MARIN GENERAL HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: MARIN GENERAL HOSPITAL (EIN 94-2823538)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-14
IRS object ID: 202503189349308080
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-14T12:39:07-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	390859910	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER TILLY ADVISORY GROUP LP	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	2024-01-01	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	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	MICHAEL LUMSDEN	PreparerPersonNm
PTIN	P01262236	PTIN
Phone	4159561500	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	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	$710,555,678	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	13	VotingMembersIndependentCnt
Total Employee	2226	TotalEmployeeCnt
Total Volunteers	145	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$11,143,790	PYContributionsGrantsAmt
CY Contributions Grants	$9,518,280	CYContributionsGrantsAmt
PY Program Service Revenue	$575,388,680	PYProgramServiceRevenueAmt
CY Program Service Revenue	$645,231,210	CYProgramServiceRevenueAmt
PY Investment Income	$4,978,418	PYInvestmentIncomeAmt
CY Investment Income	$5,982,886	CYInvestmentIncomeAmt
PY Other Revenue	-$1,540,732	PYOtherRevenueAmt
CY Other Revenue	$1,149,010	CYOtherRevenueAmt
PY Total Revenue	$589,970,156	PYTotalRevenueAmt
CY Total Revenue	$661,881,386	CYTotalRevenueAmt
PY Grants And Similar Paid	$27,560,182	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$36,290,725	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$281,822,375	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$314,169,265	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$270,721,850	PYOtherExpensesAmt
CY Other Expenses	$287,478,663	CYOtherExpensesAmt
PY Total Expenses	$580,104,407	PYTotalExpensesAmt
CY Total Expenses	$637,938,653	CYTotalExpensesAmt
PY Revenues Less Expenses	$9,865,749	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$23,942,733	CYRevenuesLessExpensesAmt
Total Assets BOY	$660,842,624	TotalAssetsBOYAmt
Total Assets EOY	$709,075,325	TotalAssetsEOYAmt
Total Liabilities BOY	$469,721,050	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$456,647,034	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$191,121,574	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$252,428,291	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO BE THE DESTINATION FOR HEALTH AND HEALING IN THE NORTH BAY.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$574,579,635	ExpenseAmt
Grant	$36,290,725	GrantAmt
Revenue	$645,231,210	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	$574,579,635	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	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	251	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2226	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	13	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	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ANDREA SCHULTZ
CHAIR	2.00	0.50	Yes (X)	Yes (X)	$0	$0	$0
JOSEPH C EUPHRAT
VICE CHAIR	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARTIN ARRICK MBA PMH
TREASURER	2.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
JOE ABRAMS
SECRETARY	2.00	2.00	Yes (X)	Yes (X)	$0	$0	$0
JOSHUA ADLER MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
LISA CARMEL
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
SHELBY DECOSTA MHA
BOARD MEMBER (THRU 7/2024)	2.00	0.00	Yes (X)		$0	$0	$0
KC GEORGE MBA
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
MICHAEL K KWOK MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
MARK LEVSKY MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
DENISE LUCY EDD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
HADLEY MULLIN MBA
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
ADAM NEVITT MD
BOARD MEMBER	2.00	0.00	Yes (X)		$0	$0	$0
DANIEL VASQUEZ CBE MBA MPP
BOARD MEMBER	2.00	1.00	Yes (X)		$0	$0	$0
DAVID KLEIN MD
CEO & BOARD MEMBER	46.00	4.00	Yes (X)	Yes (X)	$2,084,686	$0	$40,382
ERIC BRETTNER
CHIEF FINANCIAL OFFICER	46.00	4.00		Yes (X)	$789,007	$0	$51,663
ANDREW APOLINARSKI MSN RN CNL
CHIEF NURSING OFFICER	50.00	0.00			$589,674	$0	$154,435	Yes (X)
COLIN LEARY JD
GENERAL COUNSEL	50.00	0.00			$642,493	$0	$50,857	Yes (X)
JENNIFER SCHAAB MBA MPH
MHMN PRESIDENT	0.00	50.00			$632,835	$0	$18,684	Yes (X)
ANITA CHANDRASENA MD
CHIEF MEDICAL OFFICER	50.00	0.00			$616,882	$0	$27,412	Yes (X)
MARY FRIEDMAN
CHIEF STRATEGY OFFICER	48.00	2.00			$500,474	$0	$64,805	Yes (X)
ELIZABETH KOLCUN
CHIEF DEVELOPMENT OFFICER	4.00	46.00			$458,591	$0	$58,690	Yes (X)
EUGENE LEWIS
CHIEF HUMAN RESOURCES OFFICER	48.00	2.00			$475,248	$0	$36,786	Yes (X)
MICHAEL KIM MD
MHMN VP OF MED AFFAIRS (THRU 9/2024)	0.00	40.00			$931,738	$0	$0		Yes (X)
GREGORY LEE
IR/CATH/EP TECH LEAD	40.00	0.00			$626,381	$0	$74,362		Yes (X)
SANDY AUGUSTUS
CLINICAL RN III	40.00	0.00			$521,792	$0	$82,132		Yes (X)
CHUN LI
CHIEF CLIN PHYSICIST & DIR RAD ONC	40.00	0.00			$429,894	$0	$148,273		Yes (X)
ELIZABETH WADE
CLINICAL RN III	40.00	0.00			$462,262	$0	$41,581		Yes (X)
KARIN SHAVELSON MD FAAP
FORMER CHIEF MEDICAL OFFICER	0.00	0.00			$446,750	$0	$2,132			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$10,208,707	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$852,194	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1100	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
OPTUMINSIGHT INC
PO BOX 84019	CHICAGO	IL	60689	FINANCIAL SERVICES	$18,843,138
MEDEFIS INC
2121 N 117TH AVE SUITE 200	OMAHA	NE	68164	REGISTERED NURSE SERVICES	$10,453,517
UNIV OF CALIFORNIA SAN FRANCISCO
1550 BRYANT ST 100	SAN FRANCISCO	CA	94103	INFORMATION TECHNOLOGY SERVICES	$9,867,482
PRIMA MEDICAL FOUNDATION
9 COMMERCIAL BLVD SUITE 200	NOVATO	CA	94949	PHYSICIAN SERVICES	$7,734,757
ANESTHESIOLOGY CONSULTANTS OF MARIN INC
250 BON AIR RD	GREENBRAE	CA	94904	PHYSICIAN SERVICES	$4,081,133

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	180	CntrctRcvdGreaterThan100KCnt
Related Organizations	$9,518,280	RelatedOrganizationsAmt
Total Contributions	$9,518,280	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	624100	$579,352,514	$579,352,514
CAPITATION REVENUE	624100	$51,556,388	$51,556,388
OTHER OPERATING REVENUE	624100	$14,322,308	$14,322,308

Field	Value	IRS element (for citing)
Total Program Service Revenue	$645,231,210	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,977,244	TotalRevenueColumnAmt
Exclusion	$5,977,244	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,004,993	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,877,724	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$127,269	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$127,269	TotalRevenueColumnAmt
Exclusion	$127,269	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$45,802,210	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$45,796,568	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$5,642	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,642	TotalRevenueColumnAmt
Exclusion	$5,642	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	CAFETERIA	Desc
Business	722514	BusinessCd
Total Revenue Column	$1,021,741	TotalRevenueColumnAmt
Exclusion	$1,021,741	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$1,021,741	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$661,881,386	TotalRevenueColumnAmt
Related Or Exempt Func Income	$645,231,210	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$7,131,896	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	$36,183,642	TotalAmt
Program Services	$36,183,642	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$107,083	TotalAmt
Program Services	$107,083	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$7,742,483	TotalAmt
Program Services	$1,837,283	ProgramServicesAmt
Management And General	$5,905,200	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$238,809,096	TotalAmt
Program Services	$218,829,126	ProgramServicesAmt
Management And General	$19,979,970	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$12,116,586	TotalAmt
Program Services	$10,745,239	ProgramServicesAmt
Management And General	$1,371,347	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,818,454	TotalAmt
Program Services	$32,970,019	ProgramServicesAmt
Management And General	$4,848,435	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$17,682,646	TotalAmt
Program Services	$15,727,053	ProgramServicesAmt
Management And General	$1,955,593	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,821,524	TotalAmt
Program Services	$2,821,524	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$443,800	TotalAmt
Management And General	$443,800	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$91,679	TotalAmt
Management And General	$91,679	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$149,569,639	TotalAmt
Program Services	$127,116,526	ProgramServicesAmt
Management And General	$22,453,113	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,324,596	TotalAmt
Program Services	$1,324,596	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$418,296	TotalAmt
Program Services	$375,002	ProgramServicesAmt
Management And General	$43,294	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,237,756	TotalAmt
Program Services	$10,137,916	ProgramServicesAmt
Management And General	$1,099,840	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$16,190,614	TotalAmt
Program Services	$15,564,748	ProgramServicesAmt
Management And General	$625,866	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$203,355	TotalAmt
Program Services	$203,355	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$17,041,795	TotalAmt
Program Services	$17,041,795	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$25,344,351	TotalAmt
Program Services	$25,344,351	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,701,785	TotalAmt
Program Services	$2,431,607	ProgramServicesAmt
Management And General	$270,178	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$32,218,022	$32,218,022
REPAIRS & MAINTENANCE	$18,491,128	$16,630,959	$1,860,169
LICENSES & TAXES	$3,955,824	$3,955,824
RENTAL EQUIPMENT	$2,302,736	$2,302,736

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,121,763	TotalAmt
Program Services	$711,229	ProgramServicesAmt
Management And General	$2,410,534	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$637,938,653	TotalAmt
Program Services	$574,579,635	ProgramServicesAmt
Management And General	$63,359,018	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,589,781	BOYAmt
EOY	$18,363,855	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$950,226	BOYAmt
EOY	$1,022,414	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$834,219	BOYAmt
EOY	$97,318	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$97,300,166	BOYAmt
EOY	$99,907,694	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$4,701,900	BOYAmt
EOY	$4,909,414	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,210,991	BOYAmt
EOY	$8,081,800	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,449,047	BOYAmt
EOY	$9,642,693	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$538,584,523	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$330,973,381	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$205,773,711	BOYAmt
EOY	$207,611,142	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$110,015,725	BOYAmt
EOY	$97,578,128	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$38,169,948	BOYAmt
EOY	$41,974,718	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,590,578	BOYAmt
EOY	$7,311,385	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$157,515,325	BOYAmt
EOY	$211,833,757	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$660,842,624	BOYAmt
EOY	$709,075,325	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$87,856,289	BOYAmt
EOY	$76,249,641	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$337,143	BOYAmt
EOY	$6,560,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$93,975,335	BOYAmt
EOY	$90,957,179	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$205,438,015	BOYAmt
EOY	$204,159,557	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$82,114,268	BOYAmt
EOY	$78,720,657	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$469,721,050	BOYAmt
EOY	$456,647,034	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	$168,385,558	BOYAmt
EOY	$214,888,418	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$22,736,016	BOYAmt
EOY	$37,539,873	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$191,121,574	BOYAmt
EOY	$252,428,291	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$660,842,624	BOYAmt
EOY	$709,075,325	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$23,942,733	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,836,501	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	-$540,000	DonatedServicesAndUseFcltsAmt
Other Changes In Net Assets	$32,067,483	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	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$37,054	OtherActivitiesAmt
Total Lobbying Expenditures	$37,054	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, (II) THE DISTRICT HOSPITAL LEADERSHIP FORUM, AND (III) HOSPITAL COUNCIL NORTHERN DIVISION. 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	$46,677,940	OtherCostOrOtherBasisAmt
Depreciation	$29,659,841	DepreciationAmt
Book Value	$17,018,099	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,711,857	OtherCostOrOtherBasisAmt
Depreciation	$108,593,483	DepreciationAmt
Book Value	$114,118,374	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$209,135,061	OtherCostOrOtherBasisAmt
Depreciation	$178,496,268	DepreciationAmt
Book Value	$30,638,793	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$60,059,665	OtherCostOrOtherBasisAmt
Depreciation	$14,223,789	DepreciationAmt
Book Value	$45,835,876	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$207,611,142	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	LIMITED PARTNERSHIP INVESTMENT	Desc
Book Value	$41,974,718	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$41,974,718	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION	$47,895,644
DEPOSITS	$3,295,049
DUE FROM RELATED ORGANIZATIONS	$48,412,681
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS	$1,835,182
OPERATING LEASE RIGHT-OF-USE ASSETS	$35,742,801
OTHER RECEIVABLES	$49,619,733
PENSION BENEFIT ASSET	$22,519,711
WORKERS COMP RECOVERY	$2,512,956

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$211,833,757	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
OPERATING LEASE LIABILITIES	$40,967,257
POST-RETIREMENT HEALTH OBLIGATION	$7,414,371
PROFESSIONAL LIABILITY OBLIGATION	$4,289,000
UCSF CONTRACT LIABILITY	$20,000,000
WORKERS' COMPENSATION OBLIGATION	$6,050,029

Field	Value	IRS element (for citing)
Total Liability	$78,720,657	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	$333,341	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$333,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,194,124	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,907,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,286,552	NetCommunityBenefitExpnsAmt
Total Expense	0.10390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,527,465	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,907,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,619,893	NetCommunityBenefitExpnsAmt
Total Expense	0.10440	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$908,757	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,841	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$836,916	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,979,563	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,979,563	NetCommunityBenefitExpnsAmt
Total Expense	0.00470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$38,502,453	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$38,502,453	NetCommunityBenefitExpnsAmt
Total Expense	0.06040	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,390,773	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,841	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$42,318,932	NetCommunityBenefitExpnsAmt
Total Expense	0.06640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$155,918,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$46,979,413	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$108,938,825	NetCommunityBenefitExpnsAmt
Total Expense	0.17080	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,739	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,739	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,673,729	BadDebtExpenseAmt
Reimbursed By Medicare	$206,039,926	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$359,068,575	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$153,028,649	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARIN GENERAL HOSPITAL DBA MARINHEALTH MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 BON AIR ROAD	AddressLine1Txt
City	GREENBRAE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94904	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MYMARINHEALTH.ORG	WebsiteAddressTxt
State License	110000361	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	ACUTE PSYCHIATRIC HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARIN GENERAL HOSPITAL DBA MARINHEALTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	22	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MYMARINHEALTH.ORG/ABOUT-US/COMMUNITY-BENEFIT/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	400.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MYMARINHEALTH.ORG/PATIENTS-VISITORS/MEDICAL-CENTER-PATIENTS-VISITORS/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 5: INPUT FROM THE COMMUNITY SERVED BY MARIN COUNTY WAS COLLECTED THROUGH TWO MAIN MECHANISMS. FIRST, 12 SMALL GROUP INTERVIEWS WITH 32 COMMUNITY HEALTH EXPERTS WERE CONDUCTED FROM SEPTEMBER 22, 2021 TO MARCH 24, 2022. PARTICIPANTS INCLUDED COMMUNITY HEALTH EXPERTS AND AREA SERVICE PROVIDERS (E.G., MEMBERS OF SOCIAL SERVICE NONPROFIT ORGANIZATIONS AND RELATED HEALTH CARE ORGANIZATIONS). THESE INTERVIEWS OCCURRED IN ONE-ON-ONE AND IN GROUP SETTINGS. KEY INFORMANTS FOR THE GROUP INTERVIEWS INCLUDE REPRESENTATIVES FROM: WEST MARIN COMMUNITY SERVICES; MARGUERITA C. JOHNSON SENIOR CENTER; MARIN COUNTY HEALTH AND HUMAN SERVICES: MARIN CITY PEOPLE'S PLAN; MULTICULTURAL CENTER OF MARIN; MARINHEALTH MEDICAL CENTER STAFF; MARINHEALTH AND HUMAN SERVICES; INTEGRATED COMMUNITY SERVICES; REDWOOD COMMUNITY HEALTH COALITION; MARIN COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES PREVENTION OUTREACH TEAM; MARIN COUNTY SUICIDE PREVENTION COLLABORATIVE; MARIN COUNTY PROBATION DEPARTMENT; NOVATO COMMUNITY HOSPITAL AND KAISER PERMANENTE; MARIN COUNTY OFFICE OF EDUCATION; MARIN PROMISE PARTNERSHIP; COLLEGE OF MARIN; AND MARIN CITY HEALTH AND WELLNESS.SECOND, A FOCUS GROUP WAS CONDUCTED ON MARCH 28, 2022 WITH FOUR COMMUNITY RESIDENTS. THE FOCUS GROUP WAS CONDUCTED WITH SERVICE PROVIDERS WORKING IN THE GEOGRAPHIC AREA OF MARIN COUNTY IDENTIFIED AS LOCATIONS OR POPULATIONS EXPERIENCING A DISPARATE AMOUNT OF POOR SOCIOECONOMIC CONDITIONS AND POOR HEALTH OUTCOMES. RECRUITMENT CAME FROM REFERRALS FROM SERVICE PROVIDERS REPRESENTING VULNERABLE POPULATIONS, AS WELL AS DIRECT OUTREACH TO SPECIAL POPULATION GROUPS.ALL PARTICIPANTS WERE GIVEN AN INFORMED CONSENT FORM PRIOR TO THEIR PARTICIPATION, WHICH PROVIDED INFORMATION ABOUT THE PROJECT, ASKED FOR PERMISSION TO RECORD THE INTERVIEW, AND LISTED THE POTENTIAL BENEFITS AND RISKS FOR INVOLVEMENT. DATA WERE COLLECTED THROUGH NOTE TAKING AND, IN SOME INSTANCES, RECORDING. ADDITIONALLY, A WEB-BASED SURVEY WAS ADMINISTERED TO COMMUNITY SERVICE PROVIDERS WHO DELIVERED HEALTH AND SOCIAL SERVICES TO COMMUNITY RESIDENTS OF MARIN COUNTY. A LIST OF COMMUNITY SERVICE PROVIDERS AFFILIATED WITH THE NONPROFIT HOSPITALS INCLUDED IN THIS REPORT WAS USED AS AN INITIAL SAMPLING FRAME. AN EMAIL RECRUITMENT MESSAGE WAS SENT TO THESE COMMUNITY SERVICE PROVIDERS DETAILING THE SURVEY AIMS AND INVITING THEM TO PARTICIPATE. PARTICIPANTS WERE ALSO ENCOURAGED TO FORWARD THE RECRUITMENT MESSAGE TO OTHER COMMUNITY SERVICE PROVIDERS IN THEIR NETWORKS. THE SURVEY WAS DESIGNED USING QUALTRICS, AN ONLINE SURVEY PLATFORM, AND WAS AVAILABLE FOR APPROXIMATELY TWO WEEKS; 25 RESPONDENTS COMPLETED THE SURVEY. WHEN THE SURVEY PERIOD WAS OVER, INCOMPLETE, AND DUPLICATE RESPONSES WERE REMOVED FROM THE DATASET AND THE SURVEY RESPONSES WERE DOUBLE-CHECKED FOR ACCURACY. DESCRIPTIVE STATISTICS AND FREQUENCIES WERE USED TO SUMMARIZE THE HEALTH NEEDS. THIS INFORMATION WAS USED ALONG WITH OTHER DATA SOURCES TO IDENTIFY AND RANK SIGNIFICANT HEALTH NEEDS IN THE COMMUNITY, AND TO DESCRIBE HOW THE HEALTH NEEDS ARE EXPRESSED.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 6A: THE CHNA WAS CONDUCTED IN CONJUNCTION WITH SUTTER HEALTH NOVATO COMMUNITY HOSPITAL.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN COLLABORATION WITH HEALTHY MARIN PARTNERSHIP.
MARIN GENERAL HOSPITAL DBA MARINHEALTH	PART V, SECTION B, LINE 11: MARINHEALTH'S 2022 CHNA IDENTIFIED THE FOLLOWING SIGNIFICANT HEALTH NEEDS: ACCESS TO DENTAL CARE; ACCESS TO HEALTHCARE; ACCESS TO SPECIALTY SERVICES; BASIC NEEDS (HOUSING, FOOD, EMPLOYMENT, ETC.); CHRONIC CONDITIONS; COMMUNITY CONNECTIONS (SUPPORT NETWORKS AND RESOURCES); ENVIRONMENTAL CONDITIONS (POLLUTION AND ENVIRONMENT); FUNCTIONAL NEEDS (TRANSPORTATION, ACCESS FOR PERSONS WITH PHYSICAL DISABILITIES); HEALTHY EATING AND ACTIVE LIVING; INJURY PREVENTION; MENTAL HEALTH AND SUBSTANCE USE; SAFETY AND VIOLENCE PREVENTION; AND SYSTEM NAVIGATION (SOCIAL SERVICE AND HEALTH CARE SYSTEMS).IN 2024, MARINHEALTH MEDICAL CENTER ENGAGED IN ACTIVITIES AND PROGRAMS THAT ADDRESSED THE PRIORITY HEALTH NEEDS IDENTIFIED IN THE 2023-2025 IMPLEMENTATION STRATEGY. MARINHEALTH IS COMMITTED TO COMMUNITY BENEFIT EFFORTS THAT ADDRESS ACCESS TO CARE, HEALTHY EATING AND ACTIVE LIVING, HOUSING AND HOMELESSNESS, MENTAL HEALTH AND SUBSTANCE USE, AND COMMUNITY SAFETY AND INJURY PREVENTION. ACTIVITIES AND PROGRAMS THAT HIGHLIGHT THE HOSPITAL'S COMMITMENT TO THE COMMUNITY ARE DETAILED BELOW.IN RESPONSE TO THE COMMUNITY HEALTH NEED OF ACCESS TO CARE, MARINHEALTH: (I) PROVIDED FINANCIAL ASSISTANCE THROUGH FREE AND DISCOUNTED CARE FOR HEALTHCARE SERVICES, CONSISTENT WITH MARINHEALTH'S FINANCIAL ASSISTANCE POLICY; (II) PROVIDED TRANSPORTATION TO PATIENTS TO ACCESS HEALTHCARE SERVICES; (III) SUPPORTED INDIVIDUALS WITH COMPASSIONATE DISCHARGE SERVICES AND PRESCRIPTIONS; (IV) SUPPORTED PRIMARY AND SPECIALTY CARE SERVICES FOR THE UNINSURED AT MARINHEALTH MEDICAL NETWORK CLINICS; (V) PROVIDED BREAST EXAMS AND LOW-COST MAMMOGRAMS TO 108 LOW-INCOME AND UNDERSERVED WOMEN (SOME OF WHICH WERE SEEN IN PARTNERSHIP WITH MARIN COMMUNITY CLINICS) THROUGH THE BREAST HEALTH CENTER; (VI) SUPPORTED 365 NEW MOTHERS THROUGH THE MOM'S GROUP, WHICH IS A FREE SUPPORT GROUP OPEN TO ANY MOTHER IN THE COMMUNITY (REGARDLESS OF WHERE THEY DELIVERED THEY BABY) WHICH ALSO PROVIDES EDUCATION ON NEWBORN CARE, BREASTFEEDING, AND PARENTING, AND IS FACILITATED BY AN RN LACTATION CONSULTANT; (VII) PROVIDED FREE EDUCATION, COUNSELING, AND BREASTFEEDING SUPPORT TO 1,215 WOMEN IN THE COMMUNITY THROUGH THE BREASTFEEDING TELEPHONE SUPPORT LINE AT NO-CHARGE; (VIII) REACHED 391 PERSONS THROUGH INFANT AND CHILDBIRTH CARE CLASSES; (IX) ASSISTED 28 PERSONS THROUGH PATHWAYS, A SUPPORT GROUP FOR POSTPARTUM MOMS; (X) PROVIDED OUTPATIENT CARE COORDINATION, TRANSITIONS OF CARE, PALLIATIVE CARE, ADVANCED CARE PLANNING, AND SPIRITUAL CARE THROUGH THE SUPPORTIVE CARE CENTER, REMOVING BARRIERS FOR VULNERABLE PATIENTS AND THEIR CAREGIVERS; AND (XI) PROVIDED COMMUNITY EDUCATION, PODCASTS, AND OUTREACH ON SUCCESSFUL AGING, HEALTH AND WELLBEING, NUTRITION, MATERNITY CARE, SPINE AND BRAIN, CANCER CARE, AND CARDIOVASCULAR EDUCATION. ADDITIONALLY, THROUGH THE COMMUNITY BENEFIT GRANT PROGRAM, MARINHEALTH PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS THAT ADDRESSED ACCESS TO CARE: MARIN CENTER FOR INDEPENDENT LIVING, MARIN COMMUNITY CLINICS, RITTER CENTER, AND ROTACARE BAY AREA.IN RESPONSE TO THE COMMUNITY HEALTH NEED OF HEALTHY EATING AND ACTIVE LIVING, MARINHEALTH: (I) PROVIDED FREE DIABETES SUPPORT GROUPS, COMMUNITY EDUCATION, AND SCREENINGS TO 639 COMMUNITY MEMBERS THROUGH THE BRADEN DIABETES CENTER; (II) PROVIDED 976 COMMUNITY MEMBERS WITH EDUCATION, SUPPORT GROUPS, HEALTHY WEIGHT FOR WELLNESS, MINDFUL MEDITATION, AND QI GONG EVENTS (ALL FREE TO THE PUBLIC) AT THE INTEGRATIVE WELLNESS CENTER; (III) REACHED 436 INDIVIDUALS WITH NUTRITION EDUCATION, INCLUDING 161 COMMUNITY MEMBERS WITH EDUCATION ON HYPERTENSION; (IV) PROVIDED OUTREACH ON HYPERTENSION THROUGH RADIO MD PODCASTS, REACHING 12,223 COMMUNITY MEMBERS; (V) DISTRIBUTED THE FREE HEALTH CONNECTION E-NEWSLETTER AND EDUCATIONAL PODCASTS TO THE PUBLIC, WHICH PROVIDED EDUCATION ON HEALTHY EATING AND ACTIVE LIVING; (VI) PROVIDED FREE NUTRITION ADVICE TO THE PUBLIC VIA REGISTERED DIETITIAN NUTRITIONISTS; AND (VII) PROVIDED VASCULAR HEALTH SCREENINGS, COLON CANCER EDUCATION, ADVANCED DIRECTIVES INFORMATION, EDUCATION ON THE IMPORTANCE OF CALLING 911, BLOOD PRESSURE SCREENINGS, AND GLUCOSE SCREENINGS AT NO COST TO RESIDENTS AT COMMUNITY EVENTS. ADDITIONALLY, THROUGH THE COMMUNITY BENEFIT GRANT PROGRAM, MARINHEALTH PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS THAT ADDRESSED HEALTHY EATING AND ACTIVE LIVING: CERES COMMUNITY PROJECT, COMMUNITY ACTION MARIN, KIDS COOKING FOR LIFE, SAN GERONIMO VALLEY COMMUNITY CENTER, VIVALON, AND WEST MARIN SENIOR SERVICES,IN RESPONSE TO THE COMMUNITY HEALTH NEED OF HOUSING AND HOMELESSNESS MARINHEALTH: (I) PROVIDED CLOTHING AND MEALS FOR PEOPLE EXPERIENCING HOMELESSNESS UPON THEIR DISCHARGE; (II) PROVIDED TRANSPORTATION TO PATIENTS TO ACCESS HEALTHCARE SERVICES; (III) SUPPORTED INDIVIDUALS WITH COMPASSIONATE DISCHARGE SERVICES AND PRESCRIPTIONS; AND (IV) PROVIDED PRIMARY AND SPECIALTY CARE SERVICES FOR THE UNINSURED AT MARINHEALTH MEDICAL NETWORK CLINICS. ADDITIONALLY, THROUGH THE COMMUNITY BENEFIT GRANT PROGRAM, MARINHEALTH PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS THAT ADDRESSED HOUSING AND HOMELESSNESS: HOMEWARD BOUND, RITTER CENTER, AND ST. VINCENT DE PAUL SOCIETY.IN RESPONSE TO THE COMMUNITY HEALTH NEED OF MENTAL HEALTH AND SUBSTANCE USE, MARINHEALTH'S BEHAVIORAL HEALTH PROGRAM (MARIN COUNTY'S ONLY INPATIENT PSYCHIATRIC PROGRAM AND DESIGNATED 5150 FACILITY, WITH 17 ADULT INPATIENT BEDS) PROVIDED ACCREDITED HOSPITAL INPATIENT AND OUTPATIENT BEHAVIORAL HEALTHCARE SERVICES, INCLUDING PARTIAL HOSPITALIZATION AND CO-OCCURRING BEHAVIORAL HEALTH AND SUBSTANCE USE PROVIDED CARE COORDINATION AND LINKAGES TO SERVICES FOR PATIENTS WHO PRESENTED TO THE EMERGENCY DEPARTMENT WITH COMPLEX PSYCHOSOCIAL ISSUES RELATED TO HOMELESSNESS, POVERTY, DOMESTIC VIOLENCE, HUMAN TRAFFICKING, VIOLENT CRIMES, AND TRAUMA. MARINHEALTH ALSO PARTICIPATED IN MARIN HEALTHCARE DISTRICT'S TEEN WELLNESS EVENT AND AN EATING DISORDER SEMINAR, WHICH PROVIDED INFORMATION TO 132 TEENS AND THEIR FAMILIES FOR MENTAL HEALTH RESOURCES; AND PARTICIPATED IN THE CALBRIDGE NAVIGATOR PROGRAM, WHICH ADDRESSED SUBSTANCE USE DISORDER AS A TREATABLE MEDICAL EMERGENCY, UTILIZING TRAINED BEHAVIORAL HEALTH (BH) NAVIGATORS TO FACILITATE MEDICATION FOR ADDICTION TREATMENT (MAT) AND MADE REFERRALS TO ONGOING TREATMENT FOR SUBSTANCE USE AND MENTAL HEALTH SERVICES. ADDITIONALLY, THROUGH THE COMMUNITY BENEFIT GRANT PROGRAM, MARINHEALTH PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS THAT ADDRESSED MENTAL HEALTH AND SUBSTANCE USE: BUCKELEW PROGRAMS, CANAL ALLIANCE, COMMUNITY INSTITUTE FOR PSYCHOTHERAPY, HUCKLEBERRY TEEN HEALTH PROGRAM, JEWISH FAMILY AND CHILDREN'S SERVICES, MARIN CITY HEALTH AND WELLNESS CENTER, MARIN COMMUNITY CLINICS, NATIONAL ALLIANCE ON MENTAL ILLNESS, AND NORTH MARIN COMMUNITY SERVICESIN RESPONSE TO THE COMMUNITY HEALTH NEED OF COMMUNITY SAFETY AND INJURY PREVENTION, MARINHEALTH: (I) HOSTED CPR CLASSES, WHICH 183 COMMUNITY MEMBERS PARTICIPATED IN; (II) PROVIDED NARCAN EDUCATION; AND (III) HOSTED STOP THE BLEED, WHICH IS AN AMERICAN COLLEGE OF SURGEONS PROGRAM THAT ENCOURAGES BYSTANDERS TO BECOME TRAINED, EQUIPPED, AND EMPOWERED TO HELP IN A BLEEDING EMERGENCY BEFORE PROFESSIONAL HELP ARRIVES. ADDITIONALLY, THROUGH THE COMMUNITY BENEFIT GRANT PROGRAM, MARINHEALTH PROVIDED GRANTS TO THE FOLLOWING ORGANIZATIONS THAT ADDRESSED COMMUNITY SAFETY AND INJURY PREVENTION: HUCKLEBERRY TEEN HEALTH PROGRAM, VIVALON, AND WEST MARIN SENIOR SERVICES.MARINHEALTH CANNOT ADDRESS ALL OF THE HEALTH NEEDS PRESENT IN THE COMMUNITY, AND INSTEAD WILL CONCENTRATE ON THOSE NEEDS IT CAN MOST EFFECTIVELY ADDRESS GIVEN ITS AREAS OF FOCUS AND EXPERTISE.

Field	Value	IRS element (for citing)
Facility	86	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (86 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - MARIN CANCER CARE
1350 SOUTH ELISEO DRIVE SUITE 200	GREENBRAE	CA	94904	CANCER CARE HEALTH CENTER
2 - MARIN SPECIALTY SURGERY CENTER
1 THORNDALE DR SUITE 210	SAN RAFAEL	CA	94903	SPECIALTY SURGERY CENTER
3 - MARINHEALTH BONE DENSITY TESTING
100A DRAKES LANDING ROAD SUITE 140	GREENBRAE	CA	94904	BONE DENSITY TESTING CLINIC
4 - MARINHEALTH BRADEN DIABETES CENTER
1100 SOUTH ELISEO DRIVE SUITE 2	GREENBRAE	CA	94904	DIABETES CENTER
5 - MARINHEALTH BREAST HEALTH CENTER
100A DRAKES LANDING ROAD SUITE 140	GREENBRAE	CA	94904	BREAST HEALTH CENTER
6 - MARINHEALTH BREAST SURGERY BREASTFEEDING
1350 SOUTH ELISEO DRIVE SUITE 300	GREENBRAE	CA	94904	BREAST HEALTH CENTER
7 - MARINHEALTH CARDIOTHORACIC SURGERY
2 BON AIR ROAD SUITE 150	LARKSPUR	CA	94939	CARDIOTHORACIC SURGERY CENTER
8 - MARINHEALTH CARDIOVASCULAR MEDICINE
2 BON AIR ROAD SUITE 100	LARKSPUR	CA	94939	CARDIOVASCULAR MEDICINE CENTER
9 - MARINHEALTH CARDIOVASCULAR MEDICINE
75 ROWLAND WAY SUITE 250	NOVATO	CA	94945	CARDIOVASCULAR MEDICINE CENTER
10 - MARINHEALTH CARDIOVASCULAR MEDICINE
651 FIRST STREET WEST SUITE L	SONOMA	CA	95476	CARDIOVASCULAR MEDICINE CENTER
11 - MARINHEALTH CARDIOVASCULAR MEDICINE
3250 BEARD ROAD	NAPA	CA	94558	CARDIOVASCULAR MEDICINE CENTER
12 - MARINHEALTH CARDIOVASCULAR MEDICINE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	CARDIOVASCULAR MEDICINE CENTER
13 - MARINHEALTH CARDIOVASCULAR PERFORMANCE CEN
75 ROWLAND WAY SUITE 250	NOVATO	CA	94945	CARDIOVASCULAR PERFORMANCE CENTER
14 - MARINHEALTH CONTINUOUS CARE
4000 CIVIC CENTER DRIVE SUITE 206	SAN RAFAEL	CA	94903	CONTINUOUS CARE CENTER
15 - MARINHEALTH CRITICAL CARE & PULMONOLOGY
1100 LARKSPUR LANDING SUITE 10	LARKSPUR	CA	94939	CRITICAL CARE & PULMONOLOGY CENTER
16 - MARINHEALTH DERMATOLOGY
5000 CIVIC CENTER DRIVE	SAN RAFAEL	CA	94903	DERMATOLOGY HEALTH CENTER
17 - MARINHEALTH DERMATOLOGY
75 ROWLAND WAY SUITE 101	NOVATO	CA	94945	DERMATOLOGY HEALTH CENTER
18 - MARINHEALTH ENDOCRINE & DIABETES CARE
900 SOUTH ELISEO DRIVE SUITE 201	GREENBRAE	CA	94904	ENDOCRINE & DIABETES HEALTH CENTER
19 - MARINHEALTH ENDOCRINE & DIABETES CARE
75 ROWLAND WAY SUITE 230	NOVATO	CA	94945	ENDOCRINE & DIABETES HEALTH CENTER
20 - MARINHEALTH ENT HEAD & NECK SURGERY
1701 FOURTH STREET SUITE 120	SANTA ROSA	CA	95404	ENT, HEAD & NECK SURGERY CENTER
21 - MARINHEALTH GASTROENTEROLOGY
200 TAMAL PLAZA SUITE 200	CORTE MADERA	CA	94925	GASTROENTEROLOGY HEALTH CENTER
22 - MARINHEALTH GASTROENTEROLOGY
7120 REDWOOD BOULEVARD	NOVATO	CA	94945	GASTROENTEROLOGY HEALTH CENTER
23 - MARINHEALTH GENERAL & COLORECTAL SURGERY
5 BON AIR ROAD SUITE 101	LARKSPUR	CA	94939	GENERAL & COLORECTAL SURGERY CENTER
24 - MARINHEALTH GENERAL & COLORECTAL SURGERY
75 ROWLAND WAY SUITE 230	NOVATO	CA	94945	GENERAL & COLORECTAL SURGERY CENTER
25 - MARINHEALTH GENERAL & COLORECTAL SURGERY
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	GENERAL & COLORECTAL SURGERY CENTER
26 - MARINHEALTH HEARING & SPEECH
1350 SOUTH ELISEO DRIVE SUITE 130	LARKSPUR	CA	94904	HEARING & SPEECH CENTER
27 - MARINHEALTH INFECTIOUS DISEASE
1100 LARKSPUR LANDING CIRCLE SUITE	LARKSPUR	CA	94939	INFECTIOUS DISEASE CENTER	10
28 - MARINHEALTH INTEGRATIVE WELLNESS CENTER
1350 SOUTH ELISEO DRIVE SUITE 120	GREENBRAE	CA	94904	INTEGRATIVE WELLNESS CENTER
29 - MARINHEALTH INTERNAL MEDICINE
1341 SOUTH ELISEO DRIVE SUITE 200	GREENBRAE	CA	94904	INTERNAL MEDICINE CENTER
30 - MARINHEALTH INTERNAL MEDICINE
23 REED BOULEVARD SUITE 120	MILL VLLEY	CA	94941	INTERNAL MEDICINE CENTER
31 - MARINHEALTH NEPHROLOGY
1341 SOUTH ELISEO DRIVE SUITE 200	GREENBRAE	CA	94904	NEPHROLOGY HEALTH CENTER
32 - MARINHEALTH NEUROLOGY
75 ROWLAND WAY SUITE 230	NOVATO	CA	94945	NEUROLOGY HEALTH CENTER
33 - MARINHEALTH NEUROLOGY
3 HARBOR DRIVE SUITE 111	SAUSALITO	CA	94965	NEUROLOGY HEALTH CENTER
34 - MARINHEALTH OBGYN
100A DRAKES LANDING ROAD SUITE 225	GREENBRAE	CA	94904	OB/GYN HEALTH CENTER
35 - MARINHEALTH OBGYN
75 ROWLAND WAY SUITE 100	NOVATO	CA	94945	OB/GYN HEALTH CENTER
36 - MARINHEALTH OBGYN
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	OB/GYN HEALTH CENTER
37 - MARINHEALTH OBGYN
3 HARBOR DRIVE SUITE 111	PETALUMA	CA	94975	OB/GYN HEALTH CENTER
38 - MARINHEALTH COCCUPATIONAL THERAOPY
1350 SOUTH ELISEO DRIVE SUITE 130	GREENBRAE	CA	94904	HAND THERAPY CLINIC
39 - MARINHEALTH ORTHOPEDIC CARE
347 ANDRIEUX STREET	SONOMA	CA	95476	ORTHOPEDIC HEALTH CENTER
40 - MARINHEALTH ORTHOPEDIC CARE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	ORTHOPEDIC HEALTH CENTER
41 - MARINHEALTH ORTHOPEDIC CARE
4000 CIVIC CENTER DRIVE SUITE 209	SAN RAFAEL	CA	94903	ORTHOPEDIC HEALTH CENTER
42 - MARINHEALTH ORTHOPEDIC CARE
18 BON AIR ROAD	LARKSPUR	CA	94939	ORTHOPEDIC HEALTH CENTER
43 - MARINHEALTH ORTHOPEDIC CARE
7100 REDWOOD BOULEVARD SUITE 200	NOVATO	CA	94945	ORTHOPEDIC HEALTH CENTER
44 - MARINHEALTH OUTPATIENT IMAGING CENTER
1260 SOUTH ELISEO DRIVE SUITE 100	GREENBRAE	CA	94904	OUTPATIENT IMAGING CENTER
45 - MARINHEALTH OUTPATIENT IMAGING CENTER
1240 SOUTH ELISEO DRIVE SUITE 103	GREENBRAE	CA	94904	OUTPATIENT IMAGING CENTER
46 - MARINHEALTH OUTPATIENT IMAGING CENTER
4000 CIVIC CENTER DRIVE SUITE 209	SAN RAFAEL	CA	94903	OUTPATIENT IMAGING CENTER
47 - MARINHEALTH OUTPATIENT IMAGING CENTER
75 ROWLAND WAY SUITE 131	NOVATO	CA	94945	OUTPATIENT IMAGING CENTER
48 - MARINHEALTH OUTPATIENT IMAGING CENTER
2 BON AIR ROAD SUITE 120A	LARKSPUR	CA	94939	OUTPATIENT IMAGING CENTER
49 - MARINHEALTH OUTPATIENT IMAGING CENTER
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	OUTPATIENT IMAGING CENTER
50 - MARINHEALTH OUTPATIENT PHYSICAL THERAPY
1350 SOUTH ELISEO DRIVE SUITE 250	GREENBRAE	CA	94904	OUTPATIENT PHYSICAL THERAPY
51 - MARINHEALTH PEDIATRIC AFTER-HOURS CARE
4000 CIVIC CENTER DRIVE SUITE 206	SAN RAFAEL	CA	94903	PEDIATRIC AFTER-HOURS CLINIC
52 - MARINHEALTH PEDIATRIC CARE
4000 CIVIC CNETER DRIVE SUITE 205	SAN RAFAEL	CA	94903	PEDIATRIC CARE CENTER
53 - MARINHEALTH PEDIATRIC CARE
651 FIRST STREET WEST SUITE H	SONOMA	CA	95476	PEDIATRIC CARE CENTER
54 - MARINHEALTH PEDIATRIC CARE
75 ROWLAND WAY SUITE 275	NOVATO	CA	94945	PEDIATRIC CARE CENTER
55 - MARINHEALTH PEDIATRIC CARE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	PEDIATRIC CARE CENTER
56 - MARINHEALTH PETCT IMAGING
4000 CIVIC CENTER DRIVE SUITE 110	SAN RAFAEL	CA	94903	PET/CT IMAGING
57 - MARINHEALTH PHYSICAL THERAPY
7100 REDWOOD BOULEVARD SUITE 100	NOVATO	CA	94945	PHYSICAL THERAPY CLINIC
58 - MARINHEALTH PHYSICAL THERAPY
5 BON AIR ROAD SUITE 129	LARKSPUR	CA	94939	PHYSICAL THERAPY CLINIC
59 - MARINHEALTH PODIATRIC SPORTS MEDICINE
4000 CIVIC CENTER DRIVE SUITE 209	SAN RAFAEL	CA	94903	PODIATRIC SPORTS MEDICINE CENTER
60 - MARINHEALTH PRIMARY CARE
651 FIRST STREET WEST SUITE H	SONOMA	CA	95476	PRIMARY CARE CENTER
61 - MARINHEALTH PRIMARY CARE
4000 CIVIC CENTER DRIVE SUITE 200B	SAN RAFAEL	CA	94903	PRIMARY CARE CENTER
62 - MARINHEALTH PRIMARY CARE
3 HARBOR DRIVE SUITE 111	SAUSALITO	CA	94965	PRIMARY CARE CENTER
63 - MARINHEALTH PRIMARY CARE
75 ROWLAND WAY SUITE 200	NOVATO	CA	94945	PRIMARY CARE CENTER
64 - MARINHEALTH PRIMARY CARE
1100 LARKSPUR LANDING CIRCLE SUITE	LARKSPUR	CA	94939	PRIMARY CARE CENTER	10
65 - MARINHEALTH PRIMARY CARE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	PRIMARY CARE CENTER
66 - MARINHEALTH PSYCHIATRY
75 ROWLAND WAY SUITE 220	NOVATO	CA	94945	PSYCHIATRY CARE CENTER
67 - MARINHEALTH RHEUMATOLOGY
4000 CIVIC CENTER DRIVE SUITE 200A	SAN RAFAEL	CA	94903	RHEUMATOLOGY CARE CENTER
68 - MARINHEALTH SPINE INSTITUTE
2 BON AIR ROAD SUITE 120	LARKSPUR	CA	94939	SPINE CARE CENTER
69 - MARINHEALTH SPINE INSTITUTE
3 HARBOR DRIVE SUITE 111	SAUSALITO	CA	94965	SPINE CARE CENTER
70 - MARINHEALTH SPINE INSTITUTE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	SPINE CARE CENTER
71 - MARINHEALTH SPINE INSTITUTE
7100 REDWOOD BOULEVARD SUITE 200	NOVATO	CA	94954	SPINE CARE CENTER
72 - MARINHEALTH SUPPORTIVE CARE CENTER
1350 SOTUH ELISEO DRIVE SUITE 140	GREENBRAE	CA	94904	SUPPORTIVE CARE CENTER
73 - MARINHEALTH URGENT CARE
4000 CIVIC CENTER DRIVE SUITE 206	SAN RAFAEL	CA	94903	URGENT CARE CENTER
74 - MARINHEALTH URGENT CARE
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	URGENT CARE CENTER
75 - MARINHEALTH UROGYNECOLOGY
75 ROWLAND WAY SUITE 100	NOVATO	CA	94945	UROGYNECOLOGY CARE CENTER
76 - MARINHEALTH UROGYNECOLOGY
100A DRAKES LANDING ROAD SUITE 225	GREENBRAE	CA	94904	UROGYNECOLOGY CARE CENTER
77 - MARINHEALTH UROGYNECOLOGY
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	UROGYNECOLOGY CARE CENTER
78 - MARINHEALTH UROLOGY
75 ROWLAND WAY SUITE 100	NOVATO	CA	94945	UROLOGY CARE CENTER
79 - MARINHEALTH UROLOGY
3250 BEARD ROAD	NAPA	CA	94558	UROLOGY CARE CENTER
80 - MARINHEALTH UROLOGY
1240 SOUTH ELISEO DRIVE SUITE 200	GREENBRAE	CA	94904	UROLOGY CARE CENTER
81 - MARINHEALTH UROLOGY
335 SOUTH MCDOWELL BOULEVARD	PETALUMA	CA	94954	UROLOGY CARE CENTER
82 - MARINHEALTH VASCULAR SURGERY
75 ROWLAND WAY SUITE 131	NOVATO	CA	94945	VASCULAR SURGERY CENTER
83 - MARINHEALTH VASCULAR SURGERY
1701 FOURTH STREET SUITE 120	SANTA ROSA	CA	95404	VASCULAR SURGERY CENTER
84 - MARINHEALTH VASCULAR SURGERY
1100 SOUTH ELISEO DRIVE SUITE 2A	GREENBRAE	CA	94904	VASCULAR SURGERY CENTER
85 - MARINHEALTH VASCULAR SURGERY
651 FIRST STREET WEST SUITE K	SONOMA	CA	95476	VASCULAR SURGERY CENTER
86 - UCSF NEUROSURGERY
1100 SOUTH ELISEO DRIVE SUITE 1	GREENBRAE	CA	94904	NEUROSURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 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 7C. COST ACCOUNTING WAS USED TO DETERMINE THE AMOUNTS ON LINES 7A, 7E, 7F, AND 7I.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT - THE HOSPITAL PARTICIPATED IN CHAMBER OF COMMERCE ACTIVITIES THAT FOCUSED ON COMMUNITY HEALTH IMPROVEMENT AND SAFETY.
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 13 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; (III) COMMUNITY COMMENTS ON THE TRIENNIAL CHNA AND IMPLEMENTATION STRATEGY ARE COLLECTED ON THE HOSPITAL WEBSITE AND ARE MONITORED BY THE COMMUNITY RELATIONS DEPARTMENT; AND (IV) THE HOSPITAL ENGAGES A COMMUNITY BENEFIT ADVISORY COMMITTEE, WHICH INCLUDES MEMBERS REPRESENTING COMMUNITY-BASED ORGANIZATIONS AND IS SUPPORTED BY FACILITY STAFF. THIS COMMITTEE MEETS REGULARLY TO REVIEW AND VALIDATE LEGAL AND REGULATORY COMPLIANCE SPECIFIC TO COMMUNITY BENEFIT MANDATES, ASSURES COMMUNITY BENEFIT PROGRAMS AND SERVICES ARE EFFECTIVELY MEETING IDENTIFIED HEALTH NEEDS (WITH AN EMPHASIS ON POPULATIONS WITH UNMET NEEDS), AND INCREASES TRANSPARENCY AND AWARENESS OF COMMUNITY BENEFIT ACTIVITIES.
PART VI, LINE 3:	A) CHARITY CARE INFORMATION PROVIDED AT PATIENT INTAKE: EXCEPT IN THE CASE OF EMERGENCY SERVICES, MARINHEALTH MEDICAL CENTER SHALL PROVIDE PATIENTS WITH INFORMATION REGARDING CHARITY CARE AND DISCOUNT PAYMENTS DURING THE PATIENT INTAKE PROCESS. MARINHEALTH MEDICAL CENTER SHALL ALSO PROVIDE PATIENTS WITH CONTACT INFORMATION FOR A MARINHEALTH MEDICAL CENTER EMPLOYEE OR OFFICE FROM WHICH THE PATIENT MAY OBTAIN FURTHER INFORMATION ABOUT CHARITY CARE AND DISCOUNT PAYMENTS. THE INFORMATION PROVIDED SHALL BE IN THE PRIMARY LANGUAGE(S) OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. A LANGUAGE IS A PRIMARY LANGUAGE OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA IF 5% OR MORE OF MARINHEALTH MEDICAL CENTER'S LOCAL POPULATION SPEAKS THE LANGUAGE. B) CHARITY CARE INFORMATION PROVIDED AT ALL OTHER TIMES: MARINHEALTH MEDICAL CENTER SHALL PROVIDE PATIENTS WITH INFORMATION REGARDING CHARITY CARE AND DISCOUNT PAYMENTS DURING THE INTAKE PROCESS, OR AT ANY OTHER TIME UPON PATIENT REQUEST. MARINHEALTH MEDICAL CENTER SHALL PROVIDE UNINSURED PATIENTS WITH THE MARINHEALTH MEDICAL CENTER CHARITY CARE APPLICATION FORM, THE "STATEMENT OF FINANCIAL CONDITION," IMMEDIATELY UPON PATIENT REQUEST. THE INFORMATION PROVIDED SHALL BE IN THE PRIMARY LANGUAGE(S) OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA AND IN A MANNER CONSISTENT WITH ALL APPLICABLE FEDERAL AND STATE LAWS AND REGULATIONS. A LANGUAGE IS A PRIMARY LANGUAGE OF MARINHEALTH MEDICAL CENTER'S SERVICE AREA IF 5% OR MORE OF MARINHEALTH MEDICAL CENTER'S LOCAL POPULATION SPEAKS THE LANGUAGE. C) PUBLIC NOTICE AND POSTING: PUBLIC NOTICE OF THE AVAILABILITY OF ASSISTANCE THROUGH THIS POLICY SHOULD BE MADE BY POSTING NOTICES IN A VISIBLE MANNER IN LOCATIONS WHERE THERE IS A HIGH VOLUME OF INPATIENT OR OUTPATIENT ADMITTING/REGISTRATION. NOTICES MUST BE POSTED IN AT LEAST THE EMERGENCY DEPARTMENTS, BILLING OFFICES, ADMITTING OFFICES, AND MEDICAL CENTER OUTPATIENT SERVICE SETTINGS. POSTED NOTICES SHALL BE IN LANGUAGES REFLECTING THAT SPOKEN IN THE SERVICE AREA IS 5% OR MORE OF THE POPULATIONS SPEAK THIS LANGUAGE. POSTED NOTICES SHALL CONTAIN THE FOLLOWING INFORMATION: 1) A STATEMENT INDICATING THAT MARINHEALTH MEDICAL CENTER HAS A FINANCIAL ASSISTANCE POLICY FOR LOW-INCOME UNINSURED PATIENTS WHO MAY NOT BE ABLE TO PAY THEIR BILL AND THAT THIS POLICY PROVIDES FOR FULL OR PARTIAL CHARITY CARE WRITE-OFF.2) IDENTIFICATION OF A MEDICAL CENTER CONTACT PHONE NUMBER THAT THE PATIENT CAN CALL TO OBTAIN MORE INFORMATION ABOUT THE POLICY AND ABOUT HOW TO APPLY FOR ASSISTANCE.D) INCLUDE POLICY INFORMATION ON BILLS AND STATEMENTS SENT TO PATIENTS INDICATING:1) IF THE PATIENT MEETS CERTAIN INCOME REQUIREMENTS THE PATIENT MAY BE ELIGIBLE FOR A GOVERNMENT-SPONSORED PROGRAM OR QUALIFY FOR CHARITY CARE OR DISCOUNT PAYMENT FROM MARINHEALTH MEDICAL CENTER. THE INCOME REQUIREMENTS SHALL BE STATED ON THE NOTICE.2) NOTIFICATION TO THE PATIENT THAT EMERGENCY PHYSICIANS ARE REQUIRED TO HAVE A DISCOUNT POLICY TO UNINSURED AND HIGH MEDICAL COST PATIENTS WHICH MAY HAVE DIFFERENT ELIGIBILITY CRITERIA THAN THAT OF THE MEDICAL CENTER BUT AT LEAST AT 350% OF THE FPL. 3) A MEDICAL CENTER PHONE NUMBER THAT PATIENTS MAY CALL FOR FURTHER INFORMATION. 4) POSTING NOTICE OF THE AVAILABILITY OF ASSISTANCE AND A CONTACT PHONE NUMBER ON MARINHEALTH MEDICAL CENTER'S WEB SITE. 5) PROVIDING UNINSURED PATIENTS A DOCUMENT OUTLINING THE TYPES OF FINANCIAL ASSISTANCE AVAILABLE.
PART VI, LINE 4:	MARINHEALTH MEDICAL CENTER IS LOCATED AT 250 BON AIR ROAD, GREENBRAE, CA 94904. THE SERVICE AREA COMPRISES ALL OF MARIN COUNTY, WHICH CONSISTS OF 30 ZIP CODES AND INCLUDES THE CITIES OF BELVEDERE, CORTE MADERA, FAIRFAX, LARKSPUR, MILL VALLEY, NOVATO, ROSS, SAN ANSELMO, SAN RAFAEL, SAUSALITO, TIBURON, AND THE COASTAL TOWNS OF STINSON BEACH, BOLINAS, POINT REYES, INVERNESS, MARSHALL, AND TOMALES.MARIN COUNTY COVERS 520 SQUARE MILES, MUCH OF WHICH IS PRESERVED AS PARKS, TIDELANDS, AND AGRICULTURAL AREAS. AMONG THEM ARE THE POINT REYES NATIONAL SEASHORE, MOUNT TAMALPAIS STATE PARK AND GAME REFUGE AND SAMUEL P. TAYLOR STATE PARK. A LARGE PORTION OF THE POPULATION LIVES ALONG THE HIGHWAY 101 CORRIDOR, DIVIDING THE COUNTY INTO A MORE URBAN ENVIRONMENT IN THE EASTERN PART OF THE COUNTY, AND MORE RURAL ENVIRONMENT ALONG THE COAST AND THE WESTERN SIDE OF THE COUNTY. THE COUNTY IS HOME TO SAN QUENTIN STATE PRISON, A MAXIMUM-SECURITY PRISON, LOCATED IN THE EASTERN PORTION OF THE COUNTY. MARIN COUNTY HAS THE 6TH LARGEST INCOME PER CAPITA OF ALL COUNTIES IN THE U.S., YET AREAS OF THE COUNTY HAVE LARGE PROPORTIONS OF ECONOMICALLY VULNERABLE POPULATIONS, WHICH INCLUDE NOVATO, MARIN CITY, THE COMMUNITIES OF WEST MARIN, AND PORTIONS OF SAN RAFAEL, TO NAME A FEW.THE TOTAL POPULATION OF MARIN COUNTY IN 2019 WAS 259,943. THE MEDIAN AGE IN MARIN COUNTY IS 46.8, WHICH IS HIGHER THAN THE AVERAGE OF 36.5 FOR ALL OF CALIFORNIA. ADDITIONALLY, THE MEDIAN INCOME IN MARIN COUNTY IS $115,246, WHICH IS ALSO HIGHER THAN AVERAGE OF $75,235 FOR ALL OF CALIFORNIA. THE PERCENTAGE OF RESIDENTS EXPERIENCING POVERTY IN MARIN COUNTY IS 7.2%, WHICH IS LOWER WHEN COMPARED TO THE 13.4% OF RESIDENTS THROUGHOUT CALIFORNIA EXPERIENCING POVERTY. MARIN COUNTY ALSO HAS A LOWER PERCENTAGE OF RESIDENTS WITHOUT A HIGH SCHOOL DIPLOMA (6.7%) WHEN COMPARED TO ALL OF CALIFORNIA (16.7%), AS WELL AS A LOWER PERCENTAGE OF RESIDENTS WITH DISABILITIES (9.1%) WHEN COMPARED TO ALL OF CALIFORNIA (10.6%).THE RACIAL AND ETHNIC PROFILE OF MARIN COUNTY IS AS FOLLOWS: 71.2% WHITE, 16% HISPANIC OR LATINX, 5.8% ASIAN, 3.8% TWO OR MORE RACES, 2.1% BLACK OR AFRICAN AMERICAN, .9% OTHER RACES, .2% AMERICAN INDIAN AND ALASKA NATIVE, AND .1% NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER.
PART VI, LINE 5:	MARINHEALTH MEDICAL CENTER IS THE ONLY FULL-SERVICE ACUTE CARE HOSPITAL IN THE COUNTY AND THE ONLY HOSPITAL WITH AN OBSTETRICAL SERVICE OR IN PATIENT BEHAVIORAL HEALTH SERVICE. IT SERVES AS THE TRAUMA CENTER FOR MARIN COUNTY AND SURROUNDING AREAS. THE BOARD OF DIRECTORS IS COMPOSED OF UNCOMPENSATED COMMUNITY RESIDENTS. ALL FUNDS ARE USED TO IMPROVE HEALTH CARE SERVICES, MAINTAIN UP-TO-DATE FACILITIES, AND SUPPORT TRAINING PROGRAMS FOR HEALTH PROFESSIONALS IN AREAS SUCH AS NURSING, PHARMACY, RADIOLOGY, RESPIRATORY THERAPY, REHABILITATION SERVICES AND BEHAVIORAL HEALTH. THE MEDICAL STAFF IS OPEN TO ALL QUALIFIED PHYSICIANS.
PART VI, LINE 6:	MARIN HEALTHCARE DISTRICT IS THE GENERAL MEMBER OF MARINHEALTH MEDICAL CENTER; MARIN HEALTHCARE DISTRICT IS RESPONSIBLE FOR PROMOTING THE HEALTH AND WELFARE OF THE RESIDENTS OF MARIN COUNTY, INCLUDING MAINTAINING COUNTY-WIDE ACCESS TO CARE THROUGH THE MARIN HEALTHCARE DISTRICT HEALTH CENTERS. IN ADDITION, MARINHEALTH MEDICAL CENTER OPERATES IN CONJUNCTION WITH MARINHEALTH MEDICAL NETWORK, WHICH IS A MEDICAL FOUNDATION OFFERING A WIDE RANGE OF PHYSICIANS AND PROVIDERS.
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
SAN RAFAEL CHAMBER OF COMMERCE
817 MISSION AVE	SAN RAFAEL	CA	94901	940839470	501(C)(6)	$6,500	$0	TO SUPPORT ECONOMIC VITALITY OF SAN RAFAEL
LARKSPUR CHAMBER OF COMMMERCE
120 WARD ST BOX 819	LARSKPUR	CA	94939	943160224	501(C)(6)	$5,250	$0	TO SUPPORT ECONOMIC VITALITY OF LARSKPUR
PETALUMA AREA CHAMBER OF COMMERCE
6 PETALUMA BLVD NORTH SUITE B-11	PETALUMA	CA	94952	940764460	501(C)(6)	$5,025	$0	TO SUPPORT ECONOMIC VITALITY OF PETALUMA
PECOS LEAGUE OF PROFESSIONAL BASEBALL CLUB
PO BOX 271489	HOUSTON	TX	77277	273494029		$20,000	$0	SPONSORSHIP
PRIMA MEDICAL FOUNDATION
9 COMMERCIAL BLVD	NOVATO	CA	94949	271376321	501(C)(3)	$36,121,367	$0	TO SUPPORT PROVISION OF HEALTH CARE SERVICES

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	PATIENT ASSISTANCE	GrantTypeTxt
Recipient	75	RecipientCnt
Cash Grant	$107,083	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	FOR GRANTS TO INDIVIDUALS, THE ORGANIZATION PRE-SCREENS THE INDIVIDUALS FOR ELIGIBILITY. GRANTS ARE PAID DIRECTLY TO THE PROVIDER OF SERVICES TO PATIENTS. THE HOSPITAL DOES NOT REQUIRE ACCOUNTING OF THE USE OF GRANT FUNDS PROVIDED, HOWEVER, THE ORGANIZATION HISTORICALLY HAS A CLOSE WORKING RELATIONSHIP WITH GRANTEES LISTED ON SCHEDULE I, PART II. IN THE CASES OF GENERAL PURPOSE GRANTS, THE GRANTEE'S CHARITABLE PURPOSE IS REVIEWED PRIOR TO THE ISSUANCE OF THE GRANT.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DAVID KLEIN MD
CEO & BOARD MEMBER	$1,253,028	$0	$510,300	$0	$321,358	$0	$19,382	$0	$21,000	$0	$2,125,068	$0	$0	$0
MICHAEL KIM MD
MHMN VP OF MED AFFAIRS (THRU 9/2024)	$348,924	$0	$101,115	$0	$481,699	$0	$0	$0	$0	$0	$931,738	$0	$0	$0
ERIC BRETTNER
CHIEF FINANCIAL OFFICER	$618,927	$0	$167,800	$0	$2,280	$0	$20,075	$0	$31,588	$0	$840,670	$0	$0	$0
ANDREW APOLINARSKI MSN RN CNL
CHIEF NURSING OFFICER	$453,681	$0	$133,368	$0	$2,625	$0	$131,418	$0	$23,017	$0	$744,109	$0	$0	$0
GREGORY LEE
IR/CATH/EP TECH LEAD	$626,381	$0	$0	$0	$0	$0	$63,016	$0	$11,346	$0	$700,743	$0	$0	$0
COLIN LEARY JD
GENERAL COUNSEL	$498,926	$0	$142,757	$0	$810	$0	$19,269	$0	$31,588	$0	$693,350	$0	$0	$0
JENNIFER SCHAAB MBA MPH
MHMN PRESIDENT	$495,000	$0	$137,025	$0	$810	$0	$18,684	$0	$0	$0	$651,519	$0	$0	$0
ANITA CHANDRASENA MD
CHIEF MEDICAL OFFICER	$584,174	$0	$32,000	$0	$708	$0	$17,250	$0	$10,162	$0	$644,294	$0	$0	$0
SANDY AUGUSTUS
CLINICAL RN III	$521,792	$0	$0	$0	$0	$0	$56,110	$0	$26,022	$0	$603,924	$0	$0	$0
CHUN LI
CHIEF CLIN PHYSICIST & DIR RAD ONC	$356,542	$0	$70,096	$0	$3,256	$0	$136,786	$0	$11,487	$0	$578,167	$0	$0	$0
MARY FRIEDMAN
CHIEF STRATEGY OFFICER	$391,628	$0	$108,461	$0	$385	$0	$33,217	$0	$31,588	$0	$565,279	$0	$0	$0
ELIZABETH KOLCUN
CHIEF DEVELOPMENT OFFICER	$354,527	$0	$103,036	$0	$1,028	$0	$26,525	$0	$32,165	$0	$517,281	$0	$0	$0
EUGENE LEWIS
CHIEF HUMAN RESOURCES OFFICER	$376,000	$0	$98,998	$0	$250	$0	$25,299	$0	$11,487	$0	$512,034	$0	$0	$0
ELIZABETH WADE
CLINICAL RN III	$462,262	$0	$0	$0	$0	$0	$14,986	$0	$26,595	$0	$503,843	$0	$0	$0
KARIN SHAVELSON MD FAAP
FORMER CHIEF MEDICAL OFFICER	$0	$0	$0	$0	$446,750	$0	$2,132	$0	$0	$0	$448,882	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 4A	FormAndLineReferenceDesc
Explanation	DURING 2024, TWO INDIVIDUALS REPORTED ON FORM 990, PART VII AND/OR SCHEDULE J, PART II RECEIVED TAXABLE SEVERANCE PAYMENTS AS A PART OF THEIR SEPARATION AGREEMENTS FROM THE ORGANIZATION; DUE TO CONFIDENTIALITY CLAUSES WITHIN THOSE SEPARATION AGREEMENTS, THE NAMES OF THE INDIVIDUAL AND THE AMOUNT OF SEVERANCE EACH INDIVIDUAL RECEIVED IS NOT BEING DISCLOSED. ADDITIONAL INFORMATION IS AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
CUSIP	13080SUG7	CUSIPNum
Bond Issued	2018-05-23	BondIssuedDt
Issue Price	$100,032,761	IssuePriceAmt
Purpose	CONSTRUCT NEW HOSPITAL FACILITY/AMBULATORY SERVICES BLDG/PARKING STRUCTURE	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,400,000	RetiredAmt
Total Proceeds	$100,032,761	TotalProceedsAmt
Issuance Costs From Proceeds	$1,132,761	IssuanceCostsFromProceedsAmt
Working Capital Expenditures	$1,100,000	WorkingCapitalExpendituresAmt
Capital Expenditures	$97,800,000	CapitalExpendituresAmt
Substantial Completion	2020	SubstantialCompletionYr
Refunding Tax Exempt Bonds	0	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (1)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DATE REBATE COMPUTATION PERFORMED	FormAndLineReferenceDesc
Explanation	ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITIES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 06/20/2023	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MARINHEALTH MEDICAL CENTER (MHMC) HAS ONE GENERAL MEMBER, MARIN HEALTHCARE DISTRICT (MHD), A POLITICAL SUBDIVISION OF THE STATE OF CALIFORNIA. IN ADDITION, THE BYLAWS PROVIDE FOR A "SPECIAL MEMBER" (WITH THE POWER TO NOMINATE 2 MEMBERS OF THE BOARD OF DIRECTORS): THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF UCSF HEALTH.
FORM 990, PART VI, SECTION A, LINE 7A	MARIN HEALTHCARE DISTRICT (THE "GENERAL MEMBER") DOES NOT HAVE THE POWER TO APPOINT MEMBERS OF THE GOVERNING BODY; HOWEVER, THE GENERAL MEMBER DOES HAVE THE RIGHT TO REJECT ALL APPOINTEES TO THE BOARD OF DIRECTORS. THE REGENTS OF THE UNIVERSITY OF CALIFORNIA ON BEHALF OF UCSF HEALTH (THE "SPECIAL MEMBER") MAY NOMINATE TWO MEMBERS OF THE BOARD OF DIRECTORS, WHO MUST ALSO BE APPROVED BY THE GENERAL MEMBER.
FORM 990, PART VI, SECTION A, LINE 7B	NEITHER THE BOARD NOR ANY OFFICER OR EMPLOYEE OF MHMC MAY TAKE ANY OF THE FOLLOWING ACTIONS, OR APPROVE A SUBSIDIARY OR AN AFFILIATE TAKING THE FOLLOWING ACTIONS, WITHOUT THE PRIOR APPROVAL, OR ANY OF THE SPECIFIED ACTIONS, OF THE GENERAL MEMBER: (A) ANY CORPORATE MERGER, CONSOLIDATION, REORGANIZATION, OR DISSOLUTION OF THIS CORPORATION THAT WOULD CHANGE THE GENERAL MEMBER'S STATUS AS SOLE CORPORATE MEMBER OR OWNER OF THE LAND AND ASSETS LEASED BY THIS CORPORATION; (B) ANY TRANSACTION REQUIRING THE CONSENT OR APPROVAL OF THE GENERAL MEMBER PURSUANT TO THE LEASE OF THE MHMC CAMPUS AND FACILITIES BY THE GENERAL MEMBER TO THIS CORPORATION, COMMENCING DECEMBER 2, 2015, AS IT HAS BEEN OR MAY BE AMENDED ("THE LEASE"). (C) ANY MATERIAL TRANSFER BY SALE, LEASE, DEBT OR ENCUMBRANCE, OR OTHER DISPOSITION, OF ANY OF THE ASSETS OF THE CORPORATION, REAL OR PERSONAL, OUTSIDE THE ORDINARY COURSE OF HOSPITAL BUSINESS. NOTWITHSTANDING THE FOREGOING, THE FOLLOWING WILL NOT REQUIRE THE PRIOR APPROVAL OF THE GENERAL MEMBER: (I) ANY TRANSACTION AMOUNTING TO A TRANSFER OF LESS THAN TEN PERCENT (10%) OF THE ASSETS OF THE CORPORATION, AS OF THE MONTH IMMEDIATELY PRECEDING THE TRANSACTION, TO ANOTHER LEGAL ENTITY IN CONNECTION WITH AN AFFILIATION OR JOINT VENTURE INVESTMENT OR SERVICE OPERATION OFF THE MHMC CAMPUS; (II) A FINANCING TRANSACTION, INCLUDING, BUT NOT LIMITED TO, DEBT FINANCING OR BORROWINGS, EQUITY FINANCINGS, CAPITALIZED LEASES AND INSTALLMENT CONTRACTS, EXPECTED TO AMOUNT IN TOTAL PRINCIPAL VALUE TO LESS THAN TEN PERCENT (10%) OF NET PATIENT SERVICES REVENUE, AS OF THE MONTH IMMEDIATELY PRECEDING THE TRANSACTION; (III) THE GENERAL MEMBER SHALL IN ITS DISCRETION CONSIDER EXTENDING THE ABOVE THRESHOLD REQUIREMENTS BASED ON ADDITIONAL PERCENTAGES OF TOTAL ASSETS OR PATIENT REVENUE, AND ANY SUCH ALLOWANCE SHALL COMPLY WITH APPLICABLE CALIFORNIA LAWS OR REGULATIONS GOVERNING TRANSFERS OF ASSETS OF A HEALTHCARE DISTRICT (E.G., HEALTH & SAFETY CODE SECTION 32121 (P)). (D) IN ADDITION TO THRESHOLDS FOR APPROVALS REQUIRED FOR INDIVIDUAL TRANSACTIONS DESCRIBED IN SUBSECTION (C) ABOVE, APPROVAL OF THE GENERAL MEMBER SHALL BE REQUIRED FOR ANY TRANSACTION WHICH, ON A PROFORMA BASIS, WOULD CAUSE THE CORPORATION TO BE IN VIOLATION OF ANY FINANCIAL LOAN OR BOND COVENANT, AS THEY EXIST AT THE TIME OF THE TRANSACTION, OR THAT WOULD CAUSE THE CORPORATION'S DEBT TO CAPITALIZATION RATIO TO EXCEED 50%. (E) ANY TRANSACTIONS WITH LONG-TERM (MORE THAN THREE-YEAR) LAND OR FACILITY IMPACTS (E.G., NEW CONSTRUCTION OR RENOVATION) REQUIRING GENERAL MEMBER APPROVAL PURSUANT TO THE LEASE OR COSTING THE EQUIVALENT OF TEN PERCENT (10%) OR MORE OF MHMC THEN EXISTING TOTAL ASSETS (APPROXIMATELY $27 MILLION AT DECEMBER 31, 2015). (F) ANY LONG-TERM CAMPUS DEVELOPMENT PLAN THAT RESTRICTS FUTURE LAND USE OPTIONS OR REQUIRES REGULATORY CHANGES TO LAND USE PERMITS/DESIGNATIONS WILL REQUIRE GENERAL MEMBER APPROVAL. (G) ANY TRANSACTION THAT CAUSES OR IS ANTICIPATED TO CAUSE A DOWNGRADE IN BOND RATING BY A STANDARD RATING AGENCY REQUIRES GENERAL MEMBER APPROVAL REGARDLESS OF SIZE OF THE TRANSACTION. (H) THE GENERAL MEMBER SHALL RETAIN AN INDEPENDENT AUDIT FIRM CONSISTENT WITH STANDARD INDUSTRY FINANCIAL PRACTICE ON BEHALF OF THE CORPORATION. THE AUDIT FIRM WILL THEN PROVIDE SERVICES TO MHMC'S MANAGEMENT AND ITS BOARD AS OVERSEEN BY THE MHMC BOARD AUDIT SUBCOMMITTEE. FINAL AUDIT REPORTS WILL BE PRESENTED TO THE GENERAL MEMBER (SUBJECT TO PUBLIC REVIEW), THE BOARD, AND MANAGEMENT OF MHMC. (I) CONTRACTING WITH AN UNRELATED THIRD PARTY FOR ALL, OR SUBSTANTIALLY ALL (50 PERCENT OR GREATER), OF THE MANAGEMENT OF THE ASSETS OR OPERATIONS OF THIS CORPORATION OR ANY SUBSIDIARY OR AFFILIATE ENTITY. (J) AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION. (K) BYLAW APPROVALS (L) ANY CHANGES TO THE MISSION STATEMENT OF THE CORPORATION FOR MHMC. (M) ANY CHANGES TO THE CORPORATE DISSOLUTION RIGHTS (INITIATION OF DISSOLUTION AND DISPOSITION OF ASSETS) OF THE GENERAL MEMBER. (N) APPROVAL OF INDIVIDUALS FOR BOARD MEMBERSHIP. IN ADDITION, THE SPECIAL MEMBER SHALL HAVE THE FOLLOWING RIGHTS AND PRIVILEGES: (A) TO NOMINATE INDIVIDUALS TO SERVE ON THE BOARD OF DIRECTORS AS "SPECIAL MEMBER NOMINEES; AND (B) TO APPROVE CERTAIN AMENDMENTS TO THE BYLAWS.
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTANT, IN CONJUNCTION WITH THE ORGANIZATION'S ACCOUNTING AND FINANCE DEPARTMENT. THE DRAFT FORM 990 IS THEN REVIEWED BY THE CONTROLLER AND CFO; ADJUSTMENTS ARE MADE, AS NECESSARY. A COMPLETE COPY OF THE FORM 990 IS THEN PROVIDED TO ALL VOTING MEMBERS OF THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12C	EACH INDIVIDUAL BOARD MEMBER AND OFFICER SIGNS AN ACKNOWLEDGEMENT FORM THAT THEY HAVE READ THE CONFLICT OF INTEREST POLICY. IN ADDITION, A DISCLOSURE STATEMENT IS COMPLETED BY ALL OFFICERS AND BOARD MEMBERS ANNUALLY. ON THIS STATEMENT THE COVERED INDIVIDUAL LISTS A WIDE RANGE OF INFORMATION WHICH INCLUDES BUSINESS RELATIONSHIPS, EMPLOYMENT RELATIONSHIPS, PROPERTY INTERESTS, AND THOSE OF RELATED PARTIES. THE CEO AND BOARD CHAIR REVIEWS THESE STATEMENTS AND MONITORS SITUATIONS THAT MAY POSE A POTENTIAL CONFLICT OF INTEREST. THE CEO AND BOARD CHAIR MAY CONSULT WITH LEGAL COUNSEL AS NECESSARY. IN THE EVENT OF A POTENTIAL CONFLICT OF INTEREST, THE CONFLICTED INDIVIDUAL MUST DISCLOSE THE EXISTENCE AND NATURE OF THE RELATIONSHIP. THE BOARD CHAIR MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE THE CONFLICT. UNTIL THE POTENTIAL CONFLICT IS RESOLVED, THE BOARD CHAIR MAY REQUEST THE CONFLICTED INDIVIDUAL TO LEAVE THE ROOM OR NOT PARTICIPATE DURING RELATED PRESENTATIONS AND DISCUSSIONS. IN ALL CIRCUMSTANCES INVOLVING AN ACTUAL CONFLICT, THE CONFLICTED INDIVIDUAL SHALL REFRAIN FROM VOTING ON ANY MATTER RELATED TO THE TRANSACTION.
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE HOSPITAL'S BOARD OF DIRECTORS RETAINS ULTIMATE DISCRETIONARY AUTHORITY OVER ALL ELEMENTS OF COMPENSATION TO ASSURE THAT ORGANIZATIONAL PURPOSES ARE APPROPRIATELY BEING SERVED. THE EXECUTIVE COMMITTEE USES CREDIBLE DATA SOURCES AND MAINTAINS AN OBJECTIVE "ARMS-LENGTH" DECISION-MAKING PROCESS, ENSURING THE INTEGRITY OF THE HOSPITAL'S EXECUTIVE PROGRAMS AND CONSISTENCY WITH THE ORGANIZATION'S OVERALL MISSION. IN ORDER TO ENSURE EXTERNAL COMPETITIVENESS, NATIONAL, CALIFORNIA AND LOCAL MARKET AREA COMPENSATION DATA COMPARISONS ARE REVIEWED. COMPETITIVE ANALYSIS INCLUDES: (A) BASE SALARY, (B) TOTAL CASH (BASE SALARY + ANNUAL INCENTIVE), AND (C) TOTAL REMUNERATION (BASE SALARY + ANNUAL INCENTIVE + BENEFITS AND LONG-TERM INCENTIVE). THIS ANALYSIS INCLUDES COMPARABLE ORGANIZATIONS AND GEOGRAPHIC CONSIDERATIONS. FOR THE MOST SENIOR EXECUTIVE POSITIONS, NATIONAL AND REGIONAL COMPARISONS FOR ORGANIZATIONS SIMILAR IN SIZE, SCOPE AND COMPLEXITY AS THE HOSPITAL ARE MOST APPROPRIATE. ALL OFFICERS AND KEY EMPLOYEES OF THE ORGANIZATION UNDERGO A REVIEW ANNUALLY.
FORM 990, PART VI, SECTION C, LINE 19	THE HOSPITAL MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 60,838,287. MANAGEMENT AND GENERAL EXPENSES 22,453,113. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 83,291,400. PROFESSIONAL FEES - PHYSICIANS: PROGRAM SERVICE EXPENSES 66,278,239. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,278,239.
FORM 990, PART XI, LINE 9:	BENEFIT PLAN RELATED CHANGES 17,107,035. CHANGE IN BENEFICIAL INTEREST IN MARINHEALTH FOUNDATION 14,960,448.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MHMC PETCT LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	250 BON AIR ROAD	AddressLine1Txt
City	GREENBRAE	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	94904	ZIPCd

Field	Value	IRS element (for citing)
EIN	942823538	EIN
Primary Activities	INVESTMENT HOLDING COMPANY (INVESTMENT IN MARIN PET/CT IMAGING LLC)	PrimaryActivitiesTxt
Legal Domicile State	CA	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$2,375,090	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MARIN GENERAL HOSPITAL	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
MARIN HEALTHCARE DISTRICT
100B DRAKES LANDING ROAD SUITE 250	GREENBRAE	CA	94904	911886269	HEALTH CARE	CA	N/A	0
MARIN GENERAL HOSPITAL FOUNDATION
1350 SOUTH ELISEO DRIVE SUITE 110	GREENBRAE	CA	94904	946127213	FUNDRAISING	CA		Yes (1)	501(C)(3)	LINE 12A, I	MARIN GENERAL HOSPITAL
PRIMA MEDICAL FOUNDATION
9 COMMERCIAL BLVD SUITE 200	NOVATO	CA	94949	271376321	PHYSICIAN MEDICAL FOUNDATION	CA		Yes (1)	501(C)(3)	LINE 10	MARIN GENERAL HOSPITAL

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
MARIN PETCT IMAGING LLC
4000 CIVIC CENTER DRIVE SUITE 110	SAN RAFAEL	CA	94903	833116653	DIAGNOSTIC IMAGING	CA	MHMC PETCT LLC	RELATED	$923,535	$1,631,292	0	0	0.51000
MARIN ASC HOLDCO LLC
250 BON AIR ROAD	GREENBRAE	CA	94904	990397457	JOINT VENTURE SURGERY CENTER INVESTMENT	DE	MARIN GENERAL HOSPITAL	RELATED	-$175,411	$2,069,489	0	Yes (1)	0.60000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARIN GENERAL HOSPITAL FOUNDATION
C	$9,318,280	BOOK VALUE
MARIN GENERAL HOSPITAL FOUNDATION
D	$95,970	INTERCO "DUE FROM" BOOK VALUE
MARIN GENERAL HOSPITAL FOUNDATION
O	$817,047	BOOK VALUE
PRIMA MEDICAL FOUNDATION
B	$36,121,367	BOOK VALUE
PRIMA MEDICAL FOUNDATION
D	$48,272,415	INTERCO "DUE FROM" BOOK VALUE
PRIMA MEDICAL FOUNDATION
J	$3,047,577	BOOK VALUE
PRIMA MEDICAL FOUNDATION
M		BOOK VALUE
MARIN PETCT IMAGING LLC
S	$1,071,000	BOOK VALUE
MARIN ASC HOLDCO LLC
R	$5,798,640	BOOK VALUE
MARIN ASC HOLDCO LLC
S	$3,998,340	BOOK VALUE