2019-05-14T01:32:28-05:00 2018-06-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2017-07-01 352391110 Memorial Health Services Group Return MEMO 7143773002 17360 Brookhurst Street Fountain Valley CA 92708 Barry Arbuckle CEO 7143773002 2019-05-13 1 Richard Croghan P00089862 4159561500 2019-05-08 12.129.7.100 2019-05-13 15:43:35 PD P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 49EFC680F81229405EF199BD73E62A476B2398BF 2017 2019-02-21 02:37:17Z Barry Arbuckle 17360 Brookhurst Street Fountain Valley CA 92708 2342340891 1 1 5661 X www.memorialcare.org X To improve the health and well-being of individuals, families and our communities. 38 36 11478 1751 23205013 0 18833266 12929994 2226355396 2318722691 1410546 1090065 7208481 8210966 2253807689 2340953716 170341 444634 0 0 873652760 871521974 0 0 0 1292343293 1395611075 2166166394 2267577683 87641295 73376033 2062169685 2254409139 348774291 484414933 1713395394 1769994206 X The mission of each organization included in this group return is to provide healthcare to the community, operate one or more hospitals or outpatient clinics, and engage in scientific, educational and charitable activities. 0 1 1033735414 71723 1159053705 SEE SCHEDULE OEach organization included in this group return operates as part of the nonprofit integrated healthcare delivery system known as MemorialCare Health System (MemorialCare). The largest program services of the three organizations are inpatient and outpatient hospital services, and the largest program services of the fourth organization are outpatient services; all as described in the response for Lines 4a through 4d, respectively.Long Beach Memorial Medical Center (LBMMC) is a nonprofit corporation which provides inpatient and outpatient hospital care to improve the health of the communities it serves at three licensed hospital facilities: MemorialCare Long Beach Medical Center (LBM), Miller Children's and Women's Hospital Long Beach (Miller), and Community Hospital Long Beach (CHLB). All of LBMMC's hospitals are committed to meeting the health care needs of patients who may be uninsured or underinsured, and providing medically necessary services, without cost or at a reduced cost, to patients who qualify under the applicable financial assistance policy in compliance with Internal Revenue Code section 501(r). In the year ending June 30, 2018, LBMMC recorded 195,318 patient days, discharged 41,093 patients, provided 19,003 surgical procedures, delivered 5,621 babies, and had 131,554 emergency department visits.LBM is a 453-bed adult community hospital that is home to specialized services including the Todd Cancer Institute, the MemorialCare Heart & Vascular Institute, rehabilitation & physical therapy and a 24-hour emergency/trauma center. LBM has been a teaching hospital for more than 50 years, and trains residents and fellows in graduate medical education through affiliations with California medical schools and academic medical centers. In the year ending June 30, 2018, LBM recorded 103,456 patient days, discharged 20,818 patients, provided 18,095 surgical procedures, and had 106,826 emergency department visits. Medicare eligible acute care patients accounted for 15% of discharges and Medi-Cal eligible acute care patients accounted for 15% of acute care discharges. Miller is a 357-bed pediatric teaching hospital which features eight centers of excellence, including seven major inpatient care centers within the hospital and comprehensive outpatient specialty centers that feature more than 30 sub-specialties. Miller offers 18 California Children's Services approved special care centers which provide specialized care for children with conditions such as pulmonary, gastroenterology, orthopedics, cardiology, rehabilitation, diabetes, asthma, autism, and cancer. In the year ending June 30, 2018, Miller provided inpatient care to more than 19,921 children, delivered more than 5,621 babies and cared for more than 1,127 of them in its neonatal intensive care unit (NICU). Medi-Cal eligible acute care patients accounted for 26% of acute care discharges. Miller is one of 22 hospitals in California to feature a regional Level III NICU and is the largest Level III NICU in Los Angeles, Orange and San Diego Counties treating more than 1,000 critically ill and premature babies each year. Miller is a California Children's Services (CCS) approved provider.CHLB is a 158-bed acute-care hospital that offers intensive care, state-of-the-art imaging, a comprehensive cancer care center, cardiovascular diagnostics, behavioral health, heart screenings, occupational medicine, wellness and diabetes services, and a 24-hour emergency department. In the year ending June 30, 2018, CHLB recorded 21,897 patient days, discharged 5,272 patients, provided 908 surgical procedures, and had 24,728 emergency department visits. Medicare eligible acute care patients accounted for 40% of discharges and Medi-Cal eligible acute care patients accounted for 37% of acute care discharges.Effective July 3, 2018, MemorialCare closed CHLB. CHLB is located on an active geologic fault zone. MemorialCare discussed and determined that after much diligence, including consulting with seismic experts, structural engineers, and architects that the seismic remediation necessary to achieve SB1953 compliance (California's seismic safety building standards for hospitals) for CHLB as it currently exists is not feasible. 306775996 152155 346588615 See Schedule OSaddleback Memorial Medical Center (SMMC) is a nonprofit corporation which provides inpatient and outpatient hospital services to the community through its 252-bed acute care hospital in Laguna Hills and several outpatient locations in Orange County, California. Through centers of excellence in cancer, heart disease, stroke, pulmonary disease, orthopedics and disabilities, and its highly-regarded women's services, SMMC cares for a wide range of community health needs in Orange County, serves patients who may be uninsured or underinsured, and provides medically necessary services, without cost or at a reduced cost, to patients who qualify under the financial assistance policy in compliance with Internal Revenue Code section 501(r). In the year ending June 30, 2018, SMMC recorded 43,363 patient days, discharged 12,648 patients, provided 4,469 surgical procedures, delivered 2,385 babies, and had 38,738 emergency department visits. Medicare eligible acute care patients accounted for 47% of discharges and Medi-Cal eligible acute care patients accounted for 5% of acute care discharges. 268652324 161033 294852525 See Schedule OOrange Coast Memorial Medical Center (OCMMC) is a nonprofit corporation which provides inpatient and outpatient hospital services to the community through its 218-bed acute care hospital in Fountain Valley and several outpatient locations in Orange County, California. OCMMC offers a 24- hour emergency service, a Digestive Disease Center, a Childbirth Center, a Cancer Institute, a Heart and Vascular Center, a Joint Replacement Center, a Spine Health Center, and a Surgical Weight Loss Center, and offers programs and resources to serve its culturally and ethnically diverse community (such as interpreter services in languages such as Spanish, Khmer, Vietnamese, Korean, Arabic, Chinese, Farsi, and Japanese). OCMMC serves patients who may be uninsured or underinsured, and provides medically necessary services, without cost or at a reduced cost, to patients who qualify under its financial assistance policy, which complies with Internal Revenue Code section 501(r). In the year ending June 30, 2018, OCMMC recorded 40,546 patient days, discharged 11,297 patients, provided 6,837 surgical procedures, delivered 1,345 babies, and had 34,499 emergency department visits. Medicare eligible acute care patients accounted for 38% of discharges and Medi-Cal eligible acute care patients accounted for 13% of acute care discharges. 470815988 59722 495917977 MemorialCare Medical Foundation (MCMF) is a nonprofit medical practice foundation described in Section 1206(l) of the California Health & Safety Code which provides comprehensive outpatient clinical services at approximately 30 sites throughout Orange and Los Angeles counties in the areas of internal medicine, family medicine, and multiple other specialties. Also, MCMF provides administration, management and contracting services for exclusive primary care providers and a specialty network of affiliated individual and physician groups. MCMF also operates several ambulatory surgery centers and imaging centers throughout Orange and Los Angeles counties. Additionally, MCMF is part of several joint venture partnerships for dialysis clinics throughout Orange and Los Angeles counties. For the year ending June 30, 2018, MCMF provided 569,826 clinic visits and performed 41,107 ambulatory surgeries. 470815988 59722 495917977 2079979722 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 X 1701 0 1 11478 1 1 1 0 0 0 0 1 1 0 0 0 0 X 38 36 1 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 CA X Adolfo Chanez 7143773411 17360 Brookhurst St Fountain Valley CA 92708 Barry S Arbuckle BD Member-LBMMC,OCMMC,SMMC,MCMF 12.00 48.00 X X 0 2192657 406555 Russell Hill Board Chair, LBMMC 1.00 0.00 X X 0 0 0 William Webster MD Vice Chair, LBMMC 1.00 0.00 X X 0 0 0 Cliford Hancock MD Board Secretary, LBMMC 1.00 0.00 X X 0 0 0 Stephen Hryniewicki MD Board Member, LBMMC 1.00 0.00 X 0 0 0 Susan E Anderson Wise Board Member, LBMMC 1.00 0.00 X 0 0 0 Leslie H Edrich MD Board Member, LBMMC 1.00 0.00 X 0 0 0 Lorna McFarland MD Board Member, LBMMC 1.00 0.00 X 0 0 0 Jane C Conoley Board Member, LBMMC 1.00 0.00 X 0 0 0 Robert Schack Board Member, LBMMC 1.00 0.00 X 0 0 0 Sathya Chey Board Member, LBMMC 1.00 0.00 X 0 0 0 John Fielder Board Member, LBMMC 1.00 0.00 X 0 0 0 Cynthia Herzog MD Board Member, LBMMC 1.00 0.00 X 0 0 0 James Wells MD Board Member, LBMMC 1.00 0.00 X 0 0 0 Suzanne Nosworthy Board Member, LBMMC 1.00 0.00 X 0 0 0 Tom Rogers Board Chair, OC Region 1.00 0.00 X X 0 0 0 Teresa Evans Vice Chair, OC Region 1.00 0.00 X X 0 0 0 Sharon Cheever Board Secretary, OC Region 1.00 0.00 X X 0 0 0 Larry Lambert Board Member, OC Region 1.00 0.00 X 0 0 0 Jaci Songstad Board Member, OC Region 1.00 0.00 X 0 0 0 Joel Lautenschleger Board Member, OC Region 1.00 0.00 X 0 0 0 James W Gauss Board Member, OC Region 1.00 0.00 X 0 0 0 Tim Helgeson Board Member, OC Region 1.00 0.00 X 0 0 0 Richard McAuley Board Member, OC Region 1.00 0.00 X 0 0 0 Donna Rane-Szostak EdD Board Member, OC Region 1.00 0.00 X 0 0 0 Lawrence Tran MD Board Member, OC Region 1.00 0.00 X 0 0 0 Myron Wacholder MD Board Member, OC Region 1.00 0.00 X 0 0 0 Lalita M Komanapalli MD Board Member, OC Region 1.00 0.00 X 0 0 0 Patrick Donahue Board Member, OC Region 1.00 0.00 X 0 0 0 Mark Cianciola MD Board Chair, MCMF 1.00 0.00 X X 0 0 0 Frank Marino Board Vice Chair, MCMF 1.00 0.00 X X 0 0 0 Steve Geidt Board Secretary, MCMF 1.00 0.00 X X 0 0 0 Thomas Collins Board Member, MCMF 1.00 0.00 X 0 0 0 Barry Behrstock Board Member, MCMF 1.00 0.00 X 0 0 0 Larry Lambert Board Member, MCMF 1.00 0.00 X 0 0 0 James O Hillman Board Member, MCMF 1.00 0.00 X 0 0 0 Laura Crocitto Board Member, MCMF 1.00 0.00 X 0 0 0 Keith Nelson Board Member, MCMF 1.00 0.00 X 0 0 0 John Bishop CEO/EVP, LBMMC 58.00 2.00 X 0 633716 1071461 Wendy L Dorchester CEO/EVP, LBMMC (thru 12/17) 44.00 16.00 X 0 673156 44703 Yair Katz CFO, LBMMC 56.00 4.00 X 0 342187 21275 Marcia Manker CEO/EVP, OC Region 58.00 2.00 X 0 858412 987249 Aaron B Coley CFO, OC Region 58.00 2.00 X 0 474511 37403 Jacqueline Luxenberg CFO - MCMF 58.00 2.00 X 0 353215 31462 Mark D Schafer CEO, MCMF 58.00 2.00 X 0 748107 441957 Judith A Fix CNO, Ptnt Svcs, LBMMC (thru 3/18) 60.00 0.00 X 0 415026 40496 Emily M Randle COO, OC Region 60.00 0.00 X 0 383351 40028 Laurie D Sicaeros COO/SVP Physician Integration, MCMF 60.00 0.00 X 0 513628 23396 Susan Y Melvin DO CMO, LBMMC (thru 1/18) 60.00 0.00 X 0 483859 20226 Tamra L Kaplan COO, LBMMC 60.00 0.00 X 0 471874 42438 Adam Solomon Chief Medical Officer, MCMF 60.00 0.00 X 0 462266 29064 Cheryl Jacob COO, OC Region (thru 1/18) 60.00 0.00 X 0 462488 39614 Kristin M Mascotti MD Quality Medical Officer, OC Region 60.00 0.00 X 0 437019 16017 Regina S Berman VP Population Health Mgmt, MCMF 60.00 0.00 X 0 399864 21049 Deeling L Teng Senior Medical Director, MCMF 60.00 0.00 X 0 381717 15610 Brennan R James VP, Strategy & Bus Dev, OC Region (thru 5/18) 60.00 0.00 X 0 346687 45119 Marcie Atchison VP, Human Resources, LBMMC 60.00 0.00 X 0 342240 35066 Debra Spindel VP Physician Services, MCMF 60.00 0.00 X 0 347067 39858 Hugo L Folli VP, Ancillary Services, OC Region 60.00 0.00 X 0 348363 42416 Judy Shubin VP Payor Contracting, MCMF 60.00 0.00 X 0 322653 41881 Leslie McMains VP Provider Svcs, MCMF 60.00 0.00 X 0 307797 30851 Laura Lundquist VP Outpat. Ctrs/Admin CHLB, LBMMC 60.00 0.00 X 0 289991 45727 Andrea De Coro VP Clinical Pharmacy & PI, MCMF 60.00 0.00 X 0 285873 2752 Tony Struthers VP, Administrator, OC Region 60.00 0.00 X 0 280107 29721 Linda L Hoff VP, Med Surg/Periop Svc, LBMMC 60.00 0.00 X 0 284604 37851 Kevin G Davidson VP Bus Develop & Strategy, MCMF 60.00 0.00 X 0 274038 19729 Jennifer Thompson VP Medical Grp Operations, MCMF 60.00 0.00 X 0 275552 24361 Ida M Merline VP, Mem. Heart Institute, LBMMC 60.00 0.00 X 0 272781 41075 Shela Kaneshiro VP, Nursing, CNO, OC Region 60.00 0.00 X 0 273146 1355 Diane C Wynn VP, Risk Management Svcs, LBMMC 60.00 0.00 X 0 270989 32596 Kathy R Dawson VP, Nursing, OC Region (thru 5/18) 60.00 0.00 X 0 261740 31086 Erin Hotra-Shinn VP, Strategy/Bus Dev, OC Region 60.00 0.00 X 0 251335 46418 John E Ho Senior Medical Director, MCMF 60.00 0.00 X 0 243009 4462 Kelli J Ruiz VP, Strategy & Bus Dev, LBMMC 60.00 0.00 X 0 226296 15878 Richele S Craveiro-Steele VP, Marketing & PR, LBMMC 60.00 0.00 X 0 219933 36806 Ikenna M Mmeje COO, LBMMC 60.00 0.00 X 0 220214 3742 Lori Love Weaver Exec. Dir. Managed Care, MCMF 60.00 0.00 X 0 182450 26819 Michael P Nageotte MD Assoc Chief Med Officer, LBMMC 60.00 0.00 X 0 170671 26533 Maria E Zitlau RN, Coord, CVOR 60.00 0.00 X 0 297734 43977 Debra J Posey Mgr, Assistant Unit (RN) 60.00 0.00 X 0 255037 29880 Anil Sharma Program Dir, Medical Physicist 60.00 0.00 X 0 243640 43550 Jane H Hodding Exec Dir, Pharmacy 60.00 0.00 X 0 245817 37577 Peggy C Kim RN, Cardiovascular Specialist 60.00 0.00 X 0 234283 19686 Diana L Hendel Former CEO/EVP, LBMMC 0.00 0.00 X 0 281915 0 Scott Shiffman Former Sen. Med. Dir., MCMF 0.00 0.00 X 0 348639 28492 0 18891654 4195267 1838 1 1 0 Greater Newport Physicians 17360 Brookhurst Street Fountain Valley CA 92708 Medical & Health Care 147967190 Memorialcare Medical Group 2742 Dow Avenue Tustin CA 92780 Medical & Health Care 63594377 Memorial Childrens Specialty Medical Gro 2801 Atlantic Ave 3rd Floor Long Beach CA 90801 Medical & Health Care 4953857 DVA Renal Healthcare Inc PO Box 781607 Philadelphia PA 19178 Medical & Health Care 4707763 Sutter Connect LLC 10470 Old Placerville Rd 100 California CA 95827 Medical & Health Care 3225376 237 393299 4455787 4957951 3122957 12929994 Net Patient Revenue 621110 1276391001 1276391001 Capitation Revenue 621110 362947150 362947150 Laboratory 621500 312993966 312993966 Pharmacy 446110 244818721 243300101 1518620 MOB Rental 531120 12128647 12128647 109443206 88651957 20791249 2318722691 1450248 1450248 1104936 683828 421108 421108 421108 11550 371733 -360183 -360183 -360183 20769 393299 267988 -247219 -247219 98885 63626 35259 35259 FOOD SERVICES 722320 3553319 3553319 PARKING SERVICES 812930 2360713 2360713 K-1 INVESTMENT INCOME 900099 2087786 895144 1192642 8001818 2340953716 2296412822 23205013 8405887 444634 444634 21757812 19816397 1941415 601308046 560976570 40331476 33403952 31833850 1570102 165099686 152718151 12381535 49952478 47144314 2808164 142379530 124925602 17453928 6259708 571024 5688684 611985 30018 581967 1810042 1691777 118265 153861486 134716442 19145044 15292109 12814677 2477432 30474247 28895836 1578411 114036261 103731319 10304942 42440444 41605031 835413 944758 803003 141755 1340854 993869 346985 704774 703131 1643 110340511 82787728 27552783 16507291 13198136 3309155 Medical Supplies 280472299 279907229 565070 CAPITATED CLAIMS 173112484 173112484 CA HOSPITAL FEE & TAX 116529163 116529163 Medical Services 48246322 48246322 140246807 101783015 38463792 2267577683 2079979722 187597961 0 6892551 12653335 583205 1924845 699748 697498 256666081 288882311 24717962 24038640 11672022 39595984 1749254765 1098345931 668585258 650908834 13517434 49968970 152374660 131919054 926460764 1053819668 2062169685 2254409139 220365784 234157808 12411131 111969327 16159832 10123214 99837544 128164584 348774291 484414933 X 1708818206 1767555321 4577188 2438885 1713395394 1769994206 2062169685 2254409139 X 73376033 -6644 -16770577 X X 0 1 X 1 1 1 X 0 1 0 0 0 0 1 179931 0 1 1630111 1810042 0 Part II-B, Line 1: Four of the organizations included in this group return, Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, Saddleback Memorial Medical Center, and MemorialCare Medical Foundation paid annual dues to healthcare associations in which a portion was allocated for lobbying activities totaling $267,111. A contribution was made to the California Children's Hospital Association that sponsored the Yes 4 Children's Hospitals, Yes on Proposition 4 ballot statewide ballot initiative in the amount of $1,363,000. The ballot initiative provides state funding for infrastructure needs for hospitals that treat children. The California Children's Hospital Association has advised that 100% of this amount should be reported as lobbying expenses. Additional expenses totaling $179,931 were for activities for the purpose of influencing legislation which would have a direct impact on the organization's ability to fulfill its charitable mission of serving the community's healthcare needs. Federal advocacy: -Provided expertise and advice to federal lawmakers and staff on ensuring access to healthcare services through advocacy efforts for the continued implementation of the Affordable Care Act. -Advocated on the need for the 340 B pharmacy program, requesting support from federal lawmakers and staff on efforts to influence agency proposed rule decision making. -Advocated on need for reauthorization of the Children's Health Insurance Program (CHIP). -Advocated on need to stop Disproportionate Share (DSH) cuts to hospitals. State legislation advocated on: -SB 4, would codify the existing composition of the CalOptima Board of Directors. -SB 538, would prohibit insurance contracts between hospitals and plans from containing certain provisions. -SB 687, would require a nonprofit hospital to notify the attorney general (AG) 90 days prior to a planned reduction or elimination of emergency department (ED) services; this could also apply to hospital closure. -AB 2591, permits a hospital owned by the City of Long Beach to request an additional seismic safety extension before January 1, 2025, of the seismic safety requirement that hospital buildings be rebuilt or retrofitted in order to be capable of withstanding an earthquake. -AB 3087, would create the California Health Care Cost, Quality and Equity Commission. The commission's primary role would be to set commercial payments to hospitals, doctors and other health care providers. -AB 1795, would authorize a local emergency medical services agency to allow specially trained paramedics to triage patients who meet specific criteria to a locally designated behavioral health treatment facility or sobering center. -2018-2019 Budget: Advocated on the need to protect 340 B pharmacy program. 161563552 4830424 16921754 2802318 -5128561 185641973 149024390 69718 20897858 2346902 5837797 243715 161563552 176046784 1140754 -5227061 4596231 18104203 235653 149024390 175199788 6240733 1392718 6513335 273120 176046784 151492725 4125437 24032180 2854563 1268288 327703 175199788 0.31440 0.46610 0.21950 0 1 1 1056617 54069728 55126345 759845194 385560962 374284232 56391814 31026120 25365694 639093465 530181182 108912283 238797947 151577667 87220280 650908834 DUE FROM AFFILIATES 987969260 OTHER RECEIVABLES 65850408 1053819668 WORKERS COMPENSATION LIABILITY 35454944 MEDICAL PROFESSIONAL LIABILITY 62736991 INCURRED BUT NOT REPORTED CLAIMS 9572886 DUE TO THIRD PARTY PAYORS 7888805 SPLIT INTEREST LIABILITY 84640 OTHER LIABILITIES 12386944 DUE TO AFFILIATES 39374 128164584 X Part V, Line 4: Long Beach Memorial Medical Center is the sole member of Memorial Medical Center Foundation, which holds endowment funds restricted by donors for specified capital, program, education or research for the benefit of Long Beach Memorial Medical Center. For those endowment funds that are permanently restricted, cumulative undistributed endowment income is held and identified as temporarily restricted. The principal, or original gift amount, is held in perpetuity and cannot be used, or transferred to related organizations as funding or grant revenue, without appropriate court, California Attorney General, and/or donor approval. Only net investment income, consistent with policy guidelines and thresholds, may be used annually. Saddleback Memorial Medical Center is the sole member of Saddleback Memorial Foundation, which holds endowment funds restricted by donors for specified capital, program or education for the benefit of Saddleback Memorial Medical Center. For those endowment funds that are permanently restricted, cumulative undistributed endowment income is held and identified as temporarily restricted. The principal, or original gift amount, is held in perpetuity and cannot be used, or transferred to related organizations as funding or grant revenue, without appropriate court, California Attorney General, and/or donor approval. Only net investment income, consistent with policy guidelines and thresholds, may be used annually. Part X, Line 2: Accounting standards codification (ASC) 740, income taxes, clarifies the accounting for income taxes by prescribing a minimum recognition threshold that a tax position is required to meet before being recognized in the financial statements. ASC 740 also provides guidance on de-recognition, measurement, classification, interest, and penalties, disclosure and transition. The guidance is applicable to pass-through entities and tax-exempt organizations. No significant tax liability for tax benefits, interest or penalties was accrued at June 30, 2018. 2017 FALL GALA 243972 205673 38299 11538 66428 9200 55295 2018 Lotus Spring Celebration 93115 75770 17345 10573 32627 13198 7507 3 76981 111856 -34875 10142 13834 37646 414068 393299 20769 32253 112889 22398 100448 267988 -247219 1 1 X 1 X 1 X 1 1 1 0 1 1 8462562 12726 8449836 0.00510 567856209 453060574 114795635 0.06900 1282914 11611708 0 0.00000 577601685 464685008 123245471 0.07410 2817201 237381 2579820 0.00160 18002564 4645956 13356608 0.00800 742687 291803 450884 0.00030 2842256 2842256 0.00170 24404708 5175140 19229568 0.01160 602006393 469860148 142475039 0.08570 24240 24240 0.00000 1434 1434 0.00000 3 110 368 368 0.00000 2 60 474 474 0.00000 7 15 17464 17464 0.00000 7 916 7415 7415 0.00000 19 1101 51395 51395 0.00000 0 38763015 218266010 270991954 -52725944 X 1 1 6 1 Long Beach Memorial Medical Center 2801 Atlantic Ave Long Beach CA 90806 www.memorialcare.org 930000102 X X X X A 2 Miller Children's and Women's Hospital Long Beach 2801 Atlantic Ave Long Beach CA 90806 www.memorialcare.org 930000949 X X X X A 3 Orange Coast Memorial Medical Center 9920 Talbert Ave Fountain Valley CA 92708 www.memorialcare.org 060000066 X X X B 4 Saddleback Memorial Medical Center 24451 Health Center Drive Laguna Hills CA 92653 www.memorialcare.org 060000166 X X X X X B 5 Saddleback Memorial Medical Center - San Clemente 654 Camino De Los Mares San Clemente CA 92673 www.memorialcare.org 060000166 X X X X X B 6 Community Hospital of Long Beach 1720 Termino Avenue Long Beach CA 90804 www.memorialcare.org 930000090 X X X A Facility Reporting Group - A 0 0 1 X X X X X X X X X 15 1 1 1 1 X www.memorialcare.org/content/community-benefit X 1 15 1 www.memorialcare.org/content/community-benefit 0 1 X 138.000000000000 350.000000000000 X X X X X X X 1 1 X X X 1 X https://www.memorialcare.org/guides-tools/financial-assistance X https://www.memorialcare.org/guides-tools/financial-assistance X https://www.memorialcare.org/guides-tools/financial-assistance X X X X X X 1 X 0 1 X 0 0 Facility Reporting Group - B 0 0 1 X X X X X X X X X 15 1 0 0 1 X HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT X 1 15 1 HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT 0 1 X 138.000000000000 350.000000000000 X X X X X X 1 1 X X X X X 1 X HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE X HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE X HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 1 X 0 0 Part V, Section B Facility Reporting Group A Facility Reporting Group A consists of: - Facility 1: Long Beach Memorial Medical Center, - Facility 2: Miller Children's and Women's Hospital Long Be, - Facility 6: Community Hospital of Long Beach Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 5: The following description applies to all facilities included in Facility Reporting Group A (Long Beach Medical Center, Miller Children's and Women's Hospital Long Beach, and Community Hospital Long Beach):Community input was provided through key informant interviews and focus groups. Key informants included public health experts, representatives from governmental public health agencies, and representatives of medically underserved, low-income and minority populations. Interviews with 34 key informants were conducted during October and November, 2015 for the most recent community health needs assessment. The organizations that provided input through key informant interviews included: the American Cancer Association, Khmer Girls in Action, California State University, Long Beach, YMCA Greater Long Beach, VA Hospital, The California Endowment, Mental Health America, The Children's Clinic, Long Beach Human Trafficking Task Force, Heart of IDA, The LGBTQ Center Long Beach, AIDS Project Los Angeles, The David Geffen Center, Molina Healthcare of California, Long Beach Department of Health and Human Services, ALSAA/CAARE/Healthy Homes Programs, Legal Aid Foundation of Los Angeles, Pacific Asian Counseling Services, Latinos in Action, Second Samoan Congregational Church, Greater Long Beach Interfaith Community Organization, LA County Department of Public Health, Port of Long Beach, Long Beach City Councilmember, Century Villages of Cabrillo, LA County Supervisor, Long Beach Alliance for Children with Asthma, Long Beach Unified School District, and Violence Prevention City of Long Beach. Eight focus groups consisting of community members were assembled, using a number of outreach strategies (e.g., flyers printed in three languages, postings with and notices to community groups, neighborhood organizations, public health agencies and coalitions convened by them, and nonprofit health and welfare organizations). A total of 52 community members participated in the focus groups held in October 2015, including persons who by representation or personal experience had knowledge, information, or expertise relevant to the health needs of medically underserved, low-income and minority populations. Focus groups participants included persons who self-identified as (1) white, Hispanic, black, Cambodian, Vietnamese, Filipino, Chinese, Japanese, Thai and Sri Lankan; (2) members or representatives of a medically underserved, low income or minority population (39%), public health experts (29%), or representatives of governmental or other agency with current information or expertise regarding community health needs (37%). Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 6a: The following description applies to all facilities included in Facility Reporting Group A:Long Beach Medical Center, Miller Children's and Women's Hospital Long Beach, Community Hospital Long Beach, St. Mary Medical Center Long Beach, and Kaiser Foundation Hospital South Bay. Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 6b: The following description applies to all facilities included in Facility Reporting Group:The Children's Clinic and the Long Beach Department of Health and Human Services. Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 11: Long Beach Memorial: To address the significant health needs identified in its most recent CHNA, Long Beach Memorial (LBM) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, LBM is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; providing transportation to health care services; providing community based clinical services to increase availability of care to underserved populations; and providing sports physicals at no cost to student athletes at area schools.(2) addressing chronic disease by: providing diabetes education to the community at no charge; offering free disease support groups for specific chronic conditions; making oncology life coaches and help lines available to the community; providing chronic disease education, screening and treatment; and providing public health education thought the media and community awareness events regarding healthy behaviors and chronic diseases.(3) addressing mental and behavioral health by: providing education and support groups to offer information, resources and assistance on mental health issues; partnering with the Long Beach Police Department's Homeless Assistance Project to connect homeless persons to services and resources; partnering with community organizations to provide outreach and education through physician led workshops; offering smoking cessation resources; and conducting the "Tar Wars" tobacco education program to 5th graders in the Long Beach Unified School District. (4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; offering yoga and walking programs; partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative. (5) addressing preventive care by: providing community health education, presentations, and workshops related to disease prevention and health improvement; providing free health screenings and flu shots; offering senior exercise and fall prevention programs; and offering public health education through media and community events. Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, oral health, and pregnancy and birth outcomes. There are other organizations and agencies that are addressing (and are better qualified to address) these needs. Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 13h: The following description applies to all facilities included in Facility Reporting Group A:Patients who are homeless, have recently been declared bankrupt, or qualify for a government-sponsored low-income assistance program, are presumptively eligible for assistance under the Financial Assistance Policy. Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 15e: The following description applies to all facilities included in Facility Reporting Group A:Patients are encouraged to submit their completed application with required documents via United States Mail. Group A-Facility 1 -- Memorialcare Long Beach Medical Center Part V, Section B, line 16j: The following description applies to all facilities included in Facility Reporting Group A:A plain language summary of the FAP was translated in to the following languages: English, Spanish, Vietnamese, Farsi, Tagalog, Chinese, Korean and Khmer. Group A-Facility 6 -- COMMUNITY HOSPITAL OF LONG BEACH Part V, Section B, line 11: Community Hospital Long Beach: To address the significant health needs identified in its most recent CHNA, Community Hospital Long Beach (CHLB) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, CHLB is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; and providing transportation to health care services.(2) addressing chronic disease by: offering disease support groups; providing chronic disease education, screening and treatment; and providing public health education though the media and community awareness events regarding healthy behaviors and chronic diseases.(3) addressing mental and behavioral health by: providing education and support groups to offer information, resources and assistance on mental health issues; providing services to address chemical dependency; expanding opportunities to address chemical dependency and behavioral/mental health issues in the community through collaboration with other organizations; providing precepted clinical rotation opportunities for registered nursing students to learn about mental health nursing care; and partnering with community organizations to provide outreach and education though physician-led workshops and presentations. (4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; and partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative (5) addressing preventive care by: increasing availability and access to preventive care services; and offering public health education through media and community events.Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, oral health, and pregnancy and birth outcomes. Resources for pregnancy and birth outcomes are available from other organizations, including Miller's Childrens and Women's Hospital of Long Beach. CHLB does not have the expertise or resources to address the other needs. There are other organizations and agencies that are addressing (and are better qualified to address) these other issues. Group A-Facility 2 -- Miller Children's and Women's Hospital L Part V, Section B, line 11: Miller Children's and Women's Hospital Long Beachl: To address the significant health needs identified in its most recent CHNA, Miller Children's & Women's Hospital Long Beach (Miller) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, Miller is:(1) addressing access to care by: promoting the medical home model to improve access to care for children and adolescents in the community; partnering with The Children's Clinic to increase access to care; providing free and discounted care in accordance with its Financial Assistance Policy; providing transportation to medical services; and providing community based clinical services to increase availability of care to underserved populations.(2) addressing chronic disease by: continuing to work with the Long Beach Alliance for Children with Asthma to provide education and advocacy for children with asthma, their families, clinicians and community health workers; providing chronic disease education, screening and treatment; providing public health education through the media and community awareness events regarding healthy behaviors and chronic diseases in children; and developing easy to understand health education information for children and their families.(3) addressing mental and behavioral health by: promoting and participating in school reintegration programs for children with long term mental illness; providing support groups for parents and children; and providing education to providers performing school mental health screenings. (4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; and partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative.. (5) addressing pregnancy and birth outcomes by: offering post-partum support groups for new mothers; tracking birth outcomes in partnership with the Black Infant Health Program; offering education and services through the "Welcome Baby" program to new mothers; and supporting breast feeding initiatives and lactation support. (6) addressing preventive care by: providing community health improvement and prevention services; providing community education, bicycle helmets and car seats though a pediatric safety program; and providing free health screenings and flu shots. Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, and oral health. There are other organizations and agencies that are addressing (and better qualified to address) these needs. In addition, Miller does not have the expertise or resources to address these needs. Part V, Section B Facility Reporting Group B Facility Reporting Group B consists of: - Facility 3: Orange Coast Memorial Medical Center, - Facility 4: Saddleback Memorial Medical Center, - Facility 5: Saddleback Memorial Medical Center - San Cleme Group B-Facility 5 -- Saddleback Memorial Medical Center - San Part V, Section B, line 11: Saddleback Memorial Medical Center: To address the significant health needs identified in its most recent CHNA, Saddleback Memorial Medical Center (SMMC) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, SMMC is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; and providing transportation to health care services.(2) addressing chronic disease by: offering community health education, community lectures, presentations and workshops; hosting health and wellness fairs for seniors, including screenings; offering flu shot clinics; providing support groups to assist persons with chronic diseases and their families; providing public education though media and community events to encourage healthy behaviors and prevent chronic diseases; and providing funding and in-kind support to community organizations to support chronic disease prevention and treatment. (3) addressing mental and behavioral health (including substance abuse) by: offering community health education through lectures, presentations and workshops; participating in health and wellness fairs that provide screenings for anxiety and depression; supporting multi-sector collaborative efforts to improve access to mental and behavioral health services; increasing community awareness of available resources; and providing funding and in-kind support to community organizations for mental and behavioral health awareness and access to care. Needs identified in the most recent CHNA that are not being addressed are dental health and overweight/obesity. SMMC does not have the expertise or resources to address these needs. There are other organizations and agencies that are addressing (and are better qualified to address) these issues. Group B-Facility 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER Part V, Section B, line 5: Targeted interviews and focus groups were used to gather information and opinions from persons who represent the community served by the facility. The following organizations provided input: Orange County Healthcare Agency, the City of Fountain Valley, the City of Huntington Beach, the Huntington Beach Council on Aging, the Boys & Girls Club of Huntington Valley, the Fountain Valley School District, the Vietnamese American Cancer Foundation, the Alzheimer's Family Services Center, MemorialCare Medical Group, and Orange Coast Memorial Medical Center. Thirteen interviews were conducted with representatives of these organizations during February and March, 2016. The organizations and their representatives were selected based on their leadership or representation of medically underserved, low-income, and minority populations, or because they have current data or other information relevant to the health needs of the community served by the facility. Three focus groups were conducted in April 2016 that engaged 29 persons who were identified based on their representation of medically underserved, low-income, and minority populations in the community or their having information relevant to the health needs of the community served by the facility. The focus group participants were seniors and volunteers at the Fountain Valley Senior Center; seniors and disabled community members at the Huntington Beach Seniors' Outreach Center; and parents and staff at the Boys & Girls Club of Huntington Valley. The focus group participants were asked to share their perspectives on a wide range of issues relating to health and wellness of the community, including barriers and challenges and vulnerable populations. Group B-Facility 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER Part V, Section B, line 11: Orange Coast Memorial Medical Center: To address the significant health needs identified in its most recent CHNA, Orange Coast Memorial Medical Center (OCMMC) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, OCMMC is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; providing transportation to health care services; and providing a senior advocate to work with local organizations to assist older adults in securing needed services and coordinating the free senior medical transportation program.(2) addressing chronic disease by: offering community health education, community lectures, presentations and workshops; hosting health and wellness fairs targeting the Vietnamese community, including screenings; offering flu shot clinics; providing support groups to assist persons with chronic diseases and their families; providing public education though media and community events to encourage healthy behaviors and prevent chronic diseases; and providing funding to community organizations to support chronic disease prevention and treatment. (3) addressing overweight and obesity by: offering community health education through lectures, presentations and workshops; hosting health and wellness fairs that include screenings for body mass index, blood pressure and blood glucose; providing support for educational outreach to children and their families on nutrition, healthy food choices, and physical activity; providing funding to support community organizations that encourage and educate regarding healthy eating and physical activity; and supporting services to improve senior nutrition. (4) addressing preventive practices by: providing free health screenings; providing education and resources focused on healthy living and disease prevention; reducing injuries and falls among seniors through balance improvement and fall prevention classes; offering flu shot clinics; providing public health education through media and community events to encourage healthy behaviors and promote preventive care; and providing funding to community organizations to support preventive health services. Needs identified in the most recent CHNA that are not being addressed are dental health, mental health, and substance abuse. Resources for mental health are available from other organizations, including Community Hospital Long Beach. OCMMC does not have the expertise or resources to address these needs. Group B-Facility 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER Part V, Section B, line 13h: Patients who are homeless, have recently been declared bankrupt, or qualify for a government-sponsored low-income assistance program are presumptively eligible for assistance under the Financial Assistance Policy. Group B-Facility 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER Part V, Section B, line 15e: Patients are encouraged to submit their completed application with required documents via United States Mail. Group B-Facility 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER Part V, Section B, line 16j: A plain language summary of the FAP was translated in to the following languages: English, Spanish, Vietnamese, Farsi, Tagalog, Chinese, Korean and Khmer. Group B-Facility 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER Part V, Section B, line 5: Targeted interviews and focus groups were used to gather information and opinions from persons who represent the community served by the facility. The following organizations provided input: Orange County Healthcare Agency, the City of Laguna Hills, Laguna Woods Village, Mission Hospital, Age Well Senior Services, Orange County Office on Aging, Illumination Foundation, Las Palmas Elementary School, Family Assistance Ministries, Capistrano Unified School District, Camino Health Clinic, Saddleback Valley Unified School District, Families Forward, and Saddleback Church PEACE Clinic.Sixteen interviews were conducted with representatives of these organizations during February and March, 2016. The organizations and their representatives were selected based on their leadership or representation of medically underserved, low-income, and minority populations, or because they have current data or other information relevant to the health needs of the community served by the facility.Two focus groups were conducted in March 2016 that engaged 20 persons who represented medically underserved, low-income, and minority populations in the community or had material information relevant to the health needs of the community served by the facility. The focus group participants were parents, community members, nonprofit organization employees and city employees of the San Clemente Collaborative; and case managers from Age Well Senior Services. The focus group participants were asked to share their perspectives on a wide range of issues relating to health and wellness of the community, including barriers and challenges and vulnerable populations. Group B-Facility 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER Part V, Section B, line 11: Saddleback Memorial Medical Center: To address the significant health needs identified in its most recent CHNA, Saddleback Memorial Medical Center (SMMC) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, SMMC is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; and providing transportation to health care services.(2) addressing chronic disease by: offering community health education, community lectures, presentations and workshops; hosting health and wellness fairs for seniors, including screenings; offering flu shot clinics; providing support groups to assist persons with chronic diseases and their families; providing public education though media and community events to encourage healthy behaviors and prevent chronic diseases; and providing funding and in-kind support to community organizations to support chronic disease prevention and treatment. (3) addressing mental and behavioral health (including substance abuse) by: offering community health education through lectures, presentations and workshops; participating in health and wellness fairs that provide screenings for anxiety and depression; supporting multi-sector collaborative efforts to improve access to mental and behavioral health services; increasing community awareness of available resources; and providing funding and in-kind support to community organizations for mental and behavioral health awareness and access to care. Needs identified in the most recent CHNA that are not being addressed are dental health and overweight/obesity. SMMC does not have the expertise or resources to address these needs. Group B-Facility 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER Part V, Section B, line 13h: Patients who are homeless, have recently been declared bankrupt, or qualify for a government-sponsored low-income assistance program are presumptively eligible for assistance under the Financial Assistance Policy. Group B-Facility 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER Part V, Section B, line 15e: Patients are encouraged to submit their completed application with required documents via United States Mail. Group B-Facility 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER Part V, Section B, line 16j: A plain language summary of the FAP was translated in to the following languages: English, Spanish, Vietnamese, Farsi, Tagalog, Chinese, Korean and Khmer. Facility Reporting Group A, Line 11 Long Beach Memorial: To address the significant health needs identified in its most recent CHNA, Long Beach Memorial (LBM) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, LBM is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; providing transportation to health care services; providing community based clinical services to increase availability of care to underserved populations; and providing sports physicals at no cost to student athletes at area schools.(2) addressing chronic disease by: providing diabetes education to the community at no charge; offering free disease support groups for specific chronic conditions; making oncology life coaches and help lines available to the community; providing chronic disease education, screening and treatment; and providing public health education thought the media and community awareness events regarding healthy behaviors and chronic diseases.(3) addressing mental and behavioral health by: providing education and support groups to offer information, resources and assistance on mental health issues; partnering with the Long Beach Police Department's Homeless Assistance Project to connect homeless persons to services and resources; partnering with community organizations to provide outreach and education through physician led workshops; offering smoking cessation resources; and conducting the "Tar Wars" tobacco education program to 5th graders in the Long Beach Unified School District.(4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; offering yoga and walking programs; partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative.(5) addressing preventive care by: providing community health education, presentations, and workshops related to disease prevention and health improvement; providing free health screenings and flu shots; offering senior exercise and fall prevention programs; and offering public health education through media and community events. Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, oral health, and pregnancy and birth outcomes. There are other organizations and agencies that are addressing (and are better qualified to address) these needs. Facility Reporting Group A, Line 11 cont. Miller Children's and Women's Hospital Long Beach: To address the significant health needs identified in its most recent CHNA, Miller Children's & Women's Hospital Long Beach (Miller) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, Miller is:(1) addressing access to care by: promoting the medical home model to improve access to care for children and adolescents in the community; partnering with The Children's Clinic to increase access to care; providing free and discounted care in accordance with its Financial Assistance Policy; providing transportation to medical services; and providing community based clinical services to increase availability of care to underserved populations.(2) addressing chronic disease by: continuing to work with the Long Beach Alliance for Children with Asthma to provide education and advocacy for children with asthma, their families, clinicians and community health workers; providing chronic disease education, screening and treatment; providing public health education through the media and community awareness events regarding healthy behaviors and chronic diseases in children; and developing easy to understand health education information for children and their families.(3) addressing mental and behavioral health by: promoting and participating in school reintegration programs for children with long term mental illness; providing support groups for parents and children; and providing education to providers performing school mental health screenings.(4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; and partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative.(5) addressing pregnancy and birth outcomes by: offering post-partum support groups for new mothers; tracking birth outcomes in partnership with the Black Infant Health Program; offering education and services through the "Welcome Baby" program to new mothers; and supporting breast feeding initiatives and lactation support. (6) addressing preventive care by: providing community health improvement and prevention services; providing community education, bicycle helmets and car seats though a pediatric safety program; and providing free health screenings and flu shots.Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, and oral health. There are other organizations and agencies that are addressing (and better qualified to address) these needs. In addition, Miller does not have the expertise or resources to address these needs. Facility Reporting Group A, Line 11 cont. Community Hospital Long Beach: To address the significant health needs identified in its most recent CHNA, Community Hospital Long Beach (CHLB) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, CHLB is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; and providing transportation to health care services.(2) addressing chronic disease by: offering disease support groups; providing chronic disease education, screening and treatment; and providing public health education though the media and community awareness events regarding healthy behaviors and chronic diseases.(3) addressing mental and behavioral health by: providing education and support groups to offer information, resources and assistance on mental health issues; providing services to address chemical dependency; expanding opportunities to address chemical dependency and behavioral/mental health issues in the community through collaboration with other organizations; providing precepted clinical rotation opportunities for registered nursing students to learn about mental health nursing care; and partnering with community organizations to provide outreach and education though physician-led workshops and presentations.(4) addressing overweight and obesity by: offering community education on healthy eating and exercise; offering free body mass index screenings; providing nutritional counseling; and partnering with the City of Long Beach to promote the Healthy Active Long Beach Initiative.(5) addressing preventive care by: increasing availability and access to preventive care services; and offering public health education through media and community events.Needs identified in the most recent CHNA that are not being addressed are access to housing, crime and violence, economic security, education, environment and climate, oral health, and pregnancy and birth outcomes. There are other organizations and agencies that are addressing (and are better qualified to address) these issues. In addition, CHLB does not have the expertise or resources to address these needs. Facility Reporting Group B, Line 11 Orange Coast Memorial Medical Center: To address the significant health needs identified in its most recent CHNA, Orange Coast Memorial Medical Center (OCMMC) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, OCMMC is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; providing transportation to health care services; and providing a senior advocate to work with local organizations to assist older adults in securing needed services and coordinating the free senior medical transportation program.(2) addressing chronic disease by: offering community health education, community lectures, presentations and workshops; hosting health and wellness fairs targeting the Vietnamese community, including screenings; offering flu shot clinics; providing support groups to assist persons with chronic diseases and their families; providing public education though media and community events to encourage healthy behaviors and prevent chronic diseases; and providing funding to community organizations to support chronic disease prevention and treatment. (3) addressing overweight and obesity by: offering community health education through lectures, presentations and workshops; hosting health and wellness fairs that include screenings for body mass index, blood pressure and blood glucose; providing support for educational outreach to children and their families on nutrition, healthy food choices, and physical activity; providing funding to support community organizations that encourage and educate regarding healthy eating and physical activity; and supporting services to improve senior nutrition. (4) addressing preventive practices by: providing free health screenings; providing education and resources focused on healthy living and disease prevention; reducing injuries and falls among seniors through balance improvement and fall prevention classes; offering flu shot clinics; providing public health education through media and community events to encourage healthy behaviors and promote preventive care; and providing funding to community organizations to support preventive health services. Needs identified in the most recent CHNA that are not being addressed are dental health, mental health, and substance abuse. Resources for mental health are available from other organizations, including Community Hospital Long Beach. OCMMC does not have the expertise or resources to address these needs. Facility Reporting Group B, Line 11 cont. Saddleback Memorial Medical Center: To address the significant health needs identified in its most recent CHNA, Saddleback Memorial Medical Center (SMMC) has adopted an Implementation Strategy. Pursuant to the Implementation Strategy, SMMC is:(1) addressing access to care by: providing free and discounted care pursuant to its Financial Assistance Policy; and providing transportation to health care services.(2) addressing chronic disease by: offering community health education, community lectures, presentations and workshops; hosting health and wellness fairs for seniors, including screenings; offering flu shot clinics; providing support groups to assist persons with chronic diseases and their families; providing public education though media and community events to encourage healthy behaviors and prevent chronic diseases; and providing funding and in-kind support to community organizations to support chronic disease prevention and treatment. (3) addressing mental and behavioral health (including substance abuse) by: offering community health education through lectures, presentations and workshops; participating in health and wellness fairs that provide screenings for anxiety and depression; supporting multi-sector collaborative efforts to improve access to mental and behavioral health services; increasing community awareness of available resources; and providing funding and in-kind support to community organizations for mental and behavioral health awareness and access to care. Needs identified in the most recent CHNA that are not being addressed are dental health and overweight/obesity. SMMC does not have the expertise or resources to address these needs. 48 1 - MEMORIAL CARE IMAGING CENTER 403 COLUMBIA STREET LONG BEACH CA 90806 IMAGING CENTER 2 - CHLB CANCER CENTER 1649 TERMINO AVENUE LONG BEACH CA 90804 CANCER CENTER 3 - BREAST CENTER 2810 LONG BEACH BLVD 2ND FLOOR LONG BEACH CA 90806 BREAST CENTER & OSTEOPOROSIS CLINIC 4 - BUFFUM MEDICAL PAVILLION 455 E COLUMBIA STREET LONG BEACH CA 90806 HOME CARE PHARMACY, CHILDRENS DENTAL CLINIC, URGENT CARE TRAILER 5 - REHABILITATION OUTPATIENT SPECIALTY CENTER 1760 TERMINO AVE SUITE G19 G20 100 108 LONG BEACH CA 90804 PEDIATRIC REHAB 6 - ADULT INFUSION CENTER 2810 LONG BEACH BLVD 3RD FLOOR LONG BEACH CA 90806 ADULT INFUSION CENTER 7 - SLEEP DISORDERS CENTER 5182 KATELLA AVE SUITE 106 LOS ALAMITOS CA 90720 SLEEP DISORDER CLINIC 8 - ADULT PULMONARY REHAB CENTER 2840 LONG BEACH BLVD SUITE 210 260 LONG BEACH CA 90806 DIABETES CLINIC AND PULMONARY REHABILITATION 9 - WOUND HEALING CENTER 2888 LONG BEACH BLVD SUITE 125 LONG BEACH CA 90806 WOUND CARE CENTER 10 - TRANSITIONAL REHAB 2085 E 3RD STREET LONG BEACH CA 90804 REHABILITATION CENTER 11 - STRAMSKI CHILDRENS DEVELOPMENTAL CENTER 2651 ELM AVE SUITE 205 LONG BEACH CA 90806 PEDIATRIC CLINIC 12 - OBGYN CLINIC 2865 ATLANTIC AVE SUITE 110 115 LONG BEACH CA 90806 OB/GYN CLINIC, LACTATION CLINIC & CHILD ABUSE CENTER 13 - BICKERSTAFF HIV CENTER 2701 ATLANTIC AVE SUITES B C LONG BEACH CA 90806 HIV CENTER 14 - PEDIATRIC HEMATOLOGY-ONCOLOGY CENTER 2653 ELM AVENUE SUITES 200 301 LONG BEACH CA 90806 PEDIATRIC SERVICES 15 - ORTHOPEDIC CENTER 1760 TERMINO AVENUE SUITE 308 LONG BEACH CA 90804 PEDIATRIC ORTHOPEDIC SERVICE 16 - ENDOCRINE DIABETES & METABOLIC CENTERS 2880 ATLANTIC AVE SUITE 220 LONG BEACH CA 90806 PEDIATRIC CENTERS 17 - MULTISPECIALTY CLINIC 2865 ATLANTIC AVE SUITE 104 152 LONG BEACH CA 90806 MULTISPECIALTY CLINIC 18 - GI HEPATOLOGY & NUTRITION CENTER 1760 TERMINO AVENUE SUITE 300 301 LONG BEACH CA 90804 PEDIATRIC SERVICES 19 - CARDIOLOGY OUTPATIENT NEUROLOGY CENTER 2880 ATLANTIC AVENUE SUITE 255 LONG BEACH CA 90806 PEDIATRIC SERVICES 20 - TODD CANCER INSTITUTE 2810 LONG BEACH BLVD LONG BEACH CA 90806 CANCER RISK AND PREVENTION 21 - CHILDREN'S SPECIALTY CENTER 9440 TALBERT AVE SUITE 200 FOUNTAIN VALLEY CA 92708 CHILDREN'S SPECIALTY CENTER 22 - CENTER FOR CARDIAC HEALTH & RESEARCH 2865 ATLANTIC AVE SUITE 210 LONG BEACH CA 90806 Cardiac Health and Research 23 - CHLB PARTIAL HOSPITALIZATION INTENSIVE 4111 WILTON STREET LONG BEACH CA 90804 OP BEHAVIORAL HEALTH 25 - CHLB PSYCHIATRIC CLINIC 1760 TERMINO AVE SUITE G18 LONG BEACH CA 90804 PSYCHE CLINIC 26 - EYE CENTER 450 E SPRING STREET SUITE 6 LONG BEACH CA 90806 EYE CLINIC 27 - CLINICAL RESEARCH CENTER 2840 LONG BEACH BLVD SUITE 345 LONG BEACH CA 90806 CLINICAL RESEARCH CENTER 28 - SLEEP DISORDERS CENTER 2651 ELM AVE SUITE 307 LONG BEACH CA 90806 SLEEP DISORDER CLINIC 29 - STRAMSKI CHILDRENS DEVELOPMENTAL CENTER 2650 ELM AVENUE SUITE 301 LONG BEACH CA 90806 PEDIATRIC CLINIC 30 - DEVELOPMENTAL & MULTISPECIALTY CENTER 3640 LOMITA BLVD SUITE 102 TORRANCE CA 90505 CHILDREN'S SPECIALTY CENTER 31 - JONATHAN JAQUES CENTER 701 E 28TH STREET SUITE 202 LONG BEACH CA 90806 PEDIATRIC CANCER CENTER 32 - MEMORIALCARE PETCT IMAGING CENTER 2888 LONG BEACH BLVD SUITE 110 LONG BEACH CA 90806 IMAGING CENTER 33 - PEDIATRIC REHABILITATION 1760 TERMINO AVENUE SUITE 219 LONG BEACH CA 90804 PEDIATRIC REHAB 34 - PEDEARIC NEPHROLOGY or UROLOGY CLINIC 2888 LONG BEACH BLVD LONG BEACH CA 90806 PEDIATRIC SERVICES 35 - OCMMC Imaging Services 18111 Brookhurst St Ste 1400 Fountain Valley CA 92708 Imaging 36 - OCMMC Cardiology & Cardiac Rehab 18111 Brookhurst St Ste 2200 2400 Fountain Valley CA 92708 Cardiology 37 - OCMMC Nuclear Rehab 18111 Brookhurst St Ste 1400 Fountain Valley CA 92708 Imaging 38 - Breast Care Center at OCMMC 9900 Talbert Ave Ste 102 Fountain Valley CA 92708 Breast Care 39 - OCMMC Outpatient Services 18111 Brookhurst St Ste 2400 Fountain Valley CA 92708 Rehabilitation 40 - OCMMC Infusion 18111 Brookhurst St Ste 4300 Fountain Valley CA 92708 Infusion 41 - SMMC BREAST CENTERBREAST MRI 24401 CALLE DE LOUISA SUITE 101 A 101 B LAGUNA HILLS CA 92653 BREAST MRI 42 - SMMC RADIATION ONCOLOGY 24953 PASEO DE VALENCIA SUITE B1 LAGUNA HILLS CA 92653 RADIATION ONCOLOGY 43 - SMMC COORDINATED HOME CARE 23521 PASEO DE VALENCIA SUITE 100-102 LAGUNA HILLS CA 92653 COORDINATED HOME CARE 44 - MEMORIALCARE IMAGING CENTERSan Clemente 675 CAMINO DE LOS MARES SAN CLEMENTE CA 92673 IMAGING CENTER 45 - SMMC HOSPICE 23521 PASEO DE VALENCIA SUITE 100-102 LAGUNA HILLS CA 92653 HOSPICE 46 - SMMC WOUND CARE 26137 LA PAZ ROAD SUITE 120 MISSION VIEJO CA 92691 WOUND CARE 47 - SMMC HEART INSTITUTE 24401 CALLE DE LOUISA SUITE 201 202 LAGUNA HILLS CA 92653 HEART INSTITUTE 48 - SMMC OUTPATIENT REHAB 24401 CALLE DE LOUISA SUITE 100 LAGUNA HILLS CA 92653 OUTPATIENT REHAB 49 - EDUCATIONTRANSITIONS 23961 CALLE DE LA MAGDALENA SUITE 300 LAGUNA HILLS CA 92653 EDUCATION/TRANSITIONS Part I, Line 6a: Each facility prepares a separate community benefit report for the California Office of Statewide Health Planning and Development filing purposes. A consolidating schedule for the dollar amounts of charity & community benefit provided to the communities is prepared by the corporate office for the audited financial statements and the annual report. Part I, Line 7: The amounts reported on Lines 7a, 7b, and 7c were calculated using a cost-to-charge ratio derived from Worksheet 2. The amounts reported on Line 7g were calculated using a cost accounting system that addresses all expenses from the consolidated income statement of each facility, and all patient care areas are included in the indirect allocation (inpatient, hospital billed outpatient and emergency room and external billed outpatient), with no exception by payer. Additionally, a cost allocation method based on reasonable allocation factors including: square footage, funding source, employee wages, and fair rental value, was used to include estimated expense for Lines 7f, 7h, and 7i. The amounts reported on Line 7e are direct costs from the general ledger. Part I, Line 7g: All expenses reported on Line 7g are subsidized health services provided at the outpatient specialty centers (clinics) of the Miller Children's and Women's Hospital Long Beach. These specialty centers offer more than 30 pediatric sub-specialty services. Children are seen for acute, chronic or surgical conditions. These outpatient centers serve as the patient's "medical home" for the many that will need ongoing follow-up care and support on a regular basis. These much needed pediatric services are subsidized in order to provide services regardless of ability to pay. Part I, Ln 7 Col(f): Provision for doubtful accounts is recorded based on historical experience and collection trends for major payer types. These are amounts for which the patient or a guarantor is responsible and no other third party liability exists. A minimum of two statements will be sent to the patient or guarantor notifying them that the balance is due. After reasonable and customary collection efforts have been made and the liability remains outstanding for more than 120 days from the mailing date of the first bill, the account will be referred to an outside collection agency. At that time the account is written off to provision for doubtful accounts. The unpaid patient portion of Medicare accounts will not be deemed uncollectible and sent to a collection agency until a minimum of 120 days have passed from the date of the first bill mailed to the beneficiary. The patient portion of a Medicare account will then be sent to a collection agency but will not be written off to provision for doubtful accounts until it is returned from the collection agency after a determination that there is no likelihood of recovery. Unresolved accounts are returned to the facility by the collection agencies after they have performed all reasonable and customary collections efforts and determined that there is no likelihood of recovery.Payments are received for services under the Medicare and Medi-Cal programs and private managed care programs based on contract terms, and from other payers. Receivables from non-government payers are subject to differing economic conditions. Reserves associated with receivables are continually monitored and adjusted. Estimates of the provision for doubtful accounts and the allowance for uncollectible accounts are based on historical collection experience. Part II, Community Building Activities: The organizations included in this group return engaged in community building activities in the following categories during the year:Community Support - Staff from each facility identified in Part V of Schedule H participated in coalitions, on committees and on advisory and governing boards of community groups and public health agencies to address health and wellness issues. Staff members also engage in community health planning activities, educational presentations, and consortia, summits, and meetings with community groups.Leadership Development - The 13th Annual Health Care Forum for Business Leaders, the President's Partnership was a conference hosted by MemorialCare President, Dr. Arbuckle. The conference, The Puzzling Economics of Healthcare 2018, engaged employers in the region to better understand health care reform, create a healthier workforce, and advocate for better care in the communities they serve.Coalition Building - Facility staff hold member, advisory committee, and governing body positions in local, regional, state and national health and welfare coalitions.Community Health Improvement Advocacy - Facility staff is involved in advocacy activities for improved health and wellness. Staff engages in local, state and national advocacy efforts that support access to health care.Workforce Development - The facilities staff participated in community programs that encourage careers in nursing and other health professions and promote diversity in health care careers. Staff members visited local schools to discuss careers in health care and shared their expertise as mentors to high school students. Part III, Line 2: Bad debt is determined based on patient liability, irrespective of any previous payments or discounts on the account. For accounts with insurance coverage, once the insurance has paid, a statement is sent to the patient for their portion (deductible, co-pay, non-covered charges). For self-pay accounts, several options for discounts are available. After a set period of time, if payments are not made, the patient portion is written off as bad debt. Part III, Line 4: Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Corporation analyzes its past history and identifies trends for each of its major payer sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payer sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Corporation analyzes contractually due amounts and provides an allowance for doubtful accounts and a provision for bad debts, if necessary. For receivables associated with self-pay patients, which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill, a significant provision for bad debts is recorded in the period of service on the basis of its past experience. The difference between the standard rates, or the discounted rates if negotiated, and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. Part III, Line 8: The entire Medicare shortfall should be treated as a community benefit because the amount reflects the value of patient care services subsidized by the organizations. The organizations cannot collect the shortfall in reimbursement from the patient therefore, are providing a benefit to the community by offering services to Medicare beneficiaries at financial loss. This loss prevents the organizations from investing in other community benefit activities. Part III, Line 9b: Once an account balance has been determined to be solely a patient responsibility, a minimum of two statements are sent to the patient or any identified guarantor notifying them of the amount due. If the patient liability remains unpaid despite reasonable and customary collection efforts, the account may be referred to an outside collection agency, and the collection agency will pursue reasonable and customary collection efforts. If at any time during this process the patient indicates financial hardship, the patient will be informed of the organization's Financial Assistance Policy. If all or part of a balance qualifies for charity care under the Financial Assistance Policy, that amount will be treated as charity care. The remainder, if any, remains classified as bad debt. When the collection agency determines there is no likelihood of recovery, the agency ceases all collection efforts, and notifies the organization. Collection procedures are applied consistently for all patients, regardless of insurance status. For those patients indicating financial hardship, the organization's Financial Assistance Policy will be followed to determine the extent to which charity care, low income financial assistance or extended payment plans may be available. Patients are informed of the Financial Assistance Policy and payment options by the patient statements provided at 30 day intervals up to 120 days from the first statement, and advised to contact the organization's Patient Financial Services department for more information about payment options or financial assistance that may be available. If a patient is not eligible for a government assistance program and the patient indicates a need for financial assistance or an extended payment plan, an application is promptly provided to the patient. No organization included in this group return or its agent or assignee (including a collection agency) will report adverse information to a consumer credit reporting agency or commence civil action against a patient for nonpayment at any time prior to 150 days after initial billing. Part VI, Line 2: In addition to performing the community health needs assessment (CHNA), each facility identified in Part V of Schedule H engages a Community Benefit Oversight Committee, which is led by community members and supported by facility staff. This Committee meets regularly to identify and discuss community health needs and possible resources to meet those needs. Each facility has made its CHNA available on its public website, and has asked for public comments to solicit additional information and input on community health needs. Facility staff actively participate in local collaborative groups that convene to identify and address community health and welfare needs. Members of facility staff serve on a number of community organization governing boards and advisory bodies to public health agencies, and information obtained from this active community involvement factors into identification of community health needs. Part VI, Line 3: Each facility identified in Part V of Schedule H posts notices informing the public of its financial assistance program in the emergency service area and other high volume inpatient and outpatient areas. In addition, notices are posted in patient financial services and collection departments, and on the facility's website. These notices are posted in English and Spanish and any other languages that are representative of 5% or more of the patients in the facility's service area.Each facility offers brochure about the program, which expressly states that facility staff will help patients identify all of their options and assist patients in applying for assistance, and provides contact information for the facility's program and governmental programs. The brochures are posted in English and Spanish and any other languages that represent 5% or more of the patients in the facility's service area. Part VI, Line 4: Community Hospital Long Beach serves the communities of Bellflower, Long Beach and Signal Hill, with a population of over 500,000. The largest ethnic group is Hispanic/Latino, (approximately 40%), followed by White, Blacks/African American, Asians, Native Americas and Pacific Islanders. English is spoken in over half the homes and Spanish is spoken in about one-third of the homes. Children (age 0-18) account for approximately 28% of the population, and seniors (age 65 and older) are about 10% of the population. Of the service area population age 25 and over, 20.7% do not have a high school diploma. Over 20% of the population lives at or below the federal poverty level and over 40% are considered low income. Miller Children's and Women's Hospital Long Beach, serves the communities of Bell, Bellflower, Compton, Lakewood, Long Beach, Lynwood, Norwalk, Paramount, San Pedro, South Gate, and Wilmington, with a population of over 1,200,000. The largest ethnic group is Hispanic/Latino (approximately 60%), followed by White, Black/African American, Asian, and Native American or Pacific Islander. English is spoken in over 40% of the homes, and Spanish is spoken almost half the homes. Children (age 0-18) account for approximately 31% of the population, and seniors (age 65 and older) are about 8% of the population. Of the population age 25 and over, more than 30% do not have a high school diploma. Approximately 20% of the population lives at or below the federal poverty level and over 40% are considered low income. Long Beach Memorial serves the communities of Bellflower, Compton, Lakewood, Long Beach, Seal Beach and Signal Hill, with a population of over 740,000. The largest ethnic group is Hispanic/Latino (over 40%), followed by White, Black/African American, Asians, Native Americans and Pacific Islanders. English is spoken in over half the homes and Spanish is spoken in approximately 35% of homes. Children (age 0-18) account for approximately 28% of the population, and seniors (age 65 and older) are about 10% of the population. Of the service area population age 25 and over, 21.7% do not have a high school diploma. Approximately 23% of the population lives at or below the federal poverty level and over 40% are considered low income. Orange Coast Memorial Medical Center serves the communities of Anaheim, Buena Park, Costa Mesa, Cypress, Fountain Valley, Garden Grove, Huntington Beach, Midway City, Santa Ana, Seal Beach, Stanton, Tustin and Westminster, a population of over 1,200,000. The largest ethnic group is Hispanic/Latino (approximately 40%), followed by White (approximately 30%) and Asian (over 20%). Spanish is spoken in approximately one-third of the homes, and an Asian or a Pacific Islander language is spoken in approximately 18% of the homes. Children (age 0-17) account for approximately 23% of the population, and seniors (age 65 and older) are about 12% of the population. Approximately 22% of adults have not graduated high school. Approximately 15% are at or below the federal poverty level, and over 35% are considered low-income. Saddleback Memorial Medical Center serves the communities of Aliso Viejo, Capistrano Beach, Dana Point, Foothill Ranch, Irvine, Ladera Ranch, Laguna Beach, Laguna Hills, Laguna Niguel, Laguna Woods, Lake Forest, Mission Viejo, Newport Beach, Rancho Santa Margarita, San Clemente, San Juan Capistrano and Trabuco Hills, a population over 840,000. More than half of the population (approximately 68%) is White, and Asians are the second largest ethnic group in the service area (approximately 17%). Hispanics/Latinos account for about 15% of the population. An Asian or Pacific Islander language is spoken in approximately 11% of homes and Spanish is spoken in approximately 10% of homes. Children (age 0-17) account for approximately 22% of the population, and seniors (age 65 and older) are about 14% of the population. Over 5% of adults have not graduated from high school. Less than 8% are at or below the federal poverty level and over 17% are considered low income. Part VI, Line 5: The governing board of each organization included in this group return, and the governing board of the sole member of each organization, is comprised of members of the communities served, and none of the governing body members are compensated for their board service (other than the Memorial Health Services Chief Executive Officer, who is compensated as the Chief Executive Officer by Memorial Health Services, and part of his duties include service on the board of each organization). Each facility identified on Part V of Schedule H has a Community Benefit Oversight Committee, which is led by volunteer community members and supported by facility employees. These Committees have oversight of each community health needs assessment and the development of implementation strategies to address identified community health needs. Each facility identified in Part V of Schedule H maintains an open medical staff except in rare instances when a clinical department is "closed" in accordance with California law for hospital-based services.As a nonprofit organization, any surplus of funds is invested back into providing health care services and resources to the community, including but not limited new patient care locations and equipment, expanded programs and services, and the training of physicians, nurses and other professionals including pharmacists and speech, occupational, physical and respiratory therapists. One of the facilities partners with the University of California, Irvine to train medical residents in various specialties, maintains a pharmacy residency program, and partners with California State University Long Beach to provide clinical training to nursing students. A coordinated research administration function oversees scientific and clinical research at the organizations. Through the MemorialCare Physician Society, independently practicing physicians are supported in their efforts to promote and share best practices in evidence-based medicine. Part VI, Line 6: Each organization included in this group return is part of the MemorialCare Health System (MemorialCare), the parent of which is Memorial Health Services. Three of the organizations included in this group return operated one or more hospitals: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, and Saddleback Memorial Medical Center. MemorialCare Medical Foundation is a nonprofit medical practice foundation described in Section 1206(l) of the California Health & Safety Code and provides primary care and specialty physician services to the community at over 30 sites across south Los Angeles County and Orange County. The mission of each of these organizations is to improve the health and well-being of individuals, families and our communities, and each organization has a role in promoting the health of the communities served, including providing education to members of the community about health and wellness, and conducting research. In addition, MemorialCare founded and supports the MemorialCare Physician Society, an unincorporated association of more than 1,700 independently practicing doctors who are committed to improving clinical outcomes and patient safety through the use and sharing of best practices in evidence based medicine. MemorialCare also includes philanthropic foundations, which have strong community ties and raise money to fund patient care programs, needed facilities and equipment, medical education, community education and outreach, and research. Part VI, Line 7, Reports Filed With States CA 1 City Of Fountain Valley 10200 Slater Ave Fountain Valley CA 92708 13833 Outreach and support for Fountain Valley community City of Huntington Beach 18041 Goldenwest St Huntington Beach CA 92648 25000 Care Management Senior Social Services Support Huntington Beach Council on Aging 18041 Goldenwest St Huntington Beach CA 92648 510179431 501 (c)(3) 8250 Senior Activities Huntington Beach Chamber of Commerce 2134 Main St Ste 100 Huntington Beach CA 92648 950857105 501 (c)(6) 8000 Sponsorship Vietnamese American Cancer Foundation 17160 Newhope St Ste 203 Fountain Valley CA 92708 912170415 501 (c)(3) 11000 Sponsorship- Cancer Care Coordination Community Seniorserv Inc 1200 N Knollwood Cir Anaheim CA 92801 952771715 501 (c)(3) 8750 Senior Nutrition Access March of Dimes 2222 Martin Ste 270 Irvine CA 92612 131846366 501 (c)(3) 7500 Sponsorship for Children's Health Mind OC and Be Well Orange County 307 Placentia Ave Ste 206 Newport Beach CA 92663 823901590 501 (c)(3) 25000 Support for system of care for Mental and behavior Health in Orange County Trauma Intervention Programs Inc 24301 Airporter Way Laguna Niguel CA 92708 330317893 501 (c)(3) 5360 Crisis Intervention Services for Orange County City of Laguna Hills 25555 Alicia Parkway Laguna Hills CA 92648 15000 Memorial Day Run-honoring USMC Saddleback Memorial Foundation 24451 Health Center Dr Laguna Hills CA 92648 330011887 501 (c)(3) 50300 Fall Gala to support SMMC hospital Age Well Senior Services 24461 Ridge Route Dr Ste 220 Laguna Hills CA 92648 931163563 501 (c)(3) 7000 Senior Ball to support Seniors in Laguna Hills area Alzheimer's Orange County 2515 McCabe Way Suite 200 Irvine CA 92708 953702013 501 (c)(3) 5000 Senior Day sponsorship for Alzheimers patient support Family Assistance Ministries 1030 Calle Negocio San Clemente CA 92801 330864870 501 (c)(3) 12500 Assist low-income or poverty level individuals in the South Orange County area Illumination Foundation 2691 Richter Ave Ste 107 Irvine CA 92612 711047686 501 (c)(3) 12500 Bridge2Care Program to assist the most vulnerable Orange County homeless clients South Orange County Economic Coalition 27758 Santa Margarita Parkway Ste 378 Mission Viejo CA 92663 10000 Platinum Sponsorhip Age Well Senior Services Inc 24461 Ridge Route Dr 220 Laguna Hills CA 92653 931163563 501 (c)(3) 11500 Sponsorship of multiple events Orange Coast Memorial Medical Center 18111 Brookhurst St Suite 4100 Fountain Valley CA 92708 330687414 501 (c)(3) 15000 Annual Fall Gala Sponsorship University of CA Irvine Foundation 100 Theory Suite 250 Irvine CA 92617 952540117 501 (c)(3) 10000 Sponsorship - 2018 Healthcare Forecast Conference Mission Viejo Community Foundation 200 Civic Center Drive Mission Viejo CA 92691 300291775 501 (c)(3) 8100 Sponsorship of Senior & Community events City of Fountain Valley 10200 Slater Ave Fountain Valley CA 92708 5866 Sponsorship of multiple events; 13th Annual Senior Expo 2018 Saddleback Memorial Foundation 24451 Health Center Drive laguna Hills CA 92653 330011887 501 (c)(3) 8000 Spring Gala 2017: Gold Sponsorship & Golf Classic 2017 Lunch: Sponsorship California Conference For Equality 3711 Long Beach Blvd Ste 1017 Long Beach CA 90807 542178438 501 (c)(3) 12350 PROGRAM SUPPORT March of Dimes 700 N Brand Blvd Ste 950 Glendale CA 91203 931163563 501 (c)(3) 10000 PROGRAM SUPPORT City of Irvine 1 Civic Center Plaza Irvine CA 92606 5095 PROGRAM SUPPORT Long Beach Police Foundation PO BOX 15418 Long Beach CA 90815 330835185 501 (c)(3) 5000 PROGRAM SUPPORT The Children's Clinic 2790 Atlantic Avenue Long Beach CA 90806 951643332 501 (c)(3) 5000 PROGRAM SUPPORT 20 7 Part I, Line 2: The organizations that are included in this group return generally do not make grants or gifts other than to nonprofit organizations that are tax-exempt public charities or governmental entities for the purpose of improving the health and well-being of individuals, families and communities. However, all proposed and contemplated grants are considered and assessed by the organization to determine whether the use of the funds by the recipient will further the charitable mission of the organization. The organizations do not generally require formal reporting on the use of such gifts or grants by the recipient. However, from time to time, an organization may require grant or gift agreements which require recipients to report on use of grant or gift proceeds. 1 1 0 0 0 0 0 1 0 Barry S Arbuckle BD Member-LBMMC,OCMMC,SMMC,MCMF 0 1272124 0 797499 0 123034 0 380426 0 26129 0 2599212 0 0 John Bishop CEO/EVP, LBMMC 0 496166 0 103866 0 33684 0 1049664 0 21797 0 1705177 0 0 Wendy L Dorchester CEO/EVP, LBMMC (thru 12/17) 0 422006 0 119100 0 132050 0 26500 0 18203 0 717859 0 0 Yair Katz CFO, LBMMC 0 270706 0 43904 0 27577 0 0 0 21275 0 363462 0 0 Marcia Manker CEO/EVP, OC Region 0 565716 0 231638 0 61058 0 970670 0 16579 0 1845661 0 0 Aaron B Coley CFO, OC Region 0 335622 0 88601 0 50288 0 21200 0 16203 0 511914 0 0 Jacqueline Luxenberg CFO - MCMF 0 265033 0 61491 0 26691 0 15900 0 15562 0 384677 0 0 Mark D Schafer CEO, MCMF 0 506858 0 193855 0 47394 0 425845 0 16112 0 1190064 0 0 Judith A Fix CNO, Ptnt Svcs, LBMMC (thru 3/18) 0 334216 0 38704 0 42106 0 21200 0 19296 0 455522 0 0 Emily M Randle COO, OC Region 0 281187 0 64341 0 37823 0 18550 0 21478 0 423379 0 0 Laurie D Sicaeros COO/SVP Physician Integration, MCMF 0 369096 0 88400 0 56132 0 21200 0 2196 0 537024 0 0 Susan Y Melvin DO CMO, LBMMC (thru 1/18) 0 383382 0 60755 0 39722 0 15900 0 4326 0 504085 0 0 Tamra L Kaplan COO, LBMMC 0 383610 0 52421 0 35843 0 26500 0 15938 0 514312 0 0 Adam Solomon Chief Medical Officer, MCMF 0 353653 0 75181 0 33432 0 13250 0 15814 0 491330 0 0 Cheryl Jacob COO, OC Region (thru 1/18) 0 339896 0 80079 0 42513 0 26500 0 13114 0 502102 0 0 Kristin M Mascotti MD Quality Medical Officer, OC Region 0 351354 0 53034 0 32631 0 0 0 16017 0 453036 0 0 Regina S Berman VP Population Health Mgmt, MCMF 0 297701 0 69494 0 32669 0 0 0 21049 0 420913 0 0 Deeling L Teng Senior Medical Director, MCMF 0 304542 0 65957 0 11218 0 0 0 15610 0 397327 0 0 Brennan R James VP, Strategy & Bus Dev, OC Region (t 0 260157 0 63225 0 23305 0 23850 0 21269 0 391806 0 0 Marcie Atchison VP, Human Resources, LBMMC 0 274651 0 38900 0 28689 0 13250 0 21816 0 377306 0 0 Debra Spindel VP Physician Services, MCMF 0 265076 0 54147 0 27844 0 23850 0 16008 0 386925 0 0 Hugo L Folli VP, Ancillary Services, OC Region 0 261991 0 68663 0 17709 0 26500 0 15916 0 390779 0 0 Judy Shubin VP Payor Contracting, MCMF 0 246132 0 52660 0 23861 0 26500 0 15381 0 364534 0 0 Leslie McMains VP Provider Svcs, MCMF 0 251984 0 403 0 55410 0 23850 0 7001 0 338648 0 0 Laura Lundquist VP Outpat. Ctrs/Admin CHLB, LBMMC 0 242959 0 34776 0 12256 0 26500 0 19227 0 335718 0 0 Andrea De Coro VP Clinical Pharmacy & PI, MCMF 0 234738 0 38850 0 12285 0 0 0 2752 0 288625 0 0 Tony Struthers VP, Administrator, OC Region 0 214527 0 45911 0 19669 0 15900 0 13821 0 309828 0 0 Linda L Hoff VP, Med Surg/Periop Svc, LBMMC 0 235339 0 32609 0 16656 0 26500 0 11351 0 322455 0 0 Kevin G Davidson VP Bus Develop & Strategy, MCMF 0 219823 0 44024 0 10191 0 8121 0 11608 0 293767 0 0 Jennifer Thompson VP Medical Grp Operations, MCMF 0 220402 0 42911 0 12239 0 13250 0 11111 0 299913 0 0 Ida M Merline VP, Mem. Heart Institute, LBMMC 0 207462 0 29083 0 36236 0 15900 0 25175 0 313856 0 0 Shela Kaneshiro VP, Nursing, CNO, OC Region 0 215339 0 34043 0 23764 0 0 0 1355 0 274501 0 0 Diane C Wynn VP, Risk Management Svcs, LBMMC 0 205863 0 49324 0 15802 0 15114 0 17482 0 303585 0 0 Kathy R Dawson VP, Nursing, OC Region (thru 5/18) 0 187728 0 50371 0 23641 0 15900 0 15186 0 292826 0 0 Erin Hotra-Shinn VP, Strategy/Bus Dev, OC Region 0 189061 0 38386 0 23888 0 25461 0 20957 0 297753 0 0 John E Ho Senior Medical Director, MCMF 0 201543 0 32424 0 9042 0 0 0 4462 0 247471 0 0 Kelli J Ruiz VP, Strategy & Bus Dev, LBMMC 0 197473 0 17709 0 11114 0 0 0 15878 0 242174 0 0 Richele S Craveiro-Steele VP, Marketing & PR, LBMMC 0 184302 0 24895 0 10736 0 16127 0 20679 0 256739 0 0 Ikenna M Mmeje COO, LBMMC 0 106115 0 103500 0 10599 0 0 0 3742 0 223956 0 0 Lori Love Weaver Exec. Dir. Managed Care, MCMF 0 176219 0 5829 0 402 0 9788 0 17031 0 209269 0 0 Michael P Nageotte MD Assoc Chief Med Officer, LBMMC 0 151626 0 601 0 18444 0 16251 0 10282 0 197204 0 0 Maria E Zitlau RN, Coord, CVOR 0 296962 0 0 0 772 0 25895 0 18082 0 341711 0 0 Debra J Posey Mgr, Assistant Unit (RN) 0 253580 0 1197 0 260 0 23475 0 6405 0 284917 0 0 Anil Sharma Program Dir, Medical Physicist 0 242052 0 0 0 1588 0 22409 0 21141 0 287190 0 0 Jane H Hodding Exec Dir, Pharmacy 0 242223 0 597 0 2997 0 24530 0 13047 0 283394 0 0 Peggy C Kim RN, Cardiovascular Specialist 0 232876 0 0 0 1407 0 14073 0 5613 0 253969 0 0 Diana L Hendel Former CEO/EVP, LBMMC 0 36324 0 0 0 245591 0 0 0 0 0 281915 0 0 Scott Shiffman Former Sen. Med. Dir., MCMF 0 38580 0 0 0 310059 0 26500 0 1992 0 377131 0 0 Part I, Line 3 The compensation of the organizations' chief executive officers is determined by Memorial Health Services (MHS), the tax-exempt parent. See Schedule O Form 990, Part VI, lines 15a and 15b for the process used by MHS to determine compensation. Part I, Lines 4a-b 4a: The following individuals received a severance payment during the year: -Diana Handel $245,591 -Pamela Chevreaux $36,178 -Scott Shiffman $290,000 4b: Memorial Health Services (MHS), the sole member of each organization included in this return, sponsors a supplemental executive retirement plan (SERP), covering selected executives of the organizations, as approved by the Compensation Committee of the MHS board of directors. The SERP provides for a lump sum payment to each executive at vesting date, as defined in the SERP plan document and agreement. There were payouts during calendar year 2017. The SERP payment benefit is subject to a substantial risk of forfeiture until age 62, such that the benefit will be forfeited if the executive leaves the organization prior to reaching age 62. A full benefit is payable only if an executive has achieved at least 20 years of service on the vesting date, and is reduced proportionally for service less than 20 years. The SERP helps the organization attract and retain talented healthcare executives. The amount of benefit reported in Part II, column (C) includes all retirement plan contributions made to the MemorialCare Retirement Plan, a defined contribution plan, and any increase in the net present value of the accrued benefit for each participant in the SERP. This includes an additional one year accrual of benefit earned, but also includes the impact on benefit funding liability based on changes in interest rates and other actuarial assumptions. These changes were based on advice of an independent, third-party actuarial firm. No changes were made to the SERP benefit formula that the executives may earn and accrue over time. Part I, Line 7 Certain executives receive part of their overall compensation in the form of an annual incentive payment. Several financial and non-financial metrics are utilized in the formula for the incentive compensation, and these metrics and the formula are reviewed and approved each year in advance by the Compensation Committee of the board of directors of the sole member of each organization. Payment of any incentive compensation must be approved by the Compensation Committee after it has reviewed the metrics to determine whether they have been met and the amount of the payments (if any) based on the approved formula. Leslie H Edrich MD Inc Leslie Edrich, MD 105640 Medical services provided to LBMMC 0 Schedule L, Part IV Leslie Edrich, MD is a board member of LBMMC and is also the owner of Leslie H Edrich MD Inc. Form 990, Part III, line 3 CHLB Closure. See disclosure in Part III of Line 4a for more details on the closure and change in program services. FORM 990, PART IV, LINE 2 The following organizations included in this group return are required to file Schedule B, Schedule of Contributors: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, and Saddleback Memorial Medical Center. FORM 990, PART IV, LINE 4 The following organizations included in this group return engaged in lobbying activities: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, Saddleback Memorial Medical Center, and MemorialCare Medical Foundation. See Schedule C, Part II. FORM 990, PART IV, LINE 10 Long Beach Memorial Medical Center and Saddleback Memorial Medical Center, both included in this group return, are each the sole member of a nonprofit organization (Memorial Medical Center Foundation and Saddleback Medical Foundation, respectively) formed and maintained to further their respective exempt purposes, and these related nonprofit organizations held assets in endowment funds for the benefit of Long Beach Memorial Medical Center and Saddleback Memorial Medical Center, respectively. FORM 990, PART IV, LINE 18 Orange Coast Memorial Medical Center, an organization included in this group return, reported more than $15,000 of fundraising event gross income and contributions. FORM 990, PART IV, LINE 20A Three of the organizations included in this group return operated one or more hospitals: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, and Saddleback Memorial Medical Center. FORM 990, PART IV, LINE 20B Each of Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, and Saddleback Memorial Medical Center have attached their audited financial statements to this group return. FORM 990, PART IV, LINE 28C The following organizations were parties to business transaction with a person or entity described in Lines a, b, and/or c (see Schedule L): Long Beach Memorial Medical Center, MemorialCare Medical Foundation. FORM 990, PART IV, LINE 33 The following organizations included in this group return owned 100% of the interests of at least one disregarded entity: Saddleback Memorial Medical Center and MemorialCare Medical Foundation. FORM 990, PART V, LINE 3A The following organizations had unrelated business gross income of $1,000 or more during the year: Long Beach Memorial Medical Center, Saddleback Memorial Medical Center, Orange Coast Memorial Medical Center, and MemorialCare Medical Foundation. FORM 990, PART V, LINE 7A/B The following organizations received payments in excess of $75 made partly as a contribution and partly for goods and services provided to the payer, and notified the payer of the value of the goods and services provided: Orange Coast Memorial Medical Center. Form 990, Part VI, Section A, line 2 The following officers of MemorialCare Medical Foundation have a business relationship: Judy Shubin and Mark Schafer. Form 990, Part VI, Section A, line 3 MemorialCare Medical Foundation delegated management duties for Wave Imaging, LLC (100% owned by MCMF) to Strategic Medical Ventures, LLC. This was for the first half of fiscal year 2018 until the agreement ended. Form 990, Part VI, Section A, line 6 Memorial Health Services, a nonprofit corporation and tax-exempt public charity within the meaning of Section 501(c)(3) of the Internal Revenue Code, is the sole corporate member of each of Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, Saddleback Memorial Medical Center, and MemorialCare Medical Foundation. Form 990, Part VI, Section A, line 7a Memorial Health Services, a nonprofit corporation and tax-exempt public charity within the meaning of Section 501(c)(3) of the Internal Revenue Code, is the sole member of each of the following organizations and has the right to elect the members of the governing body of each organization: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, Saddleback Memorial Medical Center, and MemorialCare Medical Foundation. Form 990, Part VI, Section A, line 7b Memorial Health Services, a nonprofit corporation and tax-exempt public charity within the meaning of Section 501(c)(3) of the Internal Revenue Code, is the sole member of each of the following organizations: Long Beach Memorial Medical Center, Orange Coast Memorial Medical Center, Saddleback Memorial Medical Center, and MemorialCare Medical Foundation. The governing documents of these organizations reserve to Memorial Health Services as the sole member the following powers: approval of any adoption, amendment or supplement to any mission, philosophy, or values statements; approval of any amendment to the governing documents, the election and removal of directors and selection, employment and removal of the chief executive officer; sale or other disposition of all or substantially all assets; any merger, consolidation, voluntary dissolution, acquisition of assets or membership of a health facility or entry into any partnership or joint venture with any third party; form a subsidiary or act as a general partner; purchase insurance or establish or operate a risk management program; retain independent accounting and auditing services; adopt annual operating and capital budgets; incur debt other than in the ordinary course of business or in connection with recruitment of physicians in accordance with Memorial Health Services policy; authorize any unbudgeted capital expenditure in excess of $1,000,000 and any other expenditure in excess of $5,000,000; and adopt any strategic long range or master plan or retain any consultants with respect thereto. Form 990, Part VI, Section B, line 11b An independent accounting firm is engaged to assist with the preparation of this group Form 990. The chief financial officer of each organization, with assistance from other executives and including finance, legal, compliance and government relations, provide all the financial data and other information for the reporting period necessary to complete the Form 990. The chief financial officer and chief investment officer of Memorial Health Services, the sole member of each organization, then review the Form 990, with assistance from other executives as needed or appropriate. Finally, the Form 990 is provided to each member of the MemorialCare Health System board of directors for review prior to a meeting of the board of directors, so that any questions or concerns can be addressed at the meeting of the board and prior to filing. Form 990, Part VI, Section B, line 12c Each director, officer, and key employee of each organization included in this group return is required to complete an annual survey that requires disclosure of actual or potential conflicts of interest and affirmation that the organization's conflict of interest policy has been read and understood. The results of the survey are reported to each organization's executive leadership and board of directors, and to the Governance Committee of the sole member's governing body. Questions and conflicts are evaluated in consultation with the organization's legal, compliance, and finance executives, and outside experts as necessary, so that conflicts may be appropriately managed and addressed in accordance with the California Nonprofit Corporation Law and the applicable principles governing tax exempt public charities. In addition, an annual notice is sent to each employee to remind them of the organization's policy regarding the acceptance of gifts from vendors and others who do or seek to do business with the organization. Finally, each employee is required to attest annually that they have read and understood the organization's Code of Conduct. Form 990, Part VI, Section B, line 15 The compensation of all executives holding the position of vice president or higher (e.g., senior vice president or c-level officer), including the CEO, are reviewed annually by an independent consultant with expertise in assessing whether executive compensation is reasonable and consistent with fair market value, considering appropriate market data. The results of this review are presented to the Compensation Committee of the sole member's board of directors for consideration, and based upon this information, compensation (including any proposed changes to compensation) is approved only if the Compensation Committee, having considered the review and data presented by the independent expert consultant, determines that the compensation is reasonable and consistent with fair market value. Such determinations are reflected in the minutes of the meeting(s) of the Compensation Committee. Form 990, Part VI, Section C, line 19 The organizations included in this group return do not make their governing documents (articles of incorporation, bylaws) available to the general public. However, the articles of incorporation are available from the California Secretary of State's office. The Research conflict of interest policy is posted on the organization's website at https://www.memorialcare.org/services/research-clinical-trials/conflict-inte rest-research-policy-250. The audited financial statements are available to the general public upon request. The organization's various policies governing conflicts, compliance and ethics are summarized in the organization's Code of Conduct, which is available to the general public upon request. FORM 990, PART VI, LINE 16A The following organizations included in this group return have invested in, contributed assets to, or participated in a joint venture or similar arrangement with a taxable entity during the year: Saddleback Memorial Medical Center and MemorialCare Medical Foundation. Form 990, Part XI, line 9: Investments in/Distributions from Program Related Investments -7,749,393. Change in Value of Split-Interest Agreements -101,587. Book/Tax Difference on K-1 Investments 778,926. Losses from Discontinued Operations -9,698,523. FORM 990, PART XII, LINE 2B The financial statements of the organizations included in this group return were audited on a consolidated basis together with the financial statements of their sole member, Memorial Health Services, by an independent audit firm selected by the Audit Committee of the board of directors of Memorial Health Services. FORM 990, PART XII, LINES 3A AND 3B The following organization included in this group return was required to and did undergo an audit as set forth in the Single Audit Act and OMB Circular A-133 as a result of a federal award: Long Beach Memorial Medical Center. MEMORIALCARE IMAGING CNTR - SAN CLEMENTE 675 CAMINO DE LOS MARES 101 SAN CLEMENTE CA 92673 270713649 IMAGING SVCS CA -16290 -31168 SMMC NAUTILUS HEALTHCARE MANAGEMENT GROUP LLC PO BOX 6270 NEWPORT CA 92658 260808876 MGMT SVCS CA -1547572 38727388 MCMF MEMORIALCARE REGIONAL ACO LLC 2742 DOW AVE TUSTIN CA 92780 452979665 MEDICAL SVCS CA -3200000 0 MCMF WAVE IMAGING LLC 2742 DOW AVE TUSTIN CA 92780 300762119 IMAGING SVCS CA -703470 3048989 MCMF Seaside Health Plan 2801 Atlantic Ave Long Beach CA 90806 461870181 Medical Services CA 501(c)(4) MHS 0 Saddleback Memorial Foundation 24451 Health Center Dr Laguna Hills CA 92653 330011887 Philanthropy CA 501(c)(3) Line 7 SMMC 1 Memorial Medical Center Foundation 2801 Atlantic Ave Long Beach CA 90806 956105984 Philanthropy CA 501(c)(3) Line 7 LBMMC 1 American Institute for Philanthropic Studies 2801 Atlantic Ave Long Beach CA 90806 953756364 Philanthropy Education CA 501(c)(3) Line 7 MCMF 1 MemorialCare Home Health LLC 23521 PASEO DE VALENCIA STE 100 FOUNTAIN VALLEY CA 92708 463056446 HEALTHCARE CA SMMC RELATED 278099 3661515 0 0 0.60000 MemorialCare Innovation Fund LP 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 460791893 INVESTMENTS CA N/A Beach Surgical Holdings LLC 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM AL 35244 371708521 HEALTHCARE CA MCMF RELATED 3191913 41158928 0 1 0.51000 Summation health Ventures 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 465252681 INVESTMENTS DE N/A BEACH SURGICAL HOLDINGS II LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 472083076 Healthcare CA MCMF RELATED -1071182 2073880 0 1 0.51000 MC FV MOB I LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 464578097 Own, operate, lease, maintain the medical office building property CA MCMF Unrelated -2446 389260 0 1 0.15000 RMV MOB I LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 301013230 Own, operate, lease, maintain the medical office building property CA MCMF Unrelated -92176 279854 0 1 0.76000 National Healthcare Services 330 Golden Shore Ave Long Beach CA 92802 953496341 Medical Investing CA N/A C 0 Saddleback Medical Ventures 330 Golden Shore Ave Long Beach CA 92802 330308236 Medical Investing CA N/A C 0 Charitable Remainder Annuity Trust (SMF & MMCF) Hospital Support CA N/A T 1 Charitable Remainder Annuity Unitrust (SMF) Hospital Support CA N/A T 1 0 1 1 0 0 0 1 1 1 0 1 1 1 0 1 1 1 1 1 Memorial Medical Center Foundation (LBMMC) B 221776 Accrual Memorial Medical Center Foundation (LBMMC) C 4029343 Accrual Memorial Medical Center Foundation (LBMMC) O 1402288 Accrual Memorial Medical Center Foundation (LBMMC) R 368977 Accrual Memorial Medical Center Foundation (LBMMC) S 6036517 Accrual Saddleback Memorial Foundation (SMMC) C 166300 accrual saddleback Memorial Foundation (SMMC) C 436842 accrual