MARTIN LUTHER KING JR LOS ANGELES HEALTHCARE CORPORATION: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MARTIN LUTHER KING JR LOS ANGELES HEALTHCARE CORPORATION (EIN 27-4658935)
- Tax period
- 2015-07-01 to 2016-06-30
- Filed
- 2017-05-10
- IRS object ID
- 201731309349303843
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-10T17:37:51-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 910189318 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOSS ADAMS LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 SECOND STREET SUITE 900 | AddressLine1Txt |
| City | SAN FRANCISCO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 94105 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 274658935 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR-LOS ANGELES | BusinessNameLine1Txt |
| Business Name Line2 | HEALTHCARE CORPORATION | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MART | BusinessNameControlTxt |
| Phone | 4243388000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90059 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MITCHELL T THOMAS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 4243388000 | PhoneNum |
| Signature | 2017-05-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RENIE BURBANK | PreparerPersonNm |
| PTIN | P00159653 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MITCHELL T THOMAS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90059 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $213,556,284 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MLKCOMMUNITYHOSPITAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2010 | FormationYr |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Activity Or Mission | THE SPECIFIC PURPOSE OF THIS CORPORATION IS TO ORGANIZE AND OPERATE A GENERAL ACUTE CARE HOSPITAL AND TO PROVIDE HIGH QUALITY HOSPITAL INPATIENT, OUTPATIENT, AND EMERGENCY HEALTH CARE AND SUCH ADDITIONAL HEALTH CARE SERVICES AS ARE DESIRABLE TO MEET THE NEEDS OF THE SOUTH LOS ANGELES COMMUNITY, WHICH INCLUDES INDIGENT, MEDI-CAL, MEDI-CAL MANAGED CARE, AND UNDERSERVED POPULATIONS, AMONG OTHERS, AND TO CONTRACT WITH, AMONG OTHERS, PUBLIC AND PRIVATE ENTITIES PROVIDING MANAGED CARE PROGRAMS FOR MEDI-CAL BENEFICIARIES IN LOS ANGELES COUNTY, PARTICULARLY SOUTH LOS ANGELES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 8 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 680 | TotalEmployeeCnt |
| Total Volunteers | 8 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,118,637 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,849,233 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,367,123 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $197,291,678 | CYProgramServiceRevenueAmt |
| PY Investment Income | $75,708 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,793 | CYInvestmentIncomeAmt |
| PY Other Revenue | $11,883 | PYOtherRevenueAmt |
| CY Other Revenue | $410,580 | CYOtherRevenueAmt |
| PY Total Revenue | $27,573,351 | PYTotalRevenueAmt |
| CY Total Revenue | $213,556,284 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $316,530 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $19,209,953 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $57,007,764 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $33,162,141 | PYOtherExpensesAmt |
| CY Other Expenses | $134,186,697 | CYOtherExpensesAmt |
| PY Total Expenses | $52,372,094 | PYTotalExpensesAmt |
| CY Total Expenses | $191,510,991 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$24,798,743 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $22,045,293 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $345,353,669 | TotalAssetsBOYAmt |
| Total Assets EOY | $457,621,429 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $353,297,523 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $443,520,451 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$7,943,854 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $14,100,978 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MARTIN LUTHER KING JR.-LOS ANGELES HEALTHCARE CORPORATION PROVIDES HIGH QUALITY HEALTH EDUCATION, PREVENTION, AND MEDICAL TREATMENT FOR A DIVERSE POPULATION. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $174,077,970 | ExpenseAmt |
| Grant | $316,530 | GrantAmt |
| Revenue | $197,291,678 | RevenueAmt |
| Desc | SCHEDULE OMARTIN LUTHER KING, JR. COMMUNITY HOSPITAL (MLKCH) IS A COMPLETELY NEW FACILITY REPLACING A PRIOR COUNTY FACILITY THAT WAS CLOSED DUE TO QUALITY OF CARE ISSUES IN 2007. MLKCH IS A UNIQUE PRIVATE-PUBLIC PARTNERSHIP. AS A PRIVATE, NON-PROFIT FREESTANDING 501(C)(3) CORPORATION, MLKCH LEASES A COMPLETELY NEW $280 MILLION HOSPITAL FACILITY FROM THE COUNTY OF LOS ANGELES. MLKCH WAS LICENSED BY THE CALIFORNIA DEPT. OF PUBLIC HEALTH ON APRIL 28, 2015 AND OPENED TO PATIENT CARE ON MAY 14, 2015.MLKCH ACHIEVE THE FOLLOWING MILESTONES DURING THE FISCAL YEAR ENDED JUNE 30, 2016:-ACCREDITED BY THE JOINT COMMISSION ON JUNE 30, 2015-OPENED ITS EMERGENCY DEPARTMENT ON JULY 7, 2015-BEGAN ACCEPTING RESCUE AMBULANCES ON AUGUST 11, 2015-STAGED A PHASED OPENING OF ITS INPATIENT FACILITIES SO THAT ALL INPATIENT BEDS WERE OPENED AND STAFFED BY DECEMBER 2015THE HOSPITAL CREDENTIALED OVER 200 PHYSICIANS AND HIRED OVER 1,000 EMPLOYEES AND CONTRACTORS TO MEET THE EXPECTED VOLUME OF PATIENTS. MLKCH'S SERVICE AREA IS ONE OF THE POOREST IN METROPOLITAN LOS ANGELES AND SUFFERS FROM A SEVERE SHORTAGE OF PHYSICIANS. AS A RESULT, EMERGENCY DEPARTMENT VOLUME HAS CONSISTENTLY EXCEEDED PROJECTIONS.AT ITS OPENING, MLKCH BEGAN WITH A SMALL VOLUME OF PATIENTS BUT AS COMMUNITY ACCEPTANCE AND WORD OFMOUTH SPREAD, THE HOSPITAL'S VOLUME HAS STEADILY INCREASED. FOR THE FISCAL YEAR ENDED JUNE 30, 2016, THEHOSPITAL'S PATIENT VOLUME WAS AS FOLLOWS:-4,590 ACUTE INPATIENT ADMISSIONS-18,499 ACUTE INPATIENT DAYS (AVERAGE DAILY CENSUS OF 50.4)-43,608 EMERGENCY DEPARTMENT VISITS-1,206 OUTPATIENT OBSERVATION VISITSMEDICAL STAFF COVERAGE INCREASED TO MEET THE NEEDS REQUIRED BY THE STEADILY INCREASING PATIENT VOLUME. MLKCH PROVIDES 24-7 COVERAGE BY HOSPITALISTS, INTENSIVISTS, LABORISTS, EMERGENCY PHYSICIANS, AND MANY OTHER HOSPITAL BASED PHYSICIANS SPECIALTIES. IN ADDITION TO OPENING THE FACILITY, THE HOSPITAL UNDERTOOK TWO MAJOR CAPITAL EXPANSION PROJECTS. APPROXIMATELY 50 ACUTE MEDICAL-SURGICAL INPATIENT BEDS WERE RECONFIGURED TO BE ABLE TO ACCOMMODATE TELEMETRY PATIENTS. IN ADDITION, $2.2 MILLION WAS EXPENDED TO SIGNIFICANTLY EXPAND THE HOSPITAL'S CLINICAL LABORATORY SO THAT IT COULD ACCOMMODATE A MUCH HIGHER VOLUME OF TEST. IN ADDITION, BACTERIOLOGY WAS ADDED AS A NEW SERVICES TO MINIMIZE THE NUMBER OF TESTS SEND TO OUTSIDE REFERENCE LABORATORIES. BY THE END OF FISCAL YEAR 2016, THE HOSPITAL'S EMERGENCY DEPARTMENT VOLUME WAS RUNNING APPROXIMATELY 6,000 VISITS PER MONTHS.MLKCH ACHIEVED ABOVE AVERAGE PATIENT SATISFACTION AND QUALITY SCORES. THE HOSPITAL'S LIKELY TO RECOMMEND" PRESS GANEY PATIENT SCORE WAS AT THE 80TH PERCENTILE AND CONSIDERABLY ABOVE-AVERAGE FOR A SAFETY NET HOSPITAL OF MLKCH'S SIZE AND MATURITY (80% OF PATIENTS GAVE US A RATING OF 9 OR 10 ON A SCALE OF 1-10). IN ADDITION, AN EMPLOYEE ENGAGEMENT SURVEY CONDUCTED IN MAY 2016, INDICATE STRONG EMPLOYEE SATISFACTION AT THE 82ND PERCENTILE.MLKCH IS A 'PAPERLESS' HOSPITAL WITH A STATE OF THE ART ELECTRONIC HEALTH RECORD (E.H.R.). AS EVIDENCE OF THIS ADVANCED TECHNOLOGY, MLKCH ACHIEVED HIMSS LEVEL 6 DURING THE FIRST YEAR OF OPERATIONS. ONLY 26% OF U.S. HOSPITALS TRACKED BY HIMSS HAVE ACHIEVED LEVEL 6. | Desc |
| Total Program Service Expenses | $174,077,970 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 171 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 680 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 8 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MITCHELL THOMAS CFO | PersonNm |
| Phone | 4243388000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH ST | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90059 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| MANUAL A ABASCAL JD | |||||||||
| CHAIRMAN | 6.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL KING | |||||||||
| VICE CHAIRMAN | 3.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MADDEN | |||||||||
| SECRETARY | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES YOSHIOKA | |||||||||
| TREASURER | 3.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| GEORGINA R GARCIA RN | |||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT MARGOLIS MD | |||||||||
| BOARD MEMBER | 3.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| IAN MORRISON | |||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT TRANQUADA MD | |||||||||
| BOARD MEMBER | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DR ELAINE BATCHLOR | |||||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | 2.00 | Yes (X) | $606,719 | $0 | $12,920 | |||
| JOHN FISHER | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | 0.00 | Yes (X) | $355,622 | $0 | $37,972 | |||
| SAJID AHMED | |||||||||
| CHF INFO/INNOVATION OFF'R | 40.00 | 0.00 | $307,594 | $0 | $37,567 | Yes (X) | |||
| SUSAN SMITH | |||||||||
| VP HUMAN RESOURCES | 40.00 | 0.00 | $236,899 | $0 | $39,087 | Yes (X) | |||
| MYRNA ALLEN | |||||||||
| CHF OPS OFF'R/CHF NURSING | 40.00 | 0.00 | $302,401 | $0 | $10,879 | Yes (X) | |||
| MEDELL BRIGGS MALONSON | |||||||||
| CHF QUALITY IMPRVMT OFF'R | 32.00 | 0.00 | $193,159 | $0 | $34,039 | Yes (X) | |||
| MITCHELL T THOMAS | |||||||||
| CHIEF FINANCIAL OFFICER | 40.00 | 0.00 | $318,111 | $0 | $0 | Yes (X) | |||
| JAMES ARRIC | |||||||||
| DIRECTOR IT APPLICATIONS | 40.00 | 0.00 | $165,247 | $0 | $12,459 | Yes (X) | |||
| DANIEL A LUJAN | |||||||||
| SR. DIRECTOR IT OPERATIONS | 40.00 | 0.00 | $145,212 | $0 | $905 | Yes (X) | |||
| KENNETHA K GAINES | |||||||||
| DIR MATERNAL CHILD HEALTH | 40.00 | 0.00 | $145,417 | $0 | $34,112 | Yes (X) | |||
| SARAH J STEVENS | |||||||||
| DIRECTOR CRITICAL CARE | 40.00 | 0.00 | $171,029 | $0 | $22,952 | Yes (X) | |||
| ADRIANA VELASCO | |||||||||
| DIRECTOR MED SURGERY | 40.00 | 0.00 | $172,244 | $0 | $0 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,119,654 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $242,892 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CARETECH SOLUTIONS INC | |||||
| 901 WILSHIRE DR STE 100 | TROY | MI | 48084 | INFORMATION TECHNOLOGY | $5,253,088 |
| MCCARTHY BUILDING COMPANY | |||||
| 20401 SW BIRCH ST STE 300 | NEW PORT BEACH | CA | 92660 | CONSTRUCTION PROJECTS | $4,703,991 |
| PHILIPS HEALTHCARE | |||||
| 3000 MINUTEMAN RD | ANDOVER | MA | 01810 | HEALTHCARE PRODUCTS AND SERVICES | $3,955,797 |
| CYMETRIX CORPORATION | |||||
| 2875 MICHELLE DR STE 250 | IRVINE | CA | 92606 | REVENUE CYCLE SERVICES | $3,927,917 |
| THE CAMDEN GROUP | |||||
| 100 N SEPULVEDA BLVD STE 600 | EL SEGUNDO | CA | 90245 | HEALTHCARE MGMT AND CONSULTING | $3,309,665 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 100 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,887 | RelatedOrganizationsAmt |
| Government Grants | $15,428,195 | GovernmentGrantsAmt |
| All Other Contributions | $416,151 | AllOtherContributionsAmt |
| Total Contributions | $15,849,233 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SUPPLEMENTAL FUNDING | 541900 | $97,828,104 | $97,828,104 |
| PATIENT SERVICE REVENUE | 541900 | $81,463,574 | $81,463,574 |
| INDIGENT CARE SERVICES | 621110 | $18,000,000 | $18,000,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $197,291,678 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,793 | TotalRevenueColumnAmt |
| Exclusion | $4,793 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $410,580 | TotalRevenueColumnAmt |
| Exclusion | $410,580 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $410,580 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,556,284 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $197,291,678 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $415,373 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,530 | TotalAmt |
| Program Services | $316,530 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,370,556 | TotalAmt |
| Program Services | $2,150,758 | ProgramServicesAmt |
| Management And General | $219,798 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,036,755 | TotalAmt |
| Program Services | $40,824,396 | ProgramServicesAmt |
| Management And General | $2,212,359 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,244 | TotalAmt |
| Program Services | $700,116 | ProgramServicesAmt |
| Management And General | $45,128 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,635,422 | TotalAmt |
| Program Services | $7,107,232 | ProgramServicesAmt |
| Management And General | $528,190 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,219,787 | TotalAmt |
| Program Services | $3,041,614 | ProgramServicesAmt |
| Management And General | $178,173 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,635,729 | TotalAmt |
| Management And General | $1,635,729 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $206,348 | TotalAmt |
| Management And General | $206,348 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,172,549 | TotalAmt |
| Program Services | $61,244,872 | ProgramServicesAmt |
| Management And General | $4,927,677 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,423 | TotalAmt |
| Program Services | $257,296 | ProgramServicesAmt |
| Management And General | $48,127 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,056,459 | TotalAmt |
| Program Services | $2,889,726 | ProgramServicesAmt |
| Management And General | $1,166,733 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,768,829 | TotalAmt |
| Program Services | $1,238,075 | ProgramServicesAmt |
| Management And General | $530,754 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,970 | TotalAmt |
| Program Services | $213,353 | ProgramServicesAmt |
| Management And General | $78,617 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,113,792 | TotalAmt |
| Program Services | $14,502,413 | ProgramServicesAmt |
| Management And General | $1,611,379 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,423,932 | TotalAmt |
| Program Services | $15,557,155 | ProgramServicesAmt |
| Management And General | $1,866,777 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $644,379 | TotalAmt |
| Program Services | $547,273 | ProgramServicesAmt |
| Management And General | $97,106 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| HOSPITAL TAX FEE | $8,653,310 | $7,788,220 | $865,090 |
| OTHER COSTS | $7,261,072 | $6,520,373 | $740,699 |
| MEDICAL SUPPLIES | $6,025,226 | $5,932,885 | $92,341 |
| MEDICAL SFTWR LICENSES | $3,627,679 | $3,245,683 | $381,996 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $191,510,991 | TotalAmt |
| Program Services | $174,077,970 | ProgramServicesAmt |
| Management And General | $17,433,021 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,879,696 | BOYAmt |
| EOY | $8,519,940 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,181,887 | BOYAmt |
| EOY | $183,286 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $125,279,437 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $639,304 | BOYAmt |
| EOY | $1,961,466 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,420,625 | BOYAmt |
| EOY | $7,700,007 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $321,393,296 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $19,904,067 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,937,565 | BOYAmt |
| EOY | $301,489,229 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $220,592 | BOYAmt |
| EOY | $221,913 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $74,000 | BOYAmt |
| EOY | $12,266,151 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,353,669 | BOYAmt |
| EOY | $457,621,429 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,962,185 | BOYAmt |
| EOY | $31,092,734 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,327,195 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $16,800,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $306,458,749 | BOYAmt |
| EOY | $122,379,826 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,549,394 | BOYAmt |
| EOY | $273,247,891 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,297,523 | BOYAmt |
| EOY | $443,520,451 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$8,049,087 | BOYAmt |
| EOY | $13,983,703 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $105,233 | BOYAmt |
| EOY | $117,275 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$7,943,854 | BOYAmt |
| EOY | $14,100,978 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $345,353,669 | BOYAmt |
| EOY | $457,621,429 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $22,045,293 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$461 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteer Hours | 0 | VolunteerHoursCnt |
| Section4955 Organization Tax | $0 | Section4955OrganizationTaxAmt |
| Section4955 Managers Tax | $0 | Section4955ManagersTaxAmt |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $15,886 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $15,886 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION IS A MEMBER OF HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA - 10.37% OF THE DUES PAID IS DIRECT LOBBYING EXPENSES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $241,480,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,225,260 | DepreciationAmt |
| Book Value | $234,254,740 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,107,424 | OtherCostOrOtherBasisAmt |
| Depreciation | $780,961 | DepreciationAmt |
| Book Value | $12,326,463 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,072,707 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,177,049 | DepreciationAmt |
| Book Value | $19,895,658 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,733,165 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,720,797 | DepreciationAmt |
| Book Value | $35,012,368 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $301,489,229 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MEDICAL STAFF | $4,350 |
| COUNTY LEASE ACCRUED INTEREST | $31,920,730 |
| CAPITAL LEASE | $241,322,811 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $273,247,891 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY RECOGNIZES THE TAX BENEFIT FROM UNCERTAIN TAX POSITIONS ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITIONS WILL BE SUSTAINED ON EXAMINATION BY THE TAX AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFIT IS MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2016 OR 2015. THE COMPANY IS SUBJECT TO INCOME TAX EXAMINATION BY TAXING AUTHORITIES FOR ALL YEARS SINCE INCEPTION FOR FEDERAL AND STATE TAX FILINGS. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | 0 | FinancialAssistanceBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,372,734 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,372,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,372,734 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,372,734 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00720 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 98806 | PersonsServedCnt |
| Total Community Benefit Expns | $123,089 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $123,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 48764 | PersonsServedCnt |
| Total Community Benefit Expns | $8,421,430 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,421,430 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04400 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,554 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,554 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $327,773 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $327,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 147570 | PersonsServedCnt |
| Total Community Benefit Expns | $8,873,846 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,873,846 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 147570 | PersonsServedCnt |
| Total Community Benefit Expns | $10,246,580 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,246,580 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05350 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,099,510 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $7,067,850 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $8,502,623 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,434,773 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90623 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 191230 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR COMMUNITY HOSPIT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | Yes (1) | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | Yes (1) | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | 0 | CHNAConductedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MLKCOMMUNITYHOSPITAL.ORG | FAPAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MLKCOMMUNITYHOSPITAL.ORG | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (1) | CollectionActivitiesInd |
| Other Actions | Yes (X) | OtherActionsInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL | PART V, SECTION B, LINE 7D: IN ADDITION TO THE CHNA, MLKCH HAS A COMMUNITY BENEFIT REPORT (CBR). THE CBR FOR FISCAL YEAR END JUNE 30, 2016 WAS DEVELOPED AND FILED WITH STATE OF CALIFORNIA AND WILL BE POSTED ON THE WEBSITE. WEBSITE 'COMMUNITY' PAGE LISTS MULTIPLE COMMUNITY BENEFIT ACTIVITIES AND PROGRAMS. |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL | PART V, SECTION B, LINE 2: THE COUNTY OF LOS ANGELES ("COUNTY") CONSTRUCTED THE NEW INPATIENT FACILITY AND ANCILLARY BUILDINGS AND THE HOSPITAL BEGAN OCCUPYING THE FACILITIES ON A DEVELOPMENT AND PREOPENING BASIS IN SEPTEMBER 2014. THE HOSPITAL OBTAINED LICENSURE TO OPERATE A 131-BED ACUTE CARE HOSPITAL BY THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH ON APRIL 28, 2015. MARTIN LUTHER KING, JR.-LOS ANGELES HEALTHCARE CORPORATION (MLK-LA) COMMENCED PATIENT CARE ON A LIMITED SCOPE BASIS ON MAY 14, 2015 UNTIL THEY RECEIVED ACCREDITATION BY THE JOINT COMMISSION. ON JUNE 30, 2015, MLK-LA RECEIVED FULL ACCREDITATION BY THE JOINT COMMISSION AND RECEIVED A LETTER FROM THE JOINT COMMISSION WHICH WAS SENT TO THE CENTER FOR MEDICARE AND MEDICAID SERVICES (CMS) ACKNOWLEDGING THE ACCREDITATION. THE HOSPITAL'S EMERGENCY DEPARTMENT OPENED ON JULY 7, 2015. THE HOSPITAL BECAME A FULL OPERATING HOSPITAL BEGINNING FISCAL YEAR 2016.PART V, SECTION B, LINE 3:PURSUANT TO 501(R) OF THE INTERNAL REVENUE CODE, MLK-LA IS REQUIRED TO MEET THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REQUIREMENTS ON OR BEFORE JUNE 30, 2017, WHICH IS THE LAST DAY OF THE SECOND TAXABLE YEAR THAT THE FACILITY OPERATED BY THE ORGANIZATION WAS LICENSED, REGISTERED, OR SIMILARLY RECOGNIZED BY A STATE AS A HOSPITAL. FURTHER, MLK-LA'S ADOPTION OF AN IMPLEMENTATION STRATEGY BY GOVERNING BODY OF THE HOSPITAL TO MEET THE COMMUNITY HEALTH NEEDS IDENTIFIED THROUGH THE CHNA MUST BE MET ON OR BEFORE NOVEMBER 15, 2017. BOTH THE CHNA AND ADOPTION OF IMPLEMENTATION STRATEGY WILL BE COMPLETED IN ITS ENTIRETY BY THE REQUIRED DATES SET FORTH BY THE INTERNAL REVENUE CODE AND FINAL U.S. TREASURY REGULATIONS. |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL | PART V, SECTION B, LINE 11: MLKCH IS IN THEIR EARLY STAGES OF SERVING PATIENTS. RESULTS OF CHNA ARE INCORPORATED IN THE ORGANIZATION'S STRATEGIC BUSINESS PLAN. |
| MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL | PART V, SECTION B, LINE 19D: NONE OF THESE ACTIONS OR OTHER SIMILAR ACTIONS WERE PERMITTED. |
| PART V, SECTION B, LINE 14: | LIMITS THE AMOUNTS THAT THE HOSPITAL WILL CHARGE FOR EMERGENCY OR OTHER MEDICALLY NECESSARY ARE PROVIDED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE TO AMOUNT GENERALLY RECEIVED BY THE HOSPITAL FOR COMMERCIALLY INSURED OR MEDICARE PATIENTS. CHARITY IS NOT CONSIDEREDTO BE A SUBSTITUTE FOR PERSONAL RESPONSIBILITY. PATIENTS ARE EXPECTED TO COOPERATE WITH MLK-LA'S PROCEDURES FOR OBTAINING CHARITY OR OTHER FORMS OF PAYMENT OR FINANCIAL ASSISTANCE AND TO CONTRIBUTE TO THE COST OF THEIR CARE BASED ON THEIR INDIVIDUAL ABILITY TO PAY. INDIVIDUALS WITH THE FINANCIAL CAPACITY TO PURCHASE HEALTH INSURANCE WILL BE ENCOURAGED TO DO SO, AS A MEANS OF ASSURING ACCESS TO HEALTH CARE SERVICES, FOR THEIR OVERALL PERSONAL HEALTH, AND FOR THE PROTECTION OF THEIR INDIVIDUAL ASSETS. |
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 7: | THE COST ACCOUNTING SYSTEM USED ADDRESSES ALL PATIENT SEGMENTS INPATIENT, OBSERVATION, AND ANCILLARY SERVICES. THE INPATIENT COST WAS CALCULATED BASED ON THE PER DIEM RATE BY FACILITY LOCATION (I.E. ICU, NURSERY). THE ANCILLARY SERVICES WERE CALCULATED BASED ON A COST OF CARE RATE. |
| PART I, LN 7 COL(F): | ALL SELF-PAY ACCOUNTS, INCLUDING THOSE WRITTEN OFF TO BAD DEBT ARE DISCOUNTED TO THE HOSPITAL'S APPROXIMATE COST USING A COST-TO-CHARGE RATIO OF APPROXIMATELY 91% (I.E. APPROXIMATE COST EQUALS 9% OF CHARGES). |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY HEALTH IMPROVEMENT ADVOCACY - THE ORGANIZATION PROVIDED COMMUNITY SERVICES FOCUSED ON HEALTH AND HEALING. THE SERVICES RANGED INCLUDED GENERAL HEALTH EDUCATION AS WELL AS POPULATIONS WITH OR AT RISK OF CHRONIC DISEASES, SENIORS AND POPULATIONS WITH HEALTH DISPARITIES. PROGRAMS INCLUDE HEALTH INITIATIVES THAT DELIVER HEALTH SCREENINGS,INFORMATION AND RESOURCES AVAILABLE TO NAVIGATE THE HEALTHCARE SYSTEM.OTHER - PARTNERED WITH HEALTH AND WELLNESS ASSOCIATIONS IN THE COMMUNITY AND PARTICIPATED IN HEALTH PANELS. |
| PART III, LINE 4: | PATIENT ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRDPARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRDPARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY).FOR RECEIVABLES ASSOCIATED WITH SELFPAY PATIENTS AND NONCONTRACTED INSURANCE (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRDPARTY COVERAGE EXISTS FOR PART OF THE BILL), THE HOSPITAL RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. 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: | DUE TO THE DEMOGRAPHICS AND PAYOR MIX OF THE HOSPITAL SERVICE AREA COMBINED WITH THE SEVERE PHYSICIAN SHORTAGE IN THE HOSPITAL'S SERVICE AREA, THE HOSPITAL'S EMERGENCY DEPARTMENT OPERATES AT A SIGNIFICANT LOSS. DIRECT OPERATING COSTS ARE MUCH HIGHER THAN REVENUE. |
| PART III, LINE 9B: | MLK-LA'S MANAGEMENT HAS DEVELOP POLICIES AND PROCEDURES FOR INTERNAL AND EXTERNAL COLLECTION PRACTICES (INCLUDING ACTIONS THE HOSPITAL MAY TAKE IN THE EVENT OF NON-PAYMENT, INCLUDING COLLECTIONS ACTION AND REPORTING TO CREDIT AGENCIES) THAT TAKE INTO ACCOUNT THE EXTENT TO WHICH THE PATIENT QUALIFIES FOR CHARITY, A PATIENT'S GOOD FAITH EFFORT TO APPLY FOR AGOVERNMENTAL PROGRAM OR FOR CHARITY FROM MLK-LA, AND A PATIENT'S GOOD FAITH EFFORT TO COMPLY WITH HIS OR HER PAYMENT AGREEMENTS WITH MLK-LA. FOR PATIENTS WHO QUALIFY FOR CHARITY AND WHO ARE COOPERATING IN GOOD FAITH TO RESOLVE THEIR DISCOUNTED HOSPITAL BILLS, MLK-LA MAY OFFER EXTENDED PAYMENT PLANS, WILL NOT SEND UNPAID BILLS TO OUTSIDE COLLECTION AGENCIES, AND WILL CEASE COLLECTION EFFORTS. MLK-LA WILL NOT IMPOSE EXTRAORDINARY COLLECTIONS ACTIONS SUCH AS WAGE GARNISHMENTS, LIENS ON PRIMARY RESIDENCES, OR OTHER LEGAL ACTIONS FOR ANY PATIENT WITHOUT FIRST MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THAT PATIENT IS ELIGIBLE FOR CHARITY CARE UNDER THIS FINANCIAL ASSISTANCE POLICY. REASONABLE EFFORTS WILL INCLUDE:1. VALIDATING THAT THE PATIENT OWES THE UNPAID BILLS AND THAT SOURCES OF THIRD-PARTY PAYMENT HAVE BEEN IDENTIFIED AND BILLED BY THE HOSPITAL;2. DOCUMENTATION THAT MLK-LA HAS OR HAS ATTEMPTED TO OFFER THE PATIENT THE OPPORTUNITY TO APPLY FOR CHARITY CARE PURSUANT TO THIS POLICY AND THAT THE PATIENT HAS NOT COMPLIED WITH THE HOSPITAL'S APPLICATION REQUIREMENTS;3. DOCUMENTATION THAT THE PATIENT DOES NOT QUALIFY FOR FINANCIAL ASSISTANCE ON A PRESUMPTIVE BASIS;4. DOCUMENTATION THAT THE PATIENT HAS BEEN OFFERED A PAYMENT PLAN BUT HAS NOT HONORED THE TERMS OF THAT PLAN. |
| PART VI, LINE 2: | NEEDS ASSESSMENT: THE ORGANIZATION ACTIVELY PARTICIPATES IN COMMUNITY EVENTS. |
| PART VI, LINE 3: | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: THERE IS INFORMATION THAT IS POSTED IN THE MAIN PATIENT WAITING AREAS OF THE FACILITY, ALL PATIENTS ARE GIVEN WRITTEN INFORMATION UPON ADMISSION THAT DISCUSSES AVAILABILITY OF PROGRAMS AND PROVIDES CONTACT INFORMATION.PATIENT ACCESS COUNSELORS AVAILABLE, DEPARTMENT OF PUBLIC SERVICES ON SITE TO ASSIST THE PUBLIC. |
| PART VI, LINE 4: | COMMUNITY INFORMATION: MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL IS LOCATED IN SERVICE PLANNING AREA 6 (SPA 6) OF LOS ANGELES COUNTY. SPA 6 IS COMPRISED OF 1.35 MILLION PEOPLE. IT REPRESENTS THE COUNTY'S MOST VULNERABLE POPULATION, WITH HIGH RATES OF POVERTY AND UNEMPLOYMENT AND THE WORST HEALTH STATUS OUTCOMES. |
| PART VI, LINE 5: | COMMUNITY HEALTH PROMOTION: THE EMPLOYEES AND MEDICAL STAFF OF MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL WERE PROVIDING COMMUNITY SERVICES FOCUSED ON HEALTH AND HEALING. THESE SERVICES RANGED FROM PROVIDING HEALTH EDUCATION AT COMMUNITY EVENTS TO DESIGNING AND LAUNCHING PROGRAMS AIMED TO ADDRESS KEY COMMUNITY NEEDS, OFTEN IN COLLABORATION WITH OTHER COMMUNITY PARTNERS AND NON-PROFIT ORGANIZATIONS. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CALIFORNIA HEALTH FOUNDATION & TRUST | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1215 K STREET SUITE 800 | AddressLine1Txt |
| City | SACRAMENTO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 95814 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 941498697 | RecipientEIN |
| Cash Grant | $316,530 | CashGrantAmt |
| Purpose Of Grant | HOSPITAL FEE PROGRAM REQUIRED CONTRIBUTION UNDER PROGRAM | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | MLKCH MONITORS THE USE OF THE LA COUNTY FUNDS BY IDENTIFYING ALL QUALIFYING EXPENSES AND TRACKING EXPENSE TYPE CATEGORIES IN THE GENERAL LEDGER SYSTEM | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ELAINE BATCHLOR | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $427,620 | $0 | $179,000 | $0 | $99 | $0 | $2,670 | $0 | $10,250 | $0 | $619,639 | $0 | $0 | $0 |
| JOHN FISHER | ||||||||||||||
| CHIEF MEDICAL OFFICER | $295,372 | $0 | $60,250 | $0 | $0 | $0 | $2,013 | $0 | $35,959 | $0 | $393,594 | $0 | $0 | $0 |
| SAJID AHMED | ||||||||||||||
| CHF INFO/INNOVATION OFF'R | $221,123 | $0 | $79,000 | $0 | $7,471 | $0 | $1,697 | $0 | $35,870 | $0 | $345,161 | $0 | $0 | $0 |
| SUSAN SMITH | ||||||||||||||
| VP HUMAN RESOURCES | $203,936 | $0 | $32,750 | $0 | $213 | $0 | $1,617 | $0 | $37,470 | $0 | $275,986 | $0 | $0 | $0 |
| MYRNA ALLEN | ||||||||||||||
| CHF OPS OFF'R/CHF NURSING | $144,101 | $0 | $19,000 | $0 | $139,300 | $0 | $1,892 | $0 | $8,987 | $0 | $313,280 | $0 | $0 | $0 |
| MEDELL BRIGGS MALONSON | ||||||||||||||
| CHF QUALITY IMPRVMT OFF'R | $155,117 | $0 | $35,800 | $0 | $2,242 | $0 | $1,380 | $0 | $32,659 | $0 | $227,198 | $0 | $0 | $0 |
| MITCHELL T THOMAS | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $189,005 | $0 | $0 | $0 | $129,106 | $0 | $0 | $0 | $0 | $0 | $318,111 | $0 | $0 | $0 |
| JAMES ARRIC | ||||||||||||||
| DIRECTOR IT APPLICATIONS | $154,507 | $0 | $10,740 | $0 | $0 | $0 | $1,070 | $0 | $11,389 | $0 | $177,706 | $0 | $0 | $0 |
| KENNETHA K GAINES | ||||||||||||||
| DIR MATERNAL CHILD HEALTH | $134,229 | $0 | $11,188 | $0 | $0 | $0 | $785 | $0 | $33,327 | $0 | $179,529 | $0 | $0 | $0 |
| SARAH J STEVENS | ||||||||||||||
| DIRECTOR CRITICAL CARE | $157,492 | $0 | $13,537 | $0 | $0 | $0 | $838 | $0 | $22,114 | $0 | $193,981 | $0 | $0 | $0 |
| ADRIANA VELASCO | ||||||||||||||
| DIRECTOR MED SURGERY | $172,244 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $172,244 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | MANAGEMENT IS ELIGIBLE TO EARN AN ANNUAL INCENTIVE AMOUNT UNDER THE ORGANIZATION'S PERFORMANCE PROGRAM. THE PROGRAM INCLUDES ACHIEVING INDIVIDUAL AND ORGANIZATIONAL GOALS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11 | A DRAFT OF FORM 990 WAS PROVIDED ELECTRONICALLY TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | MLK-LA ADOPTED ITS CONFLICT OF INTEREST POLICY EARLY IN ITS EXISTENCE. ALL BOARD MEMBERS AND OFFICERS, INCLUDING THE CEO AND ALL INTERIM OFFICERS READ THE POLICY AND COMPLETED A CONFLICTS OF INTEREST DISCLOSURE STATEMENT FOR MEMBERS OF THE BOARD AND OFFICERS. POTENTIAL CONFLICTS, AS THEY ARE DISCLOSED, ARE BROUGHT BEFORE THE BOARD, DISCUSSED (AFTER THE PERSON WITH THE DISCLOSED POTENTIAL CONFLICT LEAVES THE BOARD MEETING), AND RESOLVED TO THE BOARD'S SATISFACTION. BOARD MEMBERS, OFFICERS, INTERIM TEAM MEMBERS CAN UPDATE THEIR CONFLICTS OF INTEREST DISCLOSURE AND CERTIFICATION FORM AT ANY TIME AND SUBMIT IT TO THE SECRETARY OF THE BOARD. |
| FORM 990, PART VI, SECTION B, LINE 15 | AS A NEW START UP ENTITY, WHEN THE BOARD BEGAN THE PROCESS TO ENGAGE THE CEO THEY ENGAGED THE SERVICES OF A COMPENSATION FIRM TO ASSIST THEM IN DETERMINING THE COMPENSATION FOR SUCH AN INDIVIDUAL. BASED UPON RECENT SALARY SURVEYS PERFORMED BY INDUSTRY ORGANIZATIONS, THE COMPENSATION WAS SET FOR THE CEO. THE BOARD MADE THIS DETERMINATION AFTER CONSULTATION WITH THE COMPENSATION CONSULTING FIRM AND REVIEWING THE SALARY SURVEY DATA THEY PROVIDED. THE BOARD ALSO REVIEWED THE COMPENSATION FOR THE CIO, CFO, COO WITH EXTERNAL MARKET COMPENSATION INFORMATION. |
| FORM 990, PART VI, SECTION C, LINE 19 | FINANCIAL STATEMENTS ARE AVAILABLE ON A QUARTERLY AND ANNUAL BASIS THROUGH OSHPD, THE CALIFORNIA AGENCY WEBSITE. THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST IS NOT MADE AVAILABLE AT THIS TIME. |
| FORM 990, PART IX, LINE 11G | OTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 61,244,872. MANAGEMENT AND GENERAL EXPENSES 4,927,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,172,549. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATION | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1680 E 120TH STREET | AddressLine1Txt |
| City | LOS ANGELES | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 90059 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454433505 | EIN |
| Primary Activities | CHARITABLE FOUNDATION | PrimaryActivitiesTxt |
| Legal Domicile State | CA | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 7 | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MLKCH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |