $112,047 | Yes (X) | ||||
| KEVIN C TORRES | ||||||||||
| VP, INFORMATION SYSTEMS | 60.00 | 0.00 | $578,806 | $0 | $49,110 | Yes (X) | ||||
| ADOLFO O CHANEZ | ||||||||||
| SVP, CORPORATE FINANCE | 60.00 | 0.00 | $529,115 | $0 | $80,094 | Yes (X) | ||||
| MARY P LEAHY | ||||||||||
| SVP, CHIEF HR OFFICER | 60.00 | 0.00 | $484,951 | $0 | $80,432 | Yes (X) | ||||
| JOHN SOMERS | ||||||||||
| VP, REAL ESTATE AND FACILITIES | 60.00 | 0.00 | $468,248 | $0 | $39,114 | Yes (X) | ||||
| STEPHEN MCNAMARA | ||||||||||
| VP, PFS AND CFO SHP | 60.00 | 0.00 | $446,621 | $0 | $42,182 | Yes (X) | ||||
| ARAVIND SAMPATH | ||||||||||
| VP, STRATEGIC SOURC (THRU 12/27/21) | 60.00 | 0.00 | $432,927 | $0 | $22,537 | Yes (X) | ||||
| ELIZABETH ACORD | ||||||||||
| VP, ONCOLOGY | 60.00 | 0.00 | $392,913 | $0 | $27,330 | Yes (X) | ||||
| CHRISTOPHER FINCH | ||||||||||
| VP, CHIEF COMPLIANCE OFFICER | 60.00 | 0.00 | $371,745 | $0 | $44,147 | Yes (X) | ||||
| KRISTEN L PUGH | ||||||||||
| VP, ADVOCACY & GOVERN RELATION | 60.00 | 0.00 | $395,458 | $0 | $15,502 | Yes (X) | ||||
| SETH ELLIS | ||||||||||
| VP, CLINICAL INTEGRATION | 60.00 | 0.00 | $361,267 | $0 | $31,498 | Yes (X) | ||||
| DONALD THOMPSON | ||||||||||
| ASSISTANT GENERAL COUNSEL | 60.00 | 0.00 | $337,948 | $0 | $32,388 | Yes (X) | ||||
| JAMES M JONES | ||||||||||
| VP, QUALITY & RISK MANAGEMENT | 60.00 | 0.00 | $342,473 | $0 | $22,287 | Yes (X) | ||||
| KAREN WEINSTEIN | ||||||||||
| ASSISTANT GENERAL COUNSEL | 60.00 | 0.00 | $310,515 | $0 | $41,119 | Yes (X) | ||||
| SUZANNA H WINSLOW | ||||||||||
| ASSOCIATE GENERAL COUNSEL | 60.00 | 0.00 | $319,657 | $0 | $29,845 | Yes (X) | ||||
| DIANA JANIS | ||||||||||
| EXE DIR, HRIS-CMP-TAL (THRU 1/14/22) | 60.00 | 0.00 | $294,987 | $0 | $36,570 | Yes (X) | ||||
| PAUL A HOLT | ||||||||||
| EXEC. DIR, ENTERPRISE IT SVCS | 60.00 | 0.00 | $278,309 | $0 | $32,326 | Yes (X) | ||||
| JENNIFER L TINAJERO | ||||||||||
| VP CLINICAL TRANSFORMATION | 60.00 | 0.00 | $274,477 | $0 | $15,380 | Yes (X) | ||||
| TROY D VEILLEUX | ||||||||||
| VP, INFORMATION SYSTEMS | 60.00 | 0.00 | $255,977 | $0 | $12,579 | Yes (X) | ||||
| LORRAINE C BOOTH | ||||||||||
| FORMER SVP, CHF HR OFF | 0.00 | 0.00 | $243,287 | $0 | $1,601 | Yes (X) | ||||
| SARA L KOORS | ||||||||||
| EXEC. RESEARCH CONSULT(THRU 7/11/21) | 60.00 | 0.00 | $177,051 | $0 | $14,875 | Yes (X) | ||||
| SHARON CHEEVER | ||||||||||
| DIRECTOR, VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ROBERT F SCHACK | ||||||||||
| DIRECTOR, SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL TANG | ||||||||||
| DIRECTOR, CHAIRMAN | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SATHYA CHEY | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| JIM LEO MD | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS B ROGERS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| TERESA EVANS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRADEN PHILLIPS | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| STEVE GEIDT | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $18,983,259 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,254,594 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 392 | 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 |
|---|---|---|---|---|---|
| LAW OFFICES OF JOY YOUNG INC | |||||
| 303 N GLENOAKS BLVD 700 | BURBANK | CA | 91502 | COLLECTION AGENCY | $1,817,785 |
| HEALTH ADVOCATES LLC | |||||
| 14721 CALIFA STREET | VAN NUYS | CA | 91411 | PUBLIC ADVOCACY | $1,193,708 |
| PRICEWATERHOUSECOOPERS LLP | |||||
| 350 SOUTH GRAND AVE | LOS ANGELES | CA | 90017 | ACCOUNTING | $1,073,400 |
| ARCH GROUP LLC | |||||
| 4491 CONEFLOWER CT | MIDDLETON | WI | 53562 | CONSULTING | $943,383 |
| PAYNE & FEARS LLP | |||||
| 4 PARK PLAZA SUITE 1100 | IRVINE | CA | 92614 | LEGAL | $922,825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 48 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $750,000 | RelatedOrganizationsAmt |
| All Other Contributions | $2,227,654 | AllOtherContributionsAmt |
| Total Contributions | $2,977,654 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | HEALTH CARE SUPPORT | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $247,657,220 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $247,657,220 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $247,657,220 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,072,422 | TotalRevenueColumnAmt |
| Exclusion | $6,072,422 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,713,486 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,011,077 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,702,409 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,702,409 | TotalRevenueColumnAmt |
| Exclusion | $1,702,409 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $644,372,782 | SecuritiesAmt |
| Other | $53,000 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $496,340,710 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $148,032,072 | SecuritiesAmt |
| Other | $53,000 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $148,085,072 | TotalRevenueColumnAmt |
| Exclusion | $148,085,072 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $5,286,202 | TotalRevenueColumnAmt |
| Exclusion | $5,286,202 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,286,202 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $411,780,979 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $247,657,220 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $161,146,105 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,700 | TotalAmt |
| Program Services | $246,700 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,251,513 | TotalAmt |
| Program Services | $5,390,424 | ProgramServicesAmt |
| Management And General | $13,861,089 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,342,415 | TotalAmt |
| Program Services | $20,510,457 | ProgramServicesAmt |
| Management And General | $51,831,958 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,966,286 | TotalAmt |
| Program Services | $1,545,753 | ProgramServicesAmt |
| Management And General | $3,420,533 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,187,551 | TotalAmt |
| Program Services | $6,039,578 | ProgramServicesAmt |
| Management And General | $15,147,973 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,584,487 | TotalAmt |
| Program Services | $2,415,208 | ProgramServicesAmt |
| Management And General | $4,169,279 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,452,725 | TotalAmt |
| Program Services | $1,687,814 | ProgramServicesAmt |
| Management And General | $6,764,911 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,604,994 | TotalAmt |
| Program Services | $35,326 | ProgramServicesAmt |
| Management And General | $4,569,668 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,765 | TotalAmt |
| Program Services | $24,975 | ProgramServicesAmt |
| Management And General | $334,790 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,844 | TotalAmt |
| Program Services | $119,844 | ProgramServicesAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,920,455 | TotalAmt |
| Management And General | $10,920,455 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,865,438 | TotalAmt |
| Program Services | $6,001,329 | ProgramServicesAmt |
| Management And General | $8,864,109 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,391,055 | TotalAmt |
| Program Services | $4,928,865 | ProgramServicesAmt |
| Management And General | $462,190 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,099,337 | TotalAmt |
| Program Services | $388,530 | ProgramServicesAmt |
| Management And General | $710,807 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $58,768,648 | TotalAmt |
| Program Services | $56,195,513 | ProgramServicesAmt |
| Management And General | $2,573,135 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,430,349 | TotalAmt |
| Program Services | $4,337,556 | ProgramServicesAmt |
| Management And General | $92,793 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,847 | TotalAmt |
| Program Services | $10,233 | ProgramServicesAmt |
| Management And General | $18,614 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,730 | TotalAmt |
| Program Services | $31,187 | ProgramServicesAmt |
| Management And General | $148,543 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,244,101 | TotalAmt |
| Management And General | $22,244,101 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,031,087 | TotalAmt |
| Program Services | $16,405,423 | ProgramServicesAmt |
| Management And General | $625,664 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $827,955 | TotalAmt |
| Program Services | $35,319 | ProgramServicesAmt |
| Management And General | $792,636 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| INSTITUTIONAL SUPPORT | $40,059,084 | $40,059,084 | |
| DUES & SUBSCRIPTIONS | $1,965,454 | $1,514,662 | $450,792 |
| LICENSES & TAXES | $1,931,232 | $604,907 | $1,326,325 |
| MEDICAL SUPPLIES | $1,544,938 | $1,027,770 | $517,168 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $103,557 | TotalAmt |
| Program Services | $69,675 | ProgramServicesAmt |
| Management And General | $33,882 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,507,547 | TotalAmt |
| Program Services | $169,626,132 | ProgramServicesAmt |
| Management And General | $149,881,415 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $168,587,481 | BOYAmt |
| EOY | $78,640,319 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $596,453 | BOYAmt |
| EOY | $9,926,658 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $189,575,173 | BOYAmt |
| EOY | $210,791,994 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,609,549 | BOYAmt |
| EOY | $6,639,551 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,044,158 | BOYAmt |
| EOY | $25,963,517 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $232,932,704 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $84,332,897 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,582,136 | BOYAmt |
| EOY | $148,599,807 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,809,414,332 | BOYAmt |
| EOY | $2,622,361,545 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,822,963 | BOYAmt |
| EOY | $369,899,419 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,709,650 | BOYAmt |
| EOY | $10,517,741 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,941,895 | BOYAmt |
| EOY | $3,483,340,551 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $229,607,668 | BOYAmt |
| EOY | $262,021,780 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,209,816 | BOYAmt |
| EOY | $8,952,208 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,615,000 | BOYAmt |
| EOY | $384,523,000 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $497,405,000 | BOYAmt |
| EOY | $397,277,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,637,448,208 | BOYAmt |
| EOY | $1,652,663,207 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,658,285,692 | BOYAmt |
| EOY | $2,705,437,195 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,656,203 | BOYAmt |
| EOY | $777,903,356 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,042,656,203 | BOYAmt |
| EOY | $777,903,356 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,700,941,895 | BOYAmt |
| EOY | $3,483,340,551 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $92,273,432 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$353,077,546 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$3,948,733 | 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 | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type3 Func Int | Yes (X) | SupportingOrgType3FuncIntInd |
| Supported Organizations | 4 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp (4 entries)
| EINEIN | Organization TypeOrganizationTypeCd | Governing Document ListedGoverningDocumentListedInd | SupportSupportAmt | Other SupportOtherSupportAmt |
|---|---|---|---|---|
| LONG BEACH MEMORIAL MEDICAL CENTER | ||||
| 953527031 | 3 | Yes (1) | $0 | $0 |
| SADDLEBACK MEMORIAL MEDICAL CENTER | ||||
| 952585792 | 3 | Yes (1) | $0 | $0 |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||||
| 330687414 | 3 | Yes (1) | $0 | $0 |
| MEMORIALCARE MEDICAL FOUNDATION | ||||
| 271504911 | 3 | Yes (1) | $0 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 4 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
| Other Support Sum | $0 | OtherSupportSumAmt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (1) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | 0 | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | 0 | SupportedOrgSectionC456Ind |
| Supported Org Not Organized US | 0 | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | 0 | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | Yes (1) | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | 0 | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | 0 | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | 0 | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | 0 | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | 0 | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | 0 | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | Yes (1) | TimelyProvidedDocumentsInd |
| Officers Close Relationship | Yes (1) | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | Yes (1) | SupportedOrgVoiceInvestmentInd |
Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Parent Supported Org | Yes (X) | ParentSupportedOrgInd |
| Appoint Elect Majority Officer | Yes (1) | AppointElectMajorityOfficerInd |
| Exercise Direction Policies | Yes (1) | ExerciseDirectionPoliciesInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE A, PART I, LINE 12G, COLUMN VI: | MEMORIAL HEALTH SERVICES (MHS) SUPPORTS THE PURPOSES AND ACTIVITIES OF ITS SUPPORTED ORGANIZATIONS, ALL NONPROFIT TAX-EXEMPT PUBLIC CHARITIES OF WHICH MHS IS THE SOLE MEMBER, BY PROVIDING THEM WITH A WIDE RANGE OF ADMINISTRATIVE AND SUPPORT SERVICES. IN PROVIDING SUCH SERVICES, MHS IS OPERATED IN CONNECTION WITH THE SUPPORTED ORGANIZATIONS AND MAINTAINS A CLOSE, CONTINUOUS AND RESPONSIVE WORKING RELATIONSHIP WITH THEM. SUCH SERVICES INCLUDE FINANCE, ACCOUNTING, PURCHASING, GOVERNMENT RELATIONS, COMPLIANCE, HUMAN RESOURCES ADMINISTRATION, RISK MANAGEMENT, AND LEGAL, AMONG OTHERS. |
| SCHEDULE A, PART IV, SECTION A, LINE 6: | THE FILING ORGANIZATION PROVIDES GRANTS TO CHARITABLE ORGANIZATIONS THAT SUPPORT THE COMMUNITY SERVED AND THE EXEMPT PURPOSE OF THE SUPPORTED ORGANIZATIONS. |
| SCHEDULE A, PART IV, SECTION D, LINE 3: | THE SUPPORTED ORGANIZATIONS AND THE SUPPORTING ORGANIZATION SHARE THE SAME BOARD OF DIRECTORS. AS SUCH, THE SUPPORTED ORGANIZATIONS ARE INTEGRATED IN ALL DECISIONS MADE ABOUT THE FILING ORGANIZATION'S INVESTMENT POLICIES AND USE OF ASSETS. |
| SCHEDULE A, PART IV, SECTION E, LINE 3A: | THE ORGANIZATION IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS, AND HAS THE RIGHT, CONSISTENT WITH CALIFORNIA'S NONPROFIT CORPORATION LAW, AND AS REFLECTED IN APPLICABLE GOVERNING DOCUMENTS, TO ELECT THE DIRECTORS OF EACH SUPPORTED ORGANIZATION. |
| SCHEDULE A, PART IV, SECTION E, LINE 3B: | IN ADDITION TO EXERCISING ITS RIGHT TO ELECT THE DIRECTORS OF THE SUPPORTED ORGANIZATIONS, THE ORGANIZATION HAS AND EXERCISES CERTAIN RESERVED POWERS OVER EACH SUPPORTED ORGANIZATION, INCLUDING THE RIGHT TO APPROVE ANY CHANGES TO THE GOVERNING DOCUMENTS OF ANY SUPPORTED ORGANIZATION, THE ABILITY TO EMPLOY, SELECT AND REMOVE THE PRESIDENT OF ANY SUPPORTED ORGANIZATION, APPROVAL OF ANY SIGNIFICANT TRANSACTIONS OF A SUPPORTED ORGANIZATION, APPROVAL OF ANNUAL CAPITAL AND OPERATING BUDGETS FOR EACH SUPPORTED ORGANIZATION AND CAPITAL AND OTHER EXPENDITURES OVER $7,000,000, AND THE ADOPTION OF ANY LONG TERM STRATEGIC PLANS BY A SUPPORTED ORGANIZATION. IN ADDITION, THE ORGANIZATION DEVELOPS AND MAINTAINS MOST POLICIES AND PROCEDURES FOR EACH SUPPORTED ORGANIZATION. |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $112,344 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $7,500 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $119,844 | 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 | EXPENSES TOTALING $57,510 (POLITICAL SOLUTIONS, LLC) WERE FOR ACTIVITIES FOR THE PURPOSE OF INFLUENCING STATE LEGISLATION WHICH WOULD HAVE A DIRECT IMPACT ON THE ORGANIZATION'S ABILITY TO FULFILL ITS CHARITABLE MISSION OF SERVING THE COMMUNITY'S HEALTHCARE NEEDS. WE HAVE A CONTRACTUAL ENGAGEMENT WITH MCALLISTER AND QUINN AT $30,000 TO LEAD A FISCAL YEAR 2022 FEDERAL APPROPRIATIONS FUNDING REQUEST TO UPDATE OBSTETRICS CLINIC TO IMPROVE ACCESS AND COORDINATION OF CARE FOR PREDOMINATELY MEDI-CAL PATIENTS, WHICH IS LOCATED ON THE MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH CAMPUS. IN ADDITION, A CONTRIBUTION WAS MADE TO THE HEALTHCARE LEADERSHIP COUNCIL, FOR ANNUAL DUES IN THE AMOUNT $25,000. THE HLC HAS ADVISED THAT 30% OF DUES WERE ASSOCIATED WITH LOBBYING ACTIVITIES AND BE REPORTED AS $7,500 FOR THE YEAR. THE ORGANIZATIONAL COSTS INCURRED FOR OVERHEAD AND STAFF TIME TOTALED $24,834 FOR ADVOCACY ON BEHALF OF THE ORGANIZATION AROUND IMPROVEMENTS IN FEDERAL, STATE, AND LOCAL POLICIES TO ENSURE ACCESS TO HEALTH CARE SERVICES FOR THE COMMUNITY. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,081,753 | OtherCostOrOtherBasisAmt |
| Book Value | $15,081,753 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,377,716 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,696,732 | DepreciationAmt |
| Book Value | $55,680,984 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $693,192 | OtherCostOrOtherBasisAmt |
| Depreciation | $601,411 | DepreciationAmt |
| Book Value | $91,781 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $51,854,527 | OtherCostOrOtherBasisAmt |
| Depreciation | $30,758,308 | DepreciationAmt |
| Book Value | $21,096,219 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $90,925,516 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,276,446 | DepreciationAmt |
| Book Value | $56,649,070 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $148,599,807 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT-MCMF | $251,480,927 | C |
| INVESTMENT-MCSHP | $118,227,000 | C |
| INVESTMENT-SHV GEN PARTNER | $1,739 | C |
| INVESTMENT-VIVITY | $187,834 | C |
| INVESTMENT-CMGIC | $1,919 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $369,899,419 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $1,657,275,310 |
| SERP PAYABLE | $671,524 |
| BOND PREMIUM/DISCOUNT | -$6,987,727 |
| WORKERS COMPENSATION LIABILITY | $1,052,890 |
| SWAP PAYABLE | -$8,506,337 |
| OPERATING LEASE | $9,157,547 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,652,663,207 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST, AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2022. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| BIPARTISAN POLICY CENTER INC | ||||||||||
| 1225 EYE STREET NW SUITE 1000 | WASHINGTON | DC | 20005 | 731628382 | 501(C)(3) | $25,000 | $0 | GENERAL SUPPORT | ||
| MARCH OF DIMES INC | ||||||||||
| 101 MONTOMERY STREET SUITE 300 | SAN FRANCISCO | CA | 94104 | 131846366 | 501(C)(3) | $10,000 | $0 | SPONSORSHIP | ||
| THE AFYA FOUNDATION | ||||||||||
| 140 SAW MILL RIVER ROAD | YONKERS | NY | 10701 | 261300361 | 501(C)(3) | $0 | $211,700 | KN95 MASKS DONATION FOR UKRAINE | BOOK | MASKS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MEMORIAL HEALTH SERVICES GENERALLY DOES NOT MAKE GRANTS OR GIFTS OTHER THAN TO NONPROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT PUBLIC CHARITIES OR GOVERNMENTAL ENTITIES FOR THE PURPOSE OF IMPROVING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND COMMUNITIES. HOWEVER, ALL PROPOSED AND CONTEMPLATED GRANTS ARE CONSIDERED AND ASSESSED BY THE ORGANIZATION TO DETERMINE WHETHER THE USE OF THE FUNDS BY THE RECIPIENT WILL FURTHER THE CHARITABLE MISSION OF THE ORGANIZATION AND ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. THE ORGANIZATIONS DO REQUIRE FORMAL REPORTING ON THE USE OF GRANTS BY THE RECIPIENT. HOWEVER, THE ORGANIZATIONS DO NOT ALWAYS REQUIRE RECIPIENTS TO REPORT ON USE OF GIFT PROCEEDS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARRY S ARBUCKLE | ||||||||||||||
| PRESIDENT/CEO | $1,595,149 | $0 | $2,444,199 | $0 | $81,329 | $0 | $1,772,314 | $0 | $22,950 | $0 | $5,915,941 | $0 | $1,309,741 | $0 |
| RICHARD A GRANIERE | ||||||||||||||
| EVP/CHIEF INV OFF/TREAS(THRU 1/3/22) | $644,203 | $0 | $778,651 | $0 | $20,938 | $0 | $110,903 | $0 | $18,206 | $0 | $1,572,901 | $0 | $115,992 | $0 |
| KAREN A TESTMAN | ||||||||||||||
| EVP, CHIEF FINANCIAL OFFICER | $548,374 | $0 | $495,601 | $0 | $17,202 | $0 | $401,318 | $0 | $21,416 | $0 | $1,483,911 | $0 | $266,365 | $0 |
| HELEN L MACFIE | ||||||||||||||
| SVP, CHIEF TRANSFORMATION OFF | $555,759 | $0 | $532,930 | $0 | $90,631 | $0 | $161,938 | $0 | $14,719 | $0 | $1,355,977 | $0 | $77,244 | $0 |
| THOMAS J LEARY | ||||||||||||||
| SVP, CHIEF LEGAL OFFICER | $567,974 | $0 | $243,410 | $0 | $22,401 | $0 | $219,372 | $0 | $18,268 | $0 | $1,071,425 | $0 | $70,644 | $0 |
| STEVEN BEAL | ||||||||||||||
| SVP, INFO SYSTEMS/CIO | $462,402 | $0 | $162,875 | $0 | $34,499 | $0 | $190,040 | $0 | $22,561 | $0 | $872,377 | $0 | $0 | $0 |
| LAURIE D SICAEROS | ||||||||||||||
| CHIEF STRATEGY OFFICER | $485,717 | $0 | $172,985 | $0 | $33,014 | $0 | $135,007 | $0 | $2,086 | $0 | $828,809 | $0 | $65,574 | $0 |
| CATHY D CAPALDI | ||||||||||||||
| SVP, BUSINESS DEV, MARK & COMM | $385,457 | $0 | $175,146 | $0 | $17,931 | $0 | $164,785 | $0 | $13,777 | $0 | $757,096 | $0 | $54,096 | $0 |
| JOHN D CASCELL | ||||||||||||||
| SVP, MANAGED CARE | $356,711 | $0 | $164,393 | $0 | $43,622 | $0 | $163,634 | $0 | $18,337 | $0 | $746,697 | $0 | $51,002 | $0 |
| BRIAN C STUCKMAN | ||||||||||||||
| SVP SUPPLY CHAIN & ANCILLARY | $378,142 | $0 | $159,025 | $0 | $15,857 | $0 | $94,412 | $0 | $17,635 | $0 | $665,071 | $0 | $38,396 | $0 |
| KEVIN C TORRES | ||||||||||||||
| VP, INFORMATION SYSTEMS | $382,700 | $0 | $122,561 | $0 | $73,545 | $0 | $26,100 | $0 | $23,010 | $0 | $627,916 | $0 | $0 | $0 |
| ADOLFO O CHANEZ | ||||||||||||||
| SVP, CORPORATE FINANCE | $356,006 | $0 | $111,748 | $0 | $61,361 | $0 | $61,244 | $0 | $18,850 | $0 | $609,209 | $0 | $0 | $0 |
| MARY P LEAHY | ||||||||||||||
| SVP, CHIEF HR OFFICER | $363,353 | $0 | $107,677 | $0 | $13,921 | $0 | $63,233 | $0 | $17,199 | $0 | $565,383 | $0 | $0 | $0 |
| JOHN SOMERS | ||||||||||||||
| VP, REAL ESTATE AND FACILITIES | $345,159 | $0 | $109,613 | $0 | $13,476 | $0 | $26,100 | $0 | $13,014 | $0 | $507,362 | $0 | $0 | $0 |
| STEPHEN MCNAMARA | ||||||||||||||
| VP, PFS AND CFO SHP | $316,544 | $0 | $96,919 | $0 | $33,158 | $0 | $23,200 | $0 | $18,982 | $0 | $488,803 | $0 | $0 | $0 |
| ARAVIND SAMPATH | ||||||||||||||
| VP, STRATEGIC SOURC (THRU 12/27/21) | $284,238 | $0 | $88,976 | $0 | $59,713 | $0 | $14,500 | $0 | $8,037 | $0 | $455,464 | $0 | $0 | $0 |
| ELIZABETH ACORD | ||||||||||||||
| VP, ONCOLOGY | $291,549 | $0 | $90,642 | $0 | $10,722 | $0 | $14,500 | $0 | $12,830 | $0 | $420,243 | $0 | $0 | $0 |
| CHRISTOPHER FINCH | ||||||||||||||
| VP, CHIEF COMPLIANCE OFFICER | $270,718 | $0 | $88,244 | $0 | $12,783 | $0 | $26,100 | $0 | $18,047 | $0 | $415,892 | $0 | $0 | $0 |
| KRISTEN L PUGH | ||||||||||||||
| VP, ADVOCACY & GOVERN RELATION | $292,022 | $0 | $91,821 | $0 | $11,615 | $0 | $14,500 | $0 | $1,002 | $0 | $410,960 | $0 | $0 | $0 |
| SETH ELLIS | ||||||||||||||
| VP, CLINICAL INTEGRATION | $258,307 | $0 | $85,296 | $0 | $17,664 | $0 | $14,500 | $0 | $16,998 | $0 | $392,765 | $0 | $0 | $0 |
| DONALD THOMPSON | ||||||||||||||
| ASSISTANT GENERAL COUNSEL | $303,514 | $0 | $33,103 | $0 | $1,331 | $0 | $14,500 | $0 | $17,888 | $0 | $370,336 | $0 | $0 | $0 |
| JAMES M JONES | ||||||||||||||
| VP, QUALITY & RISK MANAGEMENT | $250,980 | $0 | $79,016 | $0 | $12,477 | $0 | $14,500 | $0 | $7,787 | $0 | $364,760 | $0 | $0 | $0 |
| KAREN WEINSTEIN | ||||||||||||||
| ASSISTANT GENERAL COUNSEL | $277,548 | $0 | $31,074 | $0 | $1,893 | $0 | $23,200 | $0 | $17,919 | $0 | $351,634 | $0 | $0 | $0 |
| SUZANNA H WINSLOW | ||||||||||||||
| ASSOCIATE GENERAL COUNSEL | $272,279 | $0 | $33,649 | $0 | $13,729 | $0 | $14,500 | $0 | $15,345 | $0 | $349,502 | $0 | $0 | $0 |
| DIANA JANIS | ||||||||||||||
| EXE DIR, HRIS-CMP-TAL (THRU 1/14/22) | $260,010 | $0 | $33,868 | $0 | $1,109 | $0 | $17,400 | $0 | $19,170 | $0 | $331,557 | $0 | $0 | $0 |
| PAUL A HOLT | ||||||||||||||
| EXEC. DIR, ENTERPRISE IT SVCS | $229,114 | $0 | $27,436 | $0 | $21,759 | $0 | $24,948 | $0 | $7,378 | $0 | $310,635 | $0 | $0 | $0 |
| JENNIFER L TINAJERO | ||||||||||||||
| VP CLINICAL TRANSFORMATION | $229,155 | $0 | $25,591 | $0 | $19,731 | $0 | $13,925 | $0 | $1,455 | $0 | $289,857 | $0 | $0 | $0 |
| TROY D VEILLEUX | ||||||||||||||
| VP, INFORMATION SYSTEMS | $223,601 | $0 | $25,000 | $0 | $7,376 | $0 | $2,081 | $0 | $10,498 | $0 | $268,556 | $0 | $0 | $0 |
| LORRAINE C BOOTH | ||||||||||||||
| FORMER SVP, CHF HR OFF | $45,968 | $0 | $87,575 | $0 | $109,744 | $0 | $0 | $0 | $1,601 | $0 | $244,888 | $0 | $64,521 | $0 |
| SARA L KOORS | ||||||||||||||
| EXEC. RESEARCH CONSULT(THRU 7/11/21) | $139,529 | $0 | $0 | $0 | $37,522 | $0 | $10,700 | $0 | $4,175 | $0 | $191,926 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 4B | SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN: THE ORGANIZATION MAINTAINS A DEFINED CONTRIBUTION PLAN UNDER WHICH, WITH LIMITED EXCEPTIONS REFERENCED BELOW, EACH YEAR'S CONTRIBUTION VESTS AFTER THREE YEARS CONDITIONED UPON THE RECIPIENT'S CONTINUED EMPLOYMENT WITH THE ORGANIZATION AS OF SUCH DATE. DURING THE 2021 CALENDAR YEAR, THE ORGANIZATION MADE THE FOLLOWING CONTRIBUTIONS TO THE PLAN ON BEHALF OF THE FOLLOWING INDIVIDUALS. CONTRIBUTIONS THAT ARE SUBJECT TO A FUTURE VESTING CONDITION OR EVENT ARE REPORTED AS "RETIREMENT AND DEFERRED COMPENSATION" ON SCHEDULE J, PART II, COLUMN (C). CONTRIBUTIONS THAT ARE IMMEDIATELY VESTED UNDER THE CIRCUMSTANCES REFERENCED BELOW ARE REPORTED AS "BONUS & INCENTIVE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(II). BARRY S. ARBUCKLE - $465,628 KAREN A. TESTMAN - $208,807 LAURIE D. SICAEROS - $57,344 THOMAS J. LEARY - $66,643 CATHY D. CAPALDI - $46,860 JOHN D. CASCELL - $43,665 STEVEN BEAL - $55,213 PARTICIPANTS WHO ATTAIN SPECIFIC AGE AND YEARS OF SERVICE REQUIREMENTS ARE FULLY VESTED IN THEIR PLAN BENEFIT AND EACH SUBSEQUENT CONTRIBUTION IS VESTED ON A QUARTERLY BASIS WHEN PAID. FOR THE 2021 CALENDAR YEAR, THE FOLLOWING INDIVIDUALS RECEIVED THE FOLLOWING VESTED CONTRIBUTIONS AND PAYMENTS, WHICH WERE INCLUDED ON THEIR 2021 W-2 AND WHICH ARE REPORTED AS "BONUS & INCENTIVE COMPENSATION" ON SCHEDULE J, PART II, COLUMN B(II): RICHARD A. GRANIERE - $98,283 HELEN MACFIE - $66,594 IF A PARTICIPANT IN THE PLAN IS TERMINATED WITHOUT CAUSE PRIOR TO THE NORMAL THREE-YEAR VESTING DATE, THEN SUCH PARTICIPANT VESTS IN AND IS ENTITLED TO PAYMENT OF THE BALANCE IN THE PARTICIPANT'S PLAN ACCOUNT AS OF THE DATE OF TERMINATION. |
| PART I, LINE 7 | CERTAIN EXECUTIVES RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN ANNUAL INCENTIVE PAYMENT. SEVERAL FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA FOR THE INCENTIVE COMPENSATION, AND THESE METRICS AND THE FORMULA ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS. PAYMENT OF ANY INCENTIVE COMPENSATION MUST BE APPROVED BY THE COMPENSATION COMMITTEE AFTER IT HAS REVIEWED THE METRICS TO DETERMINE WHETHER THEY HAVE BEEN MET AND THE AMOUNT OF THE PAYMENTS (IF ANY) BASED ON THE APPROVED FORMULA. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | ||||||||
| A | 521643828 | 13033L2R7 | 2013-11-20 | $100,000,000 | SEE PART VI | 0 | 0 | 0 |
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | ||||||||
| B | 521643828 | 2016-09-01 | $50,000,000 | SEE PART VI | 0 | 0 | 0 | |
| CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY | ||||||||
| C | 521643828 | 2016-09-01 | $65,000,000 | SEE PART VI | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $50,000,000 | $100,000,000 | $100,000,000 | 2015 | 0 | 0 | Yes (1) | Yes (1) |
| B | $50,000,000 | $50,000,000 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| C | $65,000,000 | $65,000,000 | Yes (1) | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | Yes (1) | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DATE REBATE COMPUTATION PERFORMED | ISSUER NAME: CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 10/17/2018 |
| SCHEDULE K, PART I, COLUMN F, BOND A: | THE BONDS WERE USED FOR THE BENEFIT OF WHOLLY CONTROLLED AFFILIATES OF MEMORIAL HEALTH SERVICES WHICH ARE EXEMPT FROM TAX AS PUBLIC CHARITIES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. |
| SCHEDULE K, PART I, COLUMN F, BOND B: | THE BONDS WERE USED FOR ADVANCE REFUNDING OF THE 2013B BONDS, WHICH WERE ORIGINALLY ISSUED ON NOVEMBER 1, 2013. |
| SCHEDULE K, PART I, COLUMN F, BOND C: | THE BONDS WERE USED FOR CURRENT REFUNDING OF THE 1991 BONDS, WHICH WERE ORIGINALLY ISSUED ON OCTOBER 1, 1991. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JAMES D LEO MD INC | |||
| SEE PART V | $349,680 | ADMINISTRATIVE SERVICES PROVIDED BY DIRECTOR'S BUSINESS. | 0 |
| SPACH CAPALDI AND WAGGAMAN LLP | |||
| SEE PART V | $120,709 | LEGAL SERVICES PROVIDED BY LAW FIRM 35% OWNED BY KEY EMPLOYEE'S SPOUSE | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | JIM LEO, MD IS A BOARD MEMBER OF MHS AND THE OWNER OF JAMES D LEO MD INC.CATHY CAPALDI IS A KEY EMPLOYEE OF MHS AND HER SPOUSE IS A PARTNER & 35% OWNER OF SPACH, CAPALDI, AND WAGGAMAM, LLP. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE ORGANIZATION ENGAGES AN INDEPENDENT ACCOUNTING FIRM TO ASSIST WITH THE PREPARATION OF ITS ANNUAL FORM 990, AND THE CHIEF FINANCIAL OFFICER WITH ASSISTANCE FROM OTHER EXECUTIVES AND INCLUDING FINANCE, LEGAL, COMPLIANCE AND GOVERNMENT RELATIONS, PROVIDE ALL THE FINANCIAL DATA AND OTHER INFORMATION FOR THE REPORTING PERIOD NECESSARY TO COMPLETE THE FORM 990. THE CHIEF FINANCIAL OFFICER THEN REVIEW THE FORM 990, WITH ASSISTANCE FROM OTHER EXECUTIVES AS NEEDED OR APPROPRIATE. FINALLY, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE MEMORIALCARE HEALTH SYSTEM BOARD OF DIRECTORS FOR REVIEW PRIOR TO A MEETING OF THE BOARD OF DIRECTORS, SO THAT ANY QUESTIONS OR CONCERNS CAN BE ADDRESSED AT THE MEETING OF THE BOARD AND PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE IS REQUIRED TO COMPLETE AN ANNUAL SURVEY THAT REQUIRES DISCLOSURE OF ACTUAL OR POTENTIAL CONFLICTS OF INTEREST AND AFFIRMATION THAT THE ORGANIZATION'S CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE ORGANIZATION'S EXECUTIVE LEADERSHIP AND THE ORGANIZATION'S BOARD OF DIRECTORS. QUESTIONS AND CONFLICTS ARE EVALUATED IN CONSULTATION WITH THE ORGANIZATION'S LEGAL, COMPLIANCE, AND FINANCE EXECUTIVES, AND OUTSIDE EXPERTS AS NECESSARY, SO THAT CONFLICTS MAY BE APPROPRIATELY MANAGED AND ADDRESSED IN ACCORDANCE WITH THE CALIFORNIA NONPROFIT CORPORATION LAW AND THE APPLICABLE PRINCIPLES GOVERNING TAX EXEMPT PUBLIC CHARITIES. IN ADDITION, AN ANNUAL NOTICE IS SENT TO EACH EMPLOYEE TO REMIND EMPLOYEES OF THE ORGANIZATION'S POLICY REGARDING THE ACCEPTANCE OF GIFTS FROM VENDORS AND OTHERS WHO DO OR SEEK TO DO BUSINESS WITH THE ORGANIZATION. FINALLY, EACH EMPLOYEE IS REQUIRED TO ATTEST ANNUALLY THAT THEY HAVE READ AND UNDERSTOOD THE ORGANIZATION'S CODE OF CONDUCT. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE COMPENSATION OF ALL EXECUTIVES HOLDING THE POSITION OF VICE PRESIDENT OR HIGHER (E.G., SENIOR VICE PRESIDENT OR C-LEVEL OFFICER), INCLUDING THE CEO, IS REVIEWED ANNUALLY BY AN INDEPENDENT CONSULTANT WITH EXPERTISE IN ASSESSING WHETHER EXECUTIVE COMPENSATION IS REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE, CONSIDERING APPROPRIATE MARKET DATA. THE RESULTS OF THIS REVIEW ARE PRESENTED TO THE COMPENSATION COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS FOR CONSIDERATION, AND BASED UPON THIS INFORMATION, COMPENSATION (INCLUDING ANY PROPOSED CHANGES TO COMPENSATION) IS APPROVED ONLY IF THE COMPENSATION COMMITTEE, HAVING CONSIDERED THE REVIEW AND DATA PRESENTED BY THE INDEPENDENT EXPERT CONSULTANT, DETERMINES THAT THE COMPENSATION IS REASONABLE AND CONSISTENT WITH FAIR MARKET VALUE. SUCH DETERMINATIONS ARE REFLECTED IN THE MINUTES OF THE MEETING(S) OF THE COMPENSATION COMMITTEE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION, BYLAWS) AVAILABLE TO THE GENERAL PUBLIC. HOWEVER, THE ARTICLES OF INCORPORATION ARE AVAILABLE FROM THE CALIFORNIA SECRETARY OF STATE'S OFFICE. THE ORGANIZATION'S RESEARCH CONFLICT OF INTEREST POLICY IS POSTED ON THE ORGANIZATION'S WEBSITE AT HTTPS://WWW.MEMORIALCARE.ORG/POLICIES-LEGAL-NOTICES/CONFLICT-INTEREST-RE SEARCH-POLICY-702. THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. THE ORGANIZATION'S VARIOUS POLICIES GOVERNING CONFLICTS, COMPLIANCE AND ETHICS ARE SUMMARIZED IN THE ORGANIZATION'S CODE OF CONDUCT, WHICH IS AVAILABLE TO THE GENERAL PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | OTHER NET ASSET ADJUSTMENT -3,948,733. |
| PART XII, LINE 3B: | THE SINGLE AUDIT IS UNDERWAY AND WILL BE FILED ON OR BEFORE MARCH 31, 2023. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIALCARE CLINICALLY INTEGRATED NETWORK LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST ST | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 951643381 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $2,603,971 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHS | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt |
|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIALCARE SELECT HEALTH PLAN | ||||||||||
| 2801 ATLANTIC AVENUE | LONG BEACH | CA | 90806 | 461870181 | MEDICAL SVCS | CA | 501(C)(4) | MHS | Yes (1) | |
| SADDLEBACK MEMORIAL FOUNDATION | ||||||||||
| 24451 HEALTH CENTER DRIVE | LAGUNA HILLS | CA | 92653 | 330011887 | PHILANTHROPIC | CA | 501(C)(3) | SMMC | Yes (1) | LINE 7 |
| MEMORIAL MEDICAL CENTER FOUNDATION | ||||||||||
| 2801 ATLANTIC AVENUE | LONG BEACH | CA | 90806 | 956105984 | PHILANTHROPIC | CA | 501(C)(3) | LBMMC | Yes (1) | LINE 7 |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BEACH SURGICAL HOLDINGS LLC | |||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 371708521 | HEALTHCARE | CA | MCMF | RELATED | $4,704,968 | $16,866,894 | 0 | Yes (1) | 0.51000 |
| BEACH SURGICAL HOLDINGS II LLC | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | AL | 92708 | 472083076 | HEALTHCARE | CA | MCMF | RELATED | -$84,327 | $580,684 | 0 | Yes (1) | 0.51000 |
| RMV MOB I LLC | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 301013230 | OWN, OPERATE, LEASE, MAINTAIN MEDICAL OFFICE BLDG PROP, RANCHO MISSION VIEJO | CA | MCMF | UNRELATED | -$84,721 | $7,298,392 | 0 | Yes (1) | 0.60120 |
| MC FV MOB I LLC | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 464578097 | OWN, OPERATE, LEASE, MAINTAIN THE MEDICAL OFFICE BLDG PROP, FOUNTAIN VALLEY | CA | MCMF | UNRELATED | $71,489 | $1,344,605 | 0 | Yes (1) | 0.19710 |
| MEMORIALCARE HOME HEALTH LLC | |||||||||||||
| 23521 PASEO DE VALENCIA STE 100 | LAGUNA HILLS | CA | 92653 | 463056446 | HEALTHCARE | CA | SMMC | RELATED | $919,960 | $3,669,889 | 0 | 0 | 0.60000 |
| MEMORIALCARE INNOVATION FUND LP | |||||||||||||
| 320 GOLDEN SHORE AVENUE STE 120 | LONG BEACH | CA | 90802 | 460791893 | INVESTMENTS | CA | MHS | EXCLUDED | -$5,981,276 | $169,221,739 | 0 | 0 | 1.00000 |
| SUMMATION HEALTH VENTURES LP | |||||||||||||
| 320 GOLDEN SHORE AVENUE STE 120 | LONG BEACH | CA | 90802 | 465252681 | INVESTMENTS | DE | MHS | RELATED | $36,230,099 | $42,706,964 | 0 | Yes (1) | 0.50000 |
| BRISTOL PARK INVESTMENT GROUP I LP | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 330180494 | OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING | CA | MCMF | UNRELATED | $3,980 | $34,881 | 0 | Yes (1) | 0.02000 |
| BRISTOL PARK INVESTMENT GROUP II LP | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 330180495 | OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING | CA | MCMF | UNRELATED | $6,264 | $37,160 | 0 | Yes (1) | 0.02000 |
| BRISTOL PARK INVESTMENT GROUP III LP | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 330226684 | OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING | CA | MCMF | UNRELATED | $21,906 | $122,213 | 0 | Yes (1) | 0.02000 |
| BRISTOL PARK INVESTMENT GROUP V LP | |||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 330975781 | OWN, LEASE, PROVIDE MANAGEMENT SERVICES FOR MEDICAL OFFICE BUILDING | CA | MCMF | UNRELATED | $10,203 | $52,987 | 0 | Yes (1) | 0.02000 |
| PS CENTER LLC | |||||||||||||
| 569 BROOKWOOD VILLAGE STE 901 | BIRMINGHAM | AL | 35209 | 900876656 | HEALTHCARE | CA | BEACH SURGICAL HOLDINGS II LLC | 0 | 0 | 0.51000 | |||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NATIONAL HEALTHCARE SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 GOLDEN SHORE AVENUE | AddressLine1Txt |
| City | LONG BEACH | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 953496341 | EIN |
| Primary Activities | MEDICAL INVESTING | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | -$629,760 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $3,922,923 | 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 | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (31 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIALCARE INNOVATION FUND LP | ||
| C | $750,000 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| J | $165,006 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| N | $31,080,472 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||
| N | $26,542,710 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER | ||
| N | $30,720,322 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER | ||
| N | $88,495,008 | ACCRUAL |
| MEMORIALCARE CLINICALLY INTEGRATED NETWORK | ||
| N | $249,436 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| N | $539,463 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| O | $6,282,598 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||
| O | $5,365,336 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER | ||
| O | $6,209,797 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER | ||
| O | $17,888,356 | ACCRUAL |
| MEMORIALCARE CLINICALLY INTEGRATED NETWORK | ||
| O | $50,421 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| O | $109,047 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| P | $413,993,573 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||
| P | $352,232,419 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER | ||
| P | $304,996,104 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER | ||
| P | $955,879,006 | ACCRUAL |
| MEMORIALCARE CLINICALLY INTEGRATED NETWORK | ||
| P | $743,002 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| P | $2,362,894 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION | ||
| P | $586,661 | ACCRUAL |
| SADDLEBACK MEMORIAL FOUNDATION | ||
| P | $470,159 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| R | $10,000,000 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| R | $15,000,000 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| S | $409,748,744 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||
| S | $386,435,005 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER | ||
| S | $356,338,312 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER | ||
| S | $1,100,535,760 | ACCRUAL |
| MEMORIALCARE SELECT HEALTH PLAN | ||
| S | $3,117,151 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION | ||
| S | $610,602 | ACCRUAL |
| SADDLEBACK MEMORIAL FOUNDATION | ||
| S | $4,261,517 | ACCRUAL |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART II | FormAndLineReferenceDesc |
| Explanation | MEMORIAL HEALTH SERVICES IS RELATED TO AFFILIATED ORGANIZATIONS THAT ARE INCLUDED IN THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION. THE AFFILIATED ORGANIZATIONS OF THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION HAVE NOT BEEN INCLUDED ON SCHEDULE R, PART II, IN ACCORDANCE WITH THE IRS INSTRUCTIONS. | ExplanationTxt |