MARIN GENERAL HOSPITAL: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- MARIN GENERAL HOSPITAL (EIN 94-2823538)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-15
- IRS object ID
- 202103199349325205
- Schema version
- 2020v4.1
- 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 L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-15T16:41:46-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | 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 | 2020-01-01 | 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 | ERIC BRETTNER | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4159257000 | PhoneNum |
| Signature | 2021-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | ERIC | PersonFirstNm |
| Person Last | BRETTNER | 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 | 2020 | 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 | $443,044,275 | 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 | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 2037 | TotalEmployeeCnt |
| Total Volunteers | 200 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $12,899,264 | PYContributionsGrantsAmt |
| CY Contributions Grants | $21,075,746 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $419,752,657 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $417,508,107 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,978,085 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,448,697 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,158,550 | PYOtherRevenueAmt |
| CY Other Revenue | $2,011,725 | CYOtherRevenueAmt |
| PY Total Revenue | $439,788,556 | PYTotalRevenueAmt |
| CY Total Revenue | $443,044,275 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $20,784,712 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $28,161,658 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $243,235,454 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $242,683,137 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $172,460,724 | PYOtherExpensesAmt |
| CY Other Expenses | $186,701,982 | CYOtherExpensesAmt |
| PY Total Expenses | $436,480,890 | PYTotalExpensesAmt |
| CY Total Expenses | $457,546,777 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,307,666 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$14,502,502 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $557,491,090 | TotalAssetsBOYAmt |
| Total Assets EOY | $591,205,169 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $369,814,934 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $431,456,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $187,676,156 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $159,749,133 | 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 | $408,882,527 | ExpenseAmt |
| Grant | $28,161,658 | GrantAmt |
| Revenue | $417,508,107 | 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 | $408,882,527 | 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 | Yes (1) | 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 | 259 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2037 | 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 | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | InvestmentInJointVentureInd |
| 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 (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| LEE DOMANICO | |||||||||
| CEO THROUGH 8/2020 | 46.00 | 4.00 | Yes (X) | Yes (X) | $1,413,113 | $0 | $45,647 | ||
| JON D FRIEDENBERG | |||||||||
| COO THROUGH 5/2020 | 46.00 | 4.00 | $897,296 | $0 | $19,928 | Yes (X) | |||
| ERIC PIFER MD | |||||||||
| CHIEF MEDICAL OFFICER THROUGH 6/2020 | 50.00 | 0.00 | $683,776 | $0 | $52,006 | Yes (X) | |||
| GREGORY LEE | |||||||||
| CARD CATH TECHNICIAN IV | 40.00 | 0.00 | $577,107 | $0 | $53,289 | Yes (X) | |||
| KARIN REESE RN MS | |||||||||
| CHIEF NURSING OFFICER | 50.00 | 0.00 | $596,002 | $0 | $29,684 | Yes (X) | |||
| LINDA LANG | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 48.00 | 2.00 | $527,325 | $0 | $43,849 | Yes (X) | |||
| ERIC BRETTNER | |||||||||
| CHIEF FINANCIAL OFFICER | 46.00 | 4.00 | Yes (X) | $490,412 | $0 | $47,844 | |||
| SANDY D AUGUSTUS RN | |||||||||
| CLINICAL REGISTERED NURSE III | 40.00 | 0.00 | $432,439 | $0 | $75,626 | Yes (X) | |||
| CHUN LI MD | |||||||||
| CHIEF CLINICAL PHYSICIST | 40.00 | 0.00 | $318,755 | $0 | $98,434 | Yes (X) | |||
| SUSAN S CUMMING MD | |||||||||
| MEDICAL DIRECTOR, PATIENT EXPERIENCE | 40.00 | 0.00 | $332,336 | $0 | $56,522 | Yes (X) | |||
| ELIZABETH KOLCUN | |||||||||
| CHIEF DEVELOPMENT OFFICER | 4.00 | 46.00 | $337,879 | $0 | $49,546 | Yes (X) | |||
| DAVID KLEIN MD | |||||||||
| CEO EFFECTIVE 9/2020 | 46.00 | 4.00 | Yes (X) | Yes (X) | $353,965 | $0 | $3,542 | ||
| MICHAEL K KING | |||||||||
| LEAD IR TECHNOLOGIST | 40.00 | 0.00 | $308,374 | $0 | $37,628 | Yes (X) | |||
| KARIN SHAVELSON MD FAAP | |||||||||
| CHIEF MEDICAL OFFICER START 7/2020 | 50.00 | 0.00 | $168,071 | $0 | $2,909 | Yes (X) | |||
| DOUGLAS COHEN MD | |||||||||
| BOARD MEMBER | 2.00 | 0.00 | Yes (X) | $73,333 | $0 | $0 | |||
| ANDREA SCHULTZ | |||||||||
| CHAIR | 2.00 | 0.50 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ROBERT PEIRCE | |||||||||
| TREAS. THROUGH 3/2020 / VICE CHAIR | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVID HILL | |||||||||
| SECRETARY THROUGH 12/2020 | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH C EUPHRAT | |||||||||
| TREAS. START 3/2020 / INT. 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 | |||
| PAUL KIRINCIC | |||||||||
| BOARD MEMBER THROUGH 3/2020 | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL K KWOK 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 | |||
| 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 | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,510,183 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $616,454 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 802 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRIMA MEDICAL FOUNDATION | |||||
| 9 COMMERCIAL BOULEVARD SUITE 200 | NOVATO | CA | 94949 | PHYSICIAN SERVICES | $8,455,043 |
| HURON CONSULTING SERVICES LLC | |||||
| 3005 MOMENTUM PLACE | CHICAGO | IL | 60689 | CONSULTING SERVICES | $6,329,626 |
| MEDEFIS INC | |||||
| PO BOX 5068 | NEW YORK | NY | 10087 | RN SERVICES | $5,318,120 |
| MARIN HOSPITALIST MEDICAL GROUP | |||||
| PO BOX 708 | NOVATO | CA | 94948 | PHYSICIAN SERVICES | $2,884,934 |
| ANESTHESIOLOGY CONSULTANTS OF MARIN | |||||
| PO BOX 527 | LARKSPUR | CA | 94977 | ANESTHESIA SERVICES | $2,657,762 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 71 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $12,444,393 | RelatedOrganizationsAmt |
| Government Grants | $8,436,812 | GovernmentGrantsAmt |
| All Other Contributions | $194,541 | AllOtherContributionsAmt |
| Total Contributions | $21,075,746 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 622110 | $363,270,180 | $363,270,180 |
| CAPITATION REVENUE | 622110 | $45,596,102 | $45,596,102 |
| OTHER OPERATING REVENUE | 622110 | $8,641,825 | $8,641,825 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $417,508,107 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,608,687 | TotalRevenueColumnAmt |
| Exclusion | $1,608,687 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $840,010 | TotalRevenueColumnAmt |
| Exclusion | $840,010 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,464,530 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,464,530 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,464,530 | TotalRevenueColumnAmt |
| Exclusion | $1,464,530 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAFETERIA | Desc |
| Business | 722514 | BusinessCd |
| Total Revenue Column | $547,195 | TotalRevenueColumnAmt |
| Exclusion | $547,195 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $547,195 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $443,044,275 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $417,508,107 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,460,422 | 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 | $28,042,559 | TotalAmt |
| Program Services | $28,042,559 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,099 | TotalAmt |
| Program Services | $119,099 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,836,128 | TotalAmt |
| Program Services | $1,605,781 | ProgramServicesAmt |
| Management And General | $4,230,347 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $179,323,490 | TotalAmt |
| Program Services | $162,004,348 | ProgramServicesAmt |
| Management And General | $17,319,142 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,746,224 | TotalAmt |
| Program Services | $8,543,056 | ProgramServicesAmt |
| Management And General | $1,203,168 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,982,535 | TotalAmt |
| Program Services | $29,935,375 | ProgramServicesAmt |
| Management And General | $4,047,160 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,794,760 | TotalAmt |
| Program Services | $12,162,316 | ProgramServicesAmt |
| Management And General | $1,632,444 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,501,175 | TotalAmt |
| Program Services | $1,501,175 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $458,996 | TotalAmt |
| Management And General | $458,996 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,745 | TotalAmt |
| Management And General | $166,745 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,054,754 | TotalAmt |
| Program Services | $55,510,268 | ProgramServicesAmt |
| Management And General | $12,544,486 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,348,952 | TotalAmt |
| Program Services | $2,348,952 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $593,810 | TotalAmt |
| Program Services | $532,351 | ProgramServicesAmt |
| Management And General | $61,459 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,426,223 | TotalAmt |
| Program Services | $1,278,609 | ProgramServicesAmt |
| Management And General | $147,614 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,344,412 | TotalAmt |
| Program Services | $10,800,421 | ProgramServicesAmt |
| Management And General | $543,991 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,236 | TotalAmt |
| Program Services | $49,236 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,155,073 | TotalAmt |
| Program Services | $4,155,073 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,917,533 | TotalAmt |
| Program Services | $16,917,533 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,669,131 | TotalAmt |
| Program Services | $1,502,218 | ProgramServicesAmt |
| Management And General | $166,913 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $52,637,797 | $52,637,797 | |
| REPAIRS | $13,048,335 | $11,733,377 | $1,314,958 |
| LICENSES & TAXES | $2,687,346 | $2,687,346 | |
| RENTAL EQUIPMENT | $2,086,645 | $2,086,645 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,555,819 | TotalAmt |
| Program Services | $2,728,992 | ProgramServicesAmt |
| Management And General | $4,826,827 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $457,546,777 | TotalAmt |
| Program Services | $408,882,527 | ProgramServicesAmt |
| Management And General | $48,664,250 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,334,471 | BOYAmt |
| EOY | $68,515,104 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,495,334 | BOYAmt |
| EOY | $8,391,083 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,153 | BOYAmt |
| EOY | $490,346 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,318,266 | BOYAmt |
| EOY | $64,334,699 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,651,102 | BOYAmt |
| EOY | $4,605,577 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,859,263 | BOYAmt |
| EOY | $6,660,982 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,452,789 | BOYAmt |
| EOY | $6,569,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $408,445,468 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $239,422,259 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,040,712 | BOYAmt |
| EOY | $169,023,209 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $171,901,590 | BOYAmt |
| EOY | $133,874,288 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,060,461 | BOYAmt |
| EOY | $3,060,461 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,731,007 | BOYAmt |
| EOY | $1,111,007 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,458,942 | BOYAmt |
| EOY | $124,568,447 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $557,491,090 | BOYAmt |
| EOY | $591,205,169 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,050,513 | BOYAmt |
| EOY | $75,226,125 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $55,507,840 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,251,727 | BOYAmt |
| EOY | $97,812,758 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,296,325 | BOYAmt |
| EOY | $80,999,661 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,250 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,668,119 | BOYAmt |
| EOY | $121,909,652 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $369,814,934 | BOYAmt |
| EOY | $431,456,036 | 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 | $154,196,505 | BOYAmt |
| EOY | $133,271,318 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,479,651 | BOYAmt |
| EOY | $26,477,815 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $187,676,156 | BOYAmt |
| EOY | $159,749,133 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $557,491,090 | BOYAmt |
| EOY | $591,205,169 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$14,502,502 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,413,040 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$540,000 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | -$16,297,561 | 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 | $20,126 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,126 | 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 | $29,203,340 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,855,750 | DepreciationAmt |
| Book Value | $2,347,590 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,383,191 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,756,794 | DepreciationAmt |
| Book Value | $96,626,397 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $198,651,220 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,217,859 | DepreciationAmt |
| Book Value | $54,433,361 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,207,717 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,591,856 | DepreciationAmt |
| Book Value | $15,615,861 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $169,023,209 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (6 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER RECEIVABLES | $26,737,058 |
| DEPOSITS | $3,338,004 |
| DUE FROM RELATED ORGANIZATIONS | $7,754,607 |
| ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS | $4,469,441 |
| OPERATING LEASE RIGHT-OF-USE ASSETS | $47,557,641 |
| BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION | $34,711,696 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $124,568,447 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKERS COMPENSATION LIABILITIES | $5,362,433 |
| POST-RETIREMENT HEALTH OBLIGATIONS | $10,757,997 |
| PENSION BENEFIT OBLIGATION | $31,742,549 |
| PROFESSIONAL LIABILITY OBLIGATION | $1,515,000 |
| UCSF CONTRACT LIABILITY | $20,000,000 |
| OPERATING LEASE LIABILITIES | $52,531,673 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $121,909,652 | TotalLiabilityAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 400.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,429,478 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,429,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00310 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,388,010 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,161,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,226,141 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06610 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,817,488 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,161,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,655,619 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $889,651 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $889,651 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,642,303 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,642,303 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,465,677 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,465,677 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06220 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $30,997,631 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $30,997,631 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06770 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $69,815,119 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,161,869 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $62,653,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13690 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $10,325,490 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,810,286 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $93,666,703 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $165,320,238 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$71,653,535 | 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: ACCESS TO QUALITY HEALTHCARE IS IMPORTANT TO OVERALL HEALTH, DISEASE PREVENTION, AND REDUCING UNNECESSARY DISABILITY AND PREMATURE DEATH. IT IS ALSO AN IMPORTANT KEY DRIVER IN ACHIEVING HEALTH EQUITY. IN RESPONSE TO THIS NEED, IN 2020 MARINHEALTH MEDICAL CENTER: (I) PROVIDED FINANCIAL ASSISTANCE FOR UNINSURED/UNDERINSURED AND LOW-INCOME RESIDENTS; (II) REACHED 1,278 INDIVIDUALS THROUGH ITS COMPASSIONATE DISCHARGE PRESCRIPTIONS AND TRANSPORTATION PROGRAMS; (III) SUPPORTED PRIMARY CARE AND SPECIALTY CARE SERVICES FOR THE UNINSURED AT THE MARINHEALTH MEDICAL NETWORK CLINICS; (IV) SUPPORTED OPERATION ACCESS, WHICH BRINGS TOGETHER MEDICAL PROFESSIONALS AND HOSPITALS TO PROVIDE DONATED OUTPATIENT SURGICAL AND SPECIALTY CARE FOR THE UNINSURED AND UNDERSERVED THROUGH WAIVING HOSPITAL CHARGES AND PROVIDING GRANT FUNDS FOR OPERATIONS ACCESS CLIENTS, ULTIMATELY ALLOWING 183 UNINSURED INDIVIDUALS TO RECEIVE 254 NEEDED SURGICAL AND/OR DIAGNOSTIC SERVICES; (V) PROVIDED FREE EDUCATION, COUNSELLING, AND SUPPORT TO 2,160 BREASTFEEDING MOTHERS; (VI) ADDRESSED BARRIERS TO CARE FOR OUR MOST VULNERABLE PATIENTS AND THEIR CAREGIVERS THROUGH THE MARINHEALTH MEDICAL NETWORK SUPPORTIVE CARE CENTER, WHICH PROVIDES OUTPATIENT CARE COORDINATION AND TRANSITIONS OF CARE; AND (VII) SUPPORTED 13,054 ENROLLMENT COUNSELOR APPOINTMENTS TO LINK PATIENTS TO COMMUNITY RESOURCES INCLUDING LEGAL SERVICES, RENTAL ASSISTANCE, AND SOCIAL SECURITY BENEFITS (IN PARTNERSHIP WITH MARIN COMMUNITY CLINICS).HEALTHY EATING AND ACTIVE LIVING: WHILE RATES OF OBESITY AND DIABETES ARE LOWER IN MARIN COUNTY COMPARED TO CALIFORNIA, THERE IS A HIGH PREVALENCE OF YOUTH IN THE SERVICE AREA WHO ARE OVERWEIGHT OR OBESE, ESPECIALLY AMONG (BLACK (18%), HISPANIC (20%) AND NATIVE AMERICAN/ALASKA NATIVE POPULATIONS (24%). IN RESPONSE TO THIS NEED, IN 2020 MARINHEALTH MEDICAL CENTER: (I) MADE AVAILABLE TO THE PUBLIC THE FREE HEALTH CONNECTION ENEWSLETTER AND QUARTERLY EDUCATIONAL PODCASTS, WHICH PROVIDED EDUCATION ON HEALTHY EATING AND ACTIVE LIVING; (II) FACILITATED A CAREGIVER CLASS WITH A MARINHEALTH REGISTERED DIETITIAN TO EDUCATE 30 COMMUNITY CAREGIVERS WORKING WITH THOSE WITH DIABETES AND OTHER CHRONIC DISEASES; (III) PROVIDED FREE ADVICE TO THE PUBLIC ON NUTRITION NEEDS; (IV) THROUGH THE BRADEN DIABETES CENTER, PROVIDED FREE DIABETES SUPPORT GROUPS, LUNCH N' LEARNS, EDUCATION BOOTHS AND SCREENINGS, WHICH 218 COMMUNITY MEMBERS PARTICIPATED EITHER IN-PERSON OR VIRTUALLY IN 2020; (V) PROVIDED EDUCATION, SUPPORT GROUPS, NUTRITION CLASSES, AND QI GONG EVENTS FREE TO THE PUBLIC THROUGH THE INTEGRATIVE WELLNESS CENTER, IN WHICH 1,280 WERE SERVED EITHER IN-PERSON OR VIRTUALLY IN 2020; (VI) PROVIDED 3,500 HOUSEHOLDS IN NOVATO AND SAN RAFAEL NUTRITIOUS FOOD BOXES IN PARTNERSHIP WITH MARIN COMMUNITY CLINICS; AND (VII) DELIVERED 7,673 HOME MEALS TO SENIORS, IN PARTNERSHIP WITH WEST MARIN SENIOR SERVICES.HOUSING AND HOMELESSNESS: MARIN COUNTY'S HIGH COST OF HOUSING EXACERBATES ISSUES RELATED TO HEALTHCARE ACCESS AND AFFORDABILITY, WHICH IN TURN HAS A NEGATIVE IMPACT ON HEALTH OUTCOMES IN THE AREA. MORE THAN HALF OF RENTERS PAY 30% OR MORE OF THEIR INCOME ON RENT. HOMELESSNESS EXPOSES INDIVIDUALS TO INCREASED HEALTH RISKS, ESPECIALLY AS 63% OF MARIN'S HOMELESS POPULATIONS IS UNSHELTERED, AND IT IS DIFFICULT TO LINK PERSONS WHO ARE EXPERIENCING HOMELESSNESS TO SUPPORTIVE HOUSING AND HEALTHCARE SERVICES. IN RESPONSE TO THIS NEED, IN 2020 MARINHEALTH MEDICAL CENTER: (I) PROVIDED 996 HOMELESS INDIVIDUALS QUALITY HEALTHCARE SERVICES, INCLUSIVE OF MEDICAL, MENTAL HEALTH, AND ALCOHOL/DRUG TREATMENT SERVICES IN PARTNERSHIP WITH RITTER CENTER, A FQHC HOMELESS SITE; (II) PROVIDED 71 HOMELESS INDIVIDUALS 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), WHICH RESULTED IN PREVENTING 671 AVOIDABLE HOSPITAL DAYS; AND (III) PROVIDED 304 LOW-INCOME INDIVIDUALS WITH FREE ACUTE MEDICAL CARE AND MEDICATIONS IN PARTNERSHIP WITH RATACARE BAY AREA CLINIC, THE ONLY FREE CLINIC IN MARIN COUNTY SERVING THE ADULT POPULATION.MENTAL HEALTH AND SUBSTANCE USE: MARIN COUNTY RESIDENTS DEMONSTRATE HIGH NEEDS IN ADDRESSING MENTAL HEALTH ISSUES, INDICATED BY RATES OF SUICIDE, MEDICATION FOR MENTAL HEALTH ISSUES, AND SUBSTANCE ABUSE TREATMENT. IN TOTAL, 15% OF MARIN COUNTY ADULTS TAKE DAILY PRESCRIPTIONS FOR MENTAL HEALTH ISSUES, WHICH IS HIGHER THAN THE CALIFORNIA RATE OF 11%. IN MARIN COUNTY, MENTAL HEALTH ISSUES FREQUENTLY COEXIST WITH SUBSTANCE ABUSE. IN RESPONSE TO THIS NEED, IN 2020 MARINHEALTH MEDICAL CENTER: (I) PROVIDED 220 ADULTS AND TRANSITIONAL-AGE-YOUTH SUFFERING FROM SERIOUS MENTAL ILLNESS WITH SUBSTANCE USE RECOVERY SUPPORT AND EMPOWERMENT SERVICES (IN PARTNERSHIP WITH COMMUNITY ACTION MARIN); (II) PROVIDED MORE THAN 180 YOUTHS, ADULTS, SENIORS, TRANSITIONAL-AGE-YOUTH, AND LGBTQ+ INDIVIDUALS WITH BILINGUAL, CULTURALLY SENSITIVE MENTAL HEALTH COUNSELING SESSIONS (IN PARTNERSHIP WITH THE SPAHR CENTER, HUCKLEBERRY TEEN YOUTH PROGRAM, BUCKELEW PROGRAMS, COMMUNITY INSTITUTE FOR PSYCHOTHERAPY, COMMUNITY ACTION MARIN, NORTH MARIN COMMUNITY SERVICES, JEWISH FAMILY AND CHILDREN'S SERVICES, AND THE SAN GERONIMO VALLEY COMMUNITY CENTER); (III) PROVIDED 66 INDIVIDUALS WITH MULTIPLE PEER-TO-PEER BEHAVIORAL HEALTH INTERVENTIONS IN CONJUNCTION WITH NORTH MARIN COMMUNITY SERVICES; (IV) ENROLLED 12 ADULTS AND TRANSITIONAL-AGE-YOUTH SUFFERING FROM SERIOUS MENTAL ILLNESS IN TRAINING COURSES IN CUSTOMER SERVICES AND/OR FOOD SERVICE (IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT CORPORATION OF MARIN'S TRANSITIONAL EMPLOYMENT PROGRAM; AND (V) PROVIDED INDIVIDUAL THERAPY TO 32 LGBTQ+ INDIVIDUALS (IN PARTNERSHIP WITH THE SPAHR CENTER).VIOLENCE AND INJURY PREVENTION: VIOLENCE AND INJURY PREVENTION COVERS A BROAD CATEGORY OF HEALTH-RELATED INDICATORS, INCLUDING PHYSICAL ABUSE AND ACCIDENTAL POISONING. THESE HEALTH-RELATED EVENTS CAN BE CONCENTRATED AMONG CERTAIN POPULATIONS. FOR EXAMPLE, DUE TO HEAVY MANUAL LABOR, MANY WORK-RELATED INJURIES AFFECT DAY LABORERS. ANOTHER EXAMPLE WOULD BE OLDER ADULTS AT HIGHER RISK OF PHYSICAL ACCIDENTS SUCH AS FALLS, WHICH IS THE LEADING CAUSE OF FATAL INJURIES IN THIS POPULATION. IN RESPONSE TO THIS NEED, IN 2020 MARINHEALTH MEDICAL CENTER: (I) PROVIDED 257 WEST MARIN SENIORS WITH CASE MANAGEMENT SERVICES, HOME DELIVERED MEALS, AND FREQUENT CONTACT VIA PHONE, FACETIME AND ZOOM TO REDUCE ISOLATION AND FEAR DURING THE COVID-19 PANDEMIC (IN PARTNERSHIP WITH WEST MARIN SENIOR SERVICES); (II) FACILITATED HEALTH EDUCATION, SUBSTANCE USE PREVENTION, AND SEXUAL VIOLENCE PREVENTION WORKSHOPS IN WHICH 1,607 YOUTHS PARTICIPATED (IN PARTNERSHIP WITH HUCKLEBERRY YOUTH PROGRAMS), AND (III) PROVIDED 176 RIDES IN A PILOT PROGRAM TO PREVENT MISSED MEDICAL APPOINTMENTS (IN PARTNERSHIP WITH WHISTLESTOP).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 |
|---|---|---|---|---|
| 1 - MARINHEALTH ADULT ACUTE CARE CLINIC | ||||
| 75 ROWLAND WAY SUITE 100 | NOVATO | CA | 94945 | ADULT ACUTE CARE CLINIC |
| 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 |
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 | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| SAN RAFAEL CHAMBER OF COMMERCE | |||||||
| 817 MISSION AVE | SAN RAFAEL | CA | 94901 | 940839470 | 501(C)(6) | $12,000 | GENERAL SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 1400 N DUTTON AVE STE 20 | SANTA ROSA | CA | 95401 | 135613797 | 501(C)(3) | $25,000 | GENERAL SUPPORT |
| MARIN ECONOMIC FORUM | |||||||
| 555 NORTHGATE DRIVE 255 | SAN RAFAEL | CA | 94903 | 454194417 | 501(C)(3) | $10,000 | GENERAL SUPPORT |
| TEDXMARINORG PARTNERSHIP | |||||||
| 644 BOLINAS ROAD | FAIRFAX | CA | 94930 | 472577374 | $5,500 | GENERAL SUPPORT | |
| PRIMA MEDICAL FOUNDATION | |||||||
| 9 COMMERCIAL BLVD | NOVATO | CA | 94949 | 271376321 | 501(C)(3) | $27,903,470 | GENERAL SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
| Total Other Org | 2 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| SCHOLARSHIPS | 43 | $47,200 |
| PATIENT ASSISTANCE | 56 | $41,749 |
| EMPLOYEE ASSISTANCE - COVID RELIEF | 82 | $24,000 |
| PROFESSIONAL DEVELOPMENT | 9 | $3,400 |
| VOLUNTEER SUPPORT | 1 | $2,750 |
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 | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LEE DOMANICO | ||||||||||||||
| CEO THROUGH 8/2020 | $742,570 | $0 | $355,405 | $0 | $315,138 | $0 | $24,144 | $0 | $21,503 | $0 | $1,458,760 | $0 | $0 | $0 |
| JON D FRIEDENBERG | ||||||||||||||
| COO THROUGH 5/2020 | $190,333 | $0 | $360,360 | $0 | $346,603 | $0 | $3,901 | $0 | $16,027 | $0 | $917,224 | $0 | $0 | $0 |
| ERIC PIFER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER THROUGH 6/2020 | $490,478 | $0 | $128,525 | $0 | $64,773 | $0 | $14,839 | $0 | $37,167 | $0 | $735,782 | $0 | $0 | $0 |
| GREGORY LEE | ||||||||||||||
| CARD CATH TECHNICIAN IV | $577,107 | $0 | $0 | $0 | $0 | $0 | $41,642 | $0 | $11,647 | $0 | $630,396 | $0 | $0 | $0 |
| KARIN REESE RN MS | ||||||||||||||
| CHIEF NURSING OFFICER | $382,630 | $0 | $141,897 | $0 | $71,475 | $0 | $18,899 | $0 | $10,785 | $0 | $625,686 | $0 | $0 | $0 |
| LINDA LANG | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $324,897 | $0 | $143,521 | $0 | $58,907 | $0 | $19,344 | $0 | $24,505 | $0 | $571,174 | $0 | $0 | $0 |
| ERIC BRETTNER | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $404,622 | $0 | $0 | $0 | $85,790 | $0 | $14,250 | $0 | $33,594 | $0 | $538,256 | $0 | $0 | $0 |
| SANDY D AUGUSTUS RN | ||||||||||||||
| CLINICAL REGISTERED NURSE III | $432,139 | $0 | $300 | $0 | $0 | $0 | $39,745 | $0 | $35,881 | $0 | $508,065 | $0 | $0 | $0 |
| CHUN LI MD | ||||||||||||||
| CHIEF CLINICAL PHYSICIST | $316,608 | $0 | $0 | $0 | $2,147 | $0 | $86,376 | $0 | $12,058 | $0 | $417,189 | $0 | $0 | $0 |
| SUSAN S CUMMING MD | ||||||||||||||
| MEDICAL DIRECTOR, PATIENT EXPERIENCE | $330,067 | $0 | $0 | $0 | $2,269 | $0 | $23,996 | $0 | $32,526 | $0 | $388,858 | $0 | $0 | $0 |
| ELIZABETH KOLCUN | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $292,565 | $0 | $0 | $0 | $45,314 | $0 | $15,541 | $0 | $34,005 | $0 | $387,425 | $0 | $0 | $0 |
| DAVID KLEIN MD | ||||||||||||||
| CEO EFFECTIVE 9/2020 | $287,172 | $0 | $0 | $0 | $66,793 | $0 | $0 | $0 | $3,542 | $0 | $357,507 | $0 | $0 | $0 |
| MICHAEL K KING | ||||||||||||||
| LEAD IR TECHNOLOGIST | $308,374 | $0 | $0 | $0 | $0 | $0 | $18,675 | $0 | $18,953 | $0 | $346,002 | $0 | $0 | $0 |
| KARIN SHAVELSON MD FAAP | ||||||||||||||
| CHIEF MEDICAL OFFICER START 7/2020 | $155,080 | $0 | $0 | $0 | $12,991 | $0 | $0 | $0 | $2,909 | $0 | $170,980 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | LEE DOMANICO RECEIVED A SEVERANCE PAYMENT OF $140,000 DURING THE 2020 CALENDAR YEAR; IN ADDITION, JON FRIEDENBERG RECEIVED A SEVERANCE PAYMENT OF $320,000 DURING THE 2020 CALENDAR YEAR. BOTH PAYMENTS HAVE BEEN REPORTED AS TAXABLE COMPENSATION TO THE INDIVIDUALS. LEE DOMANICO ENTERED INTO A SPLIT INTEREST AGREEMENT WITH THE ORGANIZATION IN 2019 IN THE FORM OF A LIFE INSURANCE POLICY, WHEREBY THE ORGANIZATION WILL PAY PREMIUMS ON A LIFE INSURANCE POLICY THAT LEE DOMANICO WILL OWN. THERE HAS BEEN NO ADDITIONAL FUNDING TO THE SPLIT INTEREST AGREEMENT IN 2020. |
| PART II, COLUMN (B)(III) | THE "OTHER REPORTABLE COMPENSATION" IN SCHEDULE J, PART II, COLUMN (B)(III) RECEIVED BY CERTAIN MEMBERS OF THE EXECUTIVE TEAM REPRESENTS HEALTH AND WELFARE BENEFITS, DEFINED BENEFIT RETIREMENT PLAN, DISABILITY, LONG-TERM CARE INSURANCE, LIFE INSURANCE, AND ACCIDENTAL DEATH AND DISMEMBERMENT INSURANCE, WHICH WAS ALL INCLUDED IN THEIR FORM W-2 AS TAXABLE COMPENSATION. |
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 | $1,032,931 | WorkingCapitalExpendituresAmt |
| Capital Expenditures | $49,114,356 | CapitalExpendituresAmt |
| Unspent | $48,752,713 | 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 | 0 | MgmtContractBondFincdPropInd |
| 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 L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LEE DOMANICO | PersonNm |
| Relationship With Org | CHIEF EXECUTIVE OFFICER | RelationshipWithOrgTxt |
| Loan Purpose | SPLIT-DOLLAR LIFE INSURANCE | LoanPurposeTxt |
| Loan From Organization | Yes (X) | LoanFromOrganizationInd |
| Original Principal | $5,000,000 | OriginalPrincipalAmt |
| Balance Due | $4,605,577 | BalanceDueAmt |
| Default | 0 | DefaultInd |
| Board Or Committee Approval | Yes (1) | BoardOrCommitteeApprovalInd |
| Written Agreement | Yes (1) | WrittenAgreementInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $4,605,577 | TotalBalanceDueAmt |
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 37,195,591. MANAGEMENT AND GENERAL EXPENSES 12,544,486. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,740,077. PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 18,314,677. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,314,677. |
| FORM 990, PART XI, LINE 9: | BENEFIT PLAN RELATED CHANGES -11,309,399. CHANGE IN BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION -4,988,162. |
Schedule R IRS990ScheduleR
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 | |||||||||||
| 100B DRAKES LANDING ROAD SUITE 250 | GREENBRAE | CA | 94904 | 946127213 | FUNDRAISING FOUNDATION | CA | Yes (1) | 501(C)(3) | LINE 12A, I | MARIN GENERAL HOSPITAL | |
| PRIMA MEDICAL FOUNDATION | |||||||||||
| 4 HAMILTON LANDING SUITE 100 | NOVATO | CA | 94949 | 271376321 | PHYSICIAN MEDICAL FOUNDATION | CA | Yes (1) | 501(C)(3) | LINE 10 | MARIN GENERAL HOSPITAL | |
| 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 (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MARIN GENERAL HOSPITAL FOUNDATION | ||
| C | $12,244,393 | BOOK VALUE |
| MARIN GENERAL HOSPITAL FOUNDATION | ||
| D | $50,589 | BOOK VALUE |
| MARIN GENERAL HOSPITAL FOUNDATION | ||
| O | $774,987 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| B | $27,903,470 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| D | $7,671,582 | BOOK VALUE |
| PRIMA MEDICAL FOUNDATION | ||
| L | $8,455,043 | BOOK VALUE |