MARIN GENERAL HOSPITAL: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: MARIN GENERAL HOSPITAL (EIN 94-2823538)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-15
IRS object ID: 202243199349326564
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-15T17:51:16-06:00	ReturnTs
Tax Period End	2021-12-31	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	2021-01-01	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	CEO	PersonTitleTxt
Phone	4159257000	PhoneNum
Signature	2022-11-12	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

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	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	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	$496,672,744	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2099	TotalEmployeeCnt
Total Volunteers	200	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$21,075,746	PYContributionsGrantsAmt
CY Contributions Grants	$14,953,296	CYContributionsGrantsAmt
PY Program Service Revenue	$417,508,107	PYProgramServiceRevenueAmt
CY Program Service Revenue	$477,439,390	CYProgramServiceRevenueAmt
PY Investment Income	$2,448,697	PYInvestmentIncomeAmt
CY Investment Income	$1,437,608	CYInvestmentIncomeAmt
PY Other Revenue	$2,011,725	PYOtherRevenueAmt
CY Other Revenue	-$169,142	CYOtherRevenueAmt
PY Total Revenue	$443,044,275	PYTotalRevenueAmt
CY Total Revenue	$493,661,152	CYTotalRevenueAmt
PY Grants And Similar Paid	$28,161,658	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$27,806,970	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$242,683,137	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$253,527,978	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$186,701,982	PYOtherExpensesAmt
CY Other Expenses	$211,699,783	CYOtherExpensesAmt
PY Total Expenses	$457,546,777	PYTotalExpensesAmt
CY Total Expenses	$493,034,731	CYTotalExpensesAmt
PY Revenues Less Expenses	-$14,502,502	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$626,421	CYRevenuesLessExpensesAmt
Total Assets BOY	$591,205,169	TotalAssetsBOYAmt
Total Assets EOY	$579,435,408	TotalAssetsEOYAmt
Total Liabilities BOY	$431,456,036	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$405,138,337	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$159,749,133	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$174,297,071	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	$449,773,970	ExpenseAmt
Grant	$27,806,970	GrantAmt
Revenue	$477,439,390	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	$449,773,970	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	310	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2099	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	11	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 (27 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
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 / SECRETARY	2.00	0.00	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
ANN KAO MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
MARK R LARET
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
GENE MARIE O'CONNELL RN MS
BOARD MEMBER	2.00	2.00	Yes (X)		$0	$0	$0
MARA PEREZ PHD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
WALTER B ROSE
BOARD MEMBER THROUGH 5/2021	2.00	0.00	Yes (X)		$0	$0	$0
DAVID KLEIN MD MBA
CEO & BOARD MEMBER	46.00	4.00	Yes (X)	Yes (X)	$1,287,288	$0	$37,742
ERIC BRETTNER
CHIEF FINANCIAL OFFICER	46.00	4.00		Yes (X)	$624,301	$0	$44,237
KARIN SHAVELSON MD FAAP
CHIEF MEDICAL OFFICER	50.00	0.00			$570,115	$0	$26,117	Yes (X)
LINDA LANG
CHIEF HUMAN RESOURCES OFFICER	48.00	2.00			$525,529	$0	$43,681	Yes (X)
KARIN REESE RN MS
CHIEF NURSING OFFICER THROUGH 4/2021	50.00	0.00			$506,152	$0	$4,021	Yes (X)
ELIZABETH KOLCUN
CHIEF DEVELOPMENT OFFICER	4.00	46.00			$459,545	$0	$48,461	Yes (X)
ANDREW APOLINARSKI MSN RN CNL
CHIEF NURSING OFFICER START 4/2021	50.00	0.00			$336,224	$0	$136,700	Yes (X)
MARY FRIEDMAN
CHIEF STRATEGY OFFICER	48.00	2.00			$331,184	$0	$52,808	Yes (X)
COLIN LEARY JD
GENERAL COUNSEL	50.00	0.00			$241,240	$0	$23,415	Yes (X)
GREGORY LEE
IR / CATH / EP TECH LEAD	40.00	0.00			$601,240	$0	$54,900		Yes (X)
SANDY AUGUSTUS RN
CLINICAL REGISTERED NURSE III	36.00	0.00			$470,453	$0	$69,758		Yes (X)
CHUN LI
CHIEF CLIN PHYSICIST & DIR RAD ONC	40.00	0.00			$339,263	$0	$118,389		Yes (X)
ELIZABETH WADE RN
CLINICAL REGISTERED NURSE II	36.00	0.00			$421,726	$0	$33,562		Yes (X)
SUSAN CUMMING MD
MEDICAL DIRECTOR, PATIENT EXPERIENCE	40.00	0.00			$359,895	$0	$54,327		Yes (X)
ERIC PIFER MD
FORMER CMO AND CMIO	0.00	0.00			$473,680	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,547,835	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$748,118	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	852	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PRIMA MEDICAL GROUP
4 HAMILTON LANDING SUITE 100	NOVATO	CA	94949	PHYSICIAN SERVICES	$21,062,530
CARDIOVASCULAR ASSOCIATES
2 BON AIR ROAD STE 100	LARKSPUR	CA	94939	PHYSICIAN SERVICES	$13,063,690
CALIFORNIA ADVANCED IMAGING MED ASSOC
500 REDWOOD BLVD 300	NOVATO	CA	94947	PHYSICIAN SERVICES	$8,004,097
MEDEFIS INC
2121 N 117TH AVE SUITE 200	OMAHA	NE	68164	REGISTERED NURSE SERVICES	$6,474,664
PRIMA MEDICAL FOUNDATION
9 COMMERCIAL BLVD SUITE 200	NOVATO	CA	94949	PHYSICIAN SERVICES	$6,189,708

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	217	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,481,128	RelatedOrganizationsAmt
Government Grants	$5,449,833	GovernmentGrantsAmt
All Other Contributions	$22,335	AllOtherContributionsAmt
Total Contributions	$14,953,296	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	624100	$429,347,751	$429,347,751
CAPITATION REVENUE	624100	$42,823,966	$42,823,966
OTHER OPERATING REVENUE	624100	$5,267,673	$5,267,673

Field	Value	IRS element (for citing)
Total Program Service Revenue	$477,439,390	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,229,516	TotalRevenueColumnAmt
Exclusion	$1,229,516	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$244,288	TotalRevenueColumnAmt
Exclusion	$244,288	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$2,197,815	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,975,396	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$777,581	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$777,581	TotalRevenueColumnAmt
Exclusion	-$777,581	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$36,196	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$36,196	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$36,196	TotalRevenueColumnAmt
Exclusion	-$36,196	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	722514	BusinessCd
Total Revenue Column	$608,439	TotalRevenueColumnAmt
Exclusion	$608,439	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$608,439	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$493,661,152	TotalRevenueColumnAmt
Related Or Exempt Func Income	$477,439,390	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,268,466	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	$27,712,559	TotalAmt
Program Services	$27,712,559	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$94,411	TotalAmt
Program Services	$94,411	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,298,761	TotalAmt
Program Services	$1,579,330	ProgramServicesAmt
Management And General	$3,719,431	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$189,469,949	TotalAmt
Program Services	$171,152,550	ProgramServicesAmt
Management And General	$18,317,399	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$8,290,580	TotalAmt
Program Services	$7,087,496	ProgramServicesAmt
Management And General	$1,203,084	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$36,520,591	TotalAmt
Program Services	$32,398,856	ProgramServicesAmt
Management And General	$4,121,735	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$13,948,097	TotalAmt
Program Services	$12,281,431	ProgramServicesAmt
Management And General	$1,666,666	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,447,959	TotalAmt
Program Services	$1,447,959	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$487,941	TotalAmt
Management And General	$487,941	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$258,444	TotalAmt
Management And General	$258,444	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$112,593,464	TotalAmt
Program Services	$104,391,516	ProgramServicesAmt
Management And General	$8,201,948	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,776,130	TotalAmt
Program Services	$1,776,130	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$497,428	TotalAmt
Program Services	$445,944	ProgramServicesAmt
Management And General	$51,484	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,556,875	TotalAmt
Program Services	$1,395,738	ProgramServicesAmt
Management And General	$161,137	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,429,929	TotalAmt
Program Services	$13,878,983	ProgramServicesAmt
Management And General	$550,946	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$25,592	TotalAmt
Program Services	$25,592	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,969,695	TotalAmt
Program Services	$7,969,695	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,370,514	TotalAmt
Program Services	$21,370,514	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,982,457	TotalAmt
Program Services	$1,784,211	ProgramServicesAmt
Management And General	$198,246	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$23,074,187	$23,074,187
REPAIRS & MAINTENANCE	$15,102,594	$13,578,074	$1,524,520
LICENSES & TAXES	$2,732,411	$2,732,411
RENTAL EQUIPMENT	$1,083,192	$1,083,192

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,310,971	TotalAmt
Program Services	$2,513,191	ProgramServicesAmt
Management And General	$2,797,780	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$493,034,731	TotalAmt
Program Services	$449,773,970	ProgramServicesAmt
Management And General	$43,260,761	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$68,515,104	BOYAmt
EOY	$48,229,996	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$8,391,083	BOYAmt
EOY	$1,871,115	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$490,346	BOYAmt
EOY	$880,651	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$64,334,699	BOYAmt
EOY	$65,821,758	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$4,605,577	BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$4,659,699	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$6,660,982	BOYAmt
EOY	$7,429,475	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,569,966	BOYAmt
EOY	$7,513,566	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$442,675,992	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$257,450,076	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$169,023,209	BOYAmt
EOY	$185,225,916	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$113,437,468	BOYAmt
EOY	$81,564,904	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$20,436,820	BOYAmt
EOY	$21,789,282	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$3,060,461	BOYAmt
EOY	$5,198,781	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,111,007	BOYAmt
EOY	$741,007	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$124,568,447	BOYAmt
EOY	$148,509,258	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$591,205,169	BOYAmt
EOY	$579,435,408	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$75,226,125	BOYAmt
EOY	$85,211,721	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$55,507,840	BOYAmt
EOY	$34,571,330	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$97,812,758	BOYAmt
EOY	$97,355,791	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$80,999,661	BOYAmt
EOY	$81,028,209	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$121,909,652	BOYAmt
EOY	$106,971,286	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$431,456,036	BOYAmt
EOY	$405,138,337	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	$133,271,318	BOYAmt
EOY	$147,988,246	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$26,477,815	BOYAmt
EOY	$26,308,825	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$159,749,133	BOYAmt
EOY	$174,297,071	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$591,205,169	BOYAmt
EOY	$579,435,408	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$626,421	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,313,402	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$540,000	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$13,148,115	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	$10,542	OtherActivitiesAmt
Total Lobbying Expenditures	$10,542	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	$29,211,815	OtherCostOrOtherBasisAmt
Depreciation	$27,053,286	DepreciationAmt
Book Value	$2,158,529	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$171,036,464	OtherCostOrOtherBasisAmt
Depreciation	$69,653,750	DepreciationAmt
Book Value	$101,382,714	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$208,437,280	OtherCostOrOtherBasisAmt
Depreciation	$159,232,719	DepreciationAmt
Book Value	$49,204,561	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,990,433	OtherCostOrOtherBasisAmt
Depreciation	$1,510,321	DepreciationAmt
Book Value	$32,480,112	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$185,225,916	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$20,796,007
DEPOSITS	$21,429,317
DUE FROM RELATED ORGANIZATIONS	$20,758,874
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$3,063,995
OPERATING LEASE RIGHT-OF-USE ASSETS	$47,379,349
BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION	$35,081,716

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$148,509,258	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
WORKERS' COMPENSATION OBLIGATION	$4,939,782
POST-RETIREMENT HEALTH OBLIGATION	$8,370,986
PENSION BENEFIT OBLIGATION	$18,797,891
PROFESSIONAL LIABILITY OBLIGATION	$1,413,000
UCSF CONTRACT LIABILITY	$20,000,000
OPERATING LEASE LIABILITIES	$53,449,627

Field	Value	IRS element (for citing)
Total Liability	$106,971,286	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	$973,310	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$973,310	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,168,313	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,758,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$46,409,947	NetCommunityBenefitExpnsAmt
Total Expense	0.09410	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$85,141,623	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,758,366	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$47,383,257	NetCommunityBenefitExpnsAmt
Total Expense	0.09610	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$607,365	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$585,135	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,310,587	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,310,587	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,823,107	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,823,107	NetCommunityBenefitExpnsAmt
Total Expense	0.05850	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,741,059	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$22,230	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,718,829	NetCommunityBenefitExpnsAmt
Total Expense	0.06440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$116,882,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,780,596	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$79,102,086	NetCommunityBenefitExpnsAmt
Total Expense	0.16050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,155,720	BadDebtExpenseAmt
Bad Debt Expense Attributable	$1,369,902	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$97,219,340	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$139,843,251	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$42,623,911	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	19	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	19	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: A BROAD RANGE OF COMMUNITY MEMBERS PROVIDED COMMUNITY INPUT THROUGH KEY INFORMANT INTERVIEWS, GROUP INTERVIEWS, AND FOCUS GROUPS. INDIVIDUALS WITH THE KNOWLEDGE, INFORMATION, AND EXPERTISE RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY WERE CONSULTED. THESE INDIVIDUALS INCLUDED REPRESENTATIVES FROM HEALTH DEPARTMENTS, SCHOOL DISTRICTS, LOCAL NON-PROFITS, AND OTHER REGIONAL PUBLIC AND PRIVATE ORGANIZATIONS AS WELL AS COMMUNITY LEADERS, CLIENTS OF LOCAL SERVICE PROVIDERS, AND OTHER INDIVIDUALS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME, AND SUB-POPULATIONS THAT FACE UNIQUE BARRIERS TO HEALTH (E.G., RACE/ETHNIC MINORITY POPULATIONS, INDIVIDUALS EXPERIENCING HOMELESSNESS). INTERVIEWS WERE CONDUCTED WITH 31 KEY INFORMANTS BETWEEN 8/30/2018 10/15/2018 WITH REPRESENTATIVES FROM: THE MARIN FOOD POLICY COUNCIL, CANAL ALLIANCE, CITY OF SAN RAFAEL, MARIN TRANSIT, MARIN COUNTY DEPARTMENT OF HEALTH & HUMAN SERVICES, RX SAFE MARIN, NATIONAL ALLIANCE OF MENTAL ILLNESS MARIN, NORTH MARIN COMMUNITY SERVICES, COSTAL HEALTH ALLIANCE, MARIN CITY HEALTH AND WELLNESS CENTER, MARIN COMMUNITY CLINICS, ROTACARE CLINIC OF SAN RAFAEL, MARIN ECONOMIC FORUM, SAN RAFAEL CHAMBER OF COMMERCE, NOVATO CHAMBER OF COMMERCE, LATINO COUNCIL OF MARIN, NORTH BAY LEADERSHIP COUNCIL, MARIN CENTER FOR INDEPENDENT LIVING, BUCKELEW PROGRAMS, WHISTLESTOP, CASA ALLEGRA, MARIN VENTURES, MARIN IHSS PUBLIC AUTHORITY, RITTER CENTER, HOMEWARD BOUND, ST. VINCENT DE PAUL SOCIETY, MARIN HOUSING AUTHORITY, WHOLE PERSON CARE, AND DOWNTOWN STREETS TEAM. IN ADDITION, THREE FOCUS GROUPS WERE HELD ON 9/5/2018, 9/21/2018, AND 10/2/2018; FOCUS GROUPS WERE CONDUCTED IN ENGLISH AND SPANISH, ENGAGING 22 COMMUNITY MEMBERS.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 6A: MHMC CONDUCTED ITS 2019 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN CONJUNCTION WITH HEALTHY MARIN PARTNERSHIP, WHICH INCLUDES ALL ACUTE-CARE HOSPITALS IN MARIN COUNTY: MARINHEALTH MEDICAL CENTER, KAISER FOUNDATION HOSPITAL - SAN RAFAEL, AND SUTTER HEALTH - NOVATO COMMUNITY HOSPITAL.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 6B: THE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES WHO ARE MEMBERS OF HEALTHY MARIN PARTNERSHIP, WITH WHICH MARINHEALTH MEDICAL CENTER CONDUCTED ITS 2019 CHNA INCLUDE: MARIN COUNTY HEALTH & HUMAN SERVICES, HOSPITAL COUNCIL OF NORTHERN AND CENTRAL CALIFORNIA NORTH BAY LEADERSHIP COUNCIL, MARIN COUNTY OFFICE OF EDUCATION, MARIN COMMUNITY FOUNDATION, AND SAN RAFAEL CHAMBER OF COMMERCE.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 11: WITH THE 2020-2022 IMPLEMENTATION STRATEGY, MARINHEALTH MEDICAL CENTER WILL ADDRESS THE HEALTH NEEDS OF: ACCESS TO HEALTHCARE; HEALTHY EATING AND ACTIVE LIVING; HOUSING AND HOMELESSNESS; MENTAL HEALTH/SUBSTANCE USE; AND VIOLENCE/INJURY PREVENTION THROUGH A COMMITMENT OF COMMUNITY BENEFIT PROGRAMS AND CHARITABLE RESOURCES.ACCESS TO CARE: IN RESPONSE TO THIS NEED, IN 2021 MARINHEALTH MEDICAL CENTER: (I) PROVIDED FINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW-INCOME RESIDENTS; (II) PROVIDED TRANSPORTATION SERVICES FOR PERSONS WHO LACKED TRANSPORTATION TO ACCESS HEALTH CARE SERVICES; (III) REACHED 1,164 INDIVIDUALS WITH COMPASSIONATE DISCHARGE SERVICES AND PRESCRIPTIONS; (IV) SUPPORTED PRIMARY CARE AND SPECIALTY CARE SERVICES FOR THE UNINSURED AT MARINHEALTH MEDICAL NETWORK CLINICS; (V) SUPPORTED OPERATION ACCESS IN THEIR WORK TO PROVIDE DONATED OUTPATIENT SURGICAL AND SPECIALTY CARE FOR THE UNINSURED AND UNDERSERVED. MARINHEALTH MEDICAL CENTER WAIVED HOSPITAL CHARGES AND PROVIDED GRANT FUNDS FOR OPERATION ACCESS CLIENTS, ENABLING 248 UNINSURED INDIVIDUALS TO RECEIVE 368 NEEDED SURGICAL AND/OR DIAGNOSTIC SERVICES, HELPING TO RESTORE THEIR QUALITY OF LIFE. IN ADDITION, THROUGH OPERATION ACCESS MARINHEALTH-AFFILIATED PHYSICIAN VOLUNTEERS PROVIDED 29 SURGICAL PROCEDURES AND DIAGNOSTIC SERVICES FOR 27 UNINSURED INDIVIDUALS; (VI) PROVIDED FREE EDUCATION, COUNSELING, AND SUPPORT TO 856 BREASTFEEDING MOTHERS; (VII) PROVIDED OUTPATIENT CARE COORDINATION AND TRANSITIONS OF CARE THROUGH THE SUPPORTIVE CARE CENTER, ADDRESSING BARRIERS TO CARE FOR VULNERABLE PATIENTS AND THEIR CAREGIVERS; (VIII) ASSISTED 17,015 INDIVIDUALS WITH HEALTH INSURANCE ENROLLMENT IN PARTNERSHIP WITH MARIN COMMUNITY CLINICS; (IX) IDENTIFIED 486 COVID-19 CASES IN PARTNERSHIP WITH CANAL ALLIANCE; (X) PROVIDED 929 UNDUPLICATED INDIVIDUALS WITH DENTAL SERVICES IN PARTNERSHIP WITH PETALUMA HEALTH CENTER DBA COASTAL HEALTH ALLIANCE; AND (XI) PROVIDED A MOBILE CARE TEAM WITH A VAN EQUIPPED WITH COVID TESTING CAPABILITY AND PERSONAL PROTECTIVE EQUIPMENT, WHICH PROACTIVELY VISITED NURSING HOMES FOR EDUCATION, TESTING PATIENTS, TESTING STAFF, AND PROVIDING THEM WITH PROPER USE OF PERSONAL PROTECTIVE EQUIPMENT (PPE). HEALTHY EATING AND ACTIVE LIVING: IN RESPONSE TO THIS NEED, IN 2021 MARINHEALTH MEDICAL CENTER: (I) DISTRIBUTED THE FREE HEALTH CONNECTION E-NEWSLETTER AND QUARTERLY EDUCATIONAL PODCASTS TO THE PUBLIC AND PROVIDED EDUCATION ON HEALTHY EATING AND ACTIVE LIVING; (II) FACILITATED A CAREGIVER CLASS THAT EDUCATED 30 COMMUNITY CAREGIVERS WHO WORKED WITH PERSONS WITH DIABETES AND OTHER CHRONIC DISEASES; (III) PROVIDED FREE ADVICE TO THE PUBLIC ON NUTRITION NEEDS THROUGH REGISTERED DIETITIAN NUTRITIONISTS; (IV) THROUGH THE BRADEN DIABETES CENTER, PROVIDED FREE DIABETES SUPPORT GROUPS, COMMUNITY EDUCATION, AND SCREENINGS. IN 2021, 278 COMMUNITY MEMBERS PARTICIPATED EITHER IN-PERSON OR VIRTUALLY; (V) THROUGH THE INTEGRATIVE WELLNESS CENTER, PROVIDED EDUCATION, SUPPORT GROUPS, NUTRITION CLASSES, AND QI GONG EVENTS FREE TO THE PUBLIC. IN 2021, MORE THAN 1,880 COMMUNITY MEMBERS WERE SERVED; (VI) DELIVERED 25,885 ORGANIC, MEDICALLY TAILORED MEALS TO INDIVIDUALS WITH A SERIOUS ILLNESS AND THEIR FAMILY MEMBERS IN PARTNERSHIP WITH CERES COMMUNITY PROJECT.HOUSING AND HOMELESSNESS: IN RESPONSE TO THIS NEED, IN 2021 MARINHEALTH MEDICAL CENTER: (I) PROVIDED 1,180 INDIVIDUALS EXPERIENCING HOMELESSNESS WITH QUALITY HEALTH CARE SERVICES, INCLUSIVE OF MEDICAL, MENTAL HEALTH, AND ALCOHOL/DRUG TREATMENT SERVICES IN PARTNERSHIP WITH RITTER CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT ASSISTS MARIN'S LOW-INCOME AND HOMELESS POPULATION; (II) IN PARTNERSHIP WITH NORTH MARIN COMMUNITY SERVICES, 419 HOUSEHOLDS RECEIVED FINANCIAL ASSISTANCE; 1,255 OLDER ADULTS, CHILDREN, AND FAMILIES REMAINED HOUSED THROUGH FINANCIAL ASSISTANCE FOR EVICTION PREVENTION; (III) PROVIDED 77 INDIVIDUALS EXPERIENCING HOMELESSNESS WITH A STABLE ENVIRONMENT TO RECUPERATE AND RECEIVE WRAPAROUND SUPPORT SERVICES TO PROMOTE ECONOMIC INDEPENDENCE, HOUSING STABILITY AND ESTABLISH A MEDICAL HOME IN PARTNERSHIP WITH HOMEWARD BOUND. THIS RESULTED IN PREVENTING 945 AVOIDABLE HOSPITAL DAYS; (IV) PROVIDED 206 LOW-INCOME INDIVIDUALS WITH FREE ACUTE MEDICAL CARE AND MEDICATIONS IN PARTNERSHIP WITH ROTACARE BAY AREA CLINIC, THE ONLY FREE CLINIC IN MARIN COUNTY SERVING THE ADULT POPULATION.MENTAL HEALTH AND SUBSTANCE USE: IN RESPONSE TO THIS NEED, IN 2021 MARINHEALTH MEDICAL CENTER: (I) PROVIDED ACCREDITED HOSPITAL INPATIENT AND OUTPATIENT BEHAVIORAL HEALTH CARE SERVICES, INCLUDING PARTIAL HOSPITALIZATION AND A CO-OCCURRING BEHAVIORAL HEALTH AND SUBSTANCE USE; (II) IN PARTNERSHIP WITH THE HUCKLEBERRY TEEN YOUTH PROGRAM, BUCKELEW PROGRAMS, COMMUNITY INSTITUTE FOR PSYCHOTHERAPY, AND NORTH MARIN COMMUNITY SERVICES, MORE THAN 1,000 YOUTH AND ADULTS WERE PROVIDED BILINGUAL, CULTURALLY SENSITIVE MENTAL HEALTH COUNSELING SESSIONS; (III) FORTY-EIGHT SENIORS RECEIVED COGNITIVE BEHAVIORAL THERAPY, HEALTHY IDEAS BEHAVIORAL ACTIVATION AND LINKAGES TO OTHER SERVICES, AS NEEDED, IN PARTNERSHIP WITH JEWISH FAMILY AND CHILDREN'S SERVICES. IN ADDITION,18 FAMILY MEMBERS AND CAREGIVERS WERE PROVIDED THERAPY AND LINKAGES TO COMMUNITY RESOURCES; (IV) PROVIDED TRANSPORTATION FOR SENIORS IN THE BEHAVIORAL HEALTH PROGRAM TO INCREASE ACCESS TO CARE; (V) IN PARTNERSHIP WITH COMMUNITY ACTION MARIN, 4,500 COMMUNITY MEMBERS WERE ABLE TO ACCESS SUPPORT THROUGH A WARMLINE IN ENGLISH AND SPANISH; (VI) IN PARTNERSHIP WITH SAN GERONIMO VALLEY COMMUNITY CENTER, HELD A LET'S TALK SPEAKER SERIES FOCUSING ON SUBSTANCE USE, TEEN DEVELOPMENT AND PARENTING; AND (VII) SUPPORTED MARIN CITY COMMUNITY DEVELOPMENT CORPORATION, A SUBSTANCE USE RECOVERY-ORIENTED MENTAL HEALTH PROGRAM FOR THOSE WITH SERIOUS MENTAL ILLNESS, INCLUDING TRANSITIONAL AGE YOUTH.VIOLENCE AND INJURY PREVENTION: IN RESPONSE TO THIS NEED, IN 2021 MARINHEALTH MEDICAL CENTER: (I) PROVIDED 186 WEST MARIN SENIORS WITH CASE MANAGEMENT SERVICES, HOME-DELIVERED MEALS AND FREQUENT CONTACT VIA PHONE, FACETIME AND ZOOM; (II) HOSTED 2,500 YOUTH PARTICIPATED IN HEALTH EDUCATION, SUBSTANCE USE PREVENTION, AND SEXUAL VIOLENCE PREVENTION WORKSHOPS WITH HUCKLEBERRY YOUTH PROGRAMS; (III) PROVIDED 5,000 INDIVIDUALS AND FAMILIES WITH SUPPORT SERVICES TO PREVENT AND ADDRESS SUBSTANCE USE, MENTAL HEALTH, ISOLATION, SEXUAL HEALTH AND TRAUMA WITH SAN GERONIMO VALLEY COMMUNITY CENTER; (IV) HOSTED 750 BOY SCOUTS THROUGH 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.MARINHEALTH MEDICAL CENTER HAS CHOSEN TO CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATION'S AREAS OF FOCUS AND EXPERTISE. KNOWING THAT THERE ARE NOT SUFFICIENT RESOURCES TO ADDRESS ALL OF THE COMMUNITY HEALTH NEEDS, MARINHEALTH MEDICAL CENTER CHOSE TO ADDRESS THOSE HEALTH NEEDS THAT HAVE THE POTENTIAL FOR THE LARGEST IMPACT. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MARINHEALTH MEDICAL CENTER WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA: ECONOMIC SECURITY, EDUCATION, MATERNAL AND INFANT HEALTH, ORAL HEALTH, AND SOCIAL CONNECTIONS.

Field	Value	IRS element (for citing)
Facility	12	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
2 - MARINHEALTH BONE DENSITY TESTING
100A DRAKES LANDING ROAD SUITE 140	GREENBRAE	CA	94904	BONE DENSITY TESTING CLINIC
3 - MARINHEALTH BRADEN DIABETES CENTER
1100 SOUTH ELISEO DRIVE SUITE 2	GREENBRAE	CA	94903	DIABETES CENTER
4 - MARINHEALTH BREAST HEALTH CENTER
100A DRAKES LANDING ROAD SUITE 140	GREENBRAE	CA	94904	BREAST HEALTH CENTER
5 - MARINHEALTH CANCER CARE
1350 SOUTH ELISEO DRIVE	GREENBRAE	CA	94904	CANCER CARE CENTER
6 - MARINHEALTH CT SCAN SUITE
2 BON AIR ROAD SUITE 140	GREENBRAE	CA	94904	CT SCAN CENTER
7 - MARINHEALTH HEARING & SPEECH
1350 SOUTH ELISEO DRIVE SUITE 130	LARKSPUR	CA	94939	HEARING & SPEECH CENTER
8 - MARINHEALTH INTEGRATIVE WELLNESS CENTER
1350 SOUTH ELISEO DRIVE SUITE 140	GREENBRAE	CA	94904	INTEGRATIVE WELLNESS CENTER
9 - MARINHEALTH LACTATION SERVICES
250 BON AIR ROAD FLOOR 4	GREENBRAE	CA	94904	LACTATION SERVICES CENTER
10 - MARINHEALTH OUTPATIENT IMAGING CENTER
1240 SOUTH ELISEO DRIVE SUITE 103	GREENBRAE	CA	94904	OUTPATIENT IMAGING CENTER
11 - MARINHEALTH OUTPATIENT MRI
1260 SOUTH ELISEO DRIVE SUITE 100	GREENBRAE	CA	94904	OUTPATIENT MRI CENTER
12 - MARINHEALTH OUTPATIENT PHYSICAL THERAPY
1350 SOUTH ELISEO DRIVE SUITE 250	GREENBRAE	CA	94904	OUTPATIENT PHYSICAL THERAPY
13 - MARINHEALTH OUTPATIENT IMAGING CENTER NO
4000 CIVIC CENTER DRIVE SUITE 209	SAN RAFAEL	CA	94903	OUTPATIENT IMAGING 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 PAGE 9 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 HOSPITAL SERVICE AREA COMPRISES ALL OF MARIN COUNTY 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. THE SERVICE AREA WAS DETERMINED FROM THE COMMUNITIES THAT REFLECT A MAJORITY OF PATIENT ADMISSIONS. MARIN COUNTY IS NORTH OF SAN FRANCISCO BY WAY OF THE GOLDEN GATE BRIDGE. THE COUNTY INCLUDES VAST AREAS OF OPEN SPACE, INCLUDING NATIONAL PROTECTED AREAS (SUCH AS MUIR WOODS NATIONAL MONUMENT), STATE AND LOCAL PROTECTED AREAS (SUCH AS MARIN COUNTY DEPARTMENT OF PARKS AND OPEN SPACE), AND STATE PARKS (SUCH AS MOUNT TAMALPAIS). MUCH OF MARIN'S POPULATION LIVES ALONG THE HIGHWAY 101 CORRIDOR, CREATING AN URBAN ENVIRONMENT IN THE EASTERN-CENTRAL PART OF THE COUNTY AND A MORE RURAL ENVIRONMENT ALONG THE COAST AND THE HIGHWAY 1 CORRIDOR IN WEST MARIN. MARIN HAS CONSISTENTLY BEEN RANKED BY THE ROBERT WOOD JOHNSON FOUNDATION'S COUNTY HEALTH RANKINGS AS ONE OF THE HEALTHIEST COUNTIES IN CALIFORNIA. FOR 9 OUT OF THE PAST 10 YEARS, MARIN HAS EARNED THE TOP SPOT ON THIS LIST. THERE IS MUCH TO CELEBRATE REGARDING THE POSITIVE HEALTH OUTCOMES IN OUR COUNTY YET CLEAR INEQUITIES STILL EXIST, ILLUSTRATING THAT NOT ALL MARIN COUNTY RESIDENTS ARE ABLE TO ACHIEVE POSITIVE HEALTH OUTCOMES.MARIN COUNTY IS HOME TO 260,814 RESIDENTS. WITH A MEDIAN AGE OF 46.141 AND A HIGH PERCENTAGE OF OLDER ADULTS, MARIN COUNTY IS ONE OF THE "OLDEST" COUNTIES IN THE BAY AREA. PERSONS OVER THE AGE OF 60 ARE ESTIMATED TO NUMBER 72,684, COMPRISING 28% OF THE COUNTY'S TOTAL POPULATION. BY 2030, PERSONS OVER 60 WILL ACCOUNT FOR AT LEAST 33% OF THE POPULATION. STATEWIDE, PERSONS OVER 60 ACCOUNT FOR 18% OF THE POPULATION. YOUTH, 19 AND UNDER, MAKE UP 22% OF MARIN'S POPULATION. DUE TO THE HIGH COST OF LIVING IN MARIN COUNTY, FAMILIES WITH YOUNG CHILDREN FACE SIGNIFICANT CHALLENGES. ALMOST ONE-FOURTH (23%) OF MARIN COUNTY CHILDREN ARE LIVING AT OR BELOW 199% OF THE FEDERAL POVERTY LEVEL ($50,000 FOR A FAMILY OF 4). FAMILIES MUST MAKE DIFFICULT DECISIONS ABOUT PAYING FOR HOUSING, PAYING FOR FOOD, AND PAYING FOR QUALITY CHILDCARE AND EDUCATION FOR THEIR CHILDREN. IN MARIN COUNTY, 51% OF THE POPULATION IS FEMALE AND 49% IS MALE.THE MAJORITY OF THE POPULATION IN MARIN COUNTY IS NON-HISPANIC WHITE (71.9%); 15.6% OF THE POPULATION IS HISPANIC/LATINO; 5.6% OF THE POPULATION IS ASIAN; AND 2.3% OF THE POPULATION IS BLACK/AFRICAN AMERICAN. THE REMAINING 4.6% OF THE POPULATION IS MULTIPLE RACES, OTHER RACES, NATIVE ALASKANS, NATIVE HAWAIIANS AND NATIVE AMERICANS.
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 (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SAN RAFAEL CHAMBER OF COMMERCE
817 MISSION AVE	SAN RAFAEL	CA	94901	940839470	501(C)(6)	$12,000	$0	GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
1400 N DUTTON AVE SUITE 20	SANTA ROSA	CA	95401	135613797	501(C)(3)	$25,000	$0	GENERAL SUPPORT
TEDXMARINORG PARTNERSHIP
644 BOLINAS ROAD	FAIRFAX	CA	94930	472577374		$5,500	$0	GENERAL SUPPORT
IPROMOTEU CORP
DEPT LA 23232	PASADENA	CA	91185	522217134		$5,140	$0	GENERAL SUPPORT
PRIMA MEDICAL FOUNDATION
9 COMMERCIAL BLVD SUITE 200	NOVATO	CA	94949	271376321	501(C)(3)	$27,653,004	$0	GENERAL SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	2	Total501c3OrgCnt
Total Other Org	3	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (4 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt
SCHOLARSHIPS	6	$5,000
PATIENT ASSISTANCE	112	$87,393
PROFESSIONAL DEVELOPMENT	3	$818
VOLUNTEER SUPPORT	1	$1,200

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	Yes (1)	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 (15 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	$1,221,391	$0	$62,333	$0	$3,564	$0	$14,500	$0	$23,242	$0	$1,325,030	$0	$0	$0
ERIC BRETTNER
CHIEF FINANCIAL OFFICER	$561,558	$0	$61,501	$0	$1,242	$0	$14,856	$0	$29,381	$0	$668,538	$0	$0	$0
GREGORY LEE
IR / CATH / EP TECH LEAD	$601,240	$0	$0	$0	$0	$0	$43,283	$0	$11,617	$0	$656,140	$0	$0	$0
KARIN SHAVELSON MD FAAP
CHIEF MEDICAL OFFICER	$551,058	$0	$18,000	$0	$1,057	$0	$14,500	$0	$11,617	$0	$596,232	$0	$0	$0
LINDA LANG
CHIEF HUMAN RESOURCES OFFICER	$434,135	$0	$85,237	$0	$6,157	$0	$20,127	$0	$23,554	$0	$569,210	$0	$0	$0
SANDY AUGUSTUS RN
CLINICAL REGISTERED NURSE III	$470,453	$0	$0	$0	$0	$0	$41,553	$0	$28,205	$0	$540,211	$0	$0	$0
KARIN REESE RN MS
CHIEF NURSING OFFICER THROUGH 4/2021	$163,454	$0	$80,000	$0	$262,698	$0	$0	$0	$4,021	$0	$510,173	$0	$0	$0
ELIZABETH KOLCUN
CHIEF DEVELOPMENT OFFICER	$381,020	$0	$77,845	$0	$680	$0	$19,080	$0	$29,381	$0	$508,006	$0	$0	$0
ERIC PIFER MD
FORMER CMO AND CMIO	$0	$0	$0	$0	$473,680	$0	$0	$0	$0	$0	$473,680	$0	$0	$0
ANDREW APOLINARSKI MSN RN CNL
CHIEF NURSING OFFICER START 4/2021	$319,552	$0	$15,000	$0	$1,672	$0	$115,329	$0	$21,371	$0	$472,924	$0	$0	$0
CHUN LI
CHIEF CLIN PHYSICIST & DIR RAD ONC	$327,116	$0	$10,000	$0	$2,147	$0	$107,258	$0	$11,131	$0	$457,652	$0	$0	$0
ELIZABETH WADE RN
CLINICAL REGISTERED NURSE II	$421,726	$0	$0	$0	$0	$0	$12,191	$0	$21,371	$0	$455,288	$0	$0	$0
SUSAN CUMMING MD
MEDICAL DIRECTOR, PATIENT EXPERIENCE	$341,458	$0	$15,000	$0	$3,437	$0	$24,946	$0	$29,381	$0	$414,222	$0	$0	$0
MARY FRIEDMAN
CHIEF STRATEGY OFFICER	$276,623	$0	$54,222	$0	$339	$0	$23,427	$0	$29,381	$0	$383,992	$0	$0	$0
COLIN LEARY JD
GENERAL COUNSEL	$240,804	$0	$0	$0	$436	$0	$12,115	$0	$11,300	$0	$264,655	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	KARIN REESE, RN, MS RECEIVED A SEVERANCE PAYMENT OF $261,542 DURING THE 2021 CALENDAR YEAR; ERIC PIFER, MD RECEIVED A SEVERANCE OF $473,680. BOTH PAYMENTS HAVE BEEN REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUALS AND REPORTED WITHIN "OTHER REPORTABLE COMPENSATION" ON SCHEDULE J, PART II, COLUMN (B)(III).	ExplanationTxt

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	$73,963,743	CapitalExpendituresAmt
Unspent	$24,969,018	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	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	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

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 55,510,482. MANAGEMENT AND GENERAL EXPENSES 8,201,948. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,712,430. PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 48,881,034. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,881,034.
FORM 990, PART XI, LINE 9:	BENEFIT PLAN RELATED CHANGES 12,777,071. CHANGE IN BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION 371,044.

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	$2,138,320	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	-$149,214	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,472,821	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	Yes (1)	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	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	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARIN GENERAL HOSPITAL FOUNDATION
C	$9,481,128	BOOK VALUE
MARIN GENERAL HOSPITAL FOUNDATION
D	$200,128	BOOK VALUE
MARIN GENERAL HOSPITAL FOUNDATION
O	$663,086	BOOK VALUE
PRIMA MEDICAL FOUNDATION
B	$27,653,004	BOOK VALUE
PRIMA MEDICAL FOUNDATION
D	$20,558,746	BOOK VALUE
PRIMA MEDICAL FOUNDATION
L	$6,189,708	BOOK VALUE
MARIN PETCT IMAGING LLC
B	$1,633,419	BOOK VALUE