2023-11-14T16:20:47-06:00 2022-12-31 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2022-01-01 942823538 MARIN GENERAL HOSPITAL MARI 4159257000 250 BON AIR ROAD GREENBRAE CA 94904 DAVID KLEIN MD MBA CFO 4159257000 2023-11-14 1 DAVID KLEIN MD MBA 999009999 0 MICHAEL LUMSDEN P01262236 4159561500 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z MARINHEALTH MEDICAL CENTER DAVID KLEIN MD MBA 250 BON AIR ROAD GREENBRAE CA 94904 569418763 0 X WWW.MYMARINHEALTH.ORG X 1991 CA TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT. 17 16 2185 150 0 0 14953296 9945124 477439390 532926564 1437608 454361 -169142 -1581161 493661152 541744888 27806970 22984704 0 0 253527978 258995015 0 0 0 211699783 244456036 493034731 526435755 626421 15309133 579435408 571672909 405138337 398449401 174297071 173223508 X TO PROVIDE EXCEPTIONAL HEALTH CARE SERVICES IN A COMPASSIONATE AND HEALING ENVIRONMENT. 0 0 475964359 22984704 532926564 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. 475964359 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 248 0 1 2185 1 0 0 0 0 0 0 0 0 0 0 1 0 X 17 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X ERIC BRETTNER 4154642090 100B DRAKES LANDING SUITE 190 GREENBRAE CA 94904 ANDREA SCHULTZ CHAIR 2.00 0.50 X X 0 0 0 ROBERT PEIRCE VICE CHAIR 2.00 0.00 X X 0 0 0 JOSEPH C EUPHRAT TREASURER 2.00 0.00 X X 0 0 0 GENE MARIE O'CONNELL RN MS SECRETARY 2.00 2.00 X X 0 0 0 JOE ABRAMS BOARD MEMBER 2.00 1.00 X 0 0 0 JOSHUA ADLER MD BOARD MEMBER 2.00 0.00 X 0 0 0 MARTIN ARRICK MBA PMH BOARD MEMBER 2.00 0.00 X 0 0 0 LISA CARMEL BOARD MEMBER 2.00 1.00 X 0 0 0 SHELBY DECOSTA MHA BOARD MEMBER 2.00 0.00 X 0 0 0 MICHAEL K KWOK MD BOARD MEMBER 2.00 0.00 X 0 0 0 DENISE LUCY EDD BOARD MEMBER 2.00 0.00 X 0 0 0 MARA PEREZ PHD BOARD MEMBER 2.00 0.00 X 0 0 0 HADLEY MULLIN MBA BOARD MEMBER 2.00 0.00 X 0 0 0 ADAM NEVITT MD BOARD MEMBER 2.00 0.00 X 0 0 0 DANIEL VASQUEZ CBE MBA MPP BOARD MEMBER START 10/2022 2.00 0.00 X 0 0 0 K JENNIFER VOSS MD BOARD MEMBER 2.00 0.00 X 0 0 0 DAVID KLEIN MD MBA CEO & BOARD MEMBER 46.00 4.00 X X 1799250 0 41437 ERIC BRETTNER CHIEF FINANCIAL OFFICER 46.00 4.00 X 709710 0 47457 LINDA LANG CHIEF HR OFFICER THRU 9/2022 48.00 2.00 X 473296 0 19077 MARY FRIEDMAN CHIEF STRATEGY OFFICER 48.00 2.00 X 402823 0 56411 ELIZABETH KOLCUN CHIEF DEVELOPMENT OFFICER 4.00 46.00 X 442397 0 51866 KARIN SHAVELSON MD FAAP CHIEF MEDICAL OFFICER 50.00 0.00 X 661499 0 47807 ANDREW APOLINARSKI MSN RN CNL CHIEF NURSING OFFICER 50.00 0.00 X 565320 0 148610 COLIN LEARY JD GENERAL COUNSEL 50.00 0.00 X 547528 0 47032 EUGENE LEWIS MBA SPHR CHIEF HR OFFICER START 9/2022 50.00 0.00 X 303232 0 32993 SUSAN CUMMING MD MED DIR PATIENT EXPERIENCE 40.00 0.00 X 389069 0 58084 CHUN LI CHIEF CLIN PHYSICIST & DIR RAD ONC 40.00 0.00 X 402776 0 134852 RUSSELL PECKENPAUGH VP IS ADMINISTRATION 40.00 2.00 X 374242 0 32787 MICHAEL KIM MD MHMN VP OF MEDICAL AFFAIRS 0.00 40.00 X 426917 0 23677 GREGORY LEE IR / CATH / EP TECH LEAD 40.00 0.00 X 585092 0 58444 8083151 0 800534 879 0 1 0 PRIMA MEDICAL GROUP 4 HAMILTON LANDING SUITE 100 NOVATO CA 94949 PHYSICIAN SERVICES 24426987 MEDEFIS INC 2121 N 117TH AVE SUITE 200 OMAHA NE 68164 REGISTERED NURSE SERVICES 19890044 OPTUMINSIGHT INC PO BOX 84019 CHICAGO IL 60689 FINANCIAL SERVICES 10636323 MARIN HOSPITALIST MEDICAL GROUP 336 BON AIR CENTER 427 GREENBRAE CA 94904 PHYSICIAN SERVICES 4048004 BANYAN FINANCIAL SERVICES 910 N 96TH STREET OMAHA NE 68114 CLINICAL SERVICES 3068710 65 9945124 9945124 NET PATIENT SERVICE REVENUE 624100 479145205 479145205 CAPITATION REVENUE 624100 42936352 42936352 OTHER OPERATING REVENUE 624100 9102514 9102514 RENTAL REVENUE FROM MHMN 531120 1742493 1742493 532926564 1875359 1875359 3724 3724 735934 3071220 -2335286 -2335286 -2335286 23168777 9156 24602655 0 -1433878 9156 -1424722 -1424722 CAFETERIA 722514 754125 754125 754125 541744888 532926564 0 -1126800 X 22850741 22850741 133963 133963 6397746 1423236 4974510 193544867 177999529 15545338 8025564 6924506 1101058 36380059 32602177 3777882 14646779 13099676 1547103 535573 535573 420869 420869 121863 121863 139927974 121293649 18634325 1197398 1197398 481985 432100 49885 3395852 3138148 257704 13459399 12869686 589713 57991 57991 7396228 7396228 22563191 22563191 2440046 2196041 244005 MEDICAL SUPPLIES 27656173 27656173 REPAIRS & MAINTENANCE 16613330 14950125 1663205 LICENSES & TAXES 3162850 3162850 RENTAL EQUIPMENT 1071097 1071097 3954217 2410281 1543936 526435755 475964359 50471396 0 48229996 26802241 1871115 1435507 880651 1549037 65821758 99239844 4659699 4709800 7429475 8163689 7513566 9048314 490318931 279949737 185225916 210369194 81564904 57538004 21789282 15774993 5198781 5758463 741007 741007 148509258 130542816 579435408 571672909 85211721 91943733 34571330 3268807 97355791 96880933 81028209 104940112 106971286 101415816 405138337 398449401 X 147988246 151855511 26308825 21367997 174297071 173223508 579435408 571672909 X 15309133 -10490095 -540000 -5352601 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10685 10685 0 PART II-B, LINE 1: 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. 32710264 27480355 5229909 197661298 73515782 124145516 207018861 175112747 31906114 52928508 3840853 49087655 210369194 OTHER RECEIVABLES 23599936 DEPOSITS 3392010 DUE FROM RELATED ORGANIZATIONS 25828497 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 1460339 OPERATING LEASE RIGHT-OF-USE ASSETS 45335971 BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION 28830455 WORKERS COMP RECOVERY 2095608 130542816 WORKERS' COMPENSATION OBLIGATION 5042889 POST-RETIREMENT HEALTH OBLIGATION 6958821 PENSION BENEFIT OBLIGATION 16552153 PROFESSIONAL LIABILITY OBLIGATION 1703000 UCSF CONTRACT LIABILITY 20000000 OPERATING LEASE LIABILITIES 51158953 101415816 1 1 X 1 X 400.000000000000 1 X 1 1 1 0 1 1 1169977 1169977 0.00220 85459701 44081211 41378490 0.07860 86629678 44081211 42548467 0.08080 523461 66805 456656 0.00090 2649132 2649132 0.00500 23308659 23308659 0.04430 26481252 66805 26414447 0.05020 113110930 44148016 68962914 0.13100 1 6887063 1150239 182322536 272065380 -89742844 X 1 1 1 1 MARIN GENERAL HOSPITAL DBA MARINHEALTH MEDICAL CENTER 250 BON AIR ROAD GREENBRAE CA 94904 WWW.MYMARINHEALTH.ORG 110000361 X X X ACUTE PSYCHIATRIC HOSPITAL MARIN GENERAL HOSPITAL DBA MARINHEALTH 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ X 1 22 1 HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/ 0 1 X 400.000000000000 400.000000000000 X X X X X 1 1 X X X X 1 X WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ X WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ X WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/ X X X X X X 1 X 0 X X X X 1 X 0 0 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. 72 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 10 LARKSPUR CA 94939 INFECTIOUS DISEASE CENTER 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 10 LARKSPUR CA 94939 PEDIATRIC AFTER-HOURS CLINIC 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 10 LARKSPUR CA 94939 PRIMARY CARE CENTER 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 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 1 PRIMA MEDICAL FOUNDATION 9 COMMERCIAL BLVD NOVATO CA 94949 271376321 501(C)(3) 22638244 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) 50000 0 TO SUPPORT MEDICAL HUMANITARIAN EMERGENCY AID MARIN COUNTY FAIR 10 AVENUE OF THE FLAGS SAN RAFAEL CA 94903 946000519 25000 0 SPONSORSHIP SAN RAFAEL PACIFICS ALBERT PARK LANE SAN RAFAEL CA 94901 273497029 12000 0 SPONSORSHIP MARIN COMMUNITY CLINIC 9 COMMERCIAL BLVD SUITE 100 NOVATO CA 94949 942237120 501(C)(3) 10000 0 TO SUPPORT PROVISION OF HEALTH CARE SERVICES DOMINICAN UNIVERSITY OF CALIFORNIA 50 ACACIA AVENUE SAN RAFAEL CA 94901 941156525 501(C)(3) 10000 0 TO SUPPORT SCHOOL OF BUSINESS & LEADERSHIP SAN RAFAEL CHAMBER OF COMMERCE 817 MISSION AVE SAN RAFAEL CA 94901 940839470 501(C)(6) 6400 0 TO SUPPORT ECONONOMIC VITALITY OF SAN RAFAEL 4 3 SCHOLARSHIPS 1 500 PATIENT ASSISTANCE 104 130463 VOLUNTEER SUPPORT 140 3000 PART I, LINE 2: 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. X X X 0 0 0 0 0 0 0 0 0 DAVID KLEIN MD MBA CEO & BOARD MEMBER 1306030 0 486362 0 6858 0 15613 0 25824 0 1840687 0 0 0 ERIC BRETTNER CHIEF FINANCIAL OFFICER 520196 0 188272 0 1242 0 15978 0 31479 0 757167 0 0 0 ANDREW APOLINARSKI MSN RN CNL CHIEF NURSING OFFICER 423627 0 140063 0 1630 0 125483 0 23127 0 713930 0 0 0 KARIN SHAVELSON MD FAAP CHIEF MEDICAL OFFICER 484814 0 175628 0 1057 0 15613 0 32194 0 709306 0 0 0 GREGORY LEE IR / CATH / EP TECH LEAD 585092 0 0 0 0 0 46164 0 12280 0 643536 0 0 0 COLIN LEARY JD GENERAL COUNSEL 425970 0 120748 0 810 0 15553 0 31479 0 594560 0 0 0 CHUN LI CHIEF CLIN PHYSICIST & DIR RAD ONC 337318 0 63347 0 2111 0 122156 0 12696 0 537628 0 0 0 ELIZABETH KOLCUN CHIEF DEVELOPMENT OFFICER 324535 0 117182 0 680 0 20456 0 31410 0 494263 0 0 0 LINDA LANG CHIEF HR OFFICER THRU 9/2022 346394 0 126563 0 339 0 0 0 19077 0 492373 0 0 0 MARY FRIEDMAN CHIEF STRATEGY OFFICER 301234 0 101250 0 339 0 25063 0 31348 0 459234 0 0 0 MICHAEL KIM MD MHMN VP OF MEDICAL AFFAIRS 385825 0 40000 0 1092 0 15250 0 8427 0 450594 0 0 0 SUSAN CUMMING MD MED DIR PATIENT EXPERIENCE 351772 0 33860 0 3437 0 26620 0 31464 0 447153 0 0 0 RUSSELL PECKENPAUGH VP IS ADMINISTRATION 306163 0 65703 0 2376 0 21574 0 11213 0 407029 0 0 0 EUGENE LEWIS MBA SPHR CHIEF HR OFFICER START 9/2022 263335 0 39674 0 223 0 19694 0 13299 0 336225 0 0 0 A CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY 680164610 13080SUG7 2018-05-23 100032761 CONSTRUCT NEW HOSPITAL FACILITY/AMBULATORY SERVICES BLDG/PARKING STRUCTURE 0 0 0 A 100032761 1132761 1100000 92429291 5370709 0 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2023 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. 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