MARIN GENERAL HOSPITAL: Form 990, tax year 2022
View the entire original 990 at ProPublica ↗
- Organization
- MARIN GENERAL HOSPITAL (EIN 94-2823538)
- Tax period
- 2022-01-01 to 2022-12-31
- Filed
- 2023-11-14
- IRS object ID
- 202313189349314456
- Schema version
- 2022v5.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-11-14T16:20:47-06:00 | ReturnTs |
| Tax Period End | 2022-12-31 | 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 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2022-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942823538 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN GENERAL HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MARI | BusinessNameControlTxt |
| Phone | 4159257000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 BON AIR ROAD | AddressLine1Txt |
| City | GREENBRAE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID KLEIN MD MBA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4159257000 | PhoneNum |
| Signature | 2023-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | DAVID | PersonFirstNm |
| Person Last | KLEIN MD MBA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MICHAEL LUMSDEN | PreparerPersonNm |
| PTIN | P01262236 | PTIN |
| Phone | 4159561500 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2022 | 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 | MARINHEALTH MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | DAVID KLEIN MD MBA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 BON AIR ROAD | AddressLine1Txt |
| City | GREENBRAE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $569,418,763 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MYMARINHEALTH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 2185 | TotalEmployeeCnt |
| Total Volunteers | 150 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $14,953,296 | PYContributionsGrantsAmt |
| CY Contributions Grants | $9,945,124 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $477,439,390 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $532,926,564 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,437,608 | PYInvestmentIncomeAmt |
| CY Investment Income | $454,361 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$169,142 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,581,161 | CYOtherRevenueAmt |
| PY Total Revenue | $493,661,152 | PYTotalRevenueAmt |
| CY Total Revenue | $541,744,888 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $27,806,970 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $22,984,704 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $253,527,978 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $258,995,015 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $211,699,783 | PYOtherExpensesAmt |
| CY Other Expenses | $244,456,036 | CYOtherExpensesAmt |
| PY Total Expenses | $493,034,731 | PYTotalExpensesAmt |
| CY Total Expenses | $526,435,755 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $626,421 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $15,309,133 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $579,435,408 | TotalAssetsBOYAmt |
| Total Assets EOY | $571,672,909 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $405,138,337 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $398,449,401 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $174,297,071 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $173,223,508 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $475,964,359 | ExpenseAmt |
| Grant | $22,984,704 | GrantAmt |
| Revenue | $532,926,564 | RevenueAmt |
| Desc | MARIN GENERAL HOSPITAL DBA MARINHEALTH MEDICAL CENTER IS A 327-BED INDEPENDENT HOSPITAL WITH DEEP ROOTS IN THE COMMUNITY. WE HAVE BEEN MEETING THE HEALTHCARE NEEDS OF THE NORTH BAY SINCE FIRST OPENING OUR DOORS AS MARIN GENERAL HOSPITAL IN 1952. AS MARIN'S ONLY FULL-SERVICE, ACUTE CARE HOSPITAL, WE PROVIDE COMPREHENSIVE CARE ACROSS ALL MAJOR SERVICE LINES. OUR LEVEL III TRAUMA CENTER AND EMERGENCY DEPARTMENT RECEIVE 70% OF THE COUNTY'S AMBULANCE TRAFFIC, AND WE PROVIDE LIFE-SAVING CARE FOR OUR STROKE AND HEART ATTACK PATIENTS. WE ALSO OFFER THE ONLY HOSPITAL-BASED LABOR & DELIVERY UNIT IN MARIN. ADDITIONAL SERVICES PROVIDED INCLUDE: BEHAVIORAL HEALTH; CANCER CARE; CRITICAL CARE; EMERGENCY & TRAUMA; IMAGING & RADIOLOGY; STROKE CARE; SPINE & BRAIN CARE; AND SURGERY & PROCEDURES, AMONGST MANY OTHER SPECIALTIES.AS A DISTRICT HOSPITAL, OWNED BY MARIN HEALTHCARE DISTRICT, WE ANSWER ONLY TO THE COMMUNITY WE SERVE. THIS GIVES US THE FLEXIBILITY TO PLAN CARE THAT TRULY MEETS OUR COMMUNITY'S NEEDS. BUILDING ON A DECADES-LONG RELATIONSHIP, MARINHEALTH AND UCSF HEALTH FORMED A STRATEGIC ALLIANCE IN 2019 THAT EXPANDS ACCESS TO HIGH-QUALITY CLINICAL CARE IN MARIN COUNTY AND THROUGHOUT THE NORTH BAY. | Desc |
| Total Program Service Expenses | $475,964,359 | 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 | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 248 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2185 | 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 | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ERIC BRETTNER | PersonNm |
| Phone | 4154642090 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100B DRAKES LANDING SUITE 190 | AddressLine1Txt |
| City | GREENBRAE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANDREA SCHULTZ | |||||||||
| CHAIR | 2.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT PEIRCE | |||||||||
| VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH C EUPHRAT | |||||||||
| TREASURER | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GENE MARIE O'CONNELL RN MS | |||||||||
| SECRETARY | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOE ABRAMS | |||||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| JOSHUA ADLER MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARTIN ARRICK MBA PMH | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LISA CARMEL | |||||||||
| BOARD MEMBER | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| SHELBY DECOSTA MHA | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL K KWOK MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DENISE LUCY EDD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MARA PEREZ PHD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| HADLEY MULLIN MBA | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ADAM NEVITT MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL VASQUEZ CBE MBA MPP | |||||||||
| BOARD MEMBER START 10/2022 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| K JENNIFER VOSS MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID KLEIN MD MBA | |||||||||
| CEO & BOARD MEMBER | 46.00 | 4.00 | Yes (X) | Yes (X) | $1,799,250 | $0 | $41,437 | ||
| ERIC BRETTNER | |||||||||
| CHIEF FINANCIAL OFFICER | 46.00 | 4.00 | Yes (X) | $709,710 | $0 | $47,457 | |||
| LINDA LANG | |||||||||
| CHIEF HR OFFICER THRU 9/2022 | 48.00 | 2.00 | $473,296 | $0 | $19,077 | Yes (X) | |||
| MARY FRIEDMAN | |||||||||
| CHIEF STRATEGY OFFICER | 48.00 | 2.00 | $402,823 | $0 | $56,411 | Yes (X) | |||
| ELIZABETH KOLCUN | |||||||||
| CHIEF DEVELOPMENT OFFICER | 4.00 | 46.00 | $442,397 | $0 | $51,866 | Yes (X) | |||
| KARIN SHAVELSON MD FAAP | |||||||||
| CHIEF MEDICAL OFFICER | 50.00 | 0.00 | $661,499 | $0 | $47,807 | Yes (X) | |||
| ANDREW APOLINARSKI MSN RN CNL | |||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $565,320 | $0 | $148,610 | Yes (X) | |||
| COLIN LEARY JD | |||||||||
| GENERAL COUNSEL | 50.00 | 0.00 | $547,528 | $0 | $47,032 | Yes (X) | |||
| EUGENE LEWIS MBA SPHR | |||||||||
| CHIEF HR OFFICER START 9/2022 | 50.00 | 0.00 | $303,232 | $0 | $32,993 | Yes (X) | |||
| SUSAN CUMMING MD | |||||||||
| MED DIR PATIENT EXPERIENCE | 40.00 | 0.00 | $389,069 | $0 | $58,084 | Yes (X) | |||
| CHUN LI | |||||||||
| CHIEF CLIN PHYSICIST & DIR RAD ONC | 40.00 | 0.00 | $402,776 | $0 | $134,852 | Yes (X) | |||
| RUSSELL PECKENPAUGH | |||||||||
| VP IS ADMINISTRATION | 40.00 | 2.00 | $374,242 | $0 | $32,787 | Yes (X) | |||
| MICHAEL KIM MD | |||||||||
| MHMN VP OF MEDICAL AFFAIRS | 0.00 | 40.00 | $426,917 | $0 | $23,677 | Yes (X) | |||
| GREGORY LEE | |||||||||
| IR / CATH / EP TECH LEAD | 40.00 | 0.00 | $585,092 | $0 | $58,444 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,083,151 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $800,534 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 879 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| PRIMA MEDICAL GROUP | |||||
| 4 HAMILTON LANDING SUITE 100 | NOVATO | CA | 94949 | PHYSICIAN SERVICES | $24,426,987 |
| MEDEFIS INC | |||||
| 2121 N 117TH AVE SUITE 200 | OMAHA | NE | 68164 | REGISTERED NURSE SERVICES | $19,890,044 |
| OPTUMINSIGHT INC | |||||
| PO BOX 84019 | CHICAGO | IL | 60689 | FINANCIAL SERVICES | $10,636,323 |
| MARIN HOSPITALIST MEDICAL GROUP | |||||
| 336 BON AIR CENTER 427 | GREENBRAE | CA | 94904 | PHYSICIAN SERVICES | $4,048,004 |
| BANYAN FINANCIAL SERVICES | |||||
| 910 N 96TH STREET | OMAHA | NE | 68114 | CLINICAL SERVICES | $3,068,710 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 65 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $9,945,124 | RelatedOrganizationsAmt |
| Total Contributions | $9,945,124 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 624100 | $479,145,205 | $479,145,205 |
| CAPITATION REVENUE | 624100 | $42,936,352 | $42,936,352 |
| OTHER OPERATING REVENUE | 624100 | $9,102,514 | $9,102,514 |
| RENTAL REVENUE FROM MHMN | 531120 | $1,742,493 | $1,742,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $532,926,564 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,875,359 | TotalRevenueColumnAmt |
| Exclusion | $1,875,359 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,724 | TotalRevenueColumnAmt |
| Exclusion | $3,724 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $735,934 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $3,071,220 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$2,335,286 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$2,335,286 | TotalRevenueColumnAmt |
| Exclusion | -$2,335,286 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $23,168,777 | SecuritiesAmt |
| Other | $9,156 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $24,602,655 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$1,433,878 | SecuritiesAmt |
| Other | $9,156 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,424,722 | TotalRevenueColumnAmt |
| Exclusion | -$1,424,722 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $754,125 | TotalRevenueColumnAmt |
| Exclusion | $754,125 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $754,125 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $541,744,888 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $532,926,564 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$1,126,800 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,850,741 | TotalAmt |
| Program Services | $22,850,741 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,963 | TotalAmt |
| Program Services | $133,963 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,397,746 | TotalAmt |
| Program Services | $1,423,236 | ProgramServicesAmt |
| Management And General | $4,974,510 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,544,867 | TotalAmt |
| Program Services | $177,999,529 | ProgramServicesAmt |
| Management And General | $15,545,338 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,025,564 | TotalAmt |
| Program Services | $6,924,506 | ProgramServicesAmt |
| Management And General | $1,101,058 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,380,059 | TotalAmt |
| Program Services | $32,602,177 | ProgramServicesAmt |
| Management And General | $3,777,882 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,646,779 | TotalAmt |
| Program Services | $13,099,676 | ProgramServicesAmt |
| Management And General | $1,547,103 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $535,573 | TotalAmt |
| Program Services | $535,573 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $420,869 | TotalAmt |
| Management And General | $420,869 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $121,863 | TotalAmt |
| Management And General | $121,863 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $139,927,974 | TotalAmt |
| Program Services | $121,293,649 | ProgramServicesAmt |
| Management And General | $18,634,325 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,197,398 | TotalAmt |
| Program Services | $1,197,398 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,985 | TotalAmt |
| Program Services | $432,100 | ProgramServicesAmt |
| Management And General | $49,885 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,395,852 | TotalAmt |
| Program Services | $3,138,148 | ProgramServicesAmt |
| Management And General | $257,704 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,459,399 | TotalAmt |
| Program Services | $12,869,686 | ProgramServicesAmt |
| Management And General | $589,713 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,991 | TotalAmt |
| Program Services | $57,991 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,396,228 | TotalAmt |
| Program Services | $7,396,228 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,563,191 | TotalAmt |
| Program Services | $22,563,191 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,440,046 | TotalAmt |
| Program Services | $2,196,041 | ProgramServicesAmt |
| Management And General | $244,005 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $27,656,173 | $27,656,173 | |
| REPAIRS & MAINTENANCE | $16,613,330 | $14,950,125 | $1,663,205 |
| LICENSES & TAXES | $3,162,850 | $3,162,850 | |
| RENTAL EQUIPMENT | $1,071,097 | $1,071,097 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,954,217 | TotalAmt |
| Program Services | $2,410,281 | ProgramServicesAmt |
| Management And General | $1,543,936 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $526,435,755 | TotalAmt |
| Program Services | $475,964,359 | ProgramServicesAmt |
| Management And General | $50,471,396 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,229,996 | BOYAmt |
| EOY | $26,802,241 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,871,115 | BOYAmt |
| EOY | $1,435,507 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $880,651 | BOYAmt |
| EOY | $1,549,037 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $65,821,758 | BOYAmt |
| EOY | $99,239,844 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,659,699 | BOYAmt |
| EOY | $4,709,800 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,429,475 | BOYAmt |
| EOY | $8,163,689 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,513,566 | BOYAmt |
| EOY | $9,048,314 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $490,318,931 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $279,949,737 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,225,916 | BOYAmt |
| EOY | $210,369,194 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,564,904 | BOYAmt |
| EOY | $57,538,004 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,789,282 | BOYAmt |
| EOY | $15,774,993 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,198,781 | BOYAmt |
| EOY | $5,758,463 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $741,007 | BOYAmt |
| EOY | $741,007 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,509,258 | BOYAmt |
| EOY | $130,542,816 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,435,408 | BOYAmt |
| EOY | $571,672,909 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,211,721 | BOYAmt |
| EOY | $91,943,733 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $34,571,330 | BOYAmt |
| EOY | $3,268,807 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,355,791 | BOYAmt |
| EOY | $96,880,933 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,028,209 | BOYAmt |
| EOY | $104,940,112 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $106,971,286 | BOYAmt |
| EOY | $101,415,816 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $405,138,337 | BOYAmt |
| EOY | $398,449,401 | 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 | $147,988,246 | BOYAmt |
| EOY | $151,855,511 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,308,825 | BOYAmt |
| EOY | $21,367,997 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,297,071 | BOYAmt |
| EOY | $173,223,508 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $579,435,408 | BOYAmt |
| EOY | $571,672,909 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $15,309,133 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$10,490,095 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$540,000 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$5,352,601 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
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 | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $10,685 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $10,685 | 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 | THE ORGANIZATION PAYS MEMBERSHIP DUES TO: (I) THE CALIFORNIA ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS, AND (II) THE DISTRICT HOSPITAL LEADERSHIP FORUM. A PORTION OF THESE DUES PAID WERE USED FOR LOBBYING PURPOSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $32,710,264 | OtherCostOrOtherBasisAmt |
| Depreciation | $27,480,355 | DepreciationAmt |
| Book Value | $5,229,909 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $197,661,298 | OtherCostOrOtherBasisAmt |
| Depreciation | $73,515,782 | DepreciationAmt |
| Book Value | $124,145,516 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $207,018,861 | OtherCostOrOtherBasisAmt |
| Depreciation | $175,112,747 | DepreciationAmt |
| Book Value | $31,906,114 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,928,508 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,840,853 | DepreciationAmt |
| Book Value | $49,087,655 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $210,369,194 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $23,599,936 |
| DEPOSITS | $3,392,010 |
| DUE FROM RELATED ORGANIZATIONS | $25,828,497 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $1,460,339 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $45,335,971 |
| BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION | $28,830,455 |
| WORKERS COMP RECOVERY | $2,095,608 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $130,542,816 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKERS' COMPENSATION OBLIGATION | $5,042,889 |
| POST-RETIREMENT HEALTH OBLIGATION | $6,958,821 |
| PENSION BENEFIT OBLIGATION | $16,552,153 |
| PROFESSIONAL LIABILITY OBLIGATION | $1,703,000 |
| UCSF CONTRACT LIABILITY | $20,000,000 |
| OPERATING LEASE LIABILITIES | $51,158,953 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $101,415,816 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,169,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,169,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $85,459,701 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,081,211 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $41,378,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07860 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $86,629,678 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,081,211 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $42,548,467 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08080 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $523,461 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,805 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $456,656 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,649,132 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,649,132 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,308,659 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $23,308,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04430 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,481,252 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $66,805 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,414,447 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05020 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $113,110,930 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,148,016 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $68,962,914 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,887,063 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,150,239 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $182,322,536 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $272,065,380 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$89,742,844 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN GENERAL HOSPITAL DBA MARINHEALTH MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 BON AIR ROAD | AddressLine1Txt |
| City | GREENBRAE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MYMARINHEALTH.ORG | WebsiteAddressTxt |
| State License | 110000361 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | ACUTE PSYCHIATRIC HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN GENERAL HOSPITAL DBA MARINHEALTH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 400.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Prospective Medicare Medicaid | Yes (X) | ProspectiveMedicareMedicaidInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARIN GENERAL HOSPITAL DBA MARINHEALTH | PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY SERVED BY MARIN COUNTY WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, 12 SMALL GROUP INTERVIEWS WITH 32 COMMUNITY HEALTH EXPERTS WERE CONDUCTED FROM SEPTEMBER 22, 2021 TO MARCH 24, 2022. PARTICIPANTS INCLUDED COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (E.G., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTH CARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN ONE-ON-ONE AND IN GROUP SETTINGS.SECOND, A FOCUS GROUP WAS CONDUCTED ON MARCH 28, 2022 WITH FOUR COMMUNITY RESIDENTS. THE FOCUS GROUP WAS CONDUCTED WITH SERVICE PROVIDERS WORKING IN THE GEOGRAPHIC AREA OF MARIN COUNTY IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CAME FROM REFERRALS FROM SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS.ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT. DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. A LISTING OF ALL PARTICIPANTS CAN BE FOUND IN APPENDIX B OF THE CHNA POSTED ON THE ORGANIZATION'S WEBSITE.ADDITIONALLY, A WEB-BASED SURVEY WAS ADMINISTERED TO COMMUNITY SERVICE PROVIDERS WHO DELIVERED HEALTH AND SOCIAL SERVICES TO COMMUNITY RESIDENTS OF MARIN COUNTY. A LIST OF COMMUNITY SERVICE PROVIDERS AFFILIATED WITH THE NONPROFIT HOSPITALS INCLUDED IN THIS REPORT WAS USED AS AN INITIAL SAMPLING FRAME. AN EMAIL RECRUITMENT MESSAGE WAS SENT TO THESE COMMUNITY SERVICE PROVIDERS DETAILING THE SURVEY AIMS AND INVITING THEM TO PARTICIPATE. PARTICIPANTS WERE ALSO ENCOURAGED TO FORWARD THE RECRUITMENT MESSAGE TO OTHER COMMUNITY SERVICE PROVIDERS IN THEIR NETWORKS. THE SURVEY WAS DESIGNED USING QUALTRICS, AN ONLINE SURVEY PLATFORM, AND WAS AVAILABLE FOR APPROXIMATELY TWO WEEKS; 25 RESPONDENTS COMPLETED THE SURVEY. WHEN THE SURVEY PERIOD WAS OVER, INCOMPLETE, AND DUPLICATE RESPONSES WERE REMOVED FROM THE DATASET AND THE SURVEY RESPONSES WERE DOUBLE-CHECKED FOR ACCURACY. DESCRIPTIVE STATISTICS AND FREQUENCIES WERE USED TO SUMMARIZE THE HEALTH NEEDS. THIS INFORMATION WAS USED ALONG WITH OTHER DATA SOURCES TO IDENTIFY AND RANK SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY, AND TO DESCRIBE HOW THE HEALTH NEEDS ARE EXPRESSED. |
| MARIN GENERAL HOSPITAL DBA MARINHEALTH | PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH SUTTER HEALTH NOVATO COMMUNITY HOSPITAL. |
| MARIN GENERAL HOSPITAL DBA MARINHEALTH | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH HEALTHY MARIN PARTNERSHIP. |
| MARIN GENERAL HOSPITAL DBA MARINHEALTH | PART V, SECTION B, LINE 11: THE 2022 CHNA ANALYZED PRIMARY AND SECONDARY DATA TO IDENTIFY POTENTIAL HEALTH NEEDS. THESE NEEDS WERE DERIVED FROM A LIST OF COMMON HEALTH NEEDS IN PREVIOUSLY CONDUCTED CHNAS THROUGHOUT NORTHERN CALIFORNIA. THESE NEEDS WERE SUPPLEMENTED WITH DATA FROM A PRELIMINARY ANALYSIS OF THE PRIMARY DATA COLLECTED FROM COMMUNITY STAKEHOLDER INTERVIEWS. THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2022 CHNA FOR MARIN COUNTY ARE LISTED BELOW IN PRIORITY ORDER:(I) ACCESS TO BASIC NEEDS (HOUSING, JOBS, FOOD)(II) ACCESS TO BEHAVIORAL HEALTH, MENTAL/SUBSTANCE USE SERVICES(III) ACCESS TO QUALITY PRIMARY CARE HEALTH SERVICES(IV) INCREASE COMMUNITY CONNECTIONS(V) ACCESS TO FUNCTIONAL NEEDSTHESE IDENTIFIED SIGNIFICANT HEALTH NEEDS WERE ANALYZED BY THE HOSPITAL, AND THEN PRIORITIZED WITH COMMUNITY INPUT THROUGH INTERVIEWS WITH REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, FOCUS GROUP PARTICIPANTS, AND SERVICE PROVIDER SURVEY RESPONDENTS. THESE HEALTH NEEDS ARE NOT MUTUALLY EXCLUSIVE, AND MANY CHARACTERISTICS OF THE HEALTH NEEDS ARE DRIVERS OF OR OUTCOMES OF OTHER NEEDS.ONCE THE CHNA WAS COMPLETED, AN INTERNAL GROUP OF HOSPITAL LEADERS MET TO DISCUSS THE SIGNIFICANT HEALTH NEEDS. THEN THE COMMUNITY BENEFIT ADVISORY COMMITTEE WAS CONVENED ON JULY 20, 2022, TO DISCUSS THE HOSPITAL LEADERS' RECOMMENDATIONS FOR THE NEEDS THE HOSPITAL WILL ADDRESS IN THE IMPLEMENTATION STRATEGY. PRIOR TO THE MEETING, THE COMMITTEE MEMBERS RECEIVED THE 2022 CHNA AND HAD AN OPPORTUNITY TO REVIEW THE CHNA FINDINGS.THE FOLLOWING CRITERIA WERE USED TO DETERMINE THE SIGNIFICANT HEALTH NEEDS THE HOSPITAL WILL ADDRESS IN THE IMPLEMENTATION STRATEGY:(I) EXISTING INFRASTRUCTURE: THERE ARE PERSONS, SYSTEMS, STAFF AND SUPPORT RESOURCES IN PLACE TO ADDRESS THE ISSUE.(II) ESTABLISHED RELATIONSHIPS: THERE ARE ESTABLISHED RELATIONSHIPS WITH COMMUNITY PARTNERS TO ADDRESS THE ISSUE.(III) ONGOING INVESTMENT: EXISTING RESOURCES ARE COMMITTED TO THE ISSUE. STAFF TIME AND FINANCIAL RESOURCES FOR THIS ISSUE ARE COUNTED AS PART OF OUR COMMUNITY BENEFIT EFFORT.(IV) FOCUS AREA: THE HOSPITAL HAS ACKNOWLEDGED COMPETENCIES AND EXPERTISE TO ADDRESS THE ISSUE AND THE ISSUE FIRST WITH THE ORGANIZATIONAL MISSION.THE CHNA SERVED AS THE RESOURCE DOCUMENT FOR THE REVIEW OF HEALTH NEEDS AS IT PROVIDED DATA ON THE SCOPE AND SEVERITY OF ISSUES AND ALSO INCLUDED COMMUNITY INPUT ON THE HEALTH NEEDS. THE COMMUNITY PRIORITIZATION OF NEEDS WAS ALSO TAKEN INTO CONSIDERATION. AS A RESULT OF THE REVIEW OF NEEDS AND APPLICATION OF THE ABOVE CRITERIA, MARINHEALTH MEDICAL CENTER WILL ADDRESS THE FOLLOWING HEALTH NEEDS USING THE LENS OF THE SOCIAL DETERMINANTS OF HEALTH AND HEALTH EQUITY:(I) ACCESS TO CARE (INCLUDES DENTAL CARE, PRIMARY CARE, AND SPECIALTY CARE)(II) HEALTHY EATING AND ACTIVE LIVING (WITH A FOCUS ON CHRONIC CONDITIONS)(III) HOUSING AND HOMELESSNESS(IV) MENTAL HEALTH AND SUBSTANCE USE(V) VIOLENCE AND INJURY PREVENTIONTO ADDRESS THE HEALTH NEED OF ACCESS TO CARE, MARINHEALTH HAS OUTLINED THE FOLLOWING STRATEGIES: PROVIDE FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE AND GOVERNMENT HEALTH PROGRAMS FOR LOW-INCOME PATIENTS FOR HEALTH CARE SERVICES, CONSISTENT WITH THE HOSPITAL'S FAP; PROVIDE TRANSPORTATION SUPPORT FOR PATIENTS WHO CANNOT ACCESS HEALTH SERVICES BECAUSE OF LACK OF TRANSPORTATION, AND PROVIDE DISCOUNTED OR FREE PRESCRIPTION MEDICATIONS FOR PATIENTS WHO ARE UNABLE TO AFFORD THE COST OF THEIR MEDICATIONS; SUPPORT ACCESS TO PRIMARY CARE AND SPECIALTY CARE SERVICES FOR THE UNINSURED THROUGH THE MARINHEALTH MEDICAL NETWORK CLINICS; PROVIDE OUTPATIENT AND/OR TRANSITIONAL CARE COORDINATION TO ADDRESS BARRIERS TO CARE FOR VULNERABLE PATIENTS AND THEIR CAREGIVERS; AND PROVIDE GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS DEDICATED TO INCREASING ACCESS TO HEALTH CARE SERVICES.TO ADDRESS THE HEALTH NEED OF HEALTHY EATING AND ACTIVE LIVING, MARINHEALTH HAS OUTLINED THE FOLLOWING STRATEGIES: PROVIDE DIABETES SUPPORT GROUPS, COMMUNITY EDUCATION, AND SCREENINGS AT THE BRADEN DIABETES CENTER; PROVIDE REGISTERED DIETITIAN NUTRITIONISTS TO THE PUBLIC TO PROVIDE FREE ADVICE TO THE PUBLIC ON NUTRITION NEEDS; HOST SUPPORT GROUPS FOR PERSONS WITH CHRONIC DISEASES, INCLUDING NUTRITION/WEIGHT MANAGEMENT AND THEIR CAREGIVERS; CONDUCT COMMUNITY OUTREACH, PROVIDE EDUCATION, SUPPORT GROUPS, NUTRITION AND HEALTHY LIFESTYLE CLASSES FREE TO THE PUBLIC; AND PROVIDE GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS DEDICATED TO ADDRESSING CHRONIC DISEASES AND INCREASING ACCESS TO HEALTHY EATING AND ACTIVE LIVING.TO ADDRESS THE HEALTH NEED OF HOUSING AND HOMELESSNESS, MARINHEALTH HAS OUTLINED THE FOLLOWING STRATEGIES: PARTICIPATE IN COMMUNITY-WIDE EFFORTS TO COLLABORATIVELY ADDRESS HOUSING AND HOMELESSNESS; CONNECT PERSONS IN THE ED/HOSPITAL WHO WERE EXPERIENCING HOMELESSNESS TO RECUPERATIVE CARE AND OTHER APPROPRIATE SERVICE PROVIDERS ALONG THE CONTINUUM OF CARE; AND PROVIDE GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS DEDICATED TO ADDRESSING HOUSING AND HOMELESSNESS.TO ADDRESS THE HEALTH NEED OF MENTAL HEALTH AND SUBSTANCE USE, MARINHEALTH HAS OUTLINED THE FOLLOWING STRATEGIES: PROVIDE ACCREDITED HOSPITAL INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES, INCLUDING PARTIAL HOSPITALIZATION FOR CO-OCCURRING BEHAVIORAL HEALTH AND SUBSTANCE USE THROUGH THE MARINHEALTH MEDICAL CENTER BEHAVIORAL HEALTH PROGRAM; SUPPORT THE EMERGENCY DEPARTMENT AS A PRIMARY ACCESS POINT FOR THE TREATMENT OF SUBSTANCE USE DISORDERS AND CO-OCCURRING MENTAL HEALTH CONDITIONS, AND UTILIZE TRAINED NAVIGATORS FROM THE BEHAVIORAL HEALTH NAVIGATOR PROGRAM (CA BRIDGE PROGRAM) TO IDENTIFY PATIENTS WHO WOULD BENEFIT FROM INITIATING MEDICATION FOR ADDICTION TREATMENT OR MENTAL HEALTH SERVICES; AND PROVIDE GRANTS TO NONPROFIT COMMUNITY ORGANIZATIONS DEDICATED TO ADDRESSING MENTAL HEALTH CONDITIONS AND SUBSTANCE USE DISORDERS.TO ADDRESS THE HEALTH NEED OF VIOLENCE AND INJURY PREVENTION, MARINHEALTH HAS OUTLINED THE FOLLOWING STRATEGIES: PRESENT THE AMERICAN COLLEGE OF SURGEON'S STOP THE BLEED TRAINING, WHICH ENCOURAGES BYSTANDERS TO BECOME TRAINED, EQUIPPED, AND EMPOWERED TO HELP IN A BLEEDING EMERGENCY BEFORE PROFESSIONAL HELP ARRIVES; OFFER COMMUNITY HEALTH EDUCATION, LECTURES, PRESENTATIONS, AND WORKSHOPS TO REDUCE UNINTENDED INJURIES; AND PROVIDE ATHLETIC TRAINERS THROUGHOUT MARIN COUNTY TO SUPPORT THE COUNTY'S EFFORTS IN INJURY PREVENTION EDUCATION, CONCUSSION MANAGEMENT, ETC.SINCE MARINHEALTH MEDICAL CENTER CANNOT DIRECTLY ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MARINHEALTH WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING COMMUNITY CONNECTIONS AND FUNCTIONAL NEEDS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 72 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (72 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| 1 - MARINHEALTH BONE DENSITY TESTING | |||||
| 100A DRAKES LANDING ROAD SUITE 140 | GREENBRAE | CA | 94904 | BONE DENSITY TESTING CLINIC | |
| 2 - MARINHEALTH BRADEN DIABETES CENTER | |||||
| 1100 SOUTH ELISEO DRIVE SUITE 2 | GREENBRAE | CA | 94904 | DIABETES CENTER | |
| 3 - MARINHEALTH BREAST HEALTH CENTER | |||||
| 100A DRAKES LANDING ROAD SUITE 140 | GREENBRAE | CA | 94904 | BREAST HEALTH CENTER | |
| 4 - MARINHEALTH BREAST SURGERY BREASTFEEDING | |||||
| 1350 SOUTH ELISEO DRIVE SUITE 300 | GREENBRAE | CA | 94904 | BREAST HEALTH CENTER | |
| 5 - MARINHEALTH CANCER CARE | |||||
| 1350 SOUTH ELISEO DRIVE | GREENBRAE | CA | 94904 | CANCER CARE CENTER | |
| 6 - MARINHEALTH CARDIOVASCULAR MEDICINE A UC | |||||
| 2 BON AIR ROAD SUITE 100 | LARKSPUR | CA | 94939 | CARDIOVASCULAR MEDICINE CENTER | |
| 7 - MARINHEALTH CARDIOVASCULAR MEDICINE A UC | |||||
| 75 ROWLAND WAY SUITE 250 | NOVATO | CA | 94945 | CARDIOVASCULAR MEDICINE CENTER | |
| 8 - MARINHEALTH CARDIOVASCULAR MEDICINE A UC | |||||
| 651 FIRST STREET WEST SUITE L | SONOMA | CA | 95476 | CARDIOVASCULAR MEDICINE CENTER | |
| 9 - MARINHEALTH CARDIOVASCULAR MEDICINE A UC | |||||
| 3250 BEARD ROAD | NAPA | CA | 94558 | CARDIOVASCULAR MEDICINE CENTER | |
| 10 - MARINHEALTH CARDIOVASCULAR MEDICINE A UC | |||||
| 104 LYNCH CREEK WAY SUITE 10 | PETALUMA | CA | 94954 | CARDIOVASCULAR MEDICINE CENTER | |
| 11 - MARINHEALTH CARDIOVASCULAR PERFORMANCE CEN | |||||
| 75 ROWALND WAY SUITE 250 | NOVATO | CA | 94945 | CARDIOVASCULAR PERFORMANCE CENTER | |
| 12 - MARINHEALTH CRITICAL CARE & PULMONOLOGY | |||||
| 1100 LARKSPUR LANDING SUITE 10 | LARKSPUR | CA | 94939 | CRITICAL CARE & PULMONOLOGY CENTER | |
| 13 - MARINHEALTH DERMATOLOGY A UCSF HEALTH | |||||
| 5000 CIVIC CENTER DRIVE | SAN RAFAEL | CA | 94903 | DERMATOLOGY HEALTH CENTER | |
| 14 - MARINHEALTH DERMATOLOGY A UCSF HEALTH | |||||
| 75 ROWLAND WAY SUITE 101 | NOVATO | CA | 94945 | DERMATOLOGY HEALTH CENTER | |
| 15 - MARINHEALTH ENDOCRINE & DIABETES CARE A | |||||
| 900 SOUTH ELISEO DRIVE SUITE 201 | GREENBRAE | CA | 94904 | ENDOCRINE & DIABETES HEALTH CENTER | |
| 16 - MARINHEALTH ENDOCRINE & DIABETES CARE A | |||||
| 75 ROWLAND WAY SUITE 275 | NOVATO | CA | 94945 | ENDOCRINE & DIABETES HEALTH CENTER | |
| 17 - MARINHEALTH ENT HEAD & NECK SURGERY A U | |||||
| 1701 FOURTH STREET SUITE 120 | SANTA ROSA | CA | 95404 | ENT, HEAD & NECK SURGERY CENTER | |
| 18 - MARINHEALTH FAMILY MEDICINE A UCSF HEALT | |||||
| 75 ROWALND WAY SUITE 230 | NOVATO | CA | 94945 | FAMILY MEDICINE CENTER | |
| 19 - MARINHEALTH GASTROENTEROLOGY A UCSF HEAL | |||||
| 200 TAMAL PLAZA SUITE 200 | CORTE MADERA | CA | 94925 | GASTROENTEROLOGY HEALTH CENTER | |
| 20 - MARINHEALTH GASTROENTEROLOGY A UCSF HEAL | |||||
| 7120 REDWOOD BOULEVARD | NOVATO | CA | 94945 | GASTROENTEROLOGY HEALTH CENTER | |
| 21 - MARINHEALTH GENERAL & COLORECTAL SURGERY | |||||
| 5 BON AIR ROAD SUITE 101 | LARKSPUR | CA | 94939 | GENERAL & COLORECTAL SURGERY CENTER | |
| 22 - MARINHEALTH GENERAL SURGERY A UCSF HEALT | |||||
| 75 ROWLAND WAY SUITE 100 | NOVATO | CA | 94945 | GENERAL SURGERY CENTER | |
| 23 - MARINHEALTH HEARING & SPEECH | |||||
| 1350 SOUTH ELISEO DRIVE SUITE 130 | LARKSPUR | CA | 94939 | HEARING & SPEECH CENTER | |
| 24 - MARINHEALTH INFECTIOUS DISEASE A UCSF HE | |||||
| 1100 LARKSPUR LANDING CIRCLE SUITE | LARKSPUR | CA | 94939 | INFECTIOUS DISEASE CENTER | 10 |
| 25 - MARINHEALTH INTEGRATIVE WELLNESS CENTER | |||||
| 1350 SOUTH ELISEO DRIVE SUITE 120 | GREENBRAE | CA | 94904 | INTEGRATIVE WELLNESS CENTER | |
| 26 - MARINHEALTH INTERNAL MEDICINE A UCSF HEA | |||||
| 75 ROWLAND WAY SUITE 200 | NOVATO | CA | 94945 | INTERNAL MEDICINE CENTER | |
| 27 - MARINHEALTH INTERNAL MEDICINE A UCSF HEA | |||||
| 1341 SOUTH ELISEO DRIVE SUITE 200 | GREENBRAE | CA | 94904 | INTERNAL MEDICINE CENTER | |
| 28 - MARINHEALTH INTERNAL MEDICINE A UCSF HEA | |||||
| 23 REED BOULEVARD SUITE 120 | MILL VLLEY | CA | 94941 | INTERNAL MEDICINE CENTER | |
| 29 - MARINHEALTH INTERNAL MEDICINE A UCSF HEA | |||||
| 104 LYNCH CREEK WAY SUITE 10 | PETALUMA | CA | 94954 | INTERNAL MEDICINE CENTER | |
| 30 - MARINHEALTH LACTATION SERVICES | |||||
| 250 BON AIR ROAD FLOOR 4 | GREENBRAE | CA | 94904 | LACTATION SERVICES CENTER | |
| 31 - MARINHEALTH NEPHROLOGY A UCSF HEALTH CLI | |||||
| 1341 SOUTH ELISEO DRIVE SUITE 200 | GREENBRAE | CA | 94904 | NEPHROLOGY HEALTH CENTER | |
| 32 - MARINHEALTH NEUROLOGY A UCSF HEALTH CLIN | |||||
| 75 ROWLAND WAY SUITE 275 | NOVATO | CA | 94945 | NEUROLOGY HEALTH CENTER | |
| 33 - MARINHEALTH NEUROLOGY A UCSF HEALTH CLIN | |||||
| 3 HARBOR DRIVE SUITE 111 | SAUSALITO | CA | 94965 | NEUROLOGY HEALTH CENTER | |
| 34 - MARINHEALTH OBGYN A UCSF HEALTH CLINIC | |||||
| 100A DRAKES LANDING ROAD SUITE 225 | GREENBRAE | CA | 94904 | OB/GYN HEALTH CENTER | |
| 35 - MARINHEALTH OBGYN A UCSF HEALTH CLINIC | |||||
| 75 ROWLAND WAY SUITE 100 | NOVATO | CA | 94945 | OB/GYN HEALTH CENTER | |
| 36 - MARINHEALTH OBGYN A UCSF HEALTH CLINIC | |||||
| 1496 PROFESSIONAL DRIVE SUITE 603 | PETALUMA | CA | 94954 | OB/GYN HEALTH CENTER | |
| 37 - MARINHEALTH ORTHOPEDIC CARE A UCSF HEALT | |||||
| 347 ANDRIEUX STREET | SONOMA | CA | 95476 | ORTHOPEDIC HEALTH CENTER | |
| 38 - MARINHEALTH ORTHOPEDIC CARE A UCSF HEALT | |||||
| 104 LYNCH CREEK WAY SUITE 10 | PETALUMA | CA | 94954 | ORTHOPEDIC HEALTH CENTER | |
| 39 - MARINHEALTH ORTHOPEDIC CARE A UCSF HEALT | |||||
| 4000 CIVIC CENTER DRIVE SUITE 209 | SAN RAFAEL | CA | 94903 | ORTHOPEDIC HEALTH CENTER | |
| 40 - MARINHEALTH OUTPATIENT IMAGING CENTER | |||||
| 1240 SOUTH ELISEO DRIVE SUITE 103 | GREENBRAE | CA | 94904 | OUTPATIENT IMAGING CENTER | |
| 41 - MARINHEALTH OUTPATIENT IMAGING CENTER | |||||
| 4000 CIVIC CENTER DRIVE SUITE 209 | SAN RAFAEL | CA | 94903 | OUTPATIENT IMAGING CENTER | |
| 42 - MARINHEALTH OUTPATIENT MRI | |||||
| 1260 SOUTH ELISEO DRIVE SUITE 100 | GREENBRAE | CA | 94904 | OUTPATIENT MRI CENTER | |
| 43 - MARINHEALTH OUTPATIENT PHYSICAL THERAPY | |||||
| 1350 SOUTH ELISEO DRIVE SUITE 250 | GREENBRAE | CA | 94904 | OUTPATIENT PHYSICAL THERAPY | |
| 44 - MARINHEALTH PEDIATRIC AFTER-HOURS CARE A | |||||
| 1100 LARKSPUR LANDING CIRCLE SUITE | LARKSPUR | CA | 94939 | PEDIATRIC AFTER-HOURS CLINIC | 10 |
| 45 - MARINHEALTH PEDIATRIC CARE A UCSF HEALTH | |||||
| 4000 CIVIC CNETER DRIVE SUITE 205 | SAN RAFAEL | CA | 94903 | PEDIATRIC CARE CENTER | |
| 46 - MARINHEALTH PEDIATRIC CARE A UCSF HEALTH | |||||
| 651 FIRST STREET WEST SUITE H | SONOMA | CA | 95476 | PEDIATRIC CARE CENTER | |
| 47 - MARINHEALTH PEDIATRIC CARE A UCSF HEALTH | |||||
| 75 ROWLAND WAY SUITE 230 | NOVATO | CA | 94945 | PEDIATRIC CARE CENTER | |
| 48 - MARINHEALTH PETCT IMAGING | |||||
| 4000 CIVIC CENTER DRIVE SUITE 110 | SAN RAFAEL | CA | 94903 | PET/CT IMAGING | |
| 49 - MARINHEALTH PODIATRIC SPORTS MEDICINE A | |||||
| 4000 CIVIC CENTER DRIVE SUITE 209 | SAN RAFAEL | CA | 94903 | PODIATRIC SPORTS MEDICINE CENTER | |
| 50 - MARINHEALTH PRIMARY CARE A UCSF HEALTH C | |||||
| 651 FIRST STREET WEST SUITE H | SONOMA | CA | 95476 | PRIMARY CARE CENTER | |
| 51 - MARINHEALTH PRIMARY CARE A UCSF HEALTH C | |||||
| 4000 CIVIC CENTER DRIVE SUITE 200B | SAN RAFAEL | CA | 94903 | PRIMARY CARE CENTER | |
| 52 - MARINHEALTH PRIMARY CARE A UCSF HEALTH C | |||||
| 3 HARBOR DRIVE SUITE 111 | SAUSALITO | CA | 94965 | PRIMARY CARE CENTER | |
| 53 - MARINHEALTH PRIMARY CARE A UCSF HEALTH C | |||||
| 75 ROWLAND WAY SUITE 200 | NOVATO | CA | 94945 | PRIMARY CARE CENTER | |
| 54 - MARINHEALTH PRIMARY CARE A UCSF HEALTH C | |||||
| 1100 LARKSPUR LANDING CIRCLE SUITE | LARKSPUR | CA | 94939 | PRIMARY CARE CENTER | 10 |
| 55 - MARINHEALTH PSYCHIATRY A UCSF HEALTH CLI | |||||
| 75 ROWLAND WAY SUITE 220 | NOVATO | CA | 94945 | PSYCHIATRY CARE CENTER | |
| 56 - MARINHEALTH RHEUMATOLOGY A UCSF HEALTH C | |||||
| 4000 CIVIC CENTER DRIVE SUITE 200A | SAN RAFAEL | CA | 94903 | RHEUMATOLOGY CARE CENTER | |
| 57 - MARINHEALTH SPINE INSTITUTE A UCSF HEALT | |||||
| 2 BON AIR ROAD SUITE 120 | LARKSPUR | CA | 94939 | SPINE CARE CENTER | |
| 58 - MARINHEALTH SPINE INSTITUTE A UCSF HEALT | |||||
| 4000 CIVIC CENTER DRIVE SUITE 209 | SAN RAFAEL | CA | 94903 | SPINE CARE CENTER | |
| 59 - MARINHEALTH SUPPORTIVE CARE CENTER | |||||
| 1350 SOTUH ELISEO DRIVE SUITE 140 | GREENBRAE | CA | 94904 | SUPPORTIVE CARE CENTER | |
| 60 - MARINHEALTH URGENT CARE A UCSF HEALTH CL | |||||
| 4000 CIVIC CENTER DRIVE SUITE 206 | SAN RAFAEL | CA | 94903 | URGENT CARE CENTER | |
| 61 - MARINHEALTH UROGYNECOLOGY A UCSF HEALT | |||||
| 75 ROWALND WAY SUITE 100 | NOVATO | CA | 94945 | UROGYNECOLOGY CARE CENTER | |
| 62 - MARINHEALTH UROGYNECOLOGY A UCSF HEALT | |||||
| 100A DRAKES LANDING ROAD SUITE 225 | GREENBRAE | CA | 94904 | UROGYNECOLOGY CARE CENTER | |
| 63 - MARINHEALTH UROLOGY A UCSF HEALTH CLINIC | |||||
| 75 ROWLAND WAY SUITE 100 | NOVATO | CA | 94945 | UROLOGY CARE CENTER | |
| 64 - MARINHEALTH UROLOGY A UCSF HEALTH CLINIC | |||||
| 3250 BEARD ROAD | NAPA | CA | 94558 | UROLOGY CARE CENTER | |
| 65 - MARINHEALTH UROLOGY A UCSF HEALTH CLINIC | |||||
| 1240 SOUTH ELISEO DRIVE SUITE 200 | GREENBRAE | CA | 94904 | UROLOGY CARE CENTER | |
| 66 - MARINHEALTH UROLOGY A UCSF HEALTH CLINIC | |||||
| 1496 PROFESSIONAL DRIVE SUITE 603 | PETALUMA | CA | 94954 | UROLOGY CARE CENTER | |
| 67 - MARINHEALTH VASCULAR SURGERY A UCSF HEAL | |||||
| 75 ROWLAND WAY SUITE 275 | NOVATO | CA | 94945 | VASCULAR SURGERY CENTER | |
| 68 - MARINHEALTH VASCULAR SURGERY A UCSF HEAL | |||||
| 1701 FOURTH STREET SUITE 120 | SANTA ROSA | CA | 95404 | VASCULAR SURGERY CENTER | |
| 69 - MARINHEALTH VASCULAR SURGERY A UCSF HEAL | |||||
| 1100 SOUTH ELISEO DRIVE SUITE 2A | GREENBRAE | CA | 94904 | VASCULAR SURGERY CENTER | |
| 70 - MARINHEALTH VASCULAR SURGERY A UCSF HEAL | |||||
| 651 FIRST STREET WEST SUITE K | SONOMA | CA | 95476 | VASCULAR SURGERY CENTER | |
| 71 - UCSF NEUROSURGERY | |||||
| 1100 SOUTH ELISEO DRIVE SUITE 1 | GREENBRAE | CA | 94904 | NEUROSURGERY CENTER | |
| 72 - UCSF PRENATAL DIAGNOSTIC CENTER | |||||
| 1300 SOUTH ELISEO DRIVE SUITE 200 | GREENBRAE | CA | 94904 | PRENATAL DIAGNOSTIC CENTER | |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | TO BE ELIGIBLE FOR FREE CARE THE ORGANIZATION USES THE FEDERAL POVERTY GUIDELINE (FPG) FOR FAMILY INCOMES THAT ARE AT OR BELOW 400% OF FPG. IN ADDITION, THE FOLLOWING DISCOUNTS APPLY TO UNINSURED PATIENTS: 1) SPECIAL CIRCUMSTANCES CHARITY CARE: A COMPLETE OR PARTIAL WRITE-OFF IN CIRCUMSTANCES INCLUDING BUT NOT LIMITED TO BANKRUPTCY, HOMELESSNESS, DECEASED, INELIGIBLE FOR MEDICARE/MEDI-CAL, OR IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING THE HOSPITAL'S CHARITY CARE ELIGIBILITY CRITERIA. 2) CATASTROPHIC CHARITY CARE: FULL WRITE-OFF WHEN THE FINANCIAL RESPONSIBILITY EXCEEDS 10% OF PATIENT'S FAMILY INCOME.3) UNINSURED PATIENT DISCOUNT: A WRITE-OFF OF A PORTION OF COVERED SERVICES NO GREATER THAN THE CURRENT AVERAGE COMMERCIAL FEE-FOR-SERVICE DISCOUNT WITH MANAGED CARE PAYERS FOR PATIENTS WHOSE BENEFITS UNDER INSURANCE OR A GOVERNMENT PROGRAM HAVE BEEN EXHAUSTED PRIOR TO ADMISSION. 4) PROMPT PAYMENT DISCOUNT: ADDITIONAL DISCOUNT FOR PATIENTS RECEIVING THE UNINSURED DISCOUNT OF AT LEAST 10% WHO PAYS ESTIMATED BILL PRIOR TO DISCHARGE. |
| PART I, LINE 7: | A COST-TO-CHARGE RATIO WAS USED TO DETERMINE THE AMOUNTS ON LINES 7B, AND 7C. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS ON LINES 7A, 7E, 7F, AND 7I. |
| PART III, LINE 2: | THE RATIO OF PATIENT CARE COST TO CHARGES IS APPLIED TO THE BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS TO CALCULATE THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENT ACCOUNTS THAT IS REPORTED ON SCHEDULE H, PART III, LINE 2. DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS ARE RECORDED AS AN ADJUSTMENT TO REVENUE, NOT BAD DEBT EXPENSE. |
| PART III, LINE 4: | MHMC'S AUDITED FINANCIAL STATEMENTS DOES NOT HAVE A SEPARATE BAD DEBT EXPENSE FOOTNOTE. HOWEVER, THE FOOTNOTE WHICH ADDRESSES "PATIENTS ACCOUNTS RECEIVABLE, NET" CAN BE FOUND ON PAGES 10-11 OF THE AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE SHORTFALL REPORTED ON SCHEDULE H, PART III, LINE 7 SHOULD BE TREATED AS A COMMUNITY BENEFIT AS MEDICARE RATES ARE NON-NEGOTIABLE AND SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. BY CONTINUING TO TREAT PATIENTS ELIGIBLE TO MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. ADDITIONALLY, IRS REV. RUL. 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.ALL MEDICARE REVENUES AND COSTS WERE INCLUDED IN THE ORGANIZATION'S MEDICARE COST REPORT. MEDICARE ALLOWABLE COSTS WERE CALCULATED USING A COST-TO-CHARGE RATIO. |
| PART III, LINE 9B: | THE MEDICAL CENTER INCLUDES AN EXTENDED PAYMENT PLAN TO ALLOW PAYMENT OF THE DISCOUNTED PRICE OVER TIME. THE MEDICAL CENTER AND THE PATIENT MAY NEGOTIATE THE TERMS OF THE PAYMENT PLAN. THE MEDICAL CENTER WILL NOT CHARGE INTEREST ON THE EXTENDED PAYMENT PLAN DEBT. AN EXTENDED PAYMENT PLAN MAY BE NEGOTIATED WITH THE PATIENT IF THE PATIENT FAILS TO MAKE ALL CONSECUTIVE PAYMENTS DURING A 90-DAY PERIOD. PRIOR TO DECLARING AN EXTENDED PAYMENT PLAN INOPERABLE THE PATIENT MUST BE: 1. CONTACTED OR ATTEMPTED TO BE CONTACTED BY TELEPHONE (LAST KNOWN NUMBER)2. GIVEN NOTICE IN WRITING THAT THE PLAN MAY BE INOPERABLE (LAST KNOWN ADDRESS)3. INFORMED THAT THERE IS AN OPPORTUNITY TO RE-NEGOTIATE THE PAYMENT PLAN.UNTIL THE PAYMENT PLAN IS DECLARED INOPERABLE, NO REPORT MAY BE MADE TO A CONSUMER CREDIT REPORTING AGENCY AND NO CIVIL ACTION MAY COMMENCE. ANY ADVANCING OF DEBT FOR COLLECTION OR REPORTING REQUIRES THE APPROVAL OF EACH PATIENT BY THE DIRECTOR OF PATIENT FINANCIAL SERVICES. ADVANCING OF DEBT COLLECTION SHALL OCCUR AFTER 150 DAYS OF AN INOPERABLE PAYMENT PLAN. CREDIT REPORTING SHALL NOT OCCUR UNTIL AFTER 150 DAYS OF THE PAYMENT PLAN BEING INOPERABLE.IF A COLLECTION AGENCY IDENTIFIES A PATIENT MEETING MARINHEALTH MEDICAL CENTER'S CHARITY CARE ELIGIBILITY CRITERIA, THE PATIENT ACCOUNT MAY BE CONSIDERED CHARITY CARE, EVEN IF THEY WERE ORIGINALLY CLASSIFIED FOR COLLECTION OR AS A BAD DEBT. COLLECTION AGENCY PATIENT ACCOUNTS MEETING CHARITY CARE CRITERIA SHOULD BE RETURNED TO MARINHEALTH MEDICAL CENTER'S BILLING OFFICE AND REVIEWED FOR CHARITY CARE ELIGIBILITY. |
| PART VI, LINE 2: | IN ADDITION TO THE TRIENNIAL CHNA, HEALTH NEEDS ARE MONITORED AS FOLLOWS: (I) MARIN HEALTHCARE DISTRICT BOARD MEETINGS, WHICH INCLUDE PUBLIC COMMENTS AND WHICH THE HOSPITAL CEO ATTENDS AND SHARES COMMUNITY INPUT WITH HOSPITAL STAFF AS APPROPRIATE; (II) HOSPITAL BOARD MEMBERS ARE ALL COMMUNITY RESIDENTS AND SHARE COMMUNITY HEALTH CONCERNS WHEN APPROPRIATE; AND (III) COMMUNITY COMMENTS ON THE TRIENNIAL CHNA AND IMPLEMENTATION STRATEGY ARE COLLECTED ON THE HOSPITAL WEBSITE AND ARE MONITORED BY THE COMMUNITY RELATIONS DEPARTMENT. |
| PART VI, LINE 3: | A) CHARITY CARE INFORMATION PROVIDED AT PATIENT INTAKE: EXCEPT IN THE CASE OF EMERGENCY SERVICES, MARINHEALTH MEDICAL CENTER SHALL PROVIDE PATIENTS WITH INFORMATION REGARDING CHARITY CARE AND DISCOUNT PAYMENTS DURING THE PATIENT INTAKE PROCESS. MARINHEALTH MEDICAL CENTER SHALL ALSO PROVIDE PATIENTS WITH CONTACT INFORMATION FOR A MARINHEALTH MEDICAL CENTER EMPLOYEE OR OFFICE FROM WHICH THE PATIENT MAY OBTAIN FURTHER INFORMATION ABOUT CHARITY CARE AND DISCOUNT PAYMENTS. THE INFORMATION PROVIDED SHALL BE IN THE PRIMARY LANGUAGE(S) OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. A LANGUAGE IS A PRIMARY LANGUAGE OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA IF 5% OR MORE OF MARINHEALTH MEDICAL CENTER'S LOCAL POPULATION SPEAKS THE LANGUAGE. B) CHARITY CARE INFORMATION PROVIDED AT ALL OTHER TIMES: MARINHEALTH MEDICAL CENTER SHALL PROVIDE PATIENTS WITH INFORMATION REGARDING CHARITY CARE AND DISCOUNT PAYMENTS DURING THE INTAKE PROCESS, OR AT ANY OTHER TIME UPON PATIENT REQUEST. MARINHEALTH MEDICAL CENTER SHALL PROVIDE UNINSURED PATIENTS WITH THE MARINHEALTH MEDICAL CENTER CHARITY CARE APPLICATION FORM, THE "STATEMENT OF FINANCIAL CONDITION," IMMEDIATELY UPON PATIENT REQUEST. THE INFORMATION PROVIDED SHALL BE IN THE PRIMARY LANGUAGE(S) OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. A LANGUAGE IS A PRIMARY LANGUAGE OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA IF 5% OR MORE OF MARINHEALTH MEDICAL CENTER'S LOCAL POPULATION SPEAKS THE LANGUAGE. C) PUBLIC NOTICE AND POSTING: PUBLIC NOTICE OF THE AVAILABILITY OF ASSISTANCE THROUGH THIS POLICY SHOULD BE MADE BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION. NOTICES MUST BE POSTED IN AT LEAST THE EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND MEDICAL CENTER OUTPATIENT SERVICE SETTINGS. POSTED NOTICES SHALL BE IN LANGUAGES REFLECTING THAT SPOKEN IN THE SERVICE AREA IS 5% OR MORE OF THE POPULATIONS SPEAK THIS LANGUAGE. POSTED NOTICES SHALL CONTAIN THE FOLLOWING INFORMATION: 1) A STATEMENT INDICATING THAT MARINHEALTH MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR FULL OR PARTIAL CHARITY CARE WRITE-OFF.2) IDENTIFICATION OF A MEDICAL CENTER CONTACT PHONE NUMBER THAT THE PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND ABOUT HOW TO APPLY FOR ASSISTANCE.D) INCLUDE POLICY INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS INDICATING:1) IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR QUALIFY FOR CHARITY CARE OR DISCOUNT PAYMENT FROM MARINHEALTH MEDICAL CENTER. THE INCOME REQUIREMENTS SHALL BE STATED ON THE NOTICE.2) NOTIFICATION TO THE PATIENT THAT EMERGENCY PHYSICIANS ARE REQUIRED TO HAVE A DISCOUNT POLICY TO UNINSURED AND HIGH MEDICAL COST PATIENTS WHICH MAY HAVE DIFFERENT ELIGIBILITY CRITERIA THAN THAT OF THE MEDICAL CENTER BUT AT LEAST AT 350% OF THE FPL. 3) A MEDICAL CENTER PHONE NUMBER THAT PATIENTS MAY CALL FOR FURTHER INFORMATION. 4) POSTING NOTICE OF THE AVAILABILITY OF ASSISTANCE AND A CONTACT PHONE NUMBER ON MARINHEALTH MEDICAL CENTER'S WEB SITE. 5) PROVIDING UNINSURED PATIENTS A DOCUMENT OUTLINING THE TYPES OF FINANCIAL ASSISTANCE AVAILABLE. |
| PART VI, LINE 4: | MARINHEALTH MEDICAL CENTER IS LOCATED AT 250 BON AIR ROAD, GREENBRAE, CA 94904. THE SERVICE AREA COMPRISES ALL OF MARIN COUNTY, WHICH CONSISTS OF 30 ZIP CODES AND INCLUDES THE CITIES OF BELVEDERE, CORTE MADERA, FAIRFAX, LARKSPUR, MILL VALLEY, NOVATO, ROSS, SAN ANSELMO, SAN RAFAEL, SAUSALITO, TIBURON, AND THE COASTAL TOWNS OF STINSON BEACH, BOLINAS, POINT REYES, INVERNESS, MARSHALL, AND TOMALES.MARIN COUNTY COVERS 520 SQUARE MILES, MUCH OF WHICH IS PRESERVED AS PARKS, TIDELANDS, AND AGRICULTURAL AREAS. AMONG THEM ARE THE POINT REYES NATIONAL SEASHORE, MOUNT TAMALPAIS STATE PARK AND GAME REFUGE AND SAMUEL P. TAYLOR STATE PARK. A LARGE PORTION OF THE POPULATION LIVES ALONG THE HIGHWAY 101 CORRIDOR, DIVIDING THE COUNTY INTO A MORE URBAN ENVIRONMENT IN THE EASTERN PART OF THE COUNTY, AND MORE RURAL ENVIRONMENT ALONG THE COAST AND THE WESTERN SIDE OF THE COUNTY. THE COUNTY IS HOME TO SAN QUENTIN STATE PRISON, A MAXIMUM-SECURITY PRISON, LOCATED IN THE EASTERN PORTION OF THE COUNTY. MARIN COUNTY HAS THE 6TH LARGEST INCOME PER CAPITA OF ALL COUNTIES IN THE U.S., YET AREAS OF THE COUNTY HAVE LARGE PROPORTIONS OF ECONOMICALLY VULNERABLE POPULATIONS, WHICH INCLUDE NOVATO, MARIN CITY, THE COMMUNITIES OF WEST MARIN, AND PORTIONS OF SAN RAFAEL, TO NAME A FEW.THE TOTAL POPULATION OF MARIN COUNTY IN 2019 WAS 259,943. THE MEDIAN AGE IN MARIN COUNTY IS 46.8, WHICH IS HIGHER THAN THE AVERAGE OF 36.5 FOR ALL OF CALIFORNIA. ADDITIONALLY, THE MEDIAN INCOME IN MARIN COUNTY IS $115,246, WHICH IS ALSO HIGHER THAN AVERAGE OF $75,235 FOR ALL OF CALIFORNIA. THE PERCENTAGE OF RESIDENTS EXPERIENCING POVERTY IN MARIN COUNTY IS 7.2%, WHICH IS LOWER WHEN COMPARED TO THE 13.4% OF RESIDENTS THROUGHOUT CALIFORNIA EXPERIENCING POVERTY. MARIN COUNTY ALSO HAS A LOWER PERCENTAGE OF RESIDENTS WITHOUT A HIGH SCHOOL DIPLOMA (6.7%) WHEN COMPARED TO ALL OF CALIFORNIA (16.7%), AS WELL AS A LOWER PERCENTAGE OF RESIDENTS WITH DISABILITIES (9.1%) WHEN COMPARED TO ALL OF CALIFORNIA (10.6%).THE RACIAL AND ETHNIC PROFILE OF MARIN COUNTY IS AS FOLLOWS: 71.2% WHITE, 16% HISPANIC OR LATINX, 5.8% ASIAN, 3.8% TWO OR MORE RACES, 2.1% BLACK OR AFRICAN AMERICAN, .9% OTHER RACES, .2% AMERICAN INDIAN AND ALASKA NATIVE, AND .1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER. |
| PART VI, LINE 5: | MARINHEALTH MEDICAL CENTER IS THE ONLY FULL-SERVICE ACUTE CARE HOSPITAL IN THE COUNTY AND THE ONLY HOSPITAL WITH AN OBSTETRICAL SERVICE OR IN PATIENT BEHAVIORAL HEALTH SERVICE. IT SERVES AS THE TRAUMA CENTER FOR MARIN COUNTY AND SURROUNDING AREAS. THE BOARD OF DIRECTORS IS COMPOSED OF UNCOMPENSATED COMMUNITY RESIDENTS. ALL FUNDS ARE USED TO IMPROVE HEALTH CARE SERVICES, MAINTAIN UP-TO-DATE FACILITIES, AND SUPPORT TRAINING PROGRAMS FOR HEALTH PROFESSIONALS IN AREAS SUCH AS NURSING, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, REHABILITATION SERVICES AND BEHAVIORAL HEALTH. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS. |
| PART VI, LINE 6: | MARIN HEALTHCARE DISTRICT IS THE GENERAL MEMBER OF MARINHEALTH MEDICAL CENTER; MARIN HEALTHCARE DISTRICT IS RESPONSIBLE FOR PROMOTING THE HEALTH AND WELFARE OF THE RESIDENTS OF MARIN COUNTY, INCLUDING MAINTAINING COUNTY-WIDE ACCESS TO CARE THROUGH THE MARIN HEALTHCARE DISTRICT HEALTH CENTERS. IN ADDITION, MARINHEALTH MEDICAL CENTER OPERATES IN CONJUNCTION WITH MARINHEALTH MEDICAL NETWORK, WHICH IS A MEDICAL FOUNDATION OFFERING A WIDE RANGE OF PHYSICIANS AND PROVIDERS. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| PRIMA MEDICAL FOUNDATION | ||||||||
| 9 COMMERCIAL BLVD | NOVATO | CA | 94949 | 271376321 | 501(C)(3) | $22,638,244 | $0 | TO SUPPORT PROVISION OF HEALTH CARE SERVICES |
| MEDECINS SANS FRONTIERES USA INC DBA DOCTORS WITHOUT BORDERS USA INC | ||||||||
| 40 RECTOR STREET 16TH FLOOR | NEW YORK | NY | 10006 | 133433452 | 501(C)(3) | $50,000 | $0 | TO SUPPORT MEDICAL HUMANITARIAN EMERGENCY AID |
| MARIN COUNTY FAIR | ||||||||
| 10 AVENUE OF THE FLAGS | SAN RAFAEL | CA | 94903 | 946000519 | $25,000 | $0 | SPONSORSHIP | |
| SAN RAFAEL PACIFICS | ||||||||
| ALBERT PARK LANE | SAN RAFAEL | CA | 94901 | 273497029 | $12,000 | $0 | SPONSORSHIP | |
| MARIN COMMUNITY CLINIC | ||||||||
| 9 COMMERCIAL BLVD SUITE 100 | NOVATO | CA | 94949 | 942237120 | 501(C)(3) | $10,000 | $0 | TO SUPPORT PROVISION OF HEALTH CARE SERVICES |
| DOMINICAN UNIVERSITY OF CALIFORNIA | ||||||||
| 50 ACACIA AVENUE | SAN RAFAEL | CA | 94901 | 941156525 | 501(C)(3) | $10,000 | $0 | TO SUPPORT SCHOOL OF BUSINESS & LEADERSHIP |
| SAN RAFAEL CHAMBER OF COMMERCE | ||||||||
| 817 MISSION AVE | SAN RAFAEL | CA | 94901 | 940839470 | 501(C)(6) | $6,400 | $0 | TO SUPPORT ECONONOMIC VITALITY OF SAN RAFAEL |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 3 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 1 | $500 |
| PATIENT ASSISTANCE | 104 | $130,463 |
| VOLUNTEER SUPPORT | 140 | $3,000 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FOR GRANTS TO INDIVIDUALS, THE ORGANIZATION PRE-SCREENS THE INDIVIDUALS FOR ELIGIBILITY. GRANTS ARE PAID DIRECTLY TO THE PROVIDER OF SERVICES TO PATIENTS. THE HOSPITAL DOES NOT REQUIRE ACCOUNTING OF THE USE OF GRANT FUNDS PROVIDED, HOWEVER, THE ORGANIZATION HISTORICALLY HAS A CLOSE WORKING RELATIONSHIP WITH GRANTEES LISTED ON SCHEDULE I, PART II. IN THE CASES OF GENERAL PURPOSE GRANTS, THE GRANTEE'S CHARITABLE PURPOSE IS REVIEWED PRIOR TO THE ISSUANCE OF THE GRANT. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID KLEIN MD MBA | ||||||||||||||
| CEO & BOARD MEMBER | $1,306,030 | $0 | $486,362 | $0 | $6,858 | $0 | $15,613 | $0 | $25,824 | $0 | $1,840,687 | $0 | $0 | $0 |
| ERIC BRETTNER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $520,196 | $0 | $188,272 | $0 | $1,242 | $0 | $15,978 | $0 | $31,479 | $0 | $757,167 | $0 | $0 | $0 |
| ANDREW APOLINARSKI MSN RN CNL | ||||||||||||||
| CHIEF NURSING OFFICER | $423,627 | $0 | $140,063 | $0 | $1,630 | $0 | $125,483 | $0 | $23,127 | $0 | $713,930 | $0 | $0 | $0 |
| KARIN SHAVELSON MD FAAP | ||||||||||||||
| CHIEF MEDICAL OFFICER | $484,814 | $0 | $175,628 | $0 | $1,057 | $0 | $15,613 | $0 | $32,194 | $0 | $709,306 | $0 | $0 | $0 |
| GREGORY LEE | ||||||||||||||
| IR / CATH / EP TECH LEAD | $585,092 | $0 | $0 | $0 | $0 | $0 | $46,164 | $0 | $12,280 | $0 | $643,536 | $0 | $0 | $0 |
| COLIN LEARY JD | ||||||||||||||
| GENERAL COUNSEL | $425,970 | $0 | $120,748 | $0 | $810 | $0 | $15,553 | $0 | $31,479 | $0 | $594,560 | $0 | $0 | $0 |
| CHUN LI | ||||||||||||||
| CHIEF CLIN PHYSICIST & DIR RAD ONC | $337,318 | $0 | $63,347 | $0 | $2,111 | $0 | $122,156 | $0 | $12,696 | $0 | $537,628 | $0 | $0 | $0 |
| ELIZABETH KOLCUN | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $324,535 | $0 | $117,182 | $0 | $680 | $0 | $20,456 | $0 | $31,410 | $0 | $494,263 | $0 | $0 | $0 |
| LINDA LANG | ||||||||||||||
| CHIEF HR OFFICER THRU 9/2022 | $346,394 | $0 | $126,563 | $0 | $339 | $0 | $0 | $0 | $19,077 | $0 | $492,373 | $0 | $0 | $0 |
| MARY FRIEDMAN | ||||||||||||||
| CHIEF STRATEGY OFFICER | $301,234 | $0 | $101,250 | $0 | $339 | $0 | $25,063 | $0 | $31,348 | $0 | $459,234 | $0 | $0 | $0 |
| MICHAEL KIM MD | ||||||||||||||
| MHMN VP OF MEDICAL AFFAIRS | $385,825 | $0 | $40,000 | $0 | $1,092 | $0 | $15,250 | $0 | $8,427 | $0 | $450,594 | $0 | $0 | $0 |
| SUSAN CUMMING MD | ||||||||||||||
| MED DIR PATIENT EXPERIENCE | $351,772 | $0 | $33,860 | $0 | $3,437 | $0 | $26,620 | $0 | $31,464 | $0 | $447,153 | $0 | $0 | $0 |
| RUSSELL PECKENPAUGH | ||||||||||||||
| VP IS ADMINISTRATION | $306,163 | $0 | $65,703 | $0 | $2,376 | $0 | $21,574 | $0 | $11,213 | $0 | $407,029 | $0 | $0 | $0 |
| EUGENE LEWIS MBA SPHR | ||||||||||||||
| CHIEF HR OFFICER START 9/2022 | $263,335 | $0 | $39,674 | $0 | $223 | $0 | $19,694 | $0 | $13,299 | $0 | $336,225 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 680164610 | BondIssuerEIN |
| CUSIP | 13080SUG7 | CUSIPNum |
| Bond Issued | 2018-05-23 | BondIssuedDt |
| Issue Price | $100,032,761 | IssuePriceAmt |
| Purpose | CONSTRUCT NEW HOSPITAL FACILITY/AMBULATORY SERVICES BLDG/PARKING STRUCTURE | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $100,032,761 | TotalProceedsAmt |
| Issuance Costs From Proceeds | $1,132,761 | IssuanceCostsFromProceedsAmt |
| Working Capital Expenditures | $1,100,000 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $92,429,291 | CapitalExpendituresAmt |
| Unspent | $5,370,709 | UnspentAmt |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | DATE REBATE COMPUTATION PERFORMED | FormAndLineReferenceDesc |
| Explanation | ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2023 | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | MARINHEALTH MEDICAL CENTER (MHMC) HAS ONE GENERAL MEMBER, MARIN HEALTHCARE DISTRICT (MHD), A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA. IN ADDITION, THE BYLAWS PROVIDE FOR A "SPECIAL MEMBER" (WITH THE POWER TO NOMINATE 2 MEMBERS OF THE BOARD OF DIRECTORS): THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF UCSF HEALTH. |
| FORM 990, PART VI, SECTION A, LINE 7A | MARIN HEALTHCARE DISTRICT (THE "GENERAL MEMBER") DOES NOT HAVE THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY; HOWEVER, THE GENERAL MEMBER DOES HAVE THE RIGHT TO REJECT ALL APPOINTEES TO THE BOARD OF DIRECTORS. THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF UCSF HEALTH (THE "SPECIAL MEMBER") MAY NOMINATE TWO MEMBERS OF THE BOARD OF DIRECTORS, WHO MUST ALSO BE APPROVED BY THE GENERAL MEMBER. |
| FORM 990, PART VI, SECTION A, LINE 7B | NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF MHMC MAY TAKE ANY OF THE FOLLOWING ACTIONS, OR APPROVE A SUBSIDIARY OR AN AFFILIATE TAKING THE FOLLOWING ACTIONS, WITHOUT THE PRIOR APPROVAL, OR ANY OF THE SPECIFIED ACTIONS, OF THE GENERAL MEMBER: (A) ANY CORPORATE MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THIS CORPORATION THAT WOULD CHANGE THE GENERAL MEMBER'S STATUS AS SOLE CORPORATE MEMBER OR OWNER OF THE LAND AND ASSETS LEASED BY THIS CORPORATION; (B) ANY TRANSACTION REQUIRING THE CONSENT OR APPROVAL OF THE GENERAL MEMBER PURSUANT TO THE LEASE OF THE MHMC CAMPUS AND FACILITIES BY THE GENERAL MEMBER TO THIS CORPORATION, COMMENCING DECEMBER 2, 2015, AS IT HAS BEEN OR MAY BE AMENDED ("THE LEASE"). (C) ANY MATERIAL TRANSFER BY SALE, LEASE, DEBT OR ENCUMBRANCE, OR OTHER DISPOSITION, OF ANY OF THE ASSETS OF THE CORPORATION, REAL OR PERSONAL, OUTSIDE THE ORDINARY COURSE OF HOSPITAL BUSINESS. NOTWITHSTANDING THE FOREGOING, THE FOLLOWING WILL NOT REQUIRE THE PRIOR APPROVAL OF THE GENERAL MEMBER: (I) ANY TRANSACTION AMOUNTING TO A TRANSFER OF LESS THAN TEN PERCENT (10%) OF THE ASSETS OF THE CORPORATION, AS OF THE MONTH IMMEDIATELY PRECEDING THE TRANSACTION, TO ANOTHER LEGAL ENTITY IN CONNECTION WITH AN AFFILIATION OR JOINT VENTURE INVESTMENT OR SERVICE OPERATION OFF THE MHMC CAMPUS; (II) A FINANCING TRANSACTION, INCLUDING, BUT NOT LIMITED TO, DEBT FINANCING OR BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS, EXPECTED TO AMOUNT IN TOTAL PRINCIPAL VALUE TO LESS THAN TEN PERCENT (10%) OF NET PATIENT SERVICES REVENUE, AS OF THE MONTH IMMEDIATELY PRECEDING THE TRANSACTION; (III) THE GENERAL MEMBER SHALL IN ITS DISCRETION CONSIDER EXTENDING THE ABOVE THRESHOLD REQUIREMENTS BASED ON ADDITIONAL PERCENTAGES OF TOTAL ASSETS OR PATIENT REVENUE, AND ANY SUCH ALLOWANCE SHALL COMPLY WITH APPLICABLE CALIFORNIA LAWS OR REGULATIONS GOVERNING TRANSFERS OF ASSETS OF A HEALTHCARE DISTRICT (E.G., HEALTH & SAFETY CODE SECTION 32121 (P)). (D) IN ADDITION TO THRESHOLDS FOR APPROVALS REQUIRED FOR INDIVIDUAL TRANSACTIONS DESCRIBED IN SUBSECTION (C) ABOVE, APPROVAL OF THE GENERAL MEMBER SHALL BE REQUIRED FOR ANY TRANSACTION WHICH, ON A PROFORMA BASIS, WOULD CAUSE THE CORPORATION TO BE IN VIOLATION OF ANY FINANCIAL LOAN OR BOND COVENANT, AS THEY EXIST AT THE TIME OF THE TRANSACTION, OR THAT WOULD CAUSE THE CORPORATION'S DEBT TO CAPITALIZATION RATIO TO EXCEED 50%. (E) ANY TRANSACTIONS WITH LONG-TERM (MORE THAN THREE-YEAR) LAND OR FACILITY IMPACTS (E.G., NEW CONSTRUCTION OR RENOVATION) REQUIRING GENERAL MEMBER APPROVAL PURSUANT TO THE LEASE OR COSTING THE EQUIVALENT OF TEN PERCENT (10%) OR MORE OF MHMC THEN EXISTING TOTAL ASSETS (APPROXIMATELY $27 MILLION AT DECEMBER 31, 2015). (F) ANY LONG-TERM CAMPUS DEVELOPMENT PLAN THAT RESTRICTS FUTURE LAND USE OPTIONS OR REQUIRES REGULATORY CHANGES TO LAND USE PERMITS/DESIGNATIONS WILL REQUIRE GENERAL MEMBER APPROVAL. (G) ANY TRANSACTION THAT CAUSES OR IS ANTICIPATED TO CAUSE A DOWNGRADE IN BOND RATING BY A STANDARD RATING AGENCY REQUIRES GENERAL MEMBER APPROVAL REGARDLESS OF SIZE OF THE TRANSACTION. (H) THE GENERAL MEMBER SHALL RETAIN AN INDEPENDENT AUDIT FIRM CONSISTENT WITH STANDARD INDUSTRY FINANCIAL PRACTICE ON BEHALF OF THE CORPORATION. THE AUDIT FIRM WILL THEN PROVIDE SERVICES TO MHMC'S MANAGEMENT AND ITS BOARD AS OVERSEEN BY THE MHMC BOARD AUDIT SUBCOMMITTEE. FINAL AUDIT REPORTS WILL BE PRESENTED TO THE GENERAL MEMBER (SUBJECT TO PUBLIC REVIEW), THE BOARD, AND MANAGEMENT OF MHMC. (I) CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL, OR SUBSTANTIALLY ALL (50 PERCENT OR GREATER), OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. (J) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION. (K) BYLAW APPROVALS (L) ANY CHANGES TO THE MISSION STATEMENT OF THE CORPORATION FOR MHMC. (M) ANY CHANGES TO THE CORPORATE DISSOLUTION RIGHTS (INITIATION OF DISSOLUTION AND DISPOSITION OF ASSETS) OF THE GENERAL MEMBER. (N) APPROVAL OF INDIVIDUALS FOR BOARD MEMBERSHIP. IN ADDITION, THE SPECIAL MEMBER SHALL HAVE THE FOLLOWING RIGHTS AND PRIVILEGES: (A) TO NOMINATE INDIVIDUALS TO SERVE ON THE BOARD OF DIRECTORS AS "SPECIAL MEMBER NOMINEES; AND (B) TO APPROVE CERTAIN AMENDMENTS TO THE BYLAWS. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT, IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. THE DRAFT FORM 990 IS THEN REVIEWED BY THE CONTROLLER AND CFO; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH INDIVIDUAL BOARD MEMBER AND OFFICER SIGNS AN ACKNOWLEDGEMENT FORM THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. IN ADDITION, A DISCLOSURE STATEMENT IS COMPLETED BY ALL OFFICERS AND BOARD MEMBERS ANNUALLY. ON THIS STATEMENT THE COVERED INDIVIDUAL LISTS A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR REVIEWS THESE STATEMENTS AND MONITORS SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH LEGAL COUNSEL AS NECESSARY. IN THE EVENT OF A POTENTIAL CONFLICT OF INTEREST, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE CONFLICTED INDIVIDUAL TO LEAVE THE ROOM OR NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE CONFLICTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE EXECUTIVE COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS-LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF THE HOSPITAL'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG-TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL AND REGIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS THE HOSPITAL ARE MOST APPROPRIATE. ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION UNDERGO A REVIEW ANNUALLY. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 47,689,290. MANAGEMENT AND GENERAL EXPENSES 18,634,325. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,323,615. PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 73,604,359. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,604,359. |
| FORM 990, PART XI, LINE 9: | BENEFIT PLAN RELATED CHANGES 903,488. CHANGE IN BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION -6,256,089. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHMC PETCT LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 BON AIR ROAD | AddressLine1Txt |
| City | GREENBRAE | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 942823538 | EIN |
| Primary Activities | INVESTMENT HOLDING COMPANY (INVESTMENT IN MARIN PET/CT IMAGING LLC) | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $2,698,002 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN GENERAL HOSPITAL | 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 | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MARIN HEALTHCARE DISTRICT | |||||||||||
| 100B DRAKES LANDING ROAD SUITE 250 | GREENBRAE | CA | 94904 | 911886269 | HEALTH CARE | CA | N/A | 0 | |||
| MARIN GENERAL HOSPITAL FOUNDATION | |||||||||||
| 1350 SOUTH ELISEO DRIVE SUITE 110 | GREENBRAE | CA | 94904 | 946127213 | FUNDRAISING | CA | Yes (1) | 501(C)(3) | LINE 12A, I | MARIN GENERAL HOSPITAL | |
| PRIMA MEDICAL FOUNDATION | |||||||||||
| 9 COMMERCIAL BLVD SUITE 200 | NOVATO | CA | 94949 | 271376321 | PHYSICIAN MEDICAL FOUNDATION | CA | Yes (1) | 501(C)(3) | LINE 10 | MARIN GENERAL HOSPITAL | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARIN PETCT IMAGING LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4000 CIVIC CENTER DRIVE SUITE 110 | AddressLine1Txt |
| City | SAN RAFAEL | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94903 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 833116653 | EIN |
| Primary Activities | DIAGNOSTIC IMAGING | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHMC PETCT LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $249,262 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,847,730 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Ownership | 0.51000 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MARIN GENERAL HOSPITAL FOUNDATION | ||
| C | $9,745,124 | BOOK VALUE |
| MARIN GENERAL HOSPITAL FOUNDATION | ||
| O | $661,140 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| B | $22,638,244 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| D | $23,768,910 | INTERCO "DUE FROM" BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| J | $1,752,493 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| M | $6,117,961 | BOOK VALUE |
| MHMC PETCT LLC | ||
| B | $306,000 | BOOK VALUE |
| MHMC PETCT LLC | ||
| S | $102,000 | BOOK VALUE |