2020-08-17T18:59:35-05:00 2019-09-30 910189318 MOSS ADAMS LLP 101 SECOND STREET SUITE 900 SAN FRANCISCO CA 94105 990 2018-10-01 941502014 SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL SOUT 8313856000 300 CANAL STREET KING CITY CA 93930 MARK WOOLERY CHIEF FINANCIAL OFFICER 8313857160 2020-08-17 1 MICHAEL LUMSDEN P01262236 4159561500 2020-08-17 76.14.38.113 2020-08-17 17:13:03 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 00C4359F54289D19625D58AABAD73364CEA05A5F 2018 2020-09-22 18:59:49Z MEE MEMORIAL HEALTHCARE SYSTEM RENA SALAMACHA 300 CANAL STREET KING CITY CA 93930 77078170 0 X WWW.MEEMEMORIAL.COM X 1959 CA COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS. 6 4 475 50 0 0 750817 3169063 63182725 73599235 21497 16567 4488215 277670 68443254 77062535 0 0 0 0 32922543 34251305 0 0 0 33856145 36217867 66778688 70469172 1664566 6593363 40211073 35222321 41587695 30005580 -1376622 5216741 MEE MEMORIAL HOSPITAL PROVIDES PRIMARY HEALTH CARE AND ACCESS TO COMPREHENSIVE HEALTH SERVICES IN A PROFESSIONAL AND CARING ENVIRONMENT. 0 0 55641481 73599235 MEE MEMORIAL HEALTHCARE SYSTEM OPERATES A 73-BED LICENSED FACILITY THAT PROVIDES COMPREHENSIVE MEDICAL CARE TO THE LOCAL COMMUNITY AND OUTLYING AREAS WITHIN A 50-MILE RADIUS; IN ADDITION, MEE MEMORIAL HAS A NETWORK OF FOUR CLINICS TO SERVE ITS CLIENTELE, THREE IN KING CITY AND ONE IN GREENFIELD. TYPES OF CARE OFFERED INCLUDE ACUTE, LONG-TERM, AND RURAL HEALTH CLINIC SERVICES. OVER THE SEPTEMBER 30, 2019 FISCAL YEAR, TOTAL PATIENT DAYS WERE 15,005. THE EMERGENCY SERVICE DEPARTMENT HAD 12,900 VISITS AND OTHER HOSPITAL SERVICES HAD 36,301 OTHER OUTPATIENT VISITS DURING THE FISCAL YEAR. THE CLINICS RECEIVED 62,490 VISITS IN ADDITION TO HOSPITAL SERVICES. 55641481 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 240 0 1 475 1 0 0 0 0 0 0 0 0 0 0 0 0 X 6 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X MARK WOOLERY 8313857160 300 CANAL STREET KING CITY CA 93930 X MICHAEL HOWARD CHAIR 2.00 X X 0 0 0 JAMES EWART VICE CHAIR 2.00 X X 0 0 0 ROGER BORZINI SECRETARY-TREASURER 2.00 X X 0 0 0 R MICHAEL HUTCHINSON INTERIM CEO / TRUSTEE 42.00 X X 94456 0 345 SEAN MURRAY MD TRUSTEE THROUGH 12/2018 42.00 X 30000 0 0 ROY SCHIENDELHEIM MD TRUSTEE / PHYSICIAN 42.00 X 308245 0 4775 AMISH SHAH MD TRUSTEE EFFECTIVE 1/2019 42.00 X 0 0 0 JOSEPH DEMONT CFO THROUGH 11/2018 40.00 X 151920 0 3436 DEBBIE BINCZEWSKI INTERIM CFO EFFECTIVE 1/2019 40.00 X 0 0 0 RENA SALAMACHA CHIEF OPERATING OFFICER 40.00 X 200286 0 6568 KEITH BRADKOWSKI CHIEF NURSING OFFICER THROUGH 1/2019 40.00 X 189674 0 3238 DENISE MILLER RISK MANAGER / QUALITY ASSURANCE DIRECTOR 40.00 X 158853 0 7996 BRUCE GREENBERG MD PHYSICIAN 40.00 X 277415 0 1960 MONEESHA PINTO MD PHYSICIAN 40.00 X 270880 0 3826 SANDRA MONTIJO MD PHYSICIAN 40.00 X 260543 0 8617 QINGBO SUI MD PHYSICIAN 40.00 X 264052 0 943 HILDA ALEJANDRE MD PHYSICIAN 40.00 X 244060 0 943 SUSAN CHILDERS FORMER CEO THROUGH 8/2018 0.00 X 322747 0 7247 2773131 0 49894 70 1 1 0 SODEXO INC AND AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY/KITCHEN SERVICES 2201746 MONTEREY ANESTHESIA PROFESSIONALS 1522 CONSTITUTION BLVD 123 SALINAS CA 93905 ANESTHESIOLOGISTS 1425640 XTEND HEALTHCARE 90 VOLUNTEER DRIVE SUITE 150 HENDERSONVILLE TN 37075 REVENUE CYCLE SERVICES 1260508 CERNER CORPORATION PO BOX 959156 ST LOUIS MD 631959156 MEDICAL TECHNOLOGY SERVICES 1235273 RURAL PHYSICIANS MANAGEMENT COMPANY 10624 S EASTERN AVE STE A-263 HENDERSON NV 89052 PHYSICIAN SERVICES 747648 21 70314 3098749 3169063 NET PATIENT SERVICE REVENUE 622110 71984340 71984340 OTHER OPERATING REVENUE 622110 1464845 1464845 REBATES AND REFUNDS 622110 150050 150050 73599235 20215 20215 55672 11987 43685 43685 43685 3648 -3648 -3648 -3648 MISCELLANEOUS REVENUE 900099 131358 131358 CAFETERIA 722514 102627 102627 233985 77062535 73599235 0 294237 X 1269632 799566 470066 20578758 19292272 1286486 458819 426743 32076 9971372 2496035 7475337 1972724 1819381 153343 188749 188749 124200 124200 4276 4276 24842117 22015498 2826619 38068 38068 365669 342655 23014 198465 198465 1466338 1423911 42427 275302 202147 73155 584246 584246 1601499 1601499 933032 259299 673733 MEDICAL SUPPLIES 3930548 3845655 84893 REPAIRS & MAINTENANCE 1069525 983978 85547 TRAINING 67132 46636 20496 DUES & SUBSCRIPTIONS 64195 64195 464506 86206 378300 70469172 55641481 14827691 0 4385868 -836088 5140936 1030814 7628250 7460254 1048741 1239153 449893 299008 53449493 28935740 18776090 24513753 26661 26661 2754634 1488766 40211073 35222321 6821310 9810873 21211623 5683627 10509763 12509763 3044999 2001317 41587695 30005580 X -1376622 5216741 -1376622 5216741 40211073 35222321 6593363 0 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4276 4276 0 PART II-B, LINE 1: THE ORGANIZATION PAYS MEMBERSHIP DUES TO THE CALIFORNIA HOSPITAL ASSOCIATION/HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA, A LEADER REPRESENTING THE INTERESTS OF CALIFORNIA HOSPITALS AND HEALTH SYSTEMS WITH THE LEGISLATURE, ADMINISTRATION AND REGULATORY AGENCIES. OF THE $30,854 OF DUES PAID DURING THE SEPTEMBER 30, 2019 FISCAL YEAR, 13.86% ($4,276) WERE ALLOCATED TO LOBBYING EXPENDITURES. 659201 659201 31371788 14948927 16422861 17979688 13325392 4654296 3438816 661421 2777395 24513753 ESTIMATED SELF-INSURED HEALTHCARE CLAIMS 862878 LITIGATION RESERVE 962386 CAPITAL LEASE OBLIGATIONS 73778 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 102275 2001317 X 77074522 0 77074522 -11987 -11987 77062535 70481159 11987 11987 70469172 0 70469172 PART X, LINE 2: THE HOSPITAL ASSESSES UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE PROVISIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD ("FASB") ACCOUNTING STANDARD CODIFICATION ("ASC") TOPIC 740-10, INCOME TAXES. THE HOSPITAL RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THE HOSPITAL RECOGNIZES INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS IN OPERATING EXPENSES. AT SEPTEMBER 30, 2019 AND 2018, THERE WERE NO SUCH UNCERTAIN TAX POSITIONS. PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES TO STATEMENT OF REVENUE -11,987. PART XII, LINE 2D - OTHER ADJUSTMENTS: RECLASSIFICATION OF RENTAL EXPENSES TO STATEMENT OF REVENUE 11,987. 1 1 X 1 X 1 X 1 1 0 1 1 689387 689387 0.00980 37028064 12566101 24461963 0.34710 37717451 12566101 25151350 0.35690 571737 70314 501423 0.00710 571737 70314 501423 0.00710 38289188 12636415 25652773 0.36400 1 3991706 1596682 13294969 19500365 -6205396 X 1 1 1 1 SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL 300 CANAL STREET KING CITY CA 93930 WWW.MEEMEMORIAL.COM 070000047 X X X SOUTHERN MONTEREY COUNTY MEMORIAL HOSPIT 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X HTTPS://MEEMEMORIAL.COM/MEE-MEMORIAL-HOSPITAL/CHNA/ X 1 18 1 HTTPS://MEEMEMORIAL.COM/MEE-MEMORIAL-HOSPITAL/CHNA/ 0 1 X 100.000000000000 200.000000000000 X X X X 1 1 X X X 1 X HTTPS://MEEMEMORIAL.COM/FOR-PATIENTS/BILLINGINSURANCE/ X HTTPS://MEEMEMORIAL.COM/FOR-PATIENTS/BILLINGINSURANCE/ X HTTPS://MEEMEMORIAL.COM/FOR-PATIENTS/BILLINGINSURANCE/ X X X X X X 1 X 0 X X 1 X 0 0 SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 5: THE HOSPITAL CONDUCTED PRIMARY DATA GATHERING REGARDING THE HEALTH NEEDS OF THE COMMUNITY VIA AN INTERNET SURVEY OF APPROXIMATELY 50 COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES. ONLINE SURVEY INVITATIONS WERE EXTENDED PARTICIPANTS, WITH TWO REMINDERS SENT THEREAFTER. OF THE APPROXIMATELY 50 COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES IDENTIFIES, THERE WERE 39 SURVEY RESPONDENTS DURING THE 14-DAY SURVEY PERIOD. SOUTHERN MONTEREY COUNTY MEMORIAL HOSPITAL PART V, SECTION B, LINE 11: BASED ON STAKEHOLDER SURVEY FINDINGS, HEALTH INDICATOR DATA, AND INPUT FROM MEDICAL STAFF AND COMMUNITY LEADERS, NINE COMMUNITY HEALTH NEEDS EMERGED: (I) ACCESS TO PRIMARY CARE; (II) ACCESS TO SPECIALTY CARE; (III) AVAILABILITY OF URGENT/AFTER-HOURS CARE; (IV) ACCESS TO MENTAL HEALTH SERVICES; (V) AVAILABILITY OF SUBSTANCE ABUSE PREVENTION AND TREATMENT SERVICES; (VI) AVAILABILITY OF PRESCRIPTION DRUGS; (VII) TRANSPORTATION TO/FROM MEDICAL SERVICES; (VIII) SERVICES AND OUTREACH TO VULNERABLE POPULATIONS (E.G. SENIORS, DISABLED, HOMELESS, LGBTQ; AND (IX) PATIENT EDUCATION/COUNSELING RELATED TO MEDICAL CONDITIONS.THE IRS REQUIRES THAT HOSPITAL LEADERS DEVELOP CRITERIA FOR PRIORITIZING THE ISSUES THAT ARE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL ESTABLISHED THE FOLLOWING CRITERIA FOR EVALUATING NEEDS: DOES THE ISSUE ALIGN WITH MMH'S MISSION AND EXPERTISE; DOES THE ISSUE IMPACT A LARGE NUMBER OF PEOPLE; ARE THERE COLLABORATORS THAT WOULD COMMIT TO WORKING WITH MMH TO ADDRESS THE ISSUE; DOES THE ISSUE PROVIDE AN OPPORTUNITY TO REDUCE HEALTH DISPARITIES AMONG SUBGROUPS OF THE POPULATION; ARE THERE GAPS IN CURRENT SERVICES AND PROGRAMS RELATED TO THE ISSUE; WOULD SOLVING THIS PARTICULAR ISSUE HELP TO ADDRESS OTHER HEALTH NEEDS; DO KEY STAKEHOLDERS PERCEIVE THIS TO BE AN IMPORTANT HEALTH ISSUE; AND WOULD THERE BE NEGATIVE CONSEQUENCES IF MMMH DOES NOT WORK TO ADDRESS THE ISSUE?EACH OF THE ABOVE-MENTIONED CRITERIA WAS SCORED BY HOSPITAL LEADERS. BASED OFF THAT SCORING, THE HOSPITAL DETERMINED IT WILL HELP TO ADDRESS THREE HIGH PRIORITY COMMUNITY HEALTH NEEDS: ACCESS TO PRIMARY CARE; PATIENT EDUCATION/COUNSELING RELATED TO MEDICAL CONDITIONS OR HEALTH BEHAVIORS; AND ACCESS TO SPECIALTY CARE.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF "ACCESS TO PRIMARY CARE" INCLUDES: (I) RECRUITMENT OF NEW PRIMARY CARE PHYSICIANS; (II) IMPLEMENT TELEMEDICINE AND VIRTUAL PROGRAMS; AND (III) RETAIN PROVIDERS BY (A) MAINTAINING A CULTURE THAT ASSURES MMH IS SUPPORTIVE, ACCOUNTABLE, COLLABORATIVE, AND ACCESSIBLE, (B) PROVIDING THE INFRASTRUCTURE AND CONTINUE TO IMPLEMENT LEAN CULTURE TO MITIGATE BARRIERS THAT IMPACT PHYSICIANS' PRODUCTIVITY AND PATIENT ACCESS, AND (C) EVALUATE RECRUITMENT AND COMPENSATION PRACTICES CONTINUOUSLY TO ENSURE MMH REMAINS A COMPETITIVE EMPLOYER. OUTCOMES WILL BE EVALUATED BY THE NUMBER OF NET ADDITIONAL PRIMARY CARE PROVIDERS, THE PERCENTAGE OF PATIENTS WHO SAW THEIR PRIMARY CARE PROVIDER IN THE LAST YEAR, WAIT TIMES FOR NEW APPOINTMENTS, AND PROVIDER SATISFACTION AND PROVIDER PRODUCTIVITY.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF "ACCESS TO SPECIALTY CARE" INCLUDE: (I) RECRUITMENT OF NEW SPECIALTY CARE PROVIDERS; (II) IMPROVEMENT OF THE AVAILABILITY OF SPECIALTY CARE; (III) IMPLEMENTATION OF THE TELEMEDICINE AND VIRTUAL PROGRAMS; AND (IV) IMPROVING ACCESS TO CARE. OUTCOMES WILL BE EVALUATED BY THE NUMBER OF NET ADDITIONAL SPECIALTY CARE PROVIDERS, REFERRAL WAIT TIMES FOR APPOINTMENTS (IN ALL PAYER CLASSES), THE IMPLEMENTATION OF A GI PROGRAM, THE IMPLEMENTATION OF AN ORTHOPEDIC PROGRAM, THE IMPLEMENTATION OF AN OPHTHALMOLOGY / OPTOMETRY / OPTICAL PROGRAM, THE IMPLEMENTATION OF A TELEMEDICINE-DERMATOLOGY PROGRAM, AND THE EXPANSION OF OBSTETRIC SERVICES.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF "ACCESS TO MENTAL HEALTH SERVICES" (WHICH WASN'T SPECIFICALLY IDENTIFIED AS PRIORITIZED HEALTH NEED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT, BUT IS STILL BEING ADDRESSED) INCLUDE: (I) INTEGRATION OF MENTAL HEALTH SERVICES INTO CLINICS AND COMMUNITY SERVICES; (II) INCREASE AWARENESS AND EDUCATION ABOUT THE DAY TO DAY MENTAL HEALTH CHALLENGES SUCH AS STRESS, ANXIETY, DEPRESSION, ETC.; (III) RECRUIT MORE PROVIDERS TO INCREASE ACCESS; (IV) RESEARCH EXISTING MENTAL HEALTH CRISIS LINES AND FORM PARTNERSHIPS TO PROMOTE TO THE COMMUNITY; AND (V) IMPROVE EARLY INTERVENTION. OUTCOMES WILL BE EVALUATED BY THE ESTABLISHMENT OF MENTAL HEALTH IN PRIMARY CARE AND/OR OTHER SERVICE LINES TO HELP IDENTIFY MENTAL HEALTH ISSUES AT AN EARLY STAGE, WAIT TIMES FOR FIRST APPOINTMENT TARGETS (5 BUSINESS DAYS FOR URGENT NEED AND 30 DAYS FOR A ROUTINE NEED), IMPLEMENTATION OF A PEDIATRIC BEHAVIORAL DEVELOPMENT SPECIALTY PROGRAM, IMPLEMENTATION OF PSYCHOLOGY SERVICES, AND PATIENT SATISFACTION.SPECIFIC TACTICS AND RESOURCES IDENTIFIED TO ADDRESS THE HEALTH NEED OF "PATIENT EDUCATION / COUNSELING RELATED TO MEDICAL CONDITIONS OR HEALTH BEHAVIORS" INCLUDE: (I) EXPAND HOSPITAL AND CLINIC PREVENTION CLASSES; (II) ESTABLISH A DIABETES PREVENTION PROGRAM, WHICH FOLLOWS PATIENTS OVER TIME; (III) CONDUCT REVIEWS OF AGRICULTURAL SITE CLINICS; AND (IV) ENGAGE IN REVIEWING TOPICS WITH REGISTERED DIETICIANS, RESPIRATORY THERAPISTS, AND PHARMACISTS. OUTCOMES WILL BE EVALUATED BY THE LIST OF CURRICULA PROVIDED ON THESE VARIOUS TOPICS, THE NUMBER OF ATTENDEES AND COMPLETED REVIEWS OF AGRICULTURAL SITE CLINICS, THE NUMBER OF EVENTS HOSTED AND COMMUNITY RESIDENTS REACHED, THE NUMBER OF PEOPLE ENROLLED IN THE DIABETES PREVENTION PROGRAM, AND THE NUMBER OF PEOPLE WHO COMPLETED THE DIABETES PREVENTION PROGRAM.THE FOLLOWING SEVEN ADDITIONAL HEALTH NEEDS IDENTIFIED BY COMMUNITY PARTICIPANTS DURING THE CHNA PROCESS WILL NOT BE ACTIVELY ADDRESSED BY MMH DUE TO RESOURCE CONSTRAINTS AND/OR LACK OF EXPERTISE: (I) ALTERNATIVE MEDICINE; (II) CHIROPRACTIC CARE; (III) ASSISTED LIVING; (IV) ALZHEIMER'S/DEMENTIA CARE: (V) TEEN PREGNANCY PREVENTION; (VI) CHRONIC PAIN CARE (OTHER THAN INCREASING AWARENESS OF CURRENT SERVICES; AND (VII) CANCER CARE (OTHER THAN FACILITATING PATIENT REFERRALS TO AND COORDINATING CARE WITH CANCER TREATMENT PROVIDERS). 4 1 - KING CITY CLINIC 210 CANAL STREET KING CITY CA 93930 OUTPATIENT HEALTH CLINIC 2 - ADULT MEDICINE CLINIC 400 CANAL STREET SUITE C KING CITY CA 93930 OUTPATIENT HEALTH CLINIC 3 - ALBERT AND DONNA OLIVEIRA CLINIC 467 S EL CAMINO REAL GREENFIELD CA 93927 OUTPATIENT HEALTH CLINIC 4 - SPECIALTY CLINIC 400 CANAL STREET SUITE B KING CITY CA 93930 OUTPATIENT HEALTH CLINIC PART I, LINE 7: A COST TO CHARGE RATIO WAS USED TO CALCULATE THE COMMUNITY BENEFIT EXPENSE ON PART I, LINE 7B. PART III, LINE 2: THE ORGANIZATION RECORDS ACCOUNTS SENT TO COLLECTIONS AS A BAD DEBT AND ALSO ACCRUES BAD DEBT EXPENSE BASED ON AN ESTIMATE FROM AGED ACCOUNTS RECEIVABLE. PART III, LINE 3: THE METHODOLOGY TO ESTIMATE THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS AS FOLLOWS: A "PRESUMPTIVE CHARITY" CALCULATION WAS UTILIZED TO REFLECT THE PERCENTAGE (40%) OF THE HOSPITAL SERVICE AREA THAT WAS BELOW 200% OF THE FEDERAL POVERTY GUIDELINE. THE SOURCE OF THIS WAS INFORMATION COLLECTED DURING THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. THE ORGANIZATION HAS LIMITED MEANS TO STAFF A CHARITY FUNCTION AND IT IS PRESUMED THE MEANS TEST WOULD BE MET BASED ON POPULATION DEMOGRAPHICS. PART III, LINE 4: THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE", "ACCOUNTS RECEIVABLE", AND "ALLOWANCE FOR DOUBTFUL ACCOUNTS" CAN BE FOUND ON PAGES 7 - 8 OF THE AUDITED FINANCIAL STATEMENTS ATTACHED TO THIS FORM 990. PART III, LINE 8: THE SHORTFALL IN SCHEDULE H, PART III, LINE 7 REPRESENTS THE UNFUNDED COSTS FOR DIRECT PATIENT CARE, WHICH SHOULD BE TREATED AS A COMMUNITY BENEFIT. THE COSTING METHODOLOGY USED TO CALCULATE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS IS A RATIO OF PATIENT COSTS TO CHARGES. PART III, LINE 9B: COLLECTION PRACTICES FOR QUALIFIED PATIENTS:IT IS THE POLICY OF GEORGE L. MEE MEMORIAL HOSPITAL TO PROVIDE EXCELLENT CUSTOMER SERVICE TO ALL PATIENTS, AND ASSIST ALL UNINSURED PATIENTS WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, AND CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES. IF SUCH COVERAGE IS NOT AVAILABLE TO THE PATIENT, THE HOSPITAL WILL PROVIDE APPROPRIATE HEALTHCARE TO THE PATIENT, AND THE HOSPITAL WILL PROVIDE FINANCIAL ASSISTANCE BASED ON THE CURRENT FEDERAL POVERTY LEVEL, AND PER THE HOSPITAL'S POLICY, IN ACCORDANCE WITH CALIFORNIA STATE LAW, EMTALA, AND MEDICARE REGULATIONS. FURTHER, SELF-PAY PATIENTS WHO DO NOT QUALIFY FOR FINANCIAL ASSISTANCE BASED ON INCOME WILL BE PROVIDED WITH SEVERAL OPTIONS FOR PAYMENT OF THEIR BILLS. IT IS THE HOSPITAL'S POLICY TO:- ASSIST ALL UNINSURED PATIENT WITH OBTAINING COVERAGE FROM GOVERNMENT-SPONSORED PROGRAMS SUCH AS MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, AND HEALTHY FAMILIES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT NO COST TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BELOW 100% OF THE CURRENT FEDERAL POVERTY LEVEL.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 50% DISCOUNT TO ELIGIBLE PATIENTS WHOSE FAMILY'S INCOME IS BETWEEN 101% AND 133% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE ALL MEDICALLY NECESSARY HEALTH CARE SERVICES AT A 35% DISCOUNT TO ELIGIBLE PATIENTS BETWEEN 133% AND 200% OF THE CURRENT FEDERAL POVERTY LEVEL. FOR THE SERVICES PROVIDED TO A PATIENT MEETING THESE CRITERIA, EXPECTED PAYMENT SHALL NOT EXCEED THE GREATER OF THE AMOUNT THAT WOULD BE EXPECTED FROM MEDICARE, MEDI-CAL, CENTRAL COAST ALLIANCE FOR HEALTH, OR HEALTHY FAMILIES FOR THE SAME SERVICES.- PROVIDE INTEREST-FREE PAYMENT PLANS FOR ELIGIBLE PATIENTS UNDER THIS POLICY.- FORGO REPORTS TO CREDIT BUREAUS, REFERRAL OF ACCOUNTS TO COLLECTION AGENCIES, LIENS AGAINST PROPERTY OR WAGE GARNISHMENTS FOR ELIGIBLE PATIENTS WHO ARE MEETING AN AGREED-UPON PAYMENT PLAN.- PROVIDE ADEQUATE NOTICE OF THIS POLICY IN ALL ADMITTING AND RECEPTION AREAS.- OFFER FREE FINANCIAL COUNSELING TO ALL UNINSURED PATIENTS FOR FINANCIAL MATTERS RELATED TO THEIR HOSPITAL BILLS.- FOR ALL UNINSURED PATIENTS ABOVE 100% OF THE CURRENT FEDERAL POVERTY LEVEL, SEVERAL PAYMENT OPTIONS WILL BE PRESENTED, AS FOLLOWS:A. PROMPT PAY DISCOUNT: OFFER A 25% DISCOUNT IF THE ACCOUNT IS PAID IN FULL AT TIME OF SERVICE.B. PAYMENT PLAN: OFFER A 15% DISCOUNT IF THE PATIENT SIGNS AN AGREEMENT REPRESENTING THAT HE/SHE WILL MEET A PAYMENT PLAN THAT WILL PAY THE BALANCE IN FULL WITHIN 6 MONTHS AT NO INTEREST.C. CCS EARLY-OUT: IF THE PATIENT REJECTS EACH OF THE ABOVE OPTIONS, THE ACCOUNT WILL BE SENT TO CCS FOR "EARLY-OUT" COLLECTIONS FOR 90 DAYS. THIS "EARLY-OUT" PROCESS DOES NOT INCLUDE REPORTS TO CREDIT BUREAUS. AT THE END OF THE 90 DAYS, THE ACCOUNT WILL BE RETURNED TO THE HOSPITAL TO BE REVIEWED FOR POTENTIAL BAD DEBT WRITE-OFF AND COLLECTIONS REPORTING. PART VI, LINE 2: MMH ENGAGED CAROL DAVIS, OWNER AND PRINCIPAL CONSULTANT WITH STRATEGY CONNECTIONS, A HEALTHCARE CONSULTANCY, TO FACILITATE THE THREE-YEAR CHNA UPDATE. TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY THROUGHOUT THE CHNA PROCESS, MMH CONDUCTED ONLINE SURVEYS WITH COMMUNITY AND PUBLIC HEALTH REPRESENTATIVES, REFERENCED HEALTH INDICATOR DATA, AND RECEIVED INPUT FROM MMH MEDICAL STAFF.IN ADDITION, MMH ANNUALLY UNDERTAKES A "WEEK OF WELLNESS", WHICH PROVIDES FREE HEALTH SCREENINGS AND PROMOTES HEALTHY CHOICES AND GENERAL WELLNESS. THIS EVENT ALLOWS MMH TO ASSESS WHAT HEALTH NEEDS MIGHT BE PERTINENT TO THE INDIVIDUALS WITHIN ITS SERVICE AREA. PART VI, LINE 3: UPON PRESENTATION TO OUR ADMITTING PROCESS, ONCE THE PATIENT IDENTIFIES THEY ARE WITHOUT INSURANCE, WE INFORM/EDUCATE THEM ABOUT THEIR OPTIONS WITH GOVERNMENT PROGRAMS AND PROVIDE CONTACT INFORMATION TO ACCESS THOSE PROGRAMS. ADDITIONALLY, WE PROVIDE THE PATIENT WITH OUR POLICIES RELATED TO CHARITY AND A CHARITY APPLICATION SHOULD THEY WISH TO PURSUE THAT ASSISTANCE. PART VI, LINE 4: FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE HOSPITAL HAS IDENTIFIED THE FOLLOWING EIGHT ZIP CODES AS THE TARGET COMMUNITY: 93960 (SOLEDAD); 93927 (GREENFIELD); 93930 (KING CITY); 93426 (BRADLEY); 93450 (SAN ARDO); 93932 (LOCKWOOD); 93928 (JOLON); AND 93954 (SAN LUCAS). THE ESTIMATED CURRENT POPULATION IN THE SERVICE AREA IS 66,535, WHICH REPRESENTS 3.9% OVERALL GROWTH SINCE THE 20210 CENSUS. NINETY-FOUR PERCENT OF THE POPULATION LIVES IN THE SOLEDAD, GREENFIELD, OR KING CITY ZIP CODES.COMPARED TO THE STATE OF CALIFORNIA, THE OVERALL PROFILE OF THE CHNA SERVICE POPULATION INDICATES THAT RESIDENTS: (I) ARE YOUNGER, (II) HAVE LESS FORMAL EDUCATION, (III) HAVE LESS HOUSEHOLD INCOME, (IV) ARE MORE LIKELY TO BE FOREIGN-BORN, (V) ARE MORE LIKELY TO LIVE IN POVERTY, (VI) ARE MORE LIKELY TO BE HISPANIC OR LATINO, AND (VII) ARE LESS LIKELY TO BE MILITARY VETERANS. THE MEDIAN AGE IN THE HOSPITAL SERVICE AREA IS 31.7, COMPARED 36.4 WITHIN CALIFORNIA AND 38.0 WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WITH A HIGH SCHOOL DEGREE OR HIGHER WITHIN THE HOSPITAL SERVICE AREA IS 51.3%, COMPARED TO 82.5% WITHIN CALIFORNIA AND 87.3% WITHIN THE UNITED STATES. THE MEDIAN HOUSE INCOME WITHIN THE HOSPITAL SERVICE AREA IS $51,174, COMPARED TO $67,169 WITHIN CALIFORNIA AND $57,652 WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE FOREIGN-BORN WITHIN THE HOSPITAL SERVICE AREA IS 37.1%, COMPARED TO 27.0% WITHIN CALIFORNIA AND 13.4% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS THAT ARE BELOW POVERTY WITHIN THE HOSPITAL SERVICE AREA IS 18.5%, COMPARED TO 13.3% WITHIN CALIFORNIA AND 12.3% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE HISPANIC OR LATINO WITHIN THE HOSPITAL SERVICE AREA IS 78.3%, COMPARED TO 39.1% WITHIN CALIFORNIA AND 18.1% WITHIN THE UNITED STATES. THE PERCENTAGE OF INDIVIDUALS WHO ARE MILITARY VETERANS WITHIN THE HOSPITAL SERVICE AREA IS 2.0%, COMPARED TO 4.2% WITHIN CALIFORNIA AND 5.8% WITHIN THE UNITED STATES. PART VI, LINE 5: THE HOSPITAL UNDERTAKES MANY ACTIVITIES WHICH HELPS PROMOTES THE HEALTH OF THE COMMUNITY. ONE SUCH EXAMPLE WOULD BE THE OPERATION OF FOUR HEALTH CLINICS; A GOAL OF THE CLINICS IS TO PROVIDE HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES TO PEOPLE WHO DO NOT OTHERWISE HAVE ACCESS WHICH MAY BE DUE TO FINANCIAL, CULTURAL, LIFESTYLE, OR PSYCHOLOGICAL BARRIERS. THE HOSPITAL ALSO CONTRACTS WITH THE COUNTY OF MONTEREY TO PROVIDE CONGREGATE MEALS TO ELIGIBLE ADULTS UNDER THE MONTEREY COUNTY ELDERLY NUTRITION PROGRAM. THE HOSPITAL HAS AN OPEN MEDICAL STAFF, AND THE BOARD IS PRIMARILY COMPRISED OF COMMUNITY MEMBERS. PART VI, LINE 6: N/A PART VI, LINE 7, REPORTS FILED WITH STATES CA X X 0 0 0 0 0 0 0 1 0 ROY SCHIENDELHEIM MD TRUSTEE / PHYSICIAN 308245 0 0 0 0 0 0 0 4775 0 313020 0 0 0 JOSEPH DEMONT CFO THROUGH 11/2018 113860 0 30000 0 8060 0 525 0 2911 0 155356 0 0 0 RENA SALAMACHA CHIEF OPERATING OFFICER 192749 0 0 0 7537 0 175 0 6393 0 206854 0 0 0 KEITH BRADKOWSKI CHIEF NURSING OFFICER THROUGH 1/2019 189674 0 0 0 0 0 224 0 3014 0 192912 0 0 0 DENISE MILLER RISK MANAGER / QUALITY ASSURANCE DIR 156375 0 0 0 2478 0 144 0 7852 0 166849 0 0 0 BRUCE GREENBERG MD PHYSICIAN 277415 0 0 0 0 0 0 0 1960 0 279375 0 0 0 MONEESHA PINTO MD PHYSICIAN 270880 0 0 0 0 0 0 0 3826 0 274706 0 0 0 SANDRA MONTIJO MD PHYSICIAN 260543 0 0 0 0 0 0 0 8617 0 269160 0 0 0 QINGBO SUI MD PHYSICIAN 249052 0 15000 0 0 0 0 0 943 0 264995 0 0 0 HILDA ALEJANDRE MD PHYSICIAN 244060 0 0 0 0 0 0 0 943 0 245003 0 0 0 SUSAN CHILDERS FORMER CEO THROUGH 8/2018 297362 0 15000 0 10385 0 390 0 6857 0 329994 0 0 0 PART I, LINE 7 THE ORGANIZATION'S BONUSES ARE BASED ON BOARD CRITERIA, REVIEW, AND APPROVAL OF THE FOLLOWING FACTORS, SOME OF WHICH INVOLVE THE USE OF DISCRETION OR JUDGMENT BY INDIVIDUALS: FINANCIAL PERFORMANCE; ENHANCED PROGRAM & SERVICES; PHYSICIAN RECRUITMENT & RETENTION; PERFORMANCE IMPROVEMENT/QUALITY STANDARDS; REGULATORY & ACCREDITATION COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT TAX ACCOUNTANT IN CONJUNCTION WITH THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. A DRAFT FORM 990 IS THEN REVIEWED BY THE ORGANIZATION'S CFO; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL MEMBERS OF BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MEE MEMORIAL HOSPITAL HAS A CORPORATE POLICY ON CONFLICTS OF INTEREST; THIS POLICY APPLIES TO ALL INTERESTED PERSONS, DEFINED AS: (A) TRUSTEES, AND (B) SENIOR MANAGEMENT, WHICH INCLUDES OFFICERS AND KEY EMPLOYEES. THE BOARD OF TRUSTEES, CEO, AND CFO CONTINUOUSLY MONITOR AND EVALUATE ANY AND ALL TRANSACTIONS OF INTERESTED PARTIES WITH THE HOSPITAL. IF A CURRENT OR PAST TRANSACTION POSE A POTENTIAL RISK OF BEING A CONFLICT OF INTEREST TO THE HOSPITAL, THESE ITEM(S) WILL BE BROUGHT TO THE ATTENTION OF THE CEO, BOARD CHAIRMAN, AND/OR FULL BOARD OF TRUSTEES. AFTER DISCLOSURE OF A POTENTIAL CONFLICT OF INTEREST TO THE BOARD, THE INTERESTED OFFICER OR BOARD MEMBER LEAVES THE BOARD MEETING WHILE THE CONFLICT OF INTEREST IS DISCUSSED AND/OR VOTED ON. THE REMAINING BOARD MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. PROVIDED, HOWEVER, IF THE INTERESTED PERSON IS AN ADMINISTRATIVE STAFF EMPLOYEE AND THE CONTEMPLATED TRANSACTION IS AT THE ADMINISTRATIVE LEVEL, THE DECISION SHALL BE MADE BY THE HOSPITAL CEO. ANY OFFICER OR BOARD MEMBER HAVING A POSSIBLE CONFLICT OF INTEREST IN ANY MATTER MUST DISCLOSE THE EXISTENCE AND NATURE OF THE CONFLICT. OFFICER OR BOARD MEMBERS ALWAYS ABSTAIN FROM VOTING ON ANY ISSUES OF A POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION FOR THE ORGANIZATION'S CEO IS SET BY THE BOARD OF DIRECTORS; THE CEO, WHO IS A MEMBER OF THE BOARD, DOES NOT PARTICIPATE IN THIS PROCESS. THE BOARD UTILIZES SALARY INFORMATION COMPILED BY THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AND TAKES INTO ACCOUNT OTHER FACTORS (SUCH AS PERFORMANCE) IN MAKING THEIR DETERMINATION. THIS PROCESS IS DOCUMENTED IN THE MINUTES OF THE BOARD MEETING. COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CEO, WHO TAKES INTO ACCOUNT COMPARABILITY DATA PROVIDED BY THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA AS WELL AS OTHER FACTORS, SUCH AS PERFORMANCE. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST; ADDITIONALLY, QUARTERLY FINANCIAL STATEMENTS AND AN ANNUAL REPORT ARE FILED WITH OSHPD AND ARE AVAILABLE ON THE OSHPD WEBSITE. FORM 990, PART VII, SECTION A R. MICHAEL HUTCHINSON, MD, SEAN MURRAY, MD, ROY SCHINDELHEIM, MD, AND AMISH SHAH, MD EACH DEVOTE 2 HOUR PER WEEK FOR THEIR SERVICES AS MEMBERS OF THE BOARD OF TRUSTEES IN ADDITION TO OTHER DUTIES THROUGH EMPLOYMENT AT THE HOSPITAL. EACH DOES NOT RECEIVE COMPENSATION OR BENEFITS AS A BOARD MEMBER, BUT RATHER AS SERVICES THROUGH EMPLOYMENT TO THE HOSPITAL. FORM 990, PART IX, LINE 11G PROFESSIONAL FEES - MEDICAL/PHYSICIAN: PROGRAM SERVICE EXPENSES 16,337,913. MANAGEMENT AND GENERAL EXPENSES 800,454. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 17,138,367. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,677,585. MANAGEMENT AND GENERAL EXPENSES 2,026,165. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,703,750.