STRATEGY STUDIO / PUBLIC DATA EXPLORER

MARTIN LUTHER KING JR LOS ANGELES HEALTHCARE CORPORATION: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MARTIN LUTHER KING JR LOS ANGELES HEALTHCARE CORPORATION (EIN 27-4658935)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-13
IRS object ID
201621349349304792
Schema version
2014v6.0
Note
A later return for the same period supersedes this one.
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-13T11:59:12-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1101 SECOND STREET SUITE 900AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN274658935EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN LUTHER KING JR-LOS ANGELESBusinessNameLine1Txt
Business Name Line2HEALTHCARE CORPORATIONBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlMARTBusinessNameControlTxt
Phone4243388000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90059ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMITCHELL THOMASPersonNm
Person TitleCFOPersonTitleTxt
Phone4243388000PhoneNum
Signature2016-05-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRENIE BURBANKPreparerPersonNm
PTINP00159653PTIN
Phone4159561500PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMITCHELL THOMASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90059ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$27,573,351GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MLKCOMMUNITYHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2010FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTHE 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 Body8VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee62TotalEmployeeCnt
Total Volunteers7TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$25,433,104PYContributionsGrantsAmt
CY Contributions Grants$25,118,637CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$2,367,123CYProgramServiceRevenueAmt
PY Investment Income$68,768PYInvestmentIncomeAmt
CY Investment Income$75,708CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$11,883CYOtherRevenueAmt
PY Total Revenue$25,501,872PYTotalRevenueAmt
CY Total Revenue$27,573,351CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$1,790,344PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$19,209,953CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$13,238,127PYOtherExpensesAmt
CY Other Expenses$33,162,141CYOtherExpensesAmt
PY Total Expenses$15,028,471PYTotalExpensesAmt
CY Total Expenses$52,372,094CYTotalExpensesAmt
PY Revenues Less Expenses$10,473,401PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$24,798,743CYRevenuesLessExpensesAmt
Total Assets BOY$302,164,678TotalAssetsBOYAmt
Total Assets EOY$345,353,669TotalAssetsEOYAmt
Total Liabilities BOY$285,272,427TotalLiabilitiesBOYAmt
Total Liabilities EOY$353,297,523TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$16,892,251NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$7,943,854NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARTIN LUTHER KING JR.-LOS ANGELES HEALTHCARE CORPORATION PROVIDES HIGH QUALITY HEALTH EDUCATION, PREVENTION, AND MEDICAL TREATMENT FOR A DIVERSE POPULATION.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$45,126,167ExpenseAmt
Revenue$2,367,123RevenueAmt
DescSCHEDULE OMLKCH WAS LICENSED AS AN ACUTE CARE HOSPITAL BY THE CALIFORNIA DEPT. OF PUBLIC HEATLH ON APRIL 28, 2015 AND COMMENCED PATIENT CARE ON MAY 14, 2015. ON JUNE 30, 2015, MLKCH WAS ACCREDITED BY THE JOINT COMMISSION. MLKCH'S EMERGENCY DEPARTMENT OPENED ON JULY 7, 2015 AND BEGAN ACCEPTING RESCUE AMBULANCES ON AUGUST 11, 2015. MLKCH IS A 131 BED FULL-SERVICE ACUTE CARE COMMUNITY HOSPITAL OFFERRING ALL MAJOR INPATIENT SERVICE LINES (CARDIOLOGY, PULMONOLOGY, MEDICINE, OBSTRETRICS, SURGERY, ORTHOPEDICS, ETC.).MLKCH'S CRITICAL CARE UNIT IS LICENSED FOR 20 BEDS AND ITS EMERGENCY DEPARTMENT HAS 29 BEDS. AFTER COMMENCING PATIENT CARE, MLKCH TREATED A LIMITED NUMBER OF PATIENTS WHILE IT ACCUMULATED SUFFICIENT VOLUME TO UNDERGO JOINT COMMISSION ACCREDITATION. MLKCH UNDERWENT A PHASED OPENING AFTER ACCREDITATION WITH ALL BEDS AND SERVICES OPEN BY APRIL, 2016.Desc
Total Program Service Expenses$45,126,167TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign ActyYes (1)PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document170IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee62EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonDR ELAINE BATCHLORPersonNm
Phone4243388000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90059ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MANUAL A ABASCAL JD
CHAIRMAN6.002.00Yes (X)Yes (X)$0$0$0
PAUL KING
VICE CHAIRMAN3.002.00Yes (X)Yes (X)$0$0$0
MICHAEL MADDEN
SECRETARY3.000.00Yes (X)Yes (X)$0$0$0
JAMES YOSHIOKA
TREASURER3.000.00Yes (X)Yes (X)$0$0$0
GEORGINA R GARCIA RN
BOARD MEMBER3.000.00Yes (X)$0$0$0
ROBERT MARGOLIS MD
BOARD MEMBER3.002.00Yes (X)$0$0$0
IAN MORRISON
BOARD MEMBER3.000.00Yes (X)$0$0$0
ROBERT TRANQUADA MD
BOARD MEMBER3.000.00Yes (X)$0$0$0
DR ELAINE BATCHLOR
CHIEF EXECUTIVE OFFICER40.002.00Yes (X)$411,862$0$15,007
JOHN FISHER
CHIEF MEDICAL OFFICER40.000.00Yes (X)$303,052$0$16,606
SAJID AHMED
CHF INFO/INNOVATION OFFICER40.000.00$228,052$0$13,622Yes (X)
KEITH BRADOWSKI
CHF OPS OFF'R/CHF NURSING40.000.00$221,569$0$8,226Yes (X)
SUSAN SMITH
VP HUMAN RESOURCES40.000.00$218,935$0$14,559Yes (X)
MYRNA ALLEN
CHF OPS OFF'R/CHF NURSING40.000.00$198,873$0$0Yes (X)
MEDELL BRIGGS MALONSON
CHF QUALITY IMPROVEMENT OFF'R40.000.00$167,452$0$11,036Yes (X)
KELLI TODD GRIFFIN
VP MARKETING/COMMUNICATIONS40.000.00$139,680$0$13,012Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,889,475TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$92,068TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K8IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOP TIER CONSULT
21550 OXNARD ST THIRD FLOORWOODLAND HILLSCA91367IT CONSULTING & INTERIM MGT SVC$5,029,106
CAMDEN GRP
100 N SEPULVEDA BLVD STE 600EL SEGUNDOCA90245INTERIM MGT SERVICES & CONSULTING$4,244,961
CARETECH
901 WILSHIRE DR STE 100TROYMI48084IT OUTSOURCED SERVICE$864,659
PLANNET CONSULTING
2850 SATURN ST STE 100BREACA92821IT CONSULTING & INTERIM MGT SVC$715,797
SHEPPARD MULLIN RICHTER & HAMPTON LLP
333 S HOPE STLOS ANGELESCA90071LEGAL SERVICES$518,418
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K22CntrctRcvdGreaterThan100KCnt
Related Organizations$3,050,615RelatedOrganizationsAmt
Government Grants$22,068,022GovernmentGrantsAmt
Total Contributions$25,118,637TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescINDIGENT CARE SERVICESDesc
Business621110BusinessCd
Total Revenue Column$2,367,123TotalRevenueColumnAmt
Related Or Exempt Func Income$2,367,123RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,367,123TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$75,708TotalRevenueColumnAmt
Exclusion$75,708ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business621110BusinessCd
Total Revenue Column$11,883TotalRevenueColumnAmt
Exclusion$11,883ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,883OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,573,351TotalRevenueColumnAmt
Related Or Exempt Func Income$2,367,123RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$87,591ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,237,654TotalAmt
Program Services$1,118,827ProgramServicesAmt
Management And General$1,118,827ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$14,800,645TotalAmt
Program Services$14,480,353ProgramServicesAmt
Management And General$320,292ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,359,955TotalAmt
Program Services$1,304,607ProgramServicesAmt
Management And General$55,348ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$811,699TotalAmt
Program Services$791,094ProgramServicesAmt
Management And General$20,605ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$4,244,961TotalAmt
Program Services$4,244,961ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,443,548TotalAmt
Management And General$1,443,548ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$85,648TotalAmt
Management And General$85,648ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$10,038,707TotalAmt
Program Services$7,891,853ProgramServicesAmt
Management And General$2,146,854ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$175,895TotalAmt
Program Services$175,895ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$213,786TotalAmt
Program Services$197,333ProgramServicesAmt
Management And General$16,453ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$4,375,502TotalAmt
Program Services$3,412,164ProgramServicesAmt
Management And General$963,338ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,820,401TotalAmt
Program Services$1,373,592ProgramServicesAmt
Management And General$446,809ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,650,022TotalAmt
Program Services$2,385,020ProgramServicesAmt
Management And General$265,002ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,489,603TotalAmt
Program Services$2,252,397ProgramServicesAmt
Management And General$237,206ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$407,172TotalAmt
Program Services$366,455ProgramServicesAmt
Management And General$40,717ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SFTWR LICENSES$1,786,964$1,786,964
HOSPITAL TAX FEE$1,695,860$1,695,860
MEDICAL SUPPLIES$925,221$925,221
OTHER COSTS$808,851$723,571$85,280

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,372,094TotalAmt
Program Services$45,126,167ProgramServicesAmt
Management And General$7,245,927ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,427,914BOYAmt
EOY$4,879,696EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,763,520BOYAmt
EOY$30,181,887EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$639,304EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,764,922BOYAmt
EOY$2,420,625EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$309,427,168LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,489,603LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$263,432,709BOYAmt
EOY$306,937,565EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,600,613BOYAmt
EOY$220,592EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$2,175,000BOYAmt
EOY$74,000EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$302,164,678BOYAmt
EOY$345,353,669EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,121,822BOYAmt
EOY$13,962,185EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$27,395,217BOYAmt
EOY$15,327,195EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$249,755,388BOYAmt
EOY$306,458,749EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$17,549,394EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$285,272,427BOYAmt
EOY$353,297,523EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,040,533BOYAmt
EOY-$8,049,087EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,851,718BOYAmt
EOY$105,233EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$16,892,251BOYAmt
EOY-$7,943,854EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$302,164,678BOYAmt
EOY$345,353,669EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$24,798,743ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$37,362NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteer Hours0VolunteerHoursCnt
Section4955 Organization Tax$0Section4955OrganizationTaxAmt
Section4955 Managers Tax$0Section4955ManagersTaxAmt
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$2,065OtherActivitiesAmt
Total Lobbying Expenditures$2,065TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION IS A MEMBER OF HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA - 12.59% OF MEMBERSHIP DUES ARE USED IN LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$256,211,169OtherCostOrOtherBasisAmt
Depreciation$1,033,504DepreciationAmt
Book Value$255,177,665BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,547,542OtherCostOrOtherBasisAmt
Depreciation$96,230DepreciationAmt
Book Value$11,451,312BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$17,511,654OtherCostOrOtherBasisAmt
Depreciation$453,742DepreciationAmt
Book Value$17,057,912BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,156,803OtherCostOrOtherBasisAmt
Depreciation$906,127DepreciationAmt
Book Value$23,250,676BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$306,937,565TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
DUE TO FOUNDATION$300,000
DUE TO MEDICAL STAFF$54,300
COUNTY LEASE ACCRUED INTEREST$17,195,094
FieldValueIRS element (for citing)
Total Liability$17,549,394TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE 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, 2015 OR 2014. 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance Budget0FinancialAssistanceBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served31385PersonsServedCnt
Total Community Benefit Expns$748,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,373DirectOffsettingRevenueAmt
Net Community Benefit Expns$666,795NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served31385PersonsServedCnt
Total Community Benefit Expns$748,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,373DirectOffsettingRevenueAmt
Net Community Benefit Expns$666,795NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs30ActivitiesOrProgramsCnt
Persons Served31385PersonsServedCnt
Total Community Benefit Expns$748,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,373DirectOffsettingRevenueAmt
Net Community Benefit Expns$666,795NetCommunityBenefitExpnsAmt
Total Expense0.01270TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served31158PersonsServedCnt
Total Community Benefit Expns$188,440TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$79,604DirectOffsettingRevenueAmt
Net Community Benefit Expns$108,836NetCommunityBenefitExpnsAmt
Total Expense0.00210TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$12,506TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,769DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,737NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs29ActivitiesOrProgramsCnt
Persons Served31158PersonsServedCnt
Total Community Benefit Expns$200,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$81,373DirectOffsettingRevenueAmt
Net Community Benefit Expns$119,573NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$0ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$0CostOfCareReimbursedByMedcrAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTIN LUTHER KING JR COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90623ZIPCd
FieldValueIRS element (for citing)
State License191230StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARTIN LUTHER KING JR COMMUNITY HOSPITBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYYes (1)FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYYes (1)TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts0CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MLKCOMMUNITYHOSPITAL.ORGOwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy Adopt0ImplementationStrategyAdoptInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care350.000000000000FPGFamilyIncmLmtDscntCarePct
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
None MadeYes (X)NoneMadeInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MARTIN LUTHER KING, JR. COMMUNITY HOSPITALPART 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, 2015 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 HOSPITALPART V, SECTION B, LINE 2: FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL (MLKCH) WAS IN A STARTUP OR DEVELOPMENT MODE AND WAS NOT PROVIDING PATIENT CARE SERVICES AT ALL FROM JULY 1, 2014 TO MAY 14, 2015. IN OCTOBER, 2014, THE HOSPITAL BUILDING WAS COMPLETED AND MLKCH BEGAN OCCUPANCY OF THE PREMISES AND PLANNING FOR OPENING. ON APRIL 28, 2015, MLKCH WAS LICENSED TO OPERATE AS AN ACUTE CARE HOSPITAL BY THE CALIFORNIA DEPARTMENT OF PUBLIC HEALTH. ON MAY 14, 2015, MLKCH COMMENCED PATIENT CARE ON A LIMITED SCOPE BASIS.
MARTIN LUTHER KING, JR. COMMUNITY HOSPITALPART 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.
PART V, SECTION B, LINE 14:CHARITY IS OFFERRED TO ALL UNINSURED/SELF-PAY PATIENTS. ANY PATIENTS WITH SELF-PAY BALANCES WHO ARE NOT ELIGIBLE FOR CHARITY OR OTHER COVERAGES HAVE THEIR ACCOUNTS 'ADJUSTED DOWN' TO A COST FACTOR WHICH IS APPROXIMATELY NINE PERCENT OF BILLED CHARGES. AFTER THIS 91 PERCENT ADJUSTMENT, THE PATIENT WOULD BE CHARGED THE REMAINING BALANCE.
PART V, SECTION B, LINES 9, 10A, & 10B:IMPLEMENTATION STRATEGY IS STILL BEING DEVELOPED AND WILL BE COMPLETED BEFORE THE END OF THE 2ND TAX YEAR AS REQUIRED BY INTERNAL REVENUE CODE SECTION 501(R).

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 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 2:FOR THE FISCAL YEAR ENDED JUNE 30, 2015, MARTIN LUTHER KING, JR. COMMUNITY HOSPITAL (MLKCH) WAS IN A STARTUP OR DEVELOPMENT MODE AND WAS NOT PROVIDING PATIENT CARE SERVICES UNTIL MAY 14, 2015. MLKCH DID NOT RECORD BAD DEBT FROM MAY 14, 2015 TO JUNE 30, 2015.
PART III, LINE 3:ONLY CHARITY CARE IS INCLUDED IN THE ORGANIZATION'S COMMUNITY BENEFIT REPORT.
PART III, LINE 8:ON MAY 14, 2015, MLKCH COMMENCED PATIENT CARE ON A LIMITED SCOPE BASIS. ON JUNE 30, 2015, MLKCH 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 OUR ACCREDITATION. MLKCH DOES NOT HAVE ANY BILLABLE PATIENT REVENUE FOR THE FISCAL YEAR ENDED JUNE 30, 2015. FURTHER, THE UNREIMBURSED CARE PROVIDED TO JUNE 30, 2015 HAS BEEN INCLUDED IN THE TOTAL CHARITY CARE PROVIDED.
PART III, LINE 9B:IF PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE (I.E. DISCOUNT CARE) NO COLLECTION ACTIVITIES/ACTIONS WILL BE TAKEN UNLESS THE PATIENT DEFAULTS ON AN AGREED UPON PAYMENT PLAN. IF PATIENT QUALIFIES FOR CHARITY CARE, NO COLLECTION ACTIVITIES/ACTIONS WILL BE TAKEN.
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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR ELAINE BATCHLOR
CHIEF EXECUTIVE OFFICER$405,554$0$0$0$6,308$0$0$0$15,007$0$426,869$0$0$0
JOHN FISHER
CHIEF MEDICAL OFFICER$299,360$0$0$0$3,692$0$0$0$16,606$0$319,658$0$0$0
SAJID AHMED
CHF INFO/INNOVATION OFFICER$224,360$0$0$0$3,692$0$0$0$13,622$0$241,674$0$0$0
KEITH BRADOWSKI
CHF OPS OFF'R/CHF NURSING$221,569$0$0$0$0$0$0$0$8,226$0$229,795$0$0$0
SUSAN SMITH
VP HUMAN RESOURCES$193,935$0$25,000$0$0$0$0$0$14,559$0$233,494$0$0$0
MYRNA ALLEN
CHF OPS OFF'R/CHF NURSING$198,873$0$0$0$0$0$0$0$0$0$198,873$0$0$0
MEDELL BRIGGS MALONSON
CHF QUALITY IMPROVEMENT OFF'R$167,452$0$0$0$0$0$0$0$11,036$0$178,488$0$0$0
KELLI TODD GRIFFIN
VP MARKETING/COMMUNICATIONS$139,680$0$0$0$0$0$0$0$13,012$0$152,692$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 7FormAndLineReferenceDesc
ExplanationBONUS WAS A SIGN-ON/RECRUITMENT PAYMENT TO EXECUTIVE WHO ACCEPTED A LOWER SALARY LEVEL TO WORK AT MLKCH. BONUS WAS MEANT TO BRIDGE THE REDUCTION IN COMPENSATION EXPERIENCED BY EXECUTIVE IN TRANSITION TO MLKCH.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE CAMDEN GROUPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship DescriptionBOARD MEMBER IS OFFICER OF CAMDEN GROUPRelationshipDescriptionTxt
Transaction$4,244,961TransactionAmt
TransactionBUSINESS CONSULTING PERFORMEDTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2BOARD MEMBER WAS AN OFFICER OF HEALTHCARE PARTNERS/DAVITA, WHO OWNED CAMDEN GROUP - A CONSULTING FIRM FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11A DRAFT OF FORM 990 WILL BE PROVIDED ELECTRONICALLY TO THE BOARD FOR THEIR REVIEW PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CMLK-LA DRAFTED AND 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 15AS A NEW START UP ENTITY, WHEN THE BOARD BEGAN THE PROCESS TO ENGAGE THE CEO THEY ENGAGED THE SERVICES OF A SEARCH 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 EXECUTIVE SEARCH 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 19FINANCIAL 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 11GOTHER FEES FOR SERVICES: PROGRAM SERVICE EXPENSES 7,891,853. MANAGEMENT AND GENERAL EXPENSES 2,146,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,038,707.
990, PART XII, LINE 2CAUDIT COMMITTEE AND OVERSIGHT OF THE AUDIT - THERE HAVE BEEN NO CHANGES TO THIS PROCESS FROM PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1MARTIN LUTHER KING JR COMMUNITY HEALTH FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11680 E 120TH STREETAddressLine1Txt
CityLOS ANGELESCityNm
State AbbreviationCAStateAbbreviationCd
ZIP90059ZIPCd
FieldValueIRS element (for citing)
EIN454433505EIN
Primary ActivitiesCHARITABLE FOUNDATIONPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MLKCHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MLK COMMUNITY HEALTH FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeCTransactionTypeTxt
Involved$3,050,615InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt