MEMORIAL HEALTH SERVICES GROUP RETURN: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SERVICES GROUP RETURN (EIN 35-2391110)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-05-12
- IRS object ID
- 201641339349306224
- Schema version
- 2014v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-05-12T19:09:55-05:00 | ReturnTs |
| Tax Period End | 2015-06-30 | 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 | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 352391110 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MEMORIAL HEALTH SERVICES GROUP RETURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 7143773002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARRY ARBUCKLE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 7143773002 | PhoneNum |
| Signature | 2016-05-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | RICHARD CROGHAN | PreparerPersonNm |
| PTIN | P00089862 | PTIN |
| Phone | 4159561500 | PhoneNum |
| Preparation | 2016-05-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | BARRY ARBUCKLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,304,985,133 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (1) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (1) | AllAffiliatesIncludedInd |
| Group Exemption | 5661 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MEMORIALCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 40 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 30 | VotingMembersIndependentCnt |
| Total Employee | 9736 | TotalEmployeeCnt |
| Total Volunteers | 2403 | TotalVolunteersCnt |
| Total Gross UBI | $33,086,727 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $2,717,256 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $25,997,556 | PYContributionsGrantsAmt |
| CY Contributions Grants | $16,924,668 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,015,245,109 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,277,543,734 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,442,633 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,775,386 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,140,821 | PYOtherRevenueAmt |
| CY Other Revenue | $6,618,695 | CYOtherRevenueAmt |
| PY Total Revenue | $2,048,826,119 | PYTotalRevenueAmt |
| CY Total Revenue | $2,302,862,483 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $488,726 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $294,916 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $838,108,248 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $886,372,313 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,141,763,619 | PYOtherExpensesAmt |
| CY Other Expenses | $1,281,192,520 | CYOtherExpensesAmt |
| PY Total Expenses | $1,980,360,593 | PYTotalExpensesAmt |
| CY Total Expenses | $2,167,859,749 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $68,465,526 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $135,002,734 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,703,513,785 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,850,472,049 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $338,917,990 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $344,825,542 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,364,595,795 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,505,646,507 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,929,357,626 | ExpenseAmt |
| Grant | $294,916 | GrantAmt |
| Revenue | $2,244,457,007 | RevenueAmt |
| Desc | SEE SCHEDULE OMEMORIALCARE HEALTH SYSTEM IS A NONPROFIT INTEGRATED DELIVERY SYSTEM, WHICH INCLUDES LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH, COMMUNITY HOSPITAL LONG BEACH, SEASIDE HEALTH PLAN, ORANGE COAST MEMORIAL MEDICAL CENTER, SADDLEBACK MEMORIAL MEDICAL CENTER IN LAGUNA HILLS AND SAN CLEMENTE, MEMORIALCARE MEDICAL FOUNDATION, AND NUMEROUS OUTPATIENT LOCATIONS. THE MEMORIALCARE HEALTH SYSTEM OPERATES 1,546 LICENSED PATIENT BEDS. FOR FY2014, THE SYSTEM'S HOSPITALS RECORDED 309,839 PATIENT DAYS, 68,841 PATIENT DISCHARGES, 34,480 SURGERIES, 10,262 BABIES DELIVERED, 198,647 EMERGENCY DEPARTMENT VISITS, AND 40,029 HOME HEALTH VISITS.MEMORIALCARE HAS GAINED WIDESPREAD RECOGNITION FOR ITS UNIQUE APPROACH TO HEALTHCARE. FOR THE FOURTH CONSECUTIVE YEAR, LONG BEACH MEMORIAL MEDICAL CENTER, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER WERE NAMED "HIGH PERFORMING" IN MULTIPLE SPECIALTIES BY U.S. NEWS AND WORLD REPORT'S 2013-2014 "BEST REGIONAL HOSPITALS" RANKINGS. ALL THREE HOSPITALS WERE RANKED WITHIN THE TOP 20 HIGH PERFORMING HOSPITALS IN CALIFORNIA. ALL THREE HOSPITALS WERE HONORED WITH AN "A" HOSPITAL SAFETY SCORE BY THE LEAPFROG GROUP FOR THE THIRD YEAR IN A ROW. MEMORIALCARE MEDICAL GROUP AND GREATER NEWPORT PHYSICIANS WERE HONORED BY THE CALIFORNIA ASSOCIATION FOR PHYSICIAN GROUPS (CAPG) WITH THE ELITE STATUS RATING OF FOUR STARS. MEMORIALCARE MEDICAL GROUP WAS RECOGNIZED FOR THE NINTH YEAR IN A ROW AS ONE OF CALIFORNIA'S TOP-RATED PHYSICIAN GROUPS BY THE INTEGRATED HEALTHCARE ASSOCIATION (IHA). IN ADDITION, MEMORIALCARE HEALTH SYSTEM HAS BEEN HONORED FOR FOUR CONSECUTIVE YEARS WITH THE GALLUP GREAT WORKPLACE AWARD.LONG BEACH MEMORIAL MEDICAL CENTERMAJOR PROGRAMS FOCUS UPON PREVENTION AND ATTENTION TO KEY CHRONIC HEALTH CONDITIONS WITH A PRIORITY ON: CANCER, CARDIOVASCULAR DISEASE, DIABETES, OBESITY, MENTAL HEALTH AND ASTHMA. OTHER PRIORITIES INCLUDE ACCESS TO CARE AND MEDICAL EDUCATION.CHRONIC DISEASE:LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) IS A 462 ADULT BED COMMUNITY HOSPITAL THAT IS HOME TO SPECIALIZED SERVICES INCLUDING: TODD CANCER INSTITUTE, MEMORIALCARE HEART & VASCULAR INSTITUTE, REHABILITATION & PHYSICAL THERAPY AND THE EMERGENCY/TRAUMA CENTER. THE TODD CANCER CENTER IS COMMITTED TO THE EARLY DIAGNOSIS, RESEARCH, TREATMENT AND EDUCATION OF PATIENTS WITH CANCER OR SERIOUS BLOOD DISORDERS. THE HEART & VASCULAR INSTITUTE IS WIDELY RESPECTED AS ONE OF THE REGION'S TOP CARDIAC CENTERS. THIS CENTER HAS PIONEERED TREATMENTS SUCH AS CARDIAC RESYNCHRONIZATION, HOMOGRAPH VALVE SURGERY AND CARDIAC BYPASS. REHABILITATION IS A CENTER OF EXCELLENCE FOR BRAIN & SPINAL CORD INJURY AND A CERTIFIED PRIMARY STROKE CENTER.MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH (MCWHLB) IS A 373-BED NOT-FOR-PROFIT, PEDIATRIC TEACHING HOSPITAL THAT TREATS MORE THAN 8,000 CHILDREN EACH YEAR AND HAS BECOME A REGIONAL PEDIATRIC DESTINATION FOR MORE THAN 84,000 CHILDREN, WHO NEED SPECIALIZED CARE IN THE OUTPATIENT SPECIALTY AND SATELLITE CENTERS. THE MEMORIALCARE CENTER FOR WOMEN AT MILLER CHILDREN'S AND WOMEN'S HOSPITAL LONG BEACH DELIVERS MORE THAN 6,000 BABIES EACH YEAR, 1,000 NICU BABIES, AND TRANSPORTS NEARLY 100 HIGH-RISK MOMS TO MCWHLB EACH YEAR. MORE THAN 750 PEDIATRIC SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS NEARLY 100 OB/GYNS, INCLUDING 10 HIGH-RISK PREGNANCY SPECIALISTS (MATERNAL FETAL SUB-SPECIALISTS), ENSURE THAT THE HIGHEST QUALITY, COMPASSIONATE CARE IS GIVEN TO EACH PATIENT AND THEIR FAMILY. MILLER CHILDREN'S AND WOMEN'S HOSPITAL FEATURES EIGHT CENTERS OF EXCELLENCE, INCLUDING SEVEN MAJOR INPATIENT CARE CENTERS WITHIN THE HOSPITAL AND COMPREHENSIVE OUTPATIENT SPECIALTY CENTERS THAT FEATURE MORE THAN 30 SUB-SPECIALTIES, AND INCLUDE 16 CALIFORNIA CHILDREN SERVICES (CCS) APPROVED SPECIAL CARE CENTERS. THESE CENTERS PROVIDE SPECIALIZED CARE FOR CHILDREN WITH CHRONIC CONDITIONS, SUCH AS PULMONARY, GASTROENTEROLOGY, ORTHOPEDICS, CARDIOLOGY, REHABILITATION, DIABETES, ASTHMA, AUTISM, AND HEMATOLOGY/ONCOLOGY (CANCER) CONDITIONS. COMMUNITY HOSPITAL LONG BEACH (CHLB) IS A 208-BED ACUTE-CARE HOSPITAL THAT HAS BEEN PROVIDING WARM AND PERSONALIZED TOP-QUALITY MEDICAL CARE THAT ITS PATIENTS HAVE COME TO TREASURE AND TRUST SINCE FIRST OPENING ITS DOORS IN 1924. COMMUNITY HOSPITAL LONG BEACH HAS MORE THAN 265 BOARD-CERTIFIED PHYSICIANS SERVICING THE GREATER LONG BEACH AREA, AND OFFERS INTENSIVE CARE, STATE-OF-THE-ART IMAGING, A COMPREHENSIVE CANCER CARE CENTER, CARDIOVASCULAR DIAGNOSTICS, BEHAVIORAL HEALTH, WOMEN'S HEART SCREENINGS, OCCUPATIONAL MEDICINE, WELLNESS AND DIABETES SERVICES AND MORE. ADDITIONALLY, COMMUNITY HOSPITAL LONG BEACH HAS A 24-HOUR EMERGENCY DEPARTMENT OFFERING HIGH-TECH CARE AND MINIMAL WAIT TIMES.COMMUNITY HOSPITAL LONG BEACH PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH COMMUNITY HEALTH EDUCATION, COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES. THE DIABETES 101 PROGRAM WAS LAUNCHED TO PROVIDE EDUCATION AND SUPPORT FOR PEOPLE WITH DIABETES AND THEIR FAMILIES, AND TO ATTEMPT TO ALTER THE BEHAVIORAL RISK FACTORS THAT LEAD TO AND EXACERBATE THIS DISEASE.ACCESS TO CARE:AS A TEACHING HOSPITAL WE OFFER COMMUNITY BASED CLINICAL SERVICES THROUGH OUR FAMILY MEDICINE ROTATIONS. RESIDENTS SERVICE THE GYNECOLOGIC CLINIC, SIGMOIDOSCOPY CLINIC, THE CHILDREN'S CLINIC, VACCINATION AND WESTSIDE NEIGHBORHOOD CLINIC PROVIDING ACCESS TO CARE FOR THOSE WHO ARE LIVING IN POVERTY AND/OR UNINSURED. OUR HOSPITAL HAS COMMITTED A NEEDED FACILITY TO HOUSE AN FQHC OPERATED BY THE CHILDREN'S CLINIC TO BUILD CAPACITY FOR MEDICAL HOMES IN THE COMMUNITY. THE HOSPITAL PROVIDES A LAND LEASE, BELOW FAIR MARKET VALUE TO THE LONG BEACH RONALD MCDONALD HOUSE CHARITY WHICH SUPPORTS A 23-ROOM RONALD MCDONALD HOUSE TO SERVE THE BROADER COMMUNITY.MEDICAL EDUCATION:LONG BEACH MEMORIAL HOSPITAL IS COMMITTED TO EDUCATION AND HAS BEEN A TEACHING HOSPITAL FOR MORE THAN 50 YEARS, TRAINING RESIDENTS AND FELLOWS IN GRADUATE MEDICAL EDUCATION THROUGH AFFILIATIONS WITH LOCAL UNIVERSITIES. WE CURRENTLY OVERSEE 23 PROGRAMS WITH ABOUT 200 RESIDENTS AND FELLOWS. IN ADDITION, 20 MEDICAL STUDENTS TRAIN AT OUR FACILITY EACH MONTH AS WELL AS SHORT TERM MEDICAL STUDENTS, PHYSICIAN ASSISTANT STUDENTS, RESIDENTS, FELLOWS & VISITING PROFESSORS. THE HOSPITAL ALSO SUPPORTS A NURSING PROGRAM IN PARTNERSHIP WITH CALIFORNIA STATE UNIVERSITY LONG BEACH. OTHER HEALTH PROFESSIONALS ARE EDUCATED TO PERFORM THEIR CLINICAL HOURS AND/OR INTERNSHIP ROTATIONS AT THE HOSPITALS. STUDENTS ARE DIRECTLY SUPERVISED BY STAFF. FIELDS SUCH AS CLINICAL NUTRITION, CHILD DEVELOPMENT, NEONATAL INTENSIVE CARE, PERINATAL DIABETES, SOCIAL WORK, PHYSICAL THERAPY AND PHARMACY ARE REPRESENTED. IN ADDITION, WE ALSO PROVIDE TRAINING AND CONTINUING EDUCATION TO COMMUNITY PHYSICIANS AND NURSES THROUGH A NUMBER OF DIFFERENT AVENUES INCLUDING GRAND ROUNDS AND CONFERENCES HOSTED AT OUR FACILITY.OUR HOSPITALS ALSO ADMINISTER A WORKFORCE DEVELOPMENT SKILLS TRAINING GRANT PROGRAM TO PROVIDE SKILLS, CERTIFICATIONS AND TRAINING NEEDS IN THE HEALTHCARE SECTOR.MEMORIALCARE MEDICAL FOUNDATIONMEMORIALCARE MEDICAL FOUNDATION (MCMF) IS A NOT-FOR-PROFIT MEDICAL MANAGEMENT ORGANIZATION THAT CONTRACTS EXCLUSIVELY WITH MEMORIALCARE MEDICAL GROUP (FORMERLY BRISTOL PARK MEDICAL GROUP), MEMORIAL PROMPT CARE AND FAMILY MEDICINE AND GREATER NEWPORT PHYSICIANS TO OFFER COMPREHENSIVE MEDICAL CARE TO PATIENTS. MCMF MANAGES MORE THAN 30 LOCATIONS THROUGHOUT ORANGE AND LOS ANGELES COUNTIES IN THE AREAS OF INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS MEDICINE, PULMONOLOGY, GASTROENTEROLOGY, NEUROLOGY, PHYSIATRY, SLEEP MEDICINE AND ACUPUNCTURE. IN ADDITION, MCMF OFFERS TELEPHONE ADVICE NURSES, AS WELL AS LAB AND X-RAY SERVICES AT MOST LOCATIONS.ORANGE COAST MEMORIAL MEDICAL CENTERORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), A MEMBER OF THE NOT-FOR-PROFIT MEMORIALCARE MEDICAL CENTERS SINCE JANUARY, 1996, IS COMMITTED TO UPHOLDING THE HIGHEST STANDARDS OF CARE AND MEETING THE NEEDS OF THE COMMUNITY. OCMMC HAS CREATED AN ENVIRONMENT WHICH FOSTERS COMMUNITY OUTREACH. DEPARTMENT DIRECTORS, EMPLOYEES, PHYSICIANS, SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS ALL PARTICIPATE IN DEVELOPING AND IMPLEMENTING OUTREACH ACTIVITIES AND NEW PROGRAMS. | Desc |
| Total Program Service Expenses | $1,929,357,626 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | 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 | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 2539 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 9736 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| 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 | 40 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 30 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY GALLARDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7143773411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST ST | AddressLine1Txt |
| City | FOUNTAIN VALLEY | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92708 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (87 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| BARRY ARBUCKLE PHD | ||||||||
| BD MEMBER-LBMMC,OCMMC,SMMC,MCMF | 8.00 | 52.00 | Yes (X) | Yes (X) | $0 | $2,074,152 | $1,022,574 | |
| DAVE CARVER | ||||||||
| BOARD CHAIR-LBMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| NANCY MYERS | ||||||||
| BOARD VICE CHAIR-LBMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| STEPHEN HRYNIEWICKI MD | ||||||||
| BOARD SECRETARY-LBMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BEVERLY O'NEILL | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CLIFFORD HANCOCK MD | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| GAIL CARRUTHERS MD | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOSEPH MAGA | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LAURENCE W JACKSON | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| LESLIE EDRICH MD | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LORNA MC FARLAND | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RUSSELL HILL | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SUZANNE NOSWORTHY | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM WEBSTER MD | ||||||||
| BOARD MEMBER-LBMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| TIM HELGESON | ||||||||
| CHAIRMAN-OCMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LARRY LAMBERT | ||||||||
| CHAIR-MCMF/VICE CHAIR-OCMMC | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JULIO IBARRA MD | ||||||||
| SECRETARY-OCMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| HUGH MORAN CPA | ||||||||
| BOARD MEMBER-OCMMC | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| JOHN STROH | ||||||||
| BOARD MEMBER-OCMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KATHY RYDER | ||||||||
| BOARD MEMBER-OCMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RESA EVANS | ||||||||
| BOARD MEMBER-OCMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD MCAULEY | ||||||||
| BOARD MEMBER-OCMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BRUCE CHANNING | ||||||||
| BOARD CHAIR-SMMC | 2.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JAMES W GAUSS | ||||||||
| BOARD VICE CHAIR-SMMC | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACI SONGSTAD | ||||||||
| BOARD SECRETARY-SMMC | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DONNA RANE-SZOSTAK EDD | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JOEL LAUTENSCHLEGER | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| LAWRENCE TRAN MD | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MYRON WACHOLDER MD | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| PATRICK D DONAHUE | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| SAMUEL TANG | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SHARON CHEEVER | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| VALDEMAR ASCENCIO | ||||||||
| BOARD MEMBER-SMMC | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MARK CIANCIOLA MD | ||||||||
| BOARD VICE CHAIR-MCMF | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LAURA CROCITTO | ||||||||
| BOARD SECRETARY-MCMF | 2.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BARRY BEHRSTOCK | ||||||||
| BOARD MEMBER-MCMF | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JAMES O HILLMAN | ||||||||
| BOARD MEMBER-MCMF | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY RIKER MD | ||||||||
| BOARD MEMBER-MCMF | 2.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| THOMAS COLLINS | ||||||||
| BOARD MEMBER-MCMF | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA MANKER | ||||||||
| BOARD MEMBER-MCMF/CEO,EVP-OCMMC | 60.00 | 0.00 | Yes (X) | Yes (X) | $0 | $786,213 | $271,789 | |
| BARRY SMITH MD | ||||||||
| PHYSICIAN-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $307,167 | $15,953 | ||
| DIVYA-DEVI JOSHI MD | ||||||||
| CHIEF MED OFFICER(MCH)-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $491,103 | $7,165 | ||
| DIANA L HENDEL | ||||||||
| CEO/EVP-LBMMC | 60.00 | 1.00 | Yes (X) | $0 | $877,650 | $362,840 | ||
| DONNA E HARTMAN | ||||||||
| VP, QUALITY-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $324,989 | $23,923 | ||
| GAINER PILLSBURY MD | ||||||||
| CHIEF MEDICAL OFFICER-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $168,253 | $22,961 | ||
| IDA M MERLINE | ||||||||
| VP, MEMORIAL HEART INST-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $286,418 | $35,097 | ||
| JOHN BISHOP | ||||||||
| SVP, CFO FIN & COMM SVCS-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $379,844 | $31,953 | ||
| JOYCE G VOLSCH RN | ||||||||
| VP, PATIENT CARE (MCH)-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $240,857 | $32,565 | ||
| JUDITH A FIX | ||||||||
| SVP, PATIENT CARE SVCS-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $465,945 | $37,045 | ||
| KRIKOR JANSEZIAN | ||||||||
| ADMINISTRATOR CHLB-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $280,934 | $13,618 | ||
| LINDA L HOFF | ||||||||
| VP, MED SURG PERI-OP SVC-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $304,148 | $36,546 | ||
| MELVIN I MARKS MD | ||||||||
| EXEC VP, RESEARCH-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $450,746 | $41,536 | ||
| MICHAEL P NAGEOTTE MD | ||||||||
| PROGRAM DIRECTOR-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $139,719 | $30,876 | ||
| MYRA J GREGORIAN | ||||||||
| VP, HUMAN RESOURCES-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $301,423 | $33,770 | ||
| PAMELA S CHEVREAUX | ||||||||
| VP, AMBULATORY SERVICES-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $284,905 | $24,489 | ||
| PAULA SUZANNE REINSVOLD | ||||||||
| COO (MCH)-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $346,979 | $23,043 | ||
| RICHELE S CRAVEIRO-STEELE | ||||||||
| VP, MKTG/PHYSICIAN RELAT-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $217,358 | $33,224 | ||
| MARCIE ATCHISON | ||||||||
| VP HUMAN RESOURCES-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| SUSAN Y MELVIN DO | ||||||||
| CHIEF MEDICAL OFFICER-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $509,952 | $31,502 | ||
| TAMRA L KAPLAN | ||||||||
| CHIEF OPERATING OFFICER-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $450,021 | $39,734 | ||
| WENDY L DORCHESTER | ||||||||
| SVP/CHIEF ADMIN OFFICER-LBMMC | 60.00 | 0.00 | Yes (X) | $0 | $341,433 | $32,903 | ||
| DALE VITAL | ||||||||
| VP, NURSING/CNO-OCMMC | 60.00 | 0.00 | Yes (X) | $0 | $322,214 | $41,689 | ||
| EMILY RANDLE | ||||||||
| CHIEF OPERATING OFFICER-OCMMC | 60.00 | 0.00 | Yes (X) | $0 | $370,511 | $38,964 | ||
| ERIN HOTRA-SHINN | ||||||||
| DIRECTOR OF MANAGED CARE-OCMMC | 60.00 | 0.00 | Yes (X) | $0 | $239,748 | $36,188 | ||
| STEPHEN MCNAMARA | ||||||||
| VP, FINANCE/CFO-OCMMC | 60.00 | 0.00 | Yes (X) | $0 | $347,228 | $33,745 | ||
| ADOLFO CHANEZ | ||||||||
| VP, FINANCE/CFO-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $384,761 | $30,263 | ||
| BRENNAN JAMES | ||||||||
| VP, STRAT & BUS DEV-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $336,157 | $31,346 | ||
| CHERYL JACOB | ||||||||
| CHIEF OPERATING OFFICER-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $433,281 | $34,367 | ||
| HUGO FOLI | ||||||||
| VP, ANCILLARY SERVICES-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $317,422 | $46,210 | ||
| KATHY DAWSON | ||||||||
| VP, NURSING, CNO-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $298,966 | $28,625 | ||
| STEPHEN GEIDT | ||||||||
| CEO/EVP-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $700,255 | $44,345 | ||
| TONY STRUTHERS | ||||||||
| VP, ADMINISTRATOR-SMMC | 60.00 | 0.00 | Yes (X) | $0 | $263,466 | $34,947 | ||
| ADAM SOLOMON | ||||||||
| CHIEF MEDICAL OFFICER-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $134,405 | $3,808 | ||
| DEBORAH PITTS | ||||||||
| VP, MEDICAL MANAGEMENT-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $199,797 | $10,870 | ||
| DEBRA SPINDEL | ||||||||
| VP, PHYSICIAN SERVICES-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $330,378 | $39,434 | ||
| JACQUELINE LUXENBERG | ||||||||
| CHIEF FINANCIAL OFFICER-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $226,472 | $30,349 | ||
| JENNIFER JACKMAN | ||||||||
| CHIEF OPERATING OFFICER-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $357,889 | $14,317 | ||
| JENNIFER THOMPSON | ||||||||
| VP, MEDICAL GROUP OPERATIONS-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $126,616 | $6,104 | ||
| JUDY SHUBIN | ||||||||
| VP, PAYOR CONTRACTING-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $327,746 | $41,375 | ||
| LESLIE MCMAINS | ||||||||
| VP, PROVIDER SERVICES-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $381,194 | $35,044 | ||
| MARK D SCHAFER MD | ||||||||
| CHIEF EXEC OFFICER/CMO-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $665,667 | $1,401,073 | ||
| STEVEN BEAL | ||||||||
| VP, INFORMATION SERVICES-MCMF | 60.00 | 0.00 | Yes (X) | $0 | $365,416 | $21,111 | ||
| ANIL SHARMA | ||||||||
| PRGM DIR MED PHYSICIST-LBMMC | 60.00 | 0.00 | $0 | $231,443 | $42,714 | Yes (X) | ||
| JANE H HODDING | ||||||||
| EXEC DIR PHARMACY-LBMMC | 60.00 | 0.00 | $0 | $240,649 | $32,297 | Yes (X) | ||
| LEONARD CAPUTO | ||||||||
| ASSOCIATE MEDICAL DIRECTOR-MCMF | 60.00 | 0.00 | $0 | $254,521 | $13,739 | Yes (X) | ||
| MARIA E ZITLAU | ||||||||
| RN, COORD, CVOR-OCMMC | 60.00 | 0.00 | $0 | $277,986 | $43,949 | Yes (X) | ||
| UMESH C BHARGAVA | ||||||||
| PHARM. CLINIC SPECIALIST-LBMMC | 60.00 | 0.00 | $0 | $224,793 | $37,880 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $18,389,190 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,379,859 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1562 | 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 |
|---|---|---|---|---|---|
| ORANGE COAST RADIATION ONCOLOGY MEDICAL | |||||
| 2650 ELM AVE STE 201 | LONG BEACH | CA | 90806 | RADIATION ONCOLOGY | $2,813,162 |
| DVA RENAL HEALTHCARE INC | |||||
| PO BOX 403008 | ATLANTA | GA | 30384 | DIALYSIS | $1,578,378 |
| SHIFTWISE | |||||
| 1800 SW 1ST AVE STE 510 | PORTLAND | OR | 97201 | REGISTRY SERVICES | $1,129,995 |
| MAGELLA MEDICAL GROUP INC | |||||
| PO BOX 281034 | ATLANTA | GA | 30384 | OB HOSPITALISTS 24/7 COVERAGE | $1,093,599 |
| RADIOLOGY MEDICAL GROUP INC | |||||
| 6256 GREENWICH DRIVE SUITE 150 | SAN DIEGO | CA | 92122 | RADIOLOGY SERVICES FOR MC IMAGING CTR | $693,051 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 158 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $321,380 | FundraisingAmt |
| Related Organizations | $9,754,874 | RelatedOrganizationsAmt |
| Government Grants | $2,592,649 | GovernmentGrantsAmt |
| All Other Contributions | $4,255,765 | AllOtherContributionsAmt |
| Total Contributions | $16,924,668 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $1,565,077,112 | $1,565,077,112 | |
| CAPITATION REVENUE | 622110 | $351,558,257 | $351,558,257 | |
| LABORATORY | 621500 | $131,934,344 | $120,680,720 | $11,253,624 |
| PHARMACY | 446110 | $112,718,362 | $111,722,315 | $996,047 |
| MOB RENTAL | 531120 | $14,026,994 | $14,026,994 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,228,665 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $81,391,609 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $20,837,056 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,277,543,734 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,605,327 | TotalRevenueColumnAmt |
| Exclusion | $1,605,327 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,615,703 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $517,922 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,097,781 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,097,781 | TotalRevenueColumnAmt |
| Exclusion | $1,097,781 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $1,468,811 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $259,752 | SecuritiesAmt |
| Other | $1,039,000 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$259,752 | SecuritiesAmt |
| Other | $429,811 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $170,059 | TotalRevenueColumnAmt |
| Exclusion | $170,059 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $99,216 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $321,380 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $253,640 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$154,424 | TotalRevenueColumnAmt |
| Exclusion | -$154,424 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $78,319 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $52,336 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $25,983 | TotalRevenueColumnAmt |
| Exclusion | $25,983 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| FOOD SERVICES | 722320 | $3,858,048 | $3,858,048 |
| PARKING SERVICES | 812930 | $1,791,307 | $1,791,307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,649,355 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,302,862,483 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,244,457,007 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $33,086,727 | UnrelatedBusinessRevenueAmt |
| Exclusion | $8,394,081 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $294,916 | TotalAmt |
| Program Services | $294,916 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,187,156 | TotalAmt |
| Program Services | $15,871,810 | ProgramServicesAmt |
| Management And General | $3,315,346 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $610,602,068 | TotalAmt |
| Program Services | $556,724,251 | ProgramServicesAmt |
| Management And General | $53,877,817 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,964,705 | TotalAmt |
| Program Services | $31,276,608 | ProgramServicesAmt |
| Management And General | $2,688,097 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,900,838 | TotalAmt |
| Program Services | $154,276,498 | ProgramServicesAmt |
| Management And General | $17,624,340 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,717,546 | TotalAmt |
| Program Services | $47,026,095 | ProgramServicesAmt |
| Management And General | $3,691,451 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $128,454,904 | TotalAmt |
| Program Services | $106,356,360 | ProgramServicesAmt |
| Management And General | $22,098,544 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,488,848 | TotalAmt |
| Management And General | $4,488,848 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $601,044 | TotalAmt |
| Management And General | $601,044 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $176,550 | TotalAmt |
| Program Services | $121,306 | ProgramServicesAmt |
| Management And General | $55,244 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,772,428 | TotalAmt |
| Program Services | $125,608,785 | ProgramServicesAmt |
| Management And General | $9,163,643 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,559,985 | TotalAmt |
| Program Services | $5,482,205 | ProgramServicesAmt |
| Management And General | $6,077,780 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,228,785 | TotalAmt |
| Program Services | $27,865,180 | ProgramServicesAmt |
| Management And General | $3,363,605 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,954,977 | TotalAmt |
| Program Services | $46,550,036 | ProgramServicesAmt |
| Management And General | $29,404,941 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,878,656 | TotalAmt |
| Program Services | $37,073,907 | ProgramServicesAmt |
| Management And General | $804,749 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $960,227 | TotalAmt |
| Program Services | $847,420 | ProgramServicesAmt |
| Management And General | $112,807 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $945,414 | TotalAmt |
| Program Services | $730,763 | ProgramServicesAmt |
| Management And General | $214,651 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,214 | TotalAmt |
| Program Services | $134,082 | ProgramServicesAmt |
| Management And General | $23,132 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $105,960,524 | TotalAmt |
| Program Services | $69,903,063 | ProgramServicesAmt |
| Management And General | $36,057,461 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,802,839 | TotalAmt |
| Program Services | $2,892,421 | ProgramServicesAmt |
| Management And General | $2,910,418 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $258,022,259 | $257,924,870 | $97,389 |
| CAPITATED CLAIMS | $153,435,862 | $153,435,862 | |
| CA HOSPITAL FEE & TAX | $146,848,198 | $146,848,198 | |
| HQAF | $6,178,517 | $6,178,517 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,765,289 | TotalAmt |
| Program Services | $135,934,473 | ProgramServicesAmt |
| Management And General | $41,830,816 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,167,859,749 | TotalAmt |
| Program Services | $1,929,357,626 | ProgramServicesAmt |
| Management And General | $238,502,123 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,216,337 | BOYAmt |
| EOY | $10,572,738 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,584,664 | BOYAmt |
| EOY | $2,651,742 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,591,048 | BOYAmt |
| EOY | $1,403,978 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $248,654,616 | BOYAmt |
| EOY | $306,319,029 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,937,070 | BOYAmt |
| EOY | $23,368,541 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,908,459 | BOYAmt |
| EOY | $6,204,799 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,470,761,509 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $863,067,275 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $610,657,192 | BOYAmt |
| EOY | $607,694,234 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,646,772 | BOYAmt |
| EOY | $1,714,674 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,503,863 | BOYAmt |
| EOY | $186,186,551 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $592,813,764 | BOYAmt |
| EOY | $704,355,763 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,703,513,785 | BOYAmt |
| EOY | $1,850,472,049 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $219,892,717 | BOYAmt |
| EOY | $234,810,963 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $953,807 | BOYAmt |
| EOY | $816,321 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,033,305 | BOYAmt |
| EOY | $2,922,202 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,038,161 | BOYAmt |
| EOY | $106,276,056 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $338,917,990 | BOYAmt |
| EOY | $344,825,542 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,361,106,844 | BOYAmt |
| EOY | $1,501,878,562 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,488,951 | BOYAmt |
| EOY | $3,767,945 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,364,595,795 | BOYAmt |
| EOY | $1,505,646,507 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,703,513,785 | BOYAmt |
| EOY | $1,850,472,049 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $135,002,734 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$14,769,453 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $20,817,431 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $176,550 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $176,550 | 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 | LOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $175,199,788 | BeginningYearBalanceAmt |
| Contributions | $6,240,733 | ContributionsAmt |
| Investment Earnings Or Losses | $1,392,718 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $6,513,335 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $273,120 | AdministrativeExpensesAmt |
| End Year Balance | $176,046,784 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $151,492,725 | BeginningYearBalanceAmt |
| Contributions | $4,125,437 | ContributionsAmt |
| Investment Earnings Or Losses | $24,032,180 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,854,563 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,268,288 | OtherExpendituresAmt |
| Administrative Expenses | $327,703 | AdministrativeExpensesAmt |
| End Year Balance | $175,199,788 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,593,718 | BeginningYearBalanceAmt |
| Contributions | $156,060 | ContributionsAmt |
| Investment Earnings Or Losses | $14,350,691 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $2,816,166 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,473,042 | OtherExpendituresAmt |
| Administrative Expenses | $318,536 | AdministrativeExpensesAmt |
| End Year Balance | $151,492,725 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $141,556,834 | BeginningYearBalanceAmt |
| Contributions | $5,135,564 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,379,097 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,085,168 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,314,764 | OtherExpendituresAmt |
| Administrative Expenses | $319,651 | AdministrativeExpensesAmt |
| End Year Balance | $141,593,718 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $117,537,576 | BeginningYearBalanceAmt |
| Contributions | $5,388,572 | ContributionsAmt |
| Investment Earnings Or Losses | $22,648,421 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,374,166 | GrantsOrScholarshipsAmt |
| Other Expenditures | $2,363,176 | OtherExpendituresAmt |
| Administrative Expenses | $280,393 | AdministrativeExpensesAmt |
| End Year Balance | $141,556,834 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.36080 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.38660 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.25260 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,056,617 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $51,753,520 | OtherCostOrOtherBasisAmt |
| Book Value | $52,810,137 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $674,001,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $324,247,387 | DepreciationAmt |
| Book Value | $349,753,861 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $33,431,847 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,563,376 | DepreciationAmt |
| Book Value | $10,868,471 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $525,228,738 | OtherCostOrOtherBasisAmt |
| Depreciation | $516,256,512 | DepreciationAmt |
| Book Value | $8,972,226 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,289,539 | OtherCostOrOtherBasisAmt |
| Book Value | $185,289,539 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $607,694,234 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $666,965,001 |
| OTHER ASSETS | $9,579,031 |
| OTHER RECEIVABLES | $27,811,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $704,355,763 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKERS COMPENSATION LIABILITY | $39,559,295 |
| MEDICAL PROFESSIONAL LIABILITY | $29,960,392 |
| INCURRED BUT NOT REPORTED CLAIMS | $10,606,949 |
| DUE TO THIRD PARTY PAYORS | $4,633,450 |
| SPLIT INTEREST LIABILITY | $86,015 |
| OTHER LIABILITIES | $21,429,955 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $106,276,056 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE ENDOWMENT FUNDS ARE HELD AND ADMINISTERED FOR LONG BEACH MEMORIAL MEDICAL CENTER AND SADDLEBACK MEMORIAL MEDICAL CENTER BY THE FOLLOWING RELATED ORGANIZATIONS: MEMORIAL MEDICAL CENTER FOUNDATION: MEMORIAL MEDICAL CENTER FOUNDATION USES THE ENDOWMENT FUNDS TO GENERATE INCOME TO SUPPORT VARIOUS PROGRAMS, EDUCATION, RESEARCH AND EQUIPMENT AS DESIGNATED BY THE DONOR. THE VARIOUS ENDOWMENT FUNDS OF THE FOUNDATION AGGREGATING OVER $113.6 MILLION AS OF JUNE 30, 2015 ARE USED TO SUPPORT THE LONG BEACH MEMORIAL MEDICAL CENTER'S AREAS OF EXCELLENCE COVERING CLINICAL RESEARCH, MEDICAL STAFF CONTINUING EDUCATION, PATIENT CARE AND IN VARIOUS PROGRAMS WHERE THE NEED IS GREATEST. SADDLEBACK MEMORIAL FOUNDATION: ALL ENDOWMENT FUNDS ARE PERMANENTLY RESTRICTED. ALL CUMULATIVE UNDISTRIBUTED ENDOWMENT INCOME IS HELD IN TEMPORARILY RESTRICTED. THE PRINCIPAL, OR ORIGINAL GIFT AMOUNT, IS HELD IN PERPETUITY AND CANNOT BE USED, OR TRANSFERRED TO RELATED ORGANIZATIONS AS FUNDING OR GRANT REVENUE. NET INVESTMENT INCOME CAN BE USED FOR EITHER UNRESTRICTED OR TEMPORARY RESTRICTED PURPOSED TO SUPPORT VARIOUS OPERATIONS OR CAPITAL NEEDS OF THE HOSPITAL. |
| PART X, LINE 2: | ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2015 AND 2014. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | 2014 FALL GALA | Event1Nm |
| Gross Receipts Event1 | $237,360 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $190,568 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $46,792 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $17,936 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $98,431 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,200 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $30,268 | OtherDirectExpensesEvent1Amt |
| Event2 | 2015 LOTUS SPRING CELEBRATION | Event2Nm |
| Gross Receipts Event2 | $91,711 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $60,010 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $31,701 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $10,178 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $31,756 | FoodAndBeverageEvent2Amt |
| Entertainment Event2 | $9,200 | EntertainmentEvent2Amt |
| Other Direct Expenses Event2 | $10,733 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $91,525 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $70,802 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $20,723 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $12,500 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $18,219 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $6,219 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $420,596 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $321,380 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $99,216 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $40,614 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $148,406 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $17,400 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $47,220 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $253,640 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$154,424 | NetIncomeSummaryAmt |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,735,004 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,766,756 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,968,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $545,223,847 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $476,151,287 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $69,072,560 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04060 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,917,414 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,997,804 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$12,080,390 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $558,876,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $492,915,847 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $65,960,418 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,466,761 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $525,970 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,940,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00110 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,480,253 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,620,649 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,859,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,175,869 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,383,935 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,791,934 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,266,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,082,883 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $183,433 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $159,011 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $159,011 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,548,210 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,613,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,934,773 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01810 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $602,424,475 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $505,529,284 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $96,895,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06400 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,992 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,992 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $155,983 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $117,376 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,607 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,088 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $15,088 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,172 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,350 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,822 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $850 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $850 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,730 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,730 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $206,815 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $128,726 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $78,089 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,913,588 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $215,692,385 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $254,768,272 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$39,075,887 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 MEMORIALCARE SURGERY CENTER AT ORANGE COAST LLC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | AMBULATORY SURGERY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.59000 | OrgProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.41000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 6 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (6 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Childrens HospitalChildrensHospitalInd | Research FacilityResearchFacilityInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LONG BEACH MEMORIAL MEDICAL CENTER | |||||||||||||
| 1 | 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | WWW.MEMORIALCARE.ORG | 930000102 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
| EARL & LORAINE MILLER CHILDREN'S HOSPITAL | |||||||||||||
| 2 | 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | WWW.MEMORIALCARE.ORG | 930000949 | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) | ||
| ORANGE COAST MEMORIAL MEDICAL CENTER | |||||||||||||
| 3 | 9920 TALBERT AVE | FOUNTAIN VALLEY | CA | 92708 | WWW.MEMORIALCARE.ORG | 060000066 | Yes (X) | Yes (X) | Yes (X) | B | |||
| SADDLEBACK MEMORIAL MEDICAL CENTER | |||||||||||||
| 4 | 24451 HEALTH CENTER DRIVE | LAGUNA HILLS | CA | 92653 | WWW.MEMORIALCARE.ORG | 060000166 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B | Yes (X) | |
| SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEMENTE | |||||||||||||
| 5 | 654 CAMINO DE LOS MARES | SAN CLEMENTE | CA | 92673 | WWW.MEMORIALCARE.ORG | 060000166 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B | Yes (X) | |
| COMMUNITY HOSPITAL OF LONG BEACH | |||||||||||||
| 6 | 1720 TERMINO AVENUE | LONG BEACH | CA | 90804 | WWW.MEMORIALCARE.ORG | 930000090 | Yes (X) | Yes (X) | Yes (X) | A | |||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | Information GapsInformationGapsInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Strategy AttachedStrategyAttachedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Income Level CriteriaIncomeLevelCriteriaInd | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Residency CriteriaResidencyCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified Before DischargeFAPNotifiedBeforeDischargeInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Documented Elig DeterminationDocumentedEligDeterminationInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Medicare RatesMedicareRatesInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | FAP Notice DisplayedFAPNoticeDisplayedInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FACILITY REPORTING GROUP - A | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | Yes (1) | 0 | Yes (1) | Yes (X) | WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT | Yes (X) | Yes (X) | Yes (1) | 13 | Yes (1) | HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | |||||
| FACILITY REPORTING GROUP - B | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 0 | 0 | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 13 | Yes (1) | 0 | 0 | Yes (1) | Yes (X) | HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT | Yes (X) | Yes (1) | 13 | Yes (1) | HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT | 0 | 0 | Yes (1) | Yes (X) | 200.000000000000 | 350.000000000000 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE | Yes (X) | Yes (1) | Yes (X) | 0 | Yes (X) | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | Yes (X) | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE | Yes (X) | Yes (X) | Yes (X) | |||
Supplemental Information SupplementalInformationGrp (18 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B | FACILITY REPORTING GROUP A |
| FACILITY REPORTING GROUP A CONSISTS OF: | - FACILITY 1: LONG BEACH MEMORIAL MEDICAL CENTER, - FACILITY 2: EARL & LORAINE MILLER CHILDREN'S HOSPITAL, - FACILITY 6: COMMUNITY HOSPITAL OF LONG BEACH |
| FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE: | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE |
| GROUP A-FACILITY 1 -- LONG BEACH MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5: | THE FOLLOWING DESCRIPTION APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:WE SOLICITED INFORMATION FROM THE GENERAL PUBLIC AND KEY INFORMANTS USING A SURVEY FORMAT. THE SURVEY INSTRUMENTS WERE AVAILABLE TO THE PUBLIC ON-LINE AS AN ANONYMOUS SURVEY IN ENGLISH AND SPANISH. KIOSKS WERE AVAILABLE AT AREA HEALTH FAIRS TO SOLICIT PARTICIPATION AS WELL AS MAKING SURVEY LINKS AVAILABLE ON THE HOSPITAL AND CITY WEBPAGES. KEY INFORMANT STAKEHOLDERS WERE PROVIDED WITH THE SURVEY LINK AND REQUESTED TO COMPLETE THE SURVEY. VALID SURVEYS WERE COLLECTED FROM 1,066 PERSONS. THE PERSONS CONSULTED FROM THE GENERAL PUBLIC REMAINED ANONYMOUS. THE KEY INFORMANTS WERE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, AND REPRESENTATIVES OF PUBLIC HEALTH. THE PERSONS WHO PROVIDED INPUT HAD CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY. A LISTING OF THE KEY STAKEHOLDERS WHO COMPLETED THE SURVEY CAN BE FOUND ON PAGE 72 OF THE CHNA. |
| GROUP A-FACILITY 1 -- LONG BEACH MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 6A: | THE FOLLOWING DESCRIPTION APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:FOUR NON-PROFIT HOSPITALS IN THE GREATER LONG BEACH AREA PARTICIPATED IN THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THESE WERE: LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S HOSPITAL, COMMUNITY HOSPITAL LONG BEACH, AND ST. MARY MEDICAL CENTER LONG BEACH. |
| GROUP A-FACILITY 1 -- LONG BEACH MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 7D: | THE FOLLOWING DESCRIPTION APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:RESULTS OF THE CHNA WERE PRESENTED AT A COMMUNITY FORUM. A LINK TO THE WEBSITE WHERE THE CHNA IS POSTED WAS SENT OUT TO THE COMMUNITY FORUM ATTENDEES. |
| GROUP A-FACILITY 1 -- LONG BEACH MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: | FOR LONG BEACH MEMORIAL, SELECTED COMMUNITY BENEFIT EFFORTS FOCUS ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. OUR PROGRAMS ADDRESS THE FOLLOWING ACCESS TO CARE PRIORITY HEALTH NEEDS:-MEDICAL HOMES-TRANSPORTATION-MENTAL HEALTH-PREVENTIVE CARECOMMUNITY BENEFIT EFFORTS ALSO FOCUS ON THE PREVENTION OF AND ATTENTION TO KEY CHRONIC HEALTH CONDITIONS. OUR PROGRAMS ADDRESS THESE RELATED CHRONIC HEALTH PRIORITY HEALTH NEEDS:-CARDIOVASCULAR DISEASE-DIABETES-CANCER-OVERWEIGHT/OBESITY: NUTRITION AND EXERCISE-PREVENTIVE CARE-HEALTH EDUCATIONADDRESSING THE HEALTH NEEDSLONG BEACH MEMORIAL (LBM) PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS; ACCESS TO CARE, MENTAL HEALTH, CHRONIC DISEASE, OBESITY/OVERWEIGHT AND PREVENTIVE CARE/PREVENTION THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES.ACCESS TO CAREAS A TEACHING HOSPITAL, WE ARE ABLE TO OFFER COMMUNITY BASED CLINICAL SERVICES THROUGH OUR FAMILY MEDICINE ROTATIONS. RESIDENTS SERVE THE GYNECOLOGIC CLINIC, SIGMOIDOSCOPY CLINIC, THE CHILDREN'S CLINIC, VACCINATION CLINIC AND THE WESTSIDE NEIGHBORHOOD CLINIC, PROVIDING ACCESS TO CARE FOR THOSE WHO ARE LIVING IN POVERTY AND/OR UNINSURED. LBM HAS COMMITTED TO PROVIDE A NEEDED FACILITY TO HOUSE AN FQHC TO BE OPERATED BY THE CHILDREN'S CLINIC (A SEPARATE 501C3 NON-PROFIT) TO BUILD CAPACITY FOR MEDICAL HOMES IN THE COMMUNITY.MENTAL HEALTHLBM IS AN ACTIVE PARTNER WITH THE LONG BEACH POLICE DEPARTMENT HOMELESS ASSISTANCE PROJECT, QUALITY OF LIFE TEAM, CONNECTING WITH THE LOCAL OUTREACH MULTI-SERVICE CENTER TO CONNECT INDIVIDUALS TO NEEDED SOCIAL SERVICES THEREBY INFLUENCING THE QUALITY OF LIFE OF OUR HOMELESS PATIENTS.LBM HAS PROVIDED A LAND LEASE, BELOW FAIR MARKET VALUE, TO THE LONG BEACH RONALD MCDONALD HOUSE CHARITY, WHICH PROVIDES A 23-ROOM RONALD MCDONALD HOUSE. THIS PARTNERSHIP PROVIDES A PLACE FOR FAMILIES TO STAY WHILE THEIR CHILD IS IN THE HOSPITAL FOR MINIMAL OR NO CHARGE. THIS HOUSE SERVES NOT ONLY MILLER CHILDREN'S HOSPITAL ON THE LBM CAMPUS BUT THE BROADER COMMUNITY.CHRONIC DISEASEWE OFFER DISEASE SPECIFIC SUPPORT GROUPS SUCH AS STROKE, CANCER AND DIABETES, WHICH ARE PART OF THE COMMUNITY-BASED CLINICAL SERVICES. SUPPORT GROUPS ARE FACILITATED BY PHYSICIANS OR NURSES AND SOCIAL WORKERS. ADDITIONALLY, WE PROVIDE AN ONCOLOGY LIFE COACH AND HELP-LINES, WHICH COMMUNITY MEMBERS CAN CALL TO ASK QUESTIONS E.G., CANCER RELATED INFORMATION.ADULT DIABETES PROGRAMTHE LONG BEACH MEMORIAL ADULT OUT-PATIENT DIABETES CLINIC WAS ESTABLISHED IN 2011 IN RESPONSE TO REQUESTS FROM COMMUNITY PROVIDERS, PATIENTS AND PATIENT FAMILIES FOR GEOGRAPHICALLY ACCESSIBLE SUPPORT SERVICES FOR ADULTS WITH DIABETES RELATED DISORDERS. THE PURPOSE OF THE OUT-PATIENT DIABETES CLINIC IS TO PROVIDE THE INDIVIDUAL WITH DIABETES THE KNOWLEDGE AND SKILLS NEEDED TO PERFORM SELF-CARE, MANAGE CRISIS, AND INITIATE LIFESTYLE CHANGES REQUIRED TO SUCCESSFULLY MANAGE THEIR DISEASE. ADDITIONALLY FOR INDIVIDUALS USING INSULIN THERAPY, GROUP APPOINTMENTS WITH AN ADVANCED PRACTICE NURSE WILL PROVIDE SUPPORT, RESOURCE MANAGEMENT AND INSULIN DOSING ADJUSTMENT IN COLLABORATION WITH THE PRIMARY CARE PRACTITIONER. THE GOAL IS TO ENABLE THE INDIVIDUAL TO BECOME AN ACTIVE PARTICIPANT IN SUCCESSFUL CONTROL OF HIS OR HER DIABETES THROUGH SELF-MANAGEMENT TRAINING.SELF-MANAGEMENT TRAINING HELPS INDIVIDUALS WITH DIABETES MAKE LIFESTYLE CHANGES TO IMPROVE GLYCEMIC CONTROL. SELF-MANAGEMENT EDUCATION INCLUDES SELF-MONITORING OF BLOOD GLUCOSE, DIET, PHYSICAL ACTIVITY, MEDICATIONS, AND MOTIVATES INDIVIDUALS TO OBTAIN OPTIMAL GLYCEMIC CONTROL. THE OUT-PATIENT DIABETES CLINIC WILL PROMOTE: SELF-MANAGEMENT SKILLS SO PARTICIPANTS CAN MAKE APPROPRIATE LIFE STYLE CHOICES AND CHANGES. THE LBM DIABETES PROGRAM IS COMMITTED TO PROVIDING COMMUNITY EDUCATION IN A VARIETY OF VENUES, AT NO COST TO PARTICIPANTS. PREVENTIONLONG BEACH MEMORIAL PROVIDES COMMUNITY HEALTH IMPROVEMENT AND PREVENTION SERVICES THROUGH 36 DIFFERENT PROGRAMS AND ACTIVITIES, WHICH INCLUDE COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF CANCER, STROKE, HEART HEALTH, WOMEN'S HEALTH, DISASTER PREPAREDNESS, HEALTH SCREENINGS, RESPIRATORY CARE, SENIOR HEALTH, EMPLOYER WELLNESS PROGRAMS AND TOBACCO EDUCATION. WE WILL EXPAND THESE EFFORTS TO REACH MORE PEOPLE THROUGH PARTNERSHIPS WITH THE LONG BEACH HEALTH DEPARTMENT, CALIFORNIA STATE UNIVERSITY LONG BEACH AND COMMUNITY BASED ORGANIZATIONS.TOBACCO USE PREVENTION THE LOS ANGELES COUNTY REPORT ON CIGARETTE SMOKING IN 2010 FOUND OVER 15% OF LONG BEACH RESIDENTS REPORT SMOKING. TO COMBAT THE START OF USE OF TOBACCO PRODUCTS, THE "TAR WARS" TOBACCO EDUCATION WILL BE CONDUCTED BY THE FAMILY MEDICINE RESIDENCY PROGRAM TARGETING 5TH GRADE STUDENTS IN THE LONG BEACH UNIFIED SCHOOL DISTRICT. THE PROGRAM WAS DEVELOPED BY THE AMERICAN ACADEMY OF FAMILY PHYSICIANS IN ACCORDANCE WITH CDC NATIONAL GUIDELINES. OUR GOAL IS TO REACH 750 STUDENTS DURING THE SCHOOL YEAR.OVERWEIGHT/OBESITYLBM WILL WORK IN PARTNERSHIP WITH THE CITY OF LONG BEACH TO PROMOTE THE HEALTHY ACTIVE LONG BEACH INITIATIVE TO BATTLE OVERWEIGHT AND OBESITY IN OUR COMMUNITY. IN ADDITION, WE WILL PROVIDE NUTRITION COMMUNICATION IN MULTIPLE LANGUAGES. AS WELL LBM STAFF IS ACTIVE PARTICIPANTS ON THE LONG BEACH CITY DEPARTMENT OF HEALTH BOARD.OTHER HEALTH NEEDSLONG BEACH MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE:-DENTAL DISEASE-ARTHRITIS-PHYSICAL INJURY-BONE LOSS-HEARING LOSS-SEXUALLY TRANSMITTED INFECTIONS OR DISEASELBM HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ARE ADDRESSING THESE NEEDS. NEVERTHELESS, LBM MAY HAVE SOME ACTIVITIES THAT ADDRESS THESE HEALTH NEEDS, AND WE WILL CONTINUE TO INVESTIGATE OPPORTUNITIES TO ADDRESS THESE IDENTIFIED HEALTH NEEDS, HOWEVER, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE IDENTIFIED PRIORITY HEALTH NEEDS. |
| GROUP A-FACILITY 1 -- LONG BEACH MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 16I: | THE FOLLOWING DESCRIPTION APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A:THE FULL FINANCIAL ASSISTANCE POLICY IS POSTED ON THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT (OSHPD) WEBSITE ANNUALLY. EACH POINT OF ENTRY AT OUR FACILITIES HAS A STATEMENT POSTED REGARDING OUR POLICY AND ALL ADMITTING AREAS HAVE BROCHURES WHICH OUTLINE THE POLICY AND ITS REQUIREMENTS. EACH ADMITTING AREA MAINTAINS COPIES OF THE APPLICATION FORM. EACH OUTGOING BILL HAS REFERENCE TO THE POLICY AND RESPECTIVE CONTACT NUMBERS. WHEN A PATIENT CONTACTS PATIENT FINANCIAL SERVICES AND IS HAVING DIFFICULTY MAKING PAYMENTS, HE/SHE WILL AGAIN BE TOLD ABOUT THE POLICY AND ASK IF HE/SHE WOULD LIKE AN APPLICATION SENT OUT. |
| GROUP A-FACILITY 6 -- COMMUNITY HOSPITAL OF LONG BEACH PART V, SECTION B, LINE 11: | THE HEALTH NEEDS THAT WILL BE ADDRESSED FOR THE ADULT POPULATION ARE:-ACCESS TO CARE-CHRONIC DISEASE-MENTAL HEALTH-OVERWEIGHT/OBESITY-PREVENTION/PREVENTIVE CAREADDRESSING THE HEALTH NEEDSCOMMUNITY HOSPITAL LONG BEACH (CHLB) PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS; ACCESS TO CARE, MENTAL HEALTH, CHRONIC DISEASE, OBESITY/OVERWEIGHT AND PREVENTIVE CARE/PREVENTION THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES.ACCESS TO CAREAS PART OF THE MEMORIALCARE SYSTEM, CHLB SHARES IN THE COMMUNITY-BASED CLINICAL SERVICES THROUGH THE LONG BEACH MEMORIAL FAMILY MEDICINE ROTATIONS. RESIDENTS SERVE THE GYNECOLOGIC CLINIC, SIGMOIDOSCOPY CLINIC, THE CHILDREN'S CLINIC, VACCINATION CLINIC AND THE WESTSIDE NEIGHBORHOOD CLINIC, PROVIDING ACCESS TO CARE FOR THOSE WHO ARE LIVING IN POVERTY AND/OR UNINSURED. COMMITMENT FROM OUR SYSTEM PARTNER HOSPITAL, LONG BEACH MEMORIAL, WILL PROVIDE A NEEDED FACILITY TO HOUSE AN FQHC TO BE OPERATED BY THE CHILDREN'S CLINIC (A SEPARATE 501C3 NON-PROFIT) TO BUILD CAPACITY FOR MEDICAL HOMES IN THE LONG BEACH COMMUNITY THAT ARE PART OF THE CHLB SERVICE AREA.MENTAL HEALTHCHLB IS ONE OF THE FEW AREA HOSPITAL FACILITIES WITH INPATIENT BEHAVIORAL HEALTH/MENTAL HEALTH INPATIENT BEDS. BUILDING ON ITS EXISTING PROGRAM FOR BEHAVIORAL AND MENTAL HEALTH, CHLB WILL ACTIVELY EXPLORE OPPORTUNITIES TO DEVELOP LIAISONS AND PARTNERSHIPS WITH LOCAL ORGANIZATIONS TO ADDRESS CHEMICAL DEPENDENCY, BEHAVIORAL HEALTH AND MENTAL HEALTH ISSUES OF THE COMMUNITY. CHLB WILL PROVIDE OUTREACH AND EDUCATION IN THE COMMUNITY TO ADDRESS ISSUES AND PROVIDED RESOURCES FOR MENTAL HEALTH SERVICES. A SPECIAL FOCUS WILL BE OUTREACH TO LOCAL COLLEGES AND UNIVERSITIES TO PROVIDE YOUNG ADULTS WITH MENTAL HEALTH INFORMATION. ADDITIONALLY, CHLB IN PARTNERSHIP WITH LOCAL SCHOOLS SERVES AS A CLINIC ROTATION SITE FOR REGISTERED NURSE STUDENTS TO LEARN ABOUT MENTAL HEALTH NURSING CARE. CHLB WILL EXPLORE A COMMUNITY PARTNERSHIP WITH SPIRITT FAMILY SERVICES. SPIRITT FAMILY SERVICES OFFERS SERVICES DESIGNED TO STRENGTHEN THE FAMILY UNIT. THEIR SERVICES ARE DESIGNED TO POSITIVELY INTERVENE IN THE LIVES OF VULNERABLE YOUTH, TEACH COUPLES AND SINGLE PARENTS HOW TO CARE FOR THEIR NEW BABIES, GIVE PARENTS THE SKILLS TO OVERCOME ADDICTIONS AND PROVIDE FOR THE EMOTIONAL AND PHYSICAL WELL-BEING OF THEIR FAMILIES.CHRONIC DISEASEWE OFFER A PROGRAM THAT SPECIFICALLY ADDRESSES HEALTH EDUCATION FOR THOSE WHO SUFFER FROM DIABETES AND THEIR FAMILIES. OUR DIABETES 101 CLASS PROVIDES DIABETICS WITH THE KNOWLEDGE AND SKILLS NEEDED TO PERFORM SELF-CARE, MANAGE CRISIS, AND INITIATE LIFESTYLE CHANGES REQUIRED TO SUCCESSFULLY MANAGE THEIR DISEASE. THE PROGRAM SEEKS TO ENABLE THE INDIVIDUAL TO BECOME AN ACTIVE PARTICIPANT IN SUCCESSFUL CONTROL OF HIS OR HER DIABETES THROUGH SELF-MANAGEMENT TRAINING. SELF-MANAGEMENT EDUCATION INCLUDES SELF-MONITORING OF BLOOD GLUCOSE, DIET, PHYSICAL ACTIVITY, MEDICATIONS, AND MOTIVATES INDIVIDUALS TO OBTAIN OPTIMAL GLYCEMIC CONTROL.PREVENTIONCHLB WILL OFFER A NUMBER OF COMMUNITY-BASED SCREENINGS, IMMUNIZATIONS AND VACCINES. THESE PREVENTIVE SERVICES WILL BE PROVIDED AS PART OF AREA HEALTH FAIRS, AND WILL BE OFFERED AT LOCAL AGENCIES AND COMMUNITY EVENTS. CHLB WILL CONTINUE TO OFFER A PROGRAM THAT PROVIDES INFECTION CONTROL EDUCATION AND SUPPORT TO STAFF AT LOCAL SKILLED NURSING FACILITIES. THIS PROGRAM ASSISTS NURSING HOME STAFF WITH CRITICAL PATIENT ASSESSMENT AND IDENTIFICATION OF SPECIFIC BODY-SITE INFECTIONS.OVERWEIGHT/OBESITYCHLB WILL EXPLORE A PARTNERSHIP WITH THE CITY OF LONG BEACH TO PROMOTE THE HEALTHY ACTIVE LONG BEACH INITIATIVE TO BATTLE OVERWEIGHT AND OBESITY IN OUR COMMUNITY. IN ADDITION, WE WILL PROVIDE A HEALTHY CHOICES SERIES OF COOKING CLASSES TO PROVIDE "HANDS ON" EDUCATION ON HOW TO PREPARE HEALTHY, LOW-FAT MEALS.OTHER HEALTH NEEDSCOMMUNITY HOSPITAL LONG BEACH HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE:-DENTAL DISEASE-ARTHRITIS-PHYSICAL INJURY-BONE LOSS-HEARING LOSS-SEXUALLY TRANSMITTED INFECTIONS OR DISEASECHLB HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS. THESE OTHER HEALTH NEEDS DO NOT ALIGN WITH CHLB STRATEGIC INITIATIVES, AND CHLB DOES NOT HAVE EXISTING RESOURCES OR INFRASTRUCTURE TO EFFECTIVELY MEET THESE COMMUNITY HEALTH NEEDS. THEREFORE, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE PRIORITY HEALTH NEEDS. |
| GROUP A-FACILITY 2 -- EARL & LORAINE MILLER CHILDREN'S HOSPITA PART V, SECTION B, LINE 11: | FOR MILLER CHILDREN'S HOSPITAL LONG BEACH, SELECTED COMMUNITY BENEFIT EFFORTS FOCUS ON INCREASING AND SUPPORTING ACCESS TO HEALTH CARE SERVICES THROUGH DIRECT PROGRAMS AND PARTNERSHIPS WITH LOCAL COMMUNITY-BASED ORGANIZATIONS. OUR PROGRAMS ADDRESS THE FOLLOWING ACCESS TO CARE PRIORITY HEALTH NEEDS: -MEDICAL HOMES-TRANSPORTATION-MENTAL HEALTH-PREVENTIVE CARE COMMUNITY BENEFIT EFFORTS ALSO FOCUS ON THE PREVENTION OF AND ATTENTION TO KEY CHRONIC HEALTH CONDITIONS. OUR PROGRAMS ADDRESS THESE RELATED CHRONIC HEALTH PRIORITY HEALTH NEEDS:-ASTHMA-OVERWEIGHT/OBESITY: NUTRITION AND EXERCISE -ACCESS TO CARE -MENTAL HEALTH-PREVENTIVE CARE/PREVENTION-HEALTH EDUCATION ADDRESSING THE HEALTH NEEDS MILLER CHILDREN'S HOSPITAL LONG BEACH (MCHLB) PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS; ACCESS TO CARE, MENTAL HEALTH, ASTHMA, OBESITY/OVERWEIGHT AND PREVENTIVE CARE/PREVENTION THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES. ACCESS TO CARE OUTPATIENT SPECIALTY CENTERS PROVIDE MORE THAN 30 SUB-SPECIALTIES DEDICATED TO THE HEALTH AND WELLBEING OF CHILDREN AND ADOLESCENTS IN OUR COMMUNITY. MANY OF OUR SPECIALTY CENTERS SERVE AS A MEDICAL HOME FOR CHILDREN. THESE CLINICS ARE SUPPORTED BY MILLER CHILDREN'S; MORE THAN $18 MILLION DOLLARS IN FY12, THE MAJORITY OF PATIENTS ARE MEDICAL OR UNINSURED. WE WILL CONTINUE TO PROMOTE THE MEDICAL HOME MODEL TO IMPROVE ACCESS TO CARE AND PARTNER WITH THE CHILDREN'S CLINIC (TCC), A FEDERALLY QUALIFIED HEALTH CLINIC (8 LOCATIONS THROUGHOUT GREATER LONG BEACH). MENTAL HEALTH MCH HAS AN ACTIVE SCHOOL REINTEGRATION PROGRAM FOR CHILDREN WHO HAVE LONG-TERM ILLNESS THAT KEEPS THEM OUT OF THEIR SCHOOL ENVIRONMENT. THERE ARE A NUMBER OF SUPPORT GROUPS AVAILABLE FOR PARENTS AND CHILDREN TO ADDRESS THEIR IDENTIFIED AND UNIQUE NEEDS, TO INCREASE SOCIAL SUPPORT AND PROVIDE INFORMATION DIRECTLY RELATED TO THEIR DISEASE. SUPPORT GROUPS INCLUDE; HIV/AIDS, AUTISM, CHILDREN WITH SPECIAL NEEDS. ASTHMA MILLER CHILDREN'S HOSPITAL LONG BEACH WAS PART OF THE FOUNDING COALITION OF THE LONG BEACH ALLIANCE FOR CHILDREN WITH ASTHMA (LBACA). LBACA PROVIDES EDUCATION, CLINICIAN TRAINING, COMMUNITY HEALTH WORKERS AND ADVOCACY RELATED TO ASTHMA IN THE GREATER LONG BEACH AREA. LBACA'S ACTIVITIES INCLUDE A COMMUNITY HEALTH WORKER HOME VISITING PROGRAM, AN ASTHMA RESOURCE CENTER, PHYSICIAN ASTHMA CARE EDUCATION TRAINING TO IMPROVE PHYSICIAN ASTHMA MANAGEMENT SKILLS AND TRAINING MEDICAL ASSISTANTS TO PROVIDE ASTHMA EDUCATION TO PATIENTS AT PROVIDER SITES. LBACA IS ALSO TEAMING UP WITH SCHOOLS, AFTER-SCHOOL PROGRAMS, PARKS AND RECREATIONAL CENTERS TO DEVELOP ASTHMA-FRIENDLY ENVIRONMENTS AND POLICIES; AND MOBILIZING THE COMMUNITY TO RESPOND TO AIR QUALITY ISSUES, BOTH INDOORS AND OUTDOORS. LBACA'S LONG-TERM OBJECTIVES ARE TO CHANGE THE PROFILE OF CHILDHOOD ASTHMA IN THE MOST AFFECTED AREAS OF THE CITIES OF LONG BEACH, CARSON, WILMINGTON AND SAN PEDRO THROUGH IMPROVED HEALTH CARE DELIVERY AND QUALITY, OUTREACH, EDUCATION, SUPPORT SYSTEMS, IMPROVED LIVING ENVIRONMENTS AND CHANGES IN POLICY AT ALL LEVELS. THE PROGRAM IS COMMITTED TO IMPROVE CLINICAL OUTCOMES INCLUDING REDUCTION IN PREVENTABLE HOSPITALIZATIONS, EMERGENCY ROOM VISITS, AND SCHOOL ABSENTEEISM DUE TO ASTHMA, AND ENHANCED QUALITY OF LIFE MEASURES. PREVENTION MILLER CHILDREN'S PROVIDES COMMUNITY HEALTH IMPROVEMENT AND PREVENTION SERVICES THROUGH 20 DIFFERENT PROGRAMS AND ACTIVITIES, WHICH INCLUDE COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF ASTHMA, DIABETES, OBESITY, HEALTH SCREENINGS, PEDIATRIC CANCER, AND CHILDREN WITH SPECIAL NEEDS. WE WILL EXPAND THESE EFFORTS TO REACH MORE PEOPLE THROUGH PARTNERSHIP WITH THE LONG BEACH HEALTH DEPARTMENT AND COMMUNITY BASED ORGANIZATIONS. OUR PEDIATRIC SAFETY PROGRAM INCLUDES NOT ONLY COMMUNITY EDUCATION BUT ALSO PROVIDES BICYCLE HELMETS AND CAR SEATS TO THOSE WHO ARE UNABLE TO AFFORD THEM. OVERWEIGHT/OBESITY MCH WILL WORK IN PARTNERSHIP WITH THE CITY OF LONG BEACH TO PROMOTE THE HEALTHY ACTIVE LONG BEACH INITIATIVE TO BATTLE OVERWEIGHT AND OBESITY IN OUR COMMUNITY. IN ADDITION WE WILL PROVIDE NUTRITION COMMUNICATION IN MULTIPLE LANGUAGES. MCH STAFF ACTIVELY PARTICIPATES ON COALITIONS SUCH AS FIRST FIVE LA. THE FAMILY MEDICINE PROGRAM FACILITATES A FIT TEEN SUPPORT GROUP AND EDUCATION PROGRAM FOR OVERWEIGHT AND OBESE TEENS AND THEIR FAMILIES. OTHER HEALTH NEEDS MILLER CHILDREN'S HOSPITAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS. THESE HEALTH NEEDS ARE:-DENTAL DISEASE-HIGH BLOOD PRESSURE-DIABETES MCH HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ARE ADDRESSING THESE NEEDS. NEVERTHELESS, MCH MAY HAVE SOME ACTIVITIES THAT ADDRESS THESE HEALTH NEEDS, AND WE WILL CONTINUE TO INVESTIGATE OPPORTUNITIES TO ADDRESS THESE IDENTIFIED HEALTH NEEDS, HOWEVER, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE IDENTIFIED PRIORITY HEALTH NEEDS. |
| PART V, SECTION B | FACILITY REPORTING GROUP B |
| FACILITY REPORTING GROUP B CONSISTS OF: | - FACILITY 3: ORANGE COAST MEMORIAL MEDICAL CENTER, - FACILITY 4: SADDLEBACK MEMORIAL MEDICAL CENTER, - FACILITY 5: SADDLEBACK MEMORIAL MEDICAL CENTER - SAN CLEME |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 16A WEBSITE: | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE |
| FACILITY REPORTING GROUP - B PART V, SECTION B, LINE 16C WEBSITE: | HTTP://WWW.MEMORIALCARE.ORG/GUIDES-TOOLS/FINANCIAL-ASSISTANCE |
| GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5: | TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FOURTEEN INTERVIEWS WERE COMPLETED DURING AUGUST THROUGH NOVEMBER, 2012. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY ORANGE COAST MEMORIAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY". INPUT WAS OBTAINED FROM ORANGE COUNTY HEALTH CARE AGENCY OFFICIAL SHELLEY VRUNGOS, PHD, ASSOCIATE ADMINISTRATOR, MEDICAL SERVICES INITIATIVE. ONE FOCUS GROUP WAS CONDUCTED IN NOVEMBER 2012. THE FOCUS GROUP ENGAGED 13 SENIOR RESIDENTS AND WAS HELD AT THE CENTER AT FOUNDERS VILLAGE SENIOR AND COMMUNITY CENTER IN FOUNTAIN VALLEY. A LIST OF THE KEY INFORMANT STAKEHOLDERS, THEIR TITLES AND ORGANIZATIONS CAN BE FOUND ON PAGE 77 OF THE CHNA. |
| GROUP B-FACILITY 3 -- ORANGE COAST MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: | ORANGE COAST MEMORIAL WILL ADDRESS THE FOLLOWING HEALTH NEEDS THROUGH OUR COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES:-ACCESS TO CARE-CHRONIC DISEASE-OVERWEIGHT/OBESITY-PREVENTION/PREVENTIVE CAREORANGE COAST MEMORIAL WILL FURTHER ADDRESS THESE HEALTH NEEDS WITH A SPECIAL FOCUS ON SENIORS, UNDERSERVED CHILDREN AND THE VIETNAMESE COMMUNITY.ADDRESSING THE HEALTH NEEDSORANGE COAST MEMORIAL PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES.VIETNAMESE COMMUNITY OUTREACHORANGE COAST MEMORIAL WILL FOCUS RESOURCES FOR THE VIETNAMESE COMMUNITY IN THE AREAS OF:-CANCER PREVENTION AND DETECTION -DISEASE PREVENTION-ACCESS TO CARE-SENIOR OUTREACHORANGE COAST MEMORIAL WILL FOCUS RESOURCES FOR THE SENIOR COMMUNITY IN THE AREAS OF:-HEART DISEASE PREVENTION AND DETECTION-OVERWEIGHT AND OBESITY PREVENTION-CANCER PREVENTION AND DETECTION-ACCESS TO CARE-MEDICAL TRANSPORTATIONACCESS TO CAREORANGE COAST MEMORIAL WILL INCREASE ACCESS TO HEALTH CARE BY OFFERING PATIENT FINANCIAL SERVICES TO HELP INDIVIDUALS ENROLL IN MSI, REGARDLESS OF WHERE THEY RECEIVE CARE. THE HOSPITAL WILL SUPPORT A VIETNAMESE COMMUNITY OUTREACH COORDINATOR WHO WILL COORDINATE FREE COMMUNITY EDUCATION AND OUTREACH, FREE HEALTH SCREENINGS; AND ASSIST WITH SECURING MEDICAL TRANSPORTATION FOR THE VIETNAMESE COMMUNITY. ADDITIONALLY, WE WILL PROVIDE THE VIETNAMESE COMMUNITY WITH INFORMATION ON HEALTH RESOURCES AND ACCESS TO CARE THROUGH LOCAL RADIO AND CABLE TV WITH HEALTH INFORMATION PROGRAMING. THE HOSPITAL ALSO SUPPORTS A SENIOR ADVOCATE TO COLLABORATE WITH LOCAL AGENCIES AND ORGANIZATIONS TO ASSISTS OLDER ADULTS IN SECURING NEEDED SERVICES; COORDINATE FREE MEDICAL TRANSPORTATION PROGRAM FOR SENIORS; AND COORDINATE FREE HEALTH SCREENINGS, FLU CLINICS, HEALTH EDUCATION AND DISEASE PREVENTION CLASSES FOR SENIORS.OVERWEIGHT AND OBESITYORANGE COAST MEMORIAL WILL WORK WITH COMMUNITY PARTNERS TO ADDRESS OVERWEIGHT AND OBESITY IN OUR SERVICE AREA. WE WILL PARTICIPATE IN THE ORANGE COUNTY NUTRITIONAL AND PHYSICAL ACTIVITY COLLABORATIVE (OC NUPAC) TO HELP EDUCATE OUR COMMUNITIES ON WAYS TO IMPROVE HEALTH AND PREVENT OBESITY THROUGH PROMOTION OF HEALTHY EATING AND DRINKING HABITS, AS WELL AS PHYSICAL ACTIVITIES. HOSPITAL RESOURCES WILL ALSO BE FOCUSED ON MANAGEMENT OF CONDITIONS THAT ARE COMPLICATIONS OF OBESITY SUCH AS HEART DISEASE, DIABETES AND CANCER, INCLUDING HEALTHY EATING AND PHYSICAL ACTIVITY EFFORTS SPECIFICALLY TARGETED TOWARD SENIORS. WE WILL MAINTAIN OUR RELATIONSHIP WITH THE BOYS & GIRLS CLUB OF HUNTINGTON VALLEY TO HELP PREVENT OBESITY AS WE:-SERVE ON THE HEALTH COMMITTEE-PROVIDE EXPERT SPEAKERS FOR HEALTH ASSEMBLIES FOCUSING ON NUTRITION, PHYSICAL ACTIVITY AND HEALTH RISKBEHAVIORS-PROVIDE EXERCISE EQUIPMENT FOR THE BOYS & GIRLS CLUB, AND PROVIDE EXPERT TRAINING TO STAFF ON TEACHING USE OFTHE EQUIPMENT TO COMMUNITY MEMBERS-DONATE NUTRITIOUS SNACKS TO CHILDREN OF PARENTS IN THE TWILIGHT EDUCATION PROJECT, WHICH IS A PROGRAM FOR LOW INCOME FAMILIES DESIGNED TO:-HELP ENGLISH LANGUAGE LEARNERS SUCCEED IN SCHOOL-HELP PARENTS GET THE ENGLISH LANGUAGE SKILLS THEY NEED TO SUPPORT THEIR CHILDREN FINANCIALLY, ACADEMICALLY AND SOCIALLY HELP THE CHILDREN AND THEIR PARENTS TO IDENTIFY HEALTHY FOOD CHOICES. AS WELL, WE WILL TARGET NUTRITION AND PHYSICAL ACTIVITY FOR UNDERSERVED YOUTH AS WE EXPLORE OPPORTUNITIES TO WORK COLLABORATIVELY WITH THE SCHOOL DISTRICTS IN OUR AREA.CHRONIC DISEASE PREVENTION AND MANAGEMENT AND PREVENTIVE CAREORANGE COAST MEMORIAL WILL PROVIDE HEALTH EDUCATION AND SUPPORT GROUPS THAT FOCUS ON A VARIETY OF TOPICS RELATED TO HEALTH AND WELLNESS, CHRONIC DISEASE MANAGEMENT, HEALTHY EATING, DISEASE AND INJURY PREVENTION, AND PRENATAL/PERINATAL CARE. PRIORITY HEALTH NEEDS WILL BE ADDRESSED THROUGH HEALTH AND WELLNESS FAIRS, DISEASE SCREENINGS, FLU CLINICS AND PREVENTIVE EXAMS. ORANGE COAST MEMORIAL WILL OFFER TARGETED HEALTH OUTREACH TO THE VIETNAMESE COMMUNITY THROUGH LOCAL RADIO AND CABLE TV WITH HEALTH INFORMATION PROGRAMING. OUTREACH TO SENIORS WILL BE PROVIDED THROUGH THE SENIOR PLUS NEWSLETTER THAT IS MAILED TO THEIR HOMES. THE CARE CONNECTION NEWSLETTER WILL BE MAILED TO COMMUNITY RESIDENTS TO PROVIDE INFORMATION ON FREE HEALTH CLASSES, SCREENINGS, AND SUPPORT GROUPS HELD AT ORANGE COAST MEMORIAL AND IN THE COMMUNITY. THE INFORMATION WILL ALSO BE POSTED AT MEMORIALCARE.ORG. ORANGE COAST MEMORIAL MEDICAL CENTER WILL CONTINUE OUR SUPPORT FOR A NUMBER OF COMMUNITY ORGANIZATIONS THROUGH A PROGRAM OF CASH AND IN-KIND DONATIONS. THESE DONATIONS WILL SUPPORT PHYSICAL ACTIVITY, HEALTHY FOOD CHOICES, NUTRITIONAL SUPPORT, SOCIAL SERVICES, TRANSPORTATION SERVICES, AND HEALTH EDUCATION AND SUPPORT FOR AT RISK CHILDREN, LOW-INCOME/UNDERSERVED RESIDENTS AND SENIORS.OTHER HEALTH NEEDSORANGE COAST MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA AS THEY WERE NOT SELECTED AS PRIORITY HEALTH NEEDS: MENTAL HEALTH CARE, DENTAL CARE, VISION CARE, ACCESS TO MEDICATIONS, AND ACCESS TO SPECIALTY CARE. TAKING EXISTING COMMUNITY RESOURCES INTO CONSIDERATION, ORANGE COAST MEMORIAL HAS SELECTED TO CONCENTRATE ONLY ON THOSE HEALTH NEEDS THAT WE CAN MOST EFFECTIVELY ADDRESS GIVEN OUR AREAS OF FOCUS AND EXPERTISE. THEREFORE, THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE SELECTED PRIORITY HEALTH NEEDS. |
| GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5: | TARGETED INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWELVE INTERVIEWS WERE COMPLETED DURING JANUARY AND FEBRUARY, 2013. FOR THE INTERVIEWS, COMMUNITY STAKEHOLDERS IDENTIFIED BY SADDLEBACK MEMORIAL WERE CONTACTED AND ASKED TO PARTICIPATE IN THE NEEDS ASSESSMENT. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS, OR REGIONAL, STATE OR LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES THAT HAVE "CURRENT DATA OR OTHER INFORMATION RELEVANT TO THE HEALTH NEEDS OF THE COMMUNITY SERVED BY THE HOSPITAL FACILITY". FOUR FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY, 2013. THE FOCUS GROUPS ENGAGED 28 PARTICIPANTS. A LIST OF THE KEY STAKEHOLDER INTERVIEWEES, THEIR TITLES AND ORGANIZATIONS CAN BE FOUND ON PAGE 77 OF THE CHNA. |
| GROUP B-FACILITY 4 -- SADDLEBACK MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11: | SADDLEBACK MEMORIAL WILL ADDRESS THE FOLLOWING HEALTH NEEDS THROUGH COMMUNITY BENEFIT PROGRAMS AND ACTIVITIES:-ACCESS TO CARE (TRANSPORTATION)-CHRONIC DISEASE MANAGEMENT AND PREVENTIONADDRESSING HEALTH NEEDSSADDLEBACK MEMORIAL PLANS TO MEET THE IDENTIFIED PRIORITY HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES, ACTIVITIES, PROGRAMS AND SERVICES. THE HOSPITAL WILL REDUCE A COMMON BARRIER TO ACCESSING CARE BY OFFERING SUPPORT FOR TRANSPORTATION FOR SENIORS. SADDLEBACK MEMORIAL PLANS TO INCREASE OUR EMPHASIS ON POPULATION HEALTH MANAGEMENT STRATEGIES AND PARTNERSHIP DEVELOPMENT WITH COMMUNITY AGENCIES, TO EXPAND OUR REACH INTO THE COMMUNITY AND PROVIDE SERVICES THAT COMPLIMENT RATHER THAN DUPLICATE EXISTING PROGRAMS. WE WILL PROVIDE PROGRAMS AND SUPPORT PARTNERSHIPS THAT FOCUS ON THE PREVENTION, EARLY DETECTION, AND MANAGEMENT OF CHRONIC DISEASES AND CONDITIONS TO INCLUDE: CHRONIC OBSTRUCTIVE PULMONARY DISEASE, HEART FAILURE, AND DIABETES, AND THE HEALTH RISKS THAT CAUSE THESE DISEASES. FORMING PARTNERSHIPS AND COLLABORATING WITH COMMUNITY AGENCIES THAT ADDRESS THE HEALTH AND SOCIAL NEEDS OF THE ADULT AND OLDER ADULT POPULATION IS FUNDAMENTAL TO SADDLEBACK MEMORIAL'S COMMUNITY BENEFIT PROGRAM, WITH THE EMPHASIS ON POPULATION HEALTH STRATEGIES AND PROGRAMS. THESE AGENCIES MAY INCLUDE LOCAL SENIOR CENTERS, SKILLED NURSING FACILITIES, FAITH-BASED GROUPS, AND OTHER ORGANIZATIONS THAT PROVIDE SERVICES AS PART OF THE CONTINUUM OF CARE FOR OUR SHARED SENIOR POPULATION.SADDLEBACK MEMORIAL WILL PROVIDE HEALTH EDUCATION AND SUPPORT GROUPS THAT FOCUS ON A VARIETY OF TOPICS RELATED TO HEALTH AND WELLNESS, CHRONIC DISEASE MANAGEMENT, HEALTHY EATING, DISEASE AND INJURY PREVENTION, AND SMOKING CESSATION. PRIORITY HEALTH NEEDS WILL BE ADDRESSED THROUGH HEALTH AND WELLNESS FAIRS, DISEASE SCREENINGS, FLU CLINICS AND PREVENTIVE EXAMS.SADDLEBACK MEMORIAL WILL OFFER TARGETED HEALTH OUTREACH TO SENIORS THROUGH THE SENIOR CARE CONNECTIONS NEWSLETTER THAT IS MAILED TO THEIR HOMES. THE CARE CONNECTION NEWSLETTER WILL BE MAILED TO COMMUNITY RESIDENTS TO PROVIDE INFORMATION ON FREE HEALTH CLASSES, SCREENINGS, AND SUPPORT GROUPS HELD AT SADDLEBACK MEMORIAL AND IN THE COMMUNITY. THE INFORMATION WILL ALSO BE POSTED AT MEMORIALCARE.ORG.OTHER HEALTH NEEDSSADDLEBACK MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED IN THE CHNA THAT WERE NOT SELECTED AS PRIORITY HEALTH NEEDS: MENTAL HEALTH CARE, DENTAL CARE, ACCESS TO PRIMARY CARE, ACCESS TO HEALTH INSURANCE, ALCOHOL/DRUG USE, AND HOUSING. SADDLEBACK MEMORIAL HAS CHOSEN NOT TO FOCUS ON THESE HEALTH NEEDS AS THERE ARE EXISTING RESOURCES IN THE COMMUNITY THAT ADDRESS THESE NEEDS. THESE OTHER HEALTH NEEDS DO NOT ALIGN WITH HOSPITAL STRATEGIC INITIATIVES, AND SADDLEBACK MEMORIAL DOES NOT HAVE EXISTING RESOURCES OR INFRASTRUCTURE TO EFFECTIVELY MEET THESE COMMUNITY HEALTH NEEDS. THEREFORE, THE FOCUS OF THE HOSPITAL'S CHARITABLE RESOURCES WILL BE PLACED ON THE PRIORITY HEALTH NEEDS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 48 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (48 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|
| OCMMC IMAGING SERVICES | |||||
| 18111 BROOKHURST ST STE 1400 | FOUNTAIN VALLEY | CA | 92708 | IMAGING | |
| CHLB CANCER CENTER | |||||
| 1649 TERMINO AVENUE | LONG BEACH | CA | 90804 | CANCER CENTER | |
| SMMC BREAST CENTERBREAST MRI | |||||
| 24401 CALLE DE LOUISA SUITE 101 A | LAGUNA HILLS | CA | 92653 | BREAST MRI | 101 B |
| SMMC RADIATION ONCOLOGY | |||||
| 24953 PASEO DE VALENCIA SUITE B1 | LAGUNA HILLS | CA | 92653 | RADIATION ONCOLOGY | |
| MEMORIAL CARE IMAGING CENTER | |||||
| 403 COLUMBIA STREET | LONG BEACH | CA | 90806 | IMAGING CENTER | |
| BREAST CENTER | |||||
| 2810 LONG BEACH BLVD 2ND FLOOR | LONG BEACH | CA | 90806 | BREAST CENTER & OSTEOPOROSIS CLINIC | |
| SMMC COORDINATED HOME CARE | |||||
| 23521 PASEO DE VALENCIA SUITE | LAGUNA HILLS | CA | 92653 | COORDINATED HOME CARE | 100-102 |
| OCMMC CARDIOLOGY & CARDIAC REHAB | |||||
| 18111 BROOKHURST ST STE 2200 2400 | FOUNTAIN VALLEY | CA | 92708 | CARDIOLOGY | |
| MEMORIALCARE IMAGING CENTERSAN CLEMENTE | |||||
| 675 CAMINO DE LOS MARES | SAN CLEMENTE | CA | 92673 | IMAGING CENTER | |
| BREAST CARE CENTER AT OCMMC | |||||
| 9900 TALBERT AVE STE 102 | FOUNTAIN VALLEY | CA | 92708 | BREAST CARE | |
| REHABILITATION OUTPATIENT SPECIALTY CENT | |||||
| 1760 TERMINO AVE SUITE G19 G20 100 | LONG BEACH | CA | 90804 | PEDIATRIC REHAB | 108 |
| BUFFUM MEDICAL PAVILLION | |||||
| 455 E COLUMBIA STREET | LONG BEACH | CA | 90806 | HOME CARE PHARMACY, CHILDRENS DENTAL CLINIC, URGENT CARE TRAILER | |
| OCMMC NUCLEAR MEDICINE | |||||
| 18111 BROOKHURST ST STE 1400 | FOUNTAIN VALLEY | CA | 92708 | IMAGING | |
| SMMC WOUND CARE | |||||
| 26137 LA PAZ ROAD SUITE 120 | MISSION VIEJO | CA | 92691 | WOUND CARE | |
| SMMC HOSPICE | |||||
| 23521 PASEO DE VALENCIA SUITE | LAGUNA HILLS | CA | 92653 | HOSPICE | 100-102 |
| ADULT INFUSION CENTER | |||||
| 2810 LONG BEACH BLVD 3RD FLOOR | LONG BEACH | CA | 90806 | ADULT INFUSION CENTER | |
| OCMMC OUTPATIENT SERVICES | |||||
| 18111 BROOKHURST ST STE 2400 | FOUNTAIN VALLEY | CA | 92708 | REHABILITATION | |
| SLEEP DISORDERS CENTER | |||||
| 5182 KATELLA AVE SUITE 106 | LOS ALAMITOS | CA | 90720 | SLEEP DISORDER CLINIC | |
| SLEEP DISORDERS CENTER | |||||
| 2651 ELM AVE SUITE 307 | LONG BEACH | CA | 90806 | SLEEP DISORDER CLINIC | |
| SMMC HEART INSTITUTE | |||||
| 24401 CALLE DE LOUISA SUITE 201 202 | LAGUNA HILLS | CA | 92653 | HEART INSTITUTE | |
| ADULT PULMONARY REHAB CENTER ADULT DIAB | |||||
| 2840 LONG BEACH BLVD SUITE 210 260 | LONG BEACH | CA | 90806 | DIABETES CLINIC AND PULMONARY REHABILITATION | |
| SMMC OUTPATIENT REHAB | |||||
| 24401 CALLE DE LOUISA SUITE 100 | LAGUNA HILLS | CA | 92653 | OUTPATIENT REHAB | |
| CHLB PARTIAL HOSP INTENSIVE OP PROGRAM | |||||
| 4111 WILTON STREET | LONG BEACH | CA | 90804 | OP BEHAVIORAL HEALTH | |
| WOUND HEALING CENTER | |||||
| 2888 LONG BEACH BLVD SUITE 125 | LONG BEACH | CA | 90806 | WOUND CARE CENTER | |
| OCMMC INFUSION | |||||
| 18111 BROOKHURST ST STE 4300 | FOUNTAIN VALLEY | CA | 92708 | INFUSION | |
| MEMORIAL OCCUPATIONAL MEDICINE | |||||
| 1720 TERMINO AVE | LONG BEACH | CA | 90804 | OCCUPATIONAL MEDICINE | |
| CLINICAL RESEARCH CENTER | |||||
| 2840 LONG BEACH BLVD SUITE 345 | LONG BEACH | CA | 90806 | CLINICAL RESEARCH CENTER | |
| TRANSITIONAL REHAB | |||||
| 2085 E 3RD STREET | LONG BEACH | CA | 90804 | REHABILITATION CENTER | |
| STRAMSKI CHILDRENS DEVELOPMENTAL CENTER | |||||
| 2651 ELM AVE SUITE 205 | LONG BEACH | CA | 90806 | PEDIATRIC CLINIC | |
| STRAMSKI CHILDRENS DEVELOPMENTAL CENTER | |||||
| 2650 ELM AVENUE SUITE 301 | LONG BEACH | CA | 90806 | PEDIATRIC CLINIC | |
| OBGYN CLINIC | |||||
| 2865 ATLANTIC AVE SUITE 110 115 | LONG BEACH | CA | 90806 | OB/GYN CLINIC, LACTATION CLINIC & CHILD ABUSE CENTER | |
| ENDOCRINE DIABETES & METABOLIC CENTERS | |||||
| 2880 ATLANTIC AVE SUITE 220 | LONG BEACH | CA | 90806 | PEDIATRIC CENTERS | |
| PEDIATRIC HEMATOLOGY-ONCOLOGY CENTER | |||||
| 2653 ELM AVENUE SUITES 200 | LONG BEACH | CA | 90806 | PEDIATRIC SERVICES | |
| CHLB PSYCHIATRIC CLINIC | |||||
| 1760 TERMINO AVE SUITE G18 | LONG BEACH | CA | 90804 | PSYCHE CLINIC | |
| BICKERSTAFF HIV CENTER | |||||
| 2701 ATLANTIC AVE SUITES B C | LONG BEACH | CA | 90806 | HIV CENTER | |
| GI HEPATOLOGY & NUTRITION CENTER | |||||
| 1760 TERMINO AVENUE SUITE 300 301 | LONG BEACH | CA | 90804 | PEDIATRIC SERVICES | |
| ORTHOPEDIC CENTER | |||||
| 1760 TERMINO AVENUE SUITE 308 | LONG BEACH | CA | 90804 | PEDIATRIC ORTHOPEDIC SERVICE | |
| CARDIOLOGY OUTPATIENT CTR NEUROLOGY CTR | |||||
| 2880 ATLANTIC AVENUE SUITE 255 | LONG BEACH | CA | 90806 | PEDIATRIC SERVICES | |
| MULTISPECIALTY CLINIC | |||||
| 2865 ATLANTIC AVE SUITE 104 152 | LONG BEACH | CA | 90806 | MULTISPECIALTY CLINIC | |
| CHILDREN'S SPECIALTY CENTER | |||||
| 9440 TALBERT AVE SUITE 200 | FOUNTAIN VALLEY | CA | 92708 | CHILDREN'S SPECIALTY CENTER | |
| EYE CENTER | |||||
| 450 E SPRING STREET SUITE 6 | LONG BEACH | CA | 90806 | EYE CLINIC | |
| TODD CANCER INSTITUTE | |||||
| 2810 LONG BEACH BLVD | LONG BEACH | CA | 90806 | CANCER RISK AND PREVENTION | |
| EDUCATIONTRANSITIONS | |||||
| 23961 CALLE DE LA MAGDALENA SUITE | LAGUNA HILLS | CA | 92653 | EDUCATION/TRANSITIONS | 300 |
| CENTER FOR CARDIAC HEALTH & RESEARCH | |||||
| 2865 ATLANTIC AVE SUITE 210 | LONG BEACH | CA | 90806 | CARDIAC HEALTH AND RESEARCH | |
| DEVELOPMENTAL & MULTISPECIALTY CENTER | |||||
| 3640 LOMITA BLVD SUITE 102 | TORRANCE | CA | 90505 | CHILDREN'S SPECIALTY CENTER | |
| JONATHAN JAQUES CENTER | |||||
| 701 E 28TH STREET SUITE 202 | LONG BEACH | CA | 90806 | PEDIATRIC CANCER CENTER | |
| MEMORIALCARE PETCT IMAGING CENTER | |||||
| 2888 LONG BEACH BLVD SUITE 110 | LONG BEACH | CA | 90806 | IMAGING CENTER | |
| PEDIATRIC REHABILITATION | |||||
| 1760 TERMINO AVENUE SUITE 219 | LONG BEACH | CA | 90804 | PEDIATRIC REHAB | |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | EACH FACILITY PREPARES A SEPARATE COMMUNITY BENEFIT REPORT FOR THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FILING PURPOSES. A CONSOLIDATING SCHEDULE FOR THE DOLLAR AMOUNTS OF CHARITY & COMMUNITY BENEFIT PROVIDED TO THE COMMUNITIES IS PREPARED BY THE CORPORATE OFFICE FOR THE AUDITED FINANCIAL STATEMENTS AND THE ANNUAL REPORT. |
| PART I, LINE 7: | SEVERAL METHODOLOGIES WERE USED TO CALCULATE THE AMOUNTS REPORTED ON LINE 7. THE AMOUNTS ON LINE 7A, 7B, AND 7C WERE CALCULATED USING A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2. THE AMOUNTS ON LINE 7G WERE CALCULATED USING A COST ACCOUNTING SYSTEM. THE COST ACCOUNTING SYSTEM ADDRESSES ALL EXPENSES FROM THE CONSOLIDATED INCOME STATEMENT OF LONG BEACH MEMORIAL AND MILLER CHILDREN'S HOSPITAL, AND ALL PATIENT CARE AREAS ARE INCLUDED IN THE INDIRECT ALLOCATION (INPATIENT, HOSPITAL BILLED OUTPATIENT AND EMERGENCY ROOM AND EXTERNAL BILLED OUTPATIENT), AND THERE IS NO EXCEPTION BY PAYER. ADDITIONALLY, A COST ALLOCATION METHOD BASED ON REASONABLE ALLOCATION FACTORS INCLUDING: SQUARE FOOTAGE, FUNDING SOURCE, EMPLOYEE WAGES, AND FAIR RENTAL VALUE WAS USED TO INCLUDE ESTIMATED COSTS RELATED TO LINES 7F, 7H, AND 7I. THE AMOUNTS ON LINE 7E ARE DIRECT COSTS PER THE GENERAL LEDGER. |
| PART I, LINE 7G: | ALL COSTS ON LINE 7G ARE SUBSIDIZED HEALTH SERVICES RELATING TO THE OUTPATIENT SPECIALTY CENTERS (CLINICS) AT EARL AND LORRAINE MILLER CHILDREN'S HOSPITAL. THESE SPECIALTY CENTERS OFFER MORE THAN 30 PEDIATRIC SUB-SPECIALTIES. CHILDREN ARE SEEN FOR ACUTE, CHRONIC OR SURGICAL CONDITIONS. THESE OUTPATIENT CENTERS SERVE AS THE PATIENT'S "MEDICAL HOME" FOR THE MANY THAT WILL NEED ONGOING FOLLOW-UP CARE AND SUPPORT ON A REGULAR BASIS. THESE MUCH NEEDED PEDIATRIC SERVICES ARE SUBSIDIZED IN ORDER TO PROVIDE SERVICES REGARDLESS OF ABILITY TO PAY. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | MEMORIAL HEALTH SYSTEM, A FIVE HOSPITAL NOT-FOR-PROFIT PRIVATE HEALTH SYSTEM SERVICING LOS ANGELES AND ORANGE COUNTIES, ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING CATEGORIES IN FY 2015:1. COMMUNITY SUPPORT - A NUMBER OF HOSPITAL STAFF SUPPORT COMMUNITY ORGANIZATIONS THROUGH PARTICIPATION ON COALITIONS, COMMITTEES AND NETWORKS OF AGENCIES ADDRESSING COMMON ISSUES. EMPLOYEES ARE ALSO SUPPORTED BY THE HOSPITALS TO ENGAGE IN PLANNING, EDUCATION PRESENTATIONS, CONSORTIA, SUMMITS, AND MEETINGS WITH COMMUNITY GROUPS. 2. LEADERSHIP DEVELOPMENT - STAFF FROM MILLER CHILDREN'S HOSPITAL CONTRIBUTE TO THE PLANNING OF THE BEST START (PRENATAL CARE) LEADERSHIP RETREAT FOR COMMUNITY MEMBERS.3. COALITION BUILDING - AS A RECOGNIZED LEADER IN FAMILY CENTERED CARE, HOSPITAL STAFF HOLD MEMBER AND BOARD POSITIONS FOR LOCAL, REGIONAL, STATE AND NATIONAL COALITIONS.4. COMMUNITY HEALTH IMPROVEMENT ADVOCACY - STAFF IS INVOLVED IN ADVOCACY ACTIVITIES THAT FOCUS ON HEALTH ISSUES, SUCH AS: DISASTER PLANNING, BREAST FEEDING, PRENATAL CARE, AND CHILDREN 0-5 YEARS.5. WORKFORCE DEVELOPMENT - RECOGNIZING THE NEED TO REFLECT THE DIVERSITY OF OUR PATIENT POPULATION AND THE COMMUNITIES WE SERVE, RECRUITMENT OF UNDERREPRESENTED MINORITIES IS A PRIORITY. WE SUPPORT COMMUNITY YOUTH PROGRAMS TO ENCOURAGE CAREERS IN HEALTH CARE DISEASE MANAGEMENT AND PROVIDE ASSISTANCE TO REGIONAL OCCUPATIONAL PROGRAMS (ROP) IN NURSING ADMINISTRATION.6. OTHER - THE HOSPITALS PROVIDE STAFF TIME, SUPPLIES, PRINTING, AND FACILITIES SPACE TO SUPPORT A MULTITUDE OF COMMUNITY EVENTS THAT ADDRESS HEALTH NEEDS IN THE COMMUNITIES WE SERVE. |
| PART III, LINE 2: | THE BAD DEBT IS DETERMINED BASED ON THE PATIENT LIABILITY, IRRESPECTIVE OF ANY PREVIOUS PAYMENTS OR DISCOUNTS ON THE ACCOUNT. FOR ACCOUNTS WITH INSURANCE, ONCE THE INSURANCE HAS PAID, A STATEMENT IS SENT TO THE PATIENT FOR THEIR PORTION (DEDUCTIBLE, CO-PAY, NON-COVERED CHARGES). FOR SELF-PAY ACCOUNTS, PATIENTS HAVE SEVERAL OPTIONS FOR DISCOUNTS. IN BOTH CASES, AFTER A SET PERIOD OF TIME, IF PAYMENTS ARE NOT MADE, THE PATIENT PORTION IS WRITTEN OFF TO BAD DEBT. |
| PART III, LINE 4: | PROVISION FOR DOUBTFUL ACCOUNTS:THE CORPORATION RECORDS ITS PROVISION FOR DOUBTFUL ACCOUNTS BASED UPON HISTORICAL EXPERIENCE, AS WELL AS COLLECTION TRENDS FOR MAJOR PAYER TYPES. THESE ARE AMOUNTS WHERE THE PATIENT OR THEIR GUARANTOR IS RESPONSIBLE FOR PAYMENT AND NO OTHER THIRD PARTY LIABILITY EXISTS. A MINIMUM OF TWO STATEMENTS WILL BE SENT TO THE GUARANTOR NOTIFYING THEM THAT THE BALANCE OF THE ACCOUNT IS DUE. AFTER REASONABLE AND CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS OUTSTANDING FOR MORE THAN 120 DAYS AFTER THE MAILING DATE OF THE FIRST BILL, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. AT THAT POINT THE ACCOUNT IS WRITTEN OFF AND CHARGED TO ALLOWANCE FOR DOUBTFUL ACCOUNTS. THE UNPAID PATIENT PORTION OF MEDICARE ACCOUNTS WILL NOT BE DEEMED UNCOLLECTIBLE AND SENT TO A COLLECTION AGENCY UNTIL A MINIMUM OF 120 DAYS HAVE PASSED FROM THE DATE OF THE FIRST BILL MAILED TO THE BENEFICIARY, WITH NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. THE MEDICARE ACCOUNT WILL THEN BE SENT TO A COLLECTION AGENCY BUT NOT WRITTEN OFF TO PROVISION FOR DOUBTFUL ACCOUNTS UNTIL IT IS RETURNED FROM THE COLLECTION AGENCY. UNRESOLVED ACCOUNTS ARE RETURNED TO IN-HOUSE PERSONNEL BY THE COLLECTION AGENCIES AFTER THEY HAVE PERFORMED ALL REASONABLE AND CUSTOMARY COLLECTIONS EFFORTS ON ASSIGNED ACCOUNTS AND THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE.PATIENT ACCOUNTS RECEIVABLETHE CORPORATION RECEIVES PAYMENT FOR SERVICES RENDERED TO PATIENTS FROM THE FEDERAL AND STATE GOVERNMENTS UNDER THE MEDICARE AND MEDI-CAL PROGRAMS, PRIVATELY SPONSORED MANAGED CARE PROGRAMS FOR WHICH PAYMENT IS MADE BASED ON TERMS DEFINED UNDER FORMAL CONTRACTS, AND OTHER PAYERS. THE CORPORATION BELIEVES THERE ARE NO SIGNIFICANT CREDIT RISKS ASSOCIATED WITH RECEIVABLES FROM GOVERNMENT PROGRAMS. RECEIVABLES FROM CONTRACTED AND OTHERS ARE FROM VARIOUS PAYERS WHO ARE SUBJECT TO DIFFERING ECONOMIC CONDITIONS, AND DO NOT REPRESENT ANY CONCENTRATED RISKS TO THE CORPORATION. THE CORPORATION CONTINUALLY MONITORS AND ADJUSTS THE RESERVES ASSOCIATED WITH RECEIVABLES. THE CORPORATION ESTIMATES PROVISION FOR DOUBTFUL ACCOUNTS AND THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON HISTORICAL COLLECTION EXPERIENCE. |
| PART III, LINE 8: | MEDICARE COSTS WERE OBTAINED FROM THE AS-FILED 6/30/2015 COST REPORT.WE BELIEVE THE ENTIRE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION MUST SUBSIDIZE THE COST OF TREATING THE PATIENTS. ALTHOUGH MEDICARE IS NOT A MEANS-TESTED PROGRAM, HOSPITALS CANNOT COLLECT THE SHORTFALL IN REIMBURSEMENT FROM THE PATIENT THEREFORE, THEY ARE PROVIDING A BENEFIT TO THE COMMUNITY BY OFFERING SERVICES TO MEDICARE BENEFICIARIES AT A FINANCIAL LOSS. ALSO, THE FINANCIAL LOSS REALIZED THROUGH THE MEDICARE SHORTFALL PREVENTS US FROM PROVIDING EVEN MORE COMMUNITY BENEFIT SERVICES. |
| PART III, LINE 9B: | ONCE A BALANCE HAS BEEN IDENTIFIED AS A PATIENT RESPONSIBILITY A MINIMUM OF TWO DATAMAILERS/STATEMENTS ARE SENT TO THE GUARANTOR NOTIFYING THEM OF THE AMOUNT DUE. AFTER CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS UNPAID, THE ACCOUNT WILL BE PROCESSED FOR REFERRAL TO AN OUTSIDE COLLECTION AGENCY. ONCE ASSIGNED, THE COLLECTION AGENCY WILL CONTINUE USING REASONABLE AND CUSTOMARY COLLECTION EFFORTS IN ORDER TO OBTAIN PAYMENT. IF AT ANY TIME DURING THIS PROCESS THE PATIENT INDICATES FINANCIAL HARDSHIP, THE PATIENT WILL BE INFORMED OF THE MEMORIAL HEALTH SERVICES CHARITY CARE AND LOW INCOME FINANCIAL ASSISTANCE PROGRAMS. IF ALL OR PART OF A BALANCE QUALIFIES FOR CHARITY, THE AMOUNTWILL BE RECLASSED FROM BAD DEBT TO CHARITY. IF NOT, THE AMOUNT STAYS IN BAD DEBT. ONCE THE COLLECTION AGENCY DEEMS THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS. ON A MONTHLY BASIS, THE COLLECTION AGENCY WILL ISSUE A REPORT IDENTIFYING THOSE ACCOUNTS WHERE COLLECTION EFFORTS HAVE CEASED.COLLECTION AGENCY WILL ACTIVELY PURSUE COLLECTION OF PATIENT BALANCES FROM THE GUARANTORS. THE COLLECTION PROCEDURES WILL BE APPLIED CONSISTENTLY AND FAIRLY FOR ALL PATIENTS REGARDLESS OF INSURANCE STATUS. FOR THOSE PATIENTS INDICATING THEY ARE UNABLE TO PAY ALL OR A PORTION OF THEIR BILL THE FINANCIAL ASSISTANCE GUIDELINES WILL BE FOLLOWED, INCLUDING CHARITY, LOW INCOME FINANCIAL ASSISTANCE OR EXTENDED PAYMENT PLAN. THE PATIENT IS INFORMED VIA PATIENT STATEMENTS AT 30 DAY INTERVALS UP TO 120 DAYS FROM THE FIRST STATEMENT TO CONTACT PFS FOR MORE INFORMATION ABOUT PAYMENT OPTIONS OR FINANCIAL ASSISTANCE THAT MAY BE AVAILABLE TO THEM. IF NOT ELIGIBLE FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PATIENT INDICATES A NEED FOR A FINANCIAL ASSISTANCE OR AN EXTENDED PAYMENT PLAN, AN APPLICATION IS PROMPTLY PROVIDED TO THE PATIENT. ONCE THE PATIENT REACHES THE FINAL REQUEST FOR PAYMENT AND PRIOR TO EXTERNAL COLLECTION AGENCY ASSIGNMENT, THE ACCOUNTS ARE REVIEWED FOR FINAL ACCOUNT RESOLUTION. A HOSPITAL, ANY ASSIGNEE OF THE HOSPITAL, OR OTHER OWNER OF THE PATIENT DEBT, INCLUDING A COLLECTION AGENCY, SHALL NOT REPORT ADVERSE INFORMATION TO A CONSUMER CREDIT REPORTING AGENCY OR COMMENCE CIVIL ACTION AGAINST THE PATIENT FOR NONPAYMENT AT ANY TIME PRIOR TO 150 DAYS AFTER INITIAL BILLING. |
| PART VI, LINE 2: | IN ADDITION TO ASSESSING THE NEEDS OF OUR COMMUNITIES THROUGH THE CONDUCT OF A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), AS REPORTED IN PART V, SECTION B, THE HOSPITAL FACILITIES ASSESS THE HEALTH NEEDS OF THE COMMUNITIES THEY SERVE IN A NUMBER OF WAYS. FIRST, ALL FACILITIES ENGAGE A COMMUNITY BENEFIT OVERSIGHT COMMITTEE, WHICH INCLUDES COMMUNITY MEMBERS. THE COMMUNITY BENEFIT OVERSIGHT COMMITTEES MEET QUARTERLY AND, AS PART OF THEIR WORK, DISCUSS COMMUNITY HEALTH NEEDS AND AVAILABLE RESOURCES TO MEET THOSE NEEDS. SECONDLY, THE HOSPITAL FACILITIES HAVE MADE THEIR CHNAS AVAILABLE ON THE WEBSITE AND HAVE ASKED FOR WRITTEN COMMENTS. BY ASKING FOR PUBLIC INPUT OUR GOAL IS TO SOLICIT ADDITIONAL INFORMATION ON COMMUNITY HEALTH NEEDS. THIRDLY, COMMUNITY BENEFIT STAFF ACTIVELY PARTICIPATE IN LOCAL HOSPITAL COLLABORATIVE GROUPS THAT CONVENE TO ADDRESS COMMUNITY NEEDS. FINALLY, MEMBERS OF THE HOSPITAL STAFF SERVE ON A NUMBER OF COMMUNITY-RELATED PLANNING GROUPS, PUBLIC HEALTH COMMITTEES, AND BOARDS OF COMMUNITY ORGANIZATIONS. INFORMATION OBTAINED FROM ACTIVE COMMUNITY INVOLVEMENT FACTORS INTO OUR IDENTIFICATION OF COMMUNITY HEALTH NEEDS. |
| PART VI, LINE 3: | PUBLIC NOTICEEACH MEMORIAL HEALTH SYSTEM HOSPITAL POSTS NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. NOTICES ARE POSTED IN HIGH VOLUME INPATIENT, OUTPATIENT AND EMERGENCY SERVICE AREAS OF THE HOSPITAL. NOTICES ARE POSTED IN THE PATIENT FINANCIAL SERVICES AND COLLECTION DEPARTMENTS. NOTICES INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. A FINANCIAL ASSISTANCE BROCHURE, IN ENGLISH, SPANISH AND VIETNAMESE, AND APPLICATION ARE ALSO POSTED ON OUR WEBSITE.DATA MAILERS AND STATEMENTS ARE SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS AND CONTAIN INFORMATION ABOUT THE MEMORIAL HEALTH SYSTEM FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES ARE AVAILABLE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES.A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE MEMORIAL HEALTH SYSTEM FINANCIAL ASSISTANCE PROGRAM IS MADE AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC. THESE NOTICES ARE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. |
| PART VI, LINE 4: | COMMUNITY HOSPITAL LONG BEACH SERVES THE COMMUNITIES OF BELLFLOWER, LONG BEACH AND SIGNAL HILL. AT THE TIME OF THE 2010 CENSUS, THE POPULATION FOR THE SERVICE AREA WAS 559,524. CHILDREN AND YOUTH (AGES 0-19) MAKE UP 28.3% OF THE POPULATION; 38.0% ARE 20-44 YEARS OF AGE; 24.1% ARE 45-64; AND 9.6% OF THE POPULATION ARE SENIORS 65 YEARS AND OLDER. THE LARGEST PORTION OF THE SERVICE AREA IS HISPANIC OR LATINO (42.8%). WHITES MAKE UP 27.4% OF THE POPULATION; BLACKS/AFRICAN AMERICANS COMPRISE 13.1%OF THE POPULATION AND ASIANS 12.4%. NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 4.3% OF THE POPULATION. LONG BEACH HAS THE LARGEST CAMBODIAN COMMUNITY IN THE UNITED STATES. IN THE SERVICE AREA, ENGLISH IS SPOKEN IN 53.9% OF THE HOMES AND SPANISH IS SPOKEN IN 33.6% OF HOMES. OF THE SERVICE AREA POPULATION AGE 25 AND OVER, 20.7% HAVE LESS THAN A HIGH SCHOOL DIPLOMA. IN THE SERVICE AREA, 21.7% OF THE POPULATION IS BELOW POVERTY LEVEL AND 47.4% ARE LOW INCOME. THE PERCENTAGE OF THE POPULATION THAT IS INSURED IN THE SERVICE AREA IS 80.2%.MILLER CHILDREN'S & WOMEN'S HOSPITAL SERVES THE COMMUNITIES OF BELL, BELLFLOWER, COMPTON, LAKEWOOD, LONG BEACH, LYNWOOD, NORWALK, PARAMOUNT, SAN PEDRO, SOUTH GATE, AND WILMINGTON. AT THE TIME OF THE 2010 CENSUS, THE POPULATION FOR THE SERVICE AREA WAS 1,221,526. CHILDREN AND YOUTH (AGES 0-19) MAKE UP 31.3% OF THE POPULATION; 37.5% ARE 20-44 YEARS OF AGE; 22.4% ARE 45-64 AND 8.8% OF THE POPULATION ARE SENIORS 65 YEARS AND OLDER. THE LARGEST PORTION OF THE SERVICE AREA IS HISPANIC OR LATINO (62.3%). WHITES MAKE UP 17.1% OF THE POPULATION; BLACKS/AFRICAN AMERICANS COMPRISE 10.3%OF THE POPULATION AND ASIANS 7.5%. NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 2.8% OF THE POPULATION. ENGLISH IS SPOKEN IN 41.8% OF THE HOMES AND SPANISH IS SPOKEN IN 49.7% OF HOMES. OF THE SERVICE AREA POPULATION AGE 25 AND OVER, 30.9% HAVE LESS THAN A HIGH SCHOOL DIPLOMA. IN THE SERVICE AREA, 21% OF THE POPULATION IS BELOW POVERTY LEVEL AND 47.7% ARE LOW INCOME. THE PERCENTAGE OF THE POPULATION THAT IS INSURED IN THE SERVICE AREA IS 75.5%.LONG BEACH MEMORIAL SERVES THE COMMUNITIES OF BELLFLOWER, COMPTON, LAKEWOOD, LONG BEACH, SEAL BEACH AND SIGNAL HILL. AT THE TIME OF THE 2010 CENSUS, THE POPULATION FOR THE SERVICE AREA WAS 745,709. CHILDREN AND YOUTH (AGES 0-19) MAKE UP 28.7% OF THE POPULATION; 36.7% ARE 20-44 YEARS OF AGE; 24% ARE 45-64; AND 10.5% OF THE POPULATION ARE SENIORS 65 YEARS AND OLDER. THE LARGEST PORTION OF THE SERVICE AREA IS HISPANIC OR LATINO (44.2%). WHITES MAKE UP 26.9% OF THE POPULATION; BLACKS/AFRICAN AMERICANS COMPRISE 14.1% OF THE POPULATION AND ASIANS 10.6%. NATIVE AMERICANS, HAWAIIANS, AND OTHER RACES COMBINED TOTAL 4.1% OF THE POPULATION. ENGLISH IS SPOKEN IN 54% OF THE HOMES AND SPANISH IS SPOKEN IN 35.2% OF HOMES. OF THE SERVICE AREA POPULATION AGE 25 AND OVER, 21.7% HAVE LESS THAN A HIGH SCHOOL DIPLOMA. IN THE SERVICE AREA, 23.9% OF THE POPULATION IS BELOW POVERTY LEVEL AND 41.9% ARE LOW INCOME. THE PERCENTAGE OF THE POPULATION THAT IS INSURED IN THE SERVICE AREA IS 80.3%.ORANGE COAST MEMORIAL MEDICAL CENTER SERVES THE COMMUNITIES OF ANAHEIM, BUENA PARK, COSTA MESA, CYPRESS, FOUNTAIN VALLEY, GARDEN GROVE, HUNTINGTON BEACH, MIDWAY CITY, SANTA ANA, SEAL BEACH, STANTON, TUSTIN AND WESTMINSTER. THE POPULATION OF THE ORANGE COAST MEMORIAL MEDICAL CENTER SERVICE AREA IS 1,275,614. THE AGE DISTRIBUTION OF THE OCMMC SERVICE AREA IS CHILDREN AND YOUTH 23.8%, 63.5% ADULTS, AND 12.7% SENIORS. LATINOS OR HISPANICS MAKE UP 41.5% OF THE POPULATION. AT 32.5% OF THE POPULATION, WHITES ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA. ASIANS ACCOUNT FOR 21.9% OF THE POPULATION IN THE SERVICE AREA. THE REMAINING RACES/ETHNICITIES COMPRISE 4.1% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN IN 33.8% OF THE HOMES IN THE SERVICE AREA, AND AN ASIAN OR PACIFIC ISLANDER LANGUAGE IS SPOKEN IN 18.6% OF SERVICE AREA HOMES. IN THE SERVICE AREA, 22.8% OF ADULTS HAVE NOT GRADUATED HIGH SCHOOL. AMONG OCMMC RESIDENTS, 15.3% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 37% ARE AT 200% OF FPL OR BELOW (LOW-INCOME). THE SERVICE AREA INSURANCE RATE IS 80.2%. AMONG CHILDREN IN THE SERVICE AREA, 91.3% HAVE INSURANCE COVERAGE, AND 72.7% OF NON-SENIOR ADULTS ARE INSURED. NEARLY ALL SENIORS ARE INSURED (97.9%).SADDLEBACK MEMORIAL MEDICAL CENTER SERVES THE COMMUNITIES OF ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, IRVINE, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, NEWPORT BEACH, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO AND TRABUCO HILLS. THE POPULATION OF THE SADDLEBACK MEMORIAL MEDICAL CENTER SERVICE AREA IS 849,890. THE AGE DISTRIBUTION OF THE SMMC SERVICE AREA IS CHILDREN AND YOUTH 22.1%, 63.7% ADULTS, AND 14.2% SENIORS. IN THE SMMC SERVICE AREA, MORE THAN HALF OF THE POPULATION (69.4%) IS WHITE. AT 17.2% OF THE POPULATION, ASIANS ARE THE SECOND LARGEST RACE/ETHNIC GROUP IN THE SERVICE AREA. LATINOS OR HISPANICS MAKE UP 15.7% OF THE POPULATION IN THE SERVICE AREA. THE REMAINING RACES/ETHNICITIES COMPRISE 5.8% OF THE SERVICE AREA POPULATION. AN ASIAN OR PACIFIC ISLANDER LANGUAGE IS SPOKEN IN 11.1% OF SERVICE AREA HOMES. SPANISH IS SPOKEN IN 10.6% OF THE HOMES IN THE SERVICE AREA. IN THE SERVICE AREA, 5.4% OF ADULTS HAVE NOT GRADUATED HIGH SCHOOL. AMONG SMMC RESIDENTS, 7.9% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 17.6% ARE AT 200% OF FPL OR BELOW (LOW-INCOME). THE SERVICE AREA INSURANCE RATE IS 90.6%. AMONG CHILDREN IN THE SERVICE AREA, 95.1% HAVE INSURANCE COVERAGE, AND 87.3% OF NON-SENIOR ADULTS ARE INSURED. NEARLY ALL SENIORS ARE INSURED (98.5%). |
| PART VI, LINE 5: | AS A NOT-FOR-PROFIT ORGANIZATION, ANY SURPLUS OF FUNDS IS INVESTED BACK INTO THE ORGANIZATION WHICH GREATLY BENEFITS THE COMMUNITY. IN THE PAST YEAR, NEW PATIENT CARE BUILDINGS WERE OPENED ON TWO DIFFERENT CAMPUSES CONTAINING STATE OF THE ART MEDICAL EQUIPMENT. THE SYSTEM HAS MADE A COMMITMENT TO QUALITY AND SAFETY AND HAS INVESTED IN THE INSTALLATION OF AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM AT ALL THE HOSPITAL SITES. MEMORIAL IS ALSO PARTNERING WITH PHYSICIANS TO INSTALL COMPATIBLE SYSTEMS FOR THEIR PRACTICES. THREE OF OUR HOSPITALS HAVE INVESTED IN THE DAVINCI SURGICAL ROBOT. USE OF THIS TECHNOLOGY PROVIDES FOR LESS INVASIVE SURGERIES AND QUICKER RECOVERY TIMES. TO HELP EASE THE SHORTAGE OF HEALTH CARE PROFESSIONALS AVAILABLE AND ENSURE THE FUTURE NEEDS OF OUR COMMUNITIES ARE MET, EACH YEAR WE TRAIN HUNDREDS OF PHYSICIANS, NURSES AND OTHER PROFESSIONALS INCLUDING PHARMACISTS AND SPEECH, OCCUPATIONAL, PHYSICAL AND RESPIRATORY THERAPISTS. LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) PARTNERS WITH THE UNIVERSITY OF CALIFORNIA, IRVINE TO TRAIN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES, INCLUDING PEDIATRIC MEDICINE. LBMMC ALSO MAINTAINS A PHARMACY RESIDENCY PROGRAM ON SITE THAT TRAINS PHARMACISTS IN BOTH THE ADULT AND PEDIATRIC PHARMACIES. ON THE NURSING SIDE, LBMMC PARTNERS WITH CALIFORNIA STATE UNIVERSITY LONG BEACH TO PROVIDE CLINICAL TRAINING TO THEIR NURSING STUDENTS. MEMORIAL'S RESEARCH ADMINISTRATION OVERSEES SCIENTIFIC AND CLINICAL RESEARCH THAT ENABLES THE ORGANIZATION TO REMAIN AT THE FOREFRONT OF DISCOVERY AND PROVIDE PATIENTS WITH EVIDENCE-BASED BEST PRACTICE MEDICINE. THOUSANDS OF PATIENTS AND THEIR FAMILIES BENEFIT FROM OUR DIVERSE RESEARCH PROGRAMS IN CANCER, HEART DISEASE, ORTHOPEDICS, INFECTIOUS DISEASES, GYNECOLOGY, OBSTETRICS, UROLOGY, PEDIATRICS, NEONATOLOGY AND MORE. THE SYSTEM HAS ALSO INVESTED IN ITS EMPLOYEES BY PROMOTING "THE GOOD LIFE", AN EMPLOYEE WELLNESS PROGRAM THAT PROVIDES INFORMATION, PROGRAMS AND SUPPORT TO EMPLOYEES AND THEIR FAMILIES TO HELP THEM GET OR STAY HEALTHY.MEDICAL STAFF MEMBERSHIP IS OPEN TO ANY PHYSICIAN REGARDLESS OF GROUP OR OTHER AFFILIATION. CLINICAL PRIVILEGES ARE GRANTED BASED ON MEETING THE PREREQUISITE CRITERIA.THE FACILITY BOARDS ARE COMPRISED OF MEMBERS OF THE COMMUNITIES IN WHICH THEY SERVE. EACH FACILITY HAS A COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) THAT IS STAFFED BY HOSPITAL EMPLOYEES AND LED BY COMMUNITY MEMBERS. THE CBOC IS INVOLVED IN THE STRATEGIC PLANNING PROCESS TO ENSURE THAT THE COMMUNITY BENEFIT ACTIVITIES PROVIDED ALIGN WITH THE HEALTH NEEDS OF OUR COMMUNITIES. HEALTH NEEDS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENTS ARE IDENTIFIED AND PRIORITIZED. COMMUNITY BENEFIT ACTIVITIES ADDRESS THE PRIORITIZED HEALTH NEEDS AND SEEK TO FOCUS OUR CHARITABLE RESOURCES ON VULNERABLE POPULATIONS WITH UNMET HEALTH NEEDS. |
| PART VI, LINE 6: | MEMORIAL HEALTH SYSTEM IS AN INTEGRATED DELIVERY SYSTEM THAT EXISTS FOR THE BENEFIT OF THE COMMUNITIES WE SERVE. IT IS OUR MISSION TO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PROVIDING COMMUNITY BENEFITS IS A VITAL PART OF FULFILLING THAT MISSION. WE COMMIT TO IDENTIFY AND FULFILL THE UNMET HEALTH NEEDS OF THE PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE.IN ADDITION TO OUR HOSPITAL CAMPUSES OUR SYSTEM INCLUDES THE MEMORIALCARE PHYSICIAN SOCIETY, PHILANTHROPIC FOUNDATIONS AND MEMORIALCARE MEDICAL FOUNDATION (MCMF). THE PHYSICIAN SOCIETY INCLUDES MORE THAN 1,700 DOCTORS WHO PARTNER WITH MEMORIAL TO IMPROVE CLINICAL OUTCOMES AND PATIENT SAFETY THROUGH THE USE OF MEDICINE'S BEST PRACTICES. OUR PHILANTHROPIC FOUNDATIONS HAVE STRONG COMMUNITY TIES. THE GIFTS AND GRANTS MADE HELP TO FUND HEALTH CARE EDUCATION, CLINICAL RESEARCH, MEDICAL EQUIPMENT AND PATIENT CARE PROGRAMS.MEMORIALCARE MEDICAL FOUNDATION (MCMF) IS A CALIFORNIA NON-PROFIT 1206(L) CORPORATION THAT PROVIDES ADMINISTRATION, MANAGEMENT AND CONTRACTING SERVICES FOR EXCLUSIVE PRIMARY CARE PROVIDERS AND A SPECIALTY NETWORK OF AFFILIATED INDIVIDUAL AND PHYSICIAN GROUPS IN APPROXIMATELY 30 SITES ACROSS SOUTH LOS ANGELES COUNTY AND ORANGE COUNTY. MEMORIAL HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF MCMF. DURING FISCAL YEAR 2013, MCMF ENTERED INTO A JOINT VENTURE AND FORMED BEACH SURGICAL HOLDINGS, LLC (BEACH), IN WHICH MCMF OWNS A 51% INTEREST. BEACH FURTHER ACQUIRED A 51% INTEREST IN TWO AMBULATORY SURGERY CENTERS AND A 51% INTEREST IN THE PARTNERSHIP OF A ENDOSCOPY CENTER. DURING FISCAL YEAR 2014, MCMF ENTERED INTO A JOINT VENTURE AND FORMED WAVE IMAGING, LLC (WAVE), IN WHICH MCMF OWNS A 51% INTEREST. WAVE ACQUIRED THE ASSETS OF FIVE IMAGING CENTERS. ALSO IN FISCAL YEAR 2014, MCMF FORMED BEACH SURGICAL HOLDINGS II, LLC (BEACH II), IN WHICH MCMF OWNS A 100% INTEREST. BEACH II ACQUIRED 100% INTEREST IN A SURGERY CENTER. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | CA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| LONG BEACH RONALD MCDONALD HOUSE | ||||||||
| 765 S PASADENA AVE | PASADENA | CA | 91105 | 953167869 | 501 (C)(3) | $23,000 | PROGRAM SUPPORT | |
| CALIFORNIA CONFERENCE FOR EQUALITY | ||||||||
| 444 W OCEAN BLVD SUITE 940 | LONG BEACH | CA | 90802 | 542178438 | 501 (C)(3) | $14,100 | PROGRAM SUPPORT | |
| THE CHILDRENS CLINIC | ||||||||
| 2790 ATLANTIC AVENUE | LONG BEACH | CA | 90806 | 951643332 | 501 (C)(3) | $7,250 | PROGRAM SUPPORT | |
| FLORENCE SYLVESTER MEMORIAL SENIOR CENTER | ||||||||
| 23721 MOULTON PKWY | LAGUNA HILLS | CA | 92653 | 931163563 | 501 (C)(3) | $16,500 | MULTIPLE PURPOSES- CASINO NIGHT MAJOR SPONSOR; NEWSLETTER SPONSORSHIP; PATIO | |
| HUNTINGTON BEACH COUNCIL ON AGING | ||||||||
| 1706 ORANGE AVE | HUNTINGTON BEACH | CA | 92648 | 510179431 | 501 (C)(3) | $8,250 | MULTIPLE PURPOSES - SEE PART IV | |
| MISSION VIEJO COMMUNITY FOUNDATION | ||||||||
| 200 CIVIC CENTER | MISSION VIEJO | CA | 92691 | 300291775 | 501 (C)(3) | $8,100 | ANNUAL SPONSORSHIP FOR THE YEAR | |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ||||||||
| 18111 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 330687414 | 501 (C)(3) | $10,000 | ANNUAL FALL GALA SPONSORSHIP | |
| SADDLEBACK MEMORIAL FOUNDATION | ||||||||
| 24451 HEALTH CENTER DRIVE PO BOX | LAGUNA HILLS | CA | 92653 | 330011887 | 501 (C)(3) | $6,000 | SPONSORSHIP FOR GOLF CLASSIC | 8000 |
| UNIVERSITY OF CA IRVINE FOUNDATION | ||||||||
| 100 THEORY SUITE 250 | IRVINE | CA | 92617 | 952540117 | 501 (C)(3) | $10,000 | SPONSORSHIP/PLEDGE | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 2: | LONG BEACH MEMORIAL MEDICAL CENTER, MEMORIALCARE MEDICAL FOUNDATION, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER VALIDATE EACH RECIPIENT ORGANIZATION AND HOW ITS MISSION FITS INTO THAT OF THEIR MISSION. MANAGEMENT REVIEWS EACH ONE FOR VALUE TO THE MISSION OF THE ORGANIZATION. ONCE IT IS GIVEN, ONLY TO LEGITIMATE ORGANIZATIONS, IT IS LEFT UP TO THE DISCRETION OF THE GRANTEE. |
| PART II, LINE 5 | HUNTINGTON BEACH COUNCIL ON AGING DESCRIPTION: SENIOR SATURDAY SPONSOR; 4TH ANNUAL SENIOR SURF SPONSOR; 2014 NEW YEARS EVE SPONSOR; 2015 GOLF BANNER SPONSOR; 2015 DANCE SPONSOR; SENIOR SATURDAY; BANNER SPONSOR LEVEL |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (46 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARRY ARBUCKLE PHD | ||||||||||||||
| BD MEMBER-LBMMC,OCMMC,SMMC,MCMF | $0 | $1,069,767 | $0 | $861,606 | $0 | $142,779 | $0 | $997,988 | $0 | $24,586 | $0 | $3,096,726 | $0 | $0 |
| MARCIA MANKER | ||||||||||||||
| BOARD MEMBER-MCMF/CEO,EVP-OCMMC | $0 | $420,387 | $0 | $336,970 | $0 | $28,856 | $0 | $250,024 | $0 | $21,765 | $0 | $1,058,002 | $0 | $0 |
| BARRY SMITH MD | ||||||||||||||
| PHYSICIAN-LBMMC | $0 | $237,846 | $0 | $55,995 | $0 | $13,326 | $0 | $0 | $0 | $15,953 | $0 | $323,120 | $0 | $0 |
| DIVYA-DEVI JOSHI MD | ||||||||||||||
| CHIEF MED OFFICER(MCH)-LBMMC | $0 | $346,374 | $0 | $110,953 | $0 | $33,776 | $0 | $0 | $0 | $7,165 | $0 | $498,268 | $0 | $0 |
| DIANA L HENDEL | ||||||||||||||
| CEO/EVP-LBMMC | $0 | $533,486 | $0 | $295,442 | $0 | $48,722 | $0 | $345,543 | $0 | $17,297 | $0 | $1,240,490 | $0 | $0 |
| DONNA E HARTMAN | ||||||||||||||
| VP, QUALITY-LBMMC | $0 | $243,207 | $0 | $68,391 | $0 | $13,391 | $0 | $15,300 | $0 | $8,623 | $0 | $348,912 | $0 | $0 |
| GAINER PILLSBURY MD | ||||||||||||||
| CHIEF MEDICAL OFFICER-LBMMC | $0 | $135,365 | $0 | $2,500 | $0 | $30,388 | $0 | $11,119 | $0 | $11,842 | $0 | $191,214 | $0 | $0 |
| IDA M MERLINE | ||||||||||||||
| VP, MEMORIAL HEART INST-LBMMC | $0 | $204,324 | $0 | $57,098 | $0 | $24,996 | $0 | $12,750 | $0 | $22,347 | $0 | $321,515 | $0 | $0 |
| JOHN BISHOP | ||||||||||||||
| SVP, CFO FIN & COMM SVCS-LBMMC | $0 | $267,789 | $0 | $84,087 | $0 | $27,968 | $0 | $13,770 | $0 | $18,183 | $0 | $411,797 | $0 | $0 |
| JOYCE G VOLSCH RN | ||||||||||||||
| VP, PATIENT CARE (MCH)-LBMMC | $0 | $178,996 | $0 | $51,088 | $0 | $10,773 | $0 | $11,732 | $0 | $20,833 | $0 | $273,422 | $0 | $0 |
| JUDITH A FIX | ||||||||||||||
| SVP, PATIENT CARE SVCS-LBMMC | $0 | $329,057 | $0 | $100,610 | $0 | $36,278 | $0 | $17,850 | $0 | $19,195 | $0 | $502,990 | $0 | $0 |
| KRIKOR JANSEZIAN | ||||||||||||||
| ADMINISTRATOR CHLB-LBMMC | $0 | $210,684 | $0 | $59,894 | $0 | $10,356 | $0 | $12,750 | $0 | $868 | $0 | $294,552 | $0 | $0 |
| LINDA L HOFF | ||||||||||||||
| VP, MED SURG PERI-OP SVC-LBMMC | $0 | $227,014 | $0 | $64,026 | $0 | $13,108 | $0 | $25,500 | $0 | $11,046 | $0 | $340,694 | $0 | $0 |
| MELVIN I MARKS MD | ||||||||||||||
| EXEC VP, RESEARCH-LBMMC | $0 | $321,947 | $0 | $88,938 | $0 | $39,861 | $0 | $25,500 | $0 | $16,036 | $0 | $492,282 | $0 | $0 |
| MICHAEL P NAGEOTTE MD | ||||||||||||||
| PROGRAM DIRECTOR-LBMMC | $0 | $139,719 | $0 | $0 | $0 | $0 | $0 | $15,488 | $0 | $15,388 | $0 | $170,595 | $0 | $0 |
| MYRA J GREGORIAN | ||||||||||||||
| VP, HUMAN RESOURCES-LBMMC | $0 | $215,952 | $0 | $61,616 | $0 | $23,855 | $0 | $12,750 | $0 | $21,020 | $0 | $335,193 | $0 | $0 |
| PAMELA S CHEVREAUX | ||||||||||||||
| VP, AMBULATORY SERVICES-LBMMC | $0 | $203,496 | $0 | $57,733 | $0 | $23,676 | $0 | $15,300 | $0 | $9,189 | $0 | $309,394 | $0 | $0 |
| PAULA SUZANNE REINSVOLD | ||||||||||||||
| COO (MCH)-LBMMC | $0 | $244,399 | $0 | $73,606 | $0 | $28,974 | $0 | $12,750 | $0 | $10,293 | $0 | $370,022 | $0 | $0 |
| RICHELE S CRAVEIRO-STEELE | ||||||||||||||
| VP, MKTG/PHYSICIAN RELAT-LBMMC | $0 | $161,047 | $0 | $46,074 | $0 | $10,237 | $0 | $12,463 | $0 | $20,761 | $0 | $250,582 | $0 | $0 |
| SUSAN Y MELVIN DO | ||||||||||||||
| CHIEF MEDICAL OFFICER-LBMMC | $0 | $354,862 | $0 | $118,374 | $0 | $36,716 | $0 | $12,750 | $0 | $18,752 | $0 | $541,454 | $0 | $0 |
| TAMRA L KAPLAN | ||||||||||||||
| CHIEF OPERATING OFFICER-LBMMC | $0 | $319,158 | $0 | $98,019 | $0 | $32,844 | $0 | $22,950 | $0 | $16,784 | $0 | $489,755 | $0 | $0 |
| WENDY L DORCHESTER | ||||||||||||||
| SVP/CHIEF ADMIN OFFICER-LBMMC | $0 | $239,725 | $0 | $75,175 | $0 | $26,533 | $0 | $17,850 | $0 | $15,053 | $0 | $374,336 | $0 | $0 |
| DALE VITAL | ||||||||||||||
| VP, NURSING/CNO-OCMMC | $0 | $228,808 | $0 | $66,711 | $0 | $26,695 | $0 | $25,500 | $0 | $16,189 | $0 | $363,903 | $0 | $0 |
| EMILY RANDLE | ||||||||||||||
| CHIEF OPERATING OFFICER-OCMMC | $0 | $245,931 | $0 | $81,688 | $0 | $42,892 | $0 | $17,850 | $0 | $21,114 | $0 | $409,475 | $0 | $0 |
| ERIN HOTRA-SHINN | ||||||||||||||
| DIRECTOR OF MANAGED CARE-OCMMC | $0 | $170,803 | $0 | $52,503 | $0 | $16,442 | $0 | $15,397 | $0 | $20,791 | $0 | $275,936 | $0 | $0 |
| STEPHEN MCNAMARA | ||||||||||||||
| VP, FINANCE/CFO-OCMMC | $0 | $242,246 | $0 | $78,110 | $0 | $26,872 | $0 | $15,300 | $0 | $18,445 | $0 | $380,973 | $0 | $0 |
| ADOLFO CHANEZ | ||||||||||||||
| VP, FINANCE/CFO-SMMC | $0 | $261,109 | $0 | $81,380 | $0 | $42,272 | $0 | $12,750 | $0 | $17,513 | $0 | $415,024 | $0 | $0 |
| BRENNAN JAMES | ||||||||||||||
| VP, STRAT & BUS DEV-SMMC | $0 | $240,364 | $0 | $74,385 | $0 | $21,408 | $0 | $20,400 | $0 | $10,946 | $0 | $367,503 | $0 | $0 |
| CHERYL JACOB | ||||||||||||||
| CHIEF OPERATING OFFICER-SMMC | $0 | $303,262 | $0 | $95,456 | $0 | $34,563 | $0 | $25,500 | $0 | $8,867 | $0 | $467,648 | $0 | $0 |
| HUGO FOLI | ||||||||||||||
| VP, ANCILLARY SERVICES-SMMC | $0 | $235,204 | $0 | $68,900 | $0 | $13,318 | $0 | $25,500 | $0 | $20,710 | $0 | $363,632 | $0 | $0 |
| KATHY DAWSON | ||||||||||||||
| VP, NURSING, CNO-SMMC | $0 | $210,139 | $0 | $63,963 | $0 | $24,864 | $0 | $12,750 | $0 | $15,875 | $0 | $327,591 | $0 | $0 |
| STEPHEN GEIDT | ||||||||||||||
| CEO/EVP-SMMC | $0 | $427,439 | $0 | $226,475 | $0 | $46,341 | $0 | $25,500 | $0 | $18,845 | $0 | $744,600 | $0 | $0 |
| TONY STRUTHERS | ||||||||||||||
| VP, ADMINISTRATOR-SMMC | $0 | $199,473 | $0 | $53,290 | $0 | $10,703 | $0 | $12,750 | $0 | $22,197 | $0 | $298,413 | $0 | $0 |
| DEBORAH PITTS | ||||||||||||||
| VP, MEDICAL MANAGEMENT-MCMF | $0 | $150,529 | $0 | $38,508 | $0 | $10,760 | $0 | $0 | $0 | $10,870 | $0 | $210,667 | $0 | $0 |
| DEBRA SPINDEL | ||||||||||||||
| VP, PHYSICIAN SERVICES-MCMF | $0 | $246,171 | $0 | $71,992 | $0 | $12,215 | $0 | $22,950 | $0 | $16,484 | $0 | $369,812 | $0 | $0 |
| JACQUELINE LUXENBERG | ||||||||||||||
| CHIEF FINANCIAL OFFICER-MCMF | $0 | $145,715 | $0 | $64,157 | $0 | $16,600 | $0 | $14,057 | $0 | $16,292 | $0 | $256,821 | $0 | $0 |
| JENNIFER JACKMAN | ||||||||||||||
| CHIEF OPERATING OFFICER-MCMF | $0 | $286,660 | $0 | $41,043 | $0 | $30,186 | $0 | $0 | $0 | $14,317 | $0 | $372,206 | $0 | $0 |
| JUDY SHUBIN | ||||||||||||||
| VP, PAYOR CONTRACTING-MCMF | $0 | $224,474 | $0 | $73,337 | $0 | $29,935 | $0 | $25,500 | $0 | $15,875 | $0 | $369,121 | $0 | $0 |
| LESLIE MCMAINS | ||||||||||||||
| VP, PROVIDER SERVICES-MCMF | $0 | $268,199 | $0 | $84,953 | $0 | $28,042 | $0 | $22,950 | $0 | $12,094 | $0 | $416,238 | $0 | $0 |
| MARK D SCHAFER MD | ||||||||||||||
| CHIEF EXEC OFFICER/CMO-MCMF | $0 | $431,781 | $0 | $191,646 | $0 | $42,240 | $0 | $1,383,907 | $0 | $17,166 | $0 | $2,066,740 | $0 | $0 |
| STEVEN BEAL | ||||||||||||||
| VP, INFORMATION SERVICES-MCMF | $0 | $245,050 | $0 | $80,111 | $0 | $40,255 | $0 | $0 | $0 | $21,111 | $0 | $386,527 | $0 | $0 |
| ANIL SHARMA | ||||||||||||||
| PRGM DIR MED PHYSICIST-LBMMC | $0 | $225,655 | $0 | $4,893 | $0 | $895 | $0 | $18,269 | $0 | $24,445 | $0 | $274,157 | $0 | $0 |
| JANE H HODDING | ||||||||||||||
| EXEC DIR PHARMACY-LBMMC | $0 | $234,029 | $0 | $5,110 | $0 | $1,510 | $0 | $23,978 | $0 | $8,319 | $0 | $272,946 | $0 | $0 |
| LEONARD CAPUTO | ||||||||||||||
| ASSOCIATE MEDICAL DIRECTOR-MCMF | $0 | $235,273 | $0 | $18,904 | $0 | $344 | $0 | $0 | $0 | $13,739 | $0 | $268,260 | $0 | $0 |
| MARIA E ZITLAU | ||||||||||||||
| RN, COORD, CVOR-OCMMC | $0 | $277,571 | $0 | $0 | $0 | $415 | $0 | $25,500 | $0 | $18,449 | $0 | $321,935 | $0 | $0 |
| UMESH C BHARGAVA | ||||||||||||||
| PHARM. CLINIC SPECIALIST-LBMMC | $0 | $215,677 | $0 | $0 | $0 | $9,116 | $0 | $22,560 | $0 | $15,320 | $0 | $262,673 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | THE COMPENSATION OF THE ORGANIZATIONS' CHIEF EXECUTIVE OFFICERS IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT. SEE SCHEDULE O FORM 990, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION. |
| PART I, LINE 4B | MEMORIAL HEALTH SERVICES SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), COVERING SELECTED EXECUTIVES, AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PROVIDES FOR A LUMP SUM PAYMENT TO EACH EXECUTIVE AT VESTING DATE, AS DEFINED IN THE SERP AGREEMENT. THERE WERE NO PAYOUTS DURING CALENDAR YEAR 2015. PARTICIPATION IN THE SERP IS LIMITED TO SENIOR OFFICERS OF MHS AND MUST BE APPROVED BY THE MHS'S INDEPENDENT COMPENSATION COMMITTEE IN ORDER TO PARTICIPATE. THE SERP LUMP SUM BENEFIT IS SUBJECT TO A SUBSTANTIAL RISK OF FORFEITURE UNTIL AGE 62, SUCH THAT THE BENEFIT WILL BE FORFEITED IF THE EXECUTIVE LEAVES MHS PRIOR TO REACHING AGE 62. THERE WAS ONE FORFEITURE OF BENEFIT THAT OCCURRED DURING THE PAST YEAR. MHS BELIEVES THAT THIS PLAN HELPS THE ORGANIZATION RETAIN A SUPERIOR SENIOR MANAGEMENT TEAM FOR THE LONG-TERM. A FULL BENEFIT IS PAYABLE ONLY IF THE EXECUTIVE HAS ACHIEVED AT LEAST 20 YEARS OF SERVICE ON THE VESTING DATE, AND IS REDUCED PROPORTIONALLY FOR SERVICE LESS THAN 20 YEARS. THE BENEFIT REPORTED IN PART II, COLUMN C REFLECTS THE OVERALL RETIREMENT PLAN CONTRIBUTIONS INCLUDING THE MEMORIALCARE RETIREMENT PLAN (MRP), AND ANY INCREASE IN THE NET PRESENT VALUE OF THE ACCRUED BENEFIT FOR EACH PARTICIPANT IN THE SERP. THIS INCLUDES AN ADDITIONAL ONE YEAR ACCRUAL OF BENEFIT EARNED, BUT ALSO INCLUDES THE IMPACT ON BENEFIT FUNDING LIABILITY BASED ON CHANGES IN INTEREST RATES AND OTHER ACTUARIAL ASSUMPTIONS. THESE CHANGES WERE BASED ON ADVICE AND COUNSEL OF AN INDEPENDENT, THIRD-PARTY ACTUARIAL FIRM AND ASSUMPTIONS THEY USED IN THEIR CALCULATIONS. IN THE MOST RECENT YEAR, THE INTEREST RATE ASSUMPTION FOR LUMP SUM DETERMINATION AND THE ASSUMED RATE OF RETURN ON INVESTMENTS WERE DECREASED SLIGHTLY, THEREBY INCREASING THE FUNDING LIABILITY FOR ACTUARIAL PURPOSES. THESE AMOUNTS ARE ALSO INCLUDED IN COLUMN C, AND REFLECT CHANGES IN ACTUARIAL FUNDING ASSUMPTIONS, NOT AN INCREASE IN SERP BENEFIT TO BE EARNED BY THE EXECUTIVES. NO CHANGES WERE MADE TO THE SERP BENEFIT FORMULA THAT THE EXECUTIVES MAY EARN AND ACCRUE OVER TIME. TO ENSURE FINANCIAL STABILITY FOR FUTURE OBLIGATIONS, THESE BENEFITS ARE FUNDED ANNUALLY IN A TRUST. |
| PART I, LINE 7 | CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN INCENTIVE PAYMENT. SEVERAL DIFFERENT FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA WHICH ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE MEMORIAL HEALTH SERVICES BOARD. ANY INCENTIVE PAYMENTS AWARDED ARE ALSO APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, AFTER AN AUDIT AND/OR REVIEW HAS BEEN CONDUCTED. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| COLUMBIA EMERGENCY MEDICAL GROUP INC | |||
| GAIL CARRUTHERS MD | $874,035 | MEDICAL SVCS PROVIDED TO LBMMC | 0 |
| LESLIE H EDRICH MD INC | |||
| LESLIE EDRICH/SEE PART V | $127,793 | MEDICAL SVCS PROVIDED TO LBMMC | 0 |
| MEMORIALCARE MEDICAL GROUP | |||
| SEE PART V | $58,566,218 | MEDICAL SERVICES PROVIDED TO MCMF | 0 |
| GREATER NEWPORT PHYSICIANS INC | |||
| BARRY BEHRSTOCK/SEE PART V | $124,747,052 | MEDICAL SERVICES PROVIDED TO MCMF | 0 |
| LONG BEACH MEMORIAL PATHOLOGY | |||
| JULIO IBARRA, MD/SEE PART V | $2,975,000 | MEDICAL SVCS PROVIDED TO LBMMC | 0 |
| BRISTOL PARK INVESTMENT GROUP III LP | |||
| JUDY SHUBIN/SEE PART V | $1,214,544 | RENTAL INCOME PAID BY MCMF | 0 |
| MADISON MCMAINS | |||
| DAUGHTER OF LESLIE MCMAINS | $71,272 | EMPLOYEE COMPENSATION | 0 |
| PATRICIA COLLINS | |||
| DAUGHTER IN LAW OF TOM COLLINS | $113,490 | EMPLOYEE COMPENSATION | 0 |
| MALORIE CALDWELL | |||
| DAUGHTER OF LESLIE MCMAINS | $47,103 | EMPLOYEE COMPENSATION | 0 |
| TORI L DAVIS | |||
| DAUGHTER IN LAW OF LARRY LAMBERT | $20,421 | EMPLOYEE COMPENSATION | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | GAIL CURRUTHERS, MD IS A BOARD MEMBER OF LBMMC AND IS ALSO A DIRECTOR OF COLUMBIA EMERGENCY MEDICAL GROUP.LESLIE EDRICH , MD IS A BOARD MEMBER OF LBMMC AND IS ALSO THE OWNER OF LESLIE H EDRICH MD INC.BARRY BEHRSTOCK, MD IS A BOARD MEMBER OF MCMF AND IS ALSO AN OFFICER AND OWNER OF GREATER NEWPORT PHYSICIANS INC.MARK CIANCOLA, MD AND JEFFREY RIKER, MD ARE BOARD MEMBERS OF MCMF AND ARE ALSO OFFICERS AND OWNERS OF MEMORIALCARE MEDICAL GROUP, FORMERLY BRISTOL PARK MEDICAL GROUP.JULIO IBARRA, MD IS A BOARD MEMBER OF OCMMC AND IS ALSO AN OWNER OF LONG BEACH MEMORIAL PATHOLOGY MEDICAL GROUP.JUDY SHUBIN IS AN OFFICER OF MCMF AND IS ALSO A GREATER THAN 5% OWNER OF BRISTOL PARK INVESTMENT GROUP, III, LP. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (23 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART IV, LINE 2 | THE FOLLOWING ORGANIZATIONS WERE REQUIRED TO FILE A SCHEDULE B: LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), AND SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC). |
| FORM 990, PART IV, LINE 10 | THE FOLLOWING ORGANIZATIONS HELD ASSESTS IN ENDOWMENT FUNDS THROUGH RELATED ORGANIZATIONS: LBMMC AND SMMC. |
| FORM 990, PART IV, LINE 18 | THE FOLLOWING ORGANIZATION HAD MORE THAN $15,000 OF GROSS RECEIPTS FROM FUNDRAISING EVENTS: OCMMC. |
| FORM 990, PART IV, LINE 20A | THE FOLLOWING ORGANIZATIONS OPERATED ONE OR MORE HOSPITALS: LBMMC, OCMMC AND SMMC. |
| FORM 990, PART IV, LINE 20B | THE FOLLOWING ORGANIZATIONS ARE REQUIRED TO ATTACH THEIR AUDITED FINANCIAL STATEMENTS TO THIS RETURN: LBMMC, OCMMC AND SMMC. |
| FORM 990, PART IV, LINE 28C | THE FOLLOWING ORGANIZATIONS HAD BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: LBMMC, MCMF. |
| FORM 990, PART IV, LINE 33 | THE FOLLOWING ORGANIZATION OWNED 100% OF A DISREGARDED ENTITY: SMMC AND MCMF. |
| FORM 990, PART IV, LINE 4 | THE FOLLOWING ORGANIZATIONS ENGAGED IN LOBBYING ACTIVITIES: LBMMC, OCMMC AND SMMC. |
| FORM 990, PART V, LINE 3A | THE FOLLOWING ORGANIZATIONS HAD UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE YEAR: LBMMC, SMMC, AND MCMF. |
| FORM 990, PART V, LINE 7A/B | THE FOLLOWING ORGANIZATION PROVIDED GOODS AND SERVICES TO A DONOR IN EXCHANGE FOR A CONTRIBUTION OF $75 OR MORE AND NOTIFIED THE DONOR: OCMMC. |
| FORM 990, PART VI, SECTION A, LINE 2 | PATRICK KAPSNER, JUDY SHUBIN AND MARK SCHAEFER HAVE A BUSINESS RELATIONSHIP. MARK CIANCIOLA AND JEFFREY RIKER HAVE A BUSINESS RELATIONSHIP. |
| FORM 990, PART VI, SECTION A, LINE 6 | MEMORIAL HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) AND MEMORIALCARE MEDICAL FOUNDATION (MCMF). |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MHS BOARD, AS THE TAX-EXEMPT PARENT AND CORPORATE MEMBER, HAS THE RIGHT TO ELECT AND REMOVE THE MEMBERS OF THE GOVERNING BODIES OF LBMMC, OCMMC, SMMC AND MCMF. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE EXERCISE OF THE FOLLOWING POWERS IS RESERVED TO THE CORPORATION'S MEMBER, MEMORIAL HEALTH SERVICES: A. ADOPT MISSION, PHILOSOPHY AND VALUES STATEMENTS OF THE CORPORATION AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS. B. AMEND ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. C. ELECT AND REMOVE DIRECTORS OF THE CORPORATION. D. SELL, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. E. MERGE, CONSOLIDATE OR VOLUNTARILY DISSOLVE THE CORPORATION. F. FORM A SUBSIDIARY OR ENTER INTO AN AGREEMENT TO ACT AS A GENERAL PARTNER. G. RETAIN AN ATTORNEY OR FIRM OF ATTORNEYS TO PROVIDE LEGAL SERVICES FOR THE CORPORATION. H. AUTHORIZE THE PURCHASE OF INSURANCE PROVIDING COVERAGE FOR THE CORPORATION AND ITS PROPERTIES AS WELL AS THE ESTABLISHMENT AND OPERATION OF A PROGRAM OF RISK MANAGEMENT. I. RETAIN AN ACCOUNTANT OR FIRM OF ACCOUNTANTS TO PROVIDE ACCOUNTING AND AUDITING SERVICES FOR THE CORPORATION. J. ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION. K. INCUR INDEBTEDNESS, AS SO DEFINED, IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. L. AUTHORIZE ANY UNBUDGETED EXPENDITURE IN EXCESS OF $250,000 FOR CAPITAL IMPROVEMENTS TO THE PROPERTIES OWNED BY THE CORPORATION AND NOT APPROVED BY THE BUDGET PROCEDURE. M. ADOPT A STRATEGIC LONG-RANGE OR MASTER PLAN FOR THE CORPORATION AND TO RETAIN ANY CONSULTANTS WITH RESPECT THERETO. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 WAS PREPARED BY THE ACCOUNTING DEPARTMENT WITH INFORMATION GATHERED FROM LEGAL AND UPPER MANAGEMENT. THE 990 WAS REVIEWED BY THE CONTROLLERS OF EACH FACILITY AND THE MHS CIO AND CFO, PRIOR TO FILING WITH THE IRS. THE 990 FOR MEMORIAL HEALTH SERVICES (MHS) IS REVIEWED BY THE MHS CIO AND CFO PRIOR TO RELEASE TO THE IRS. THE CFO REVIEWED THE 990 WITH THE MHS BOARD AT THE APRIL 2016 BOARD MEETING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE GENERAL COUNSEL'S OFFICE ANNUALLY SURVEYS EACH DIRECTOR AND OFFICER AND REQUIRES AFFIRMATION THAT THE CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE GOVERNANCE COMMITTEE OF THE PARENT WHICH IS RESPONSIBLE FOR GOVERNANCE OVERSIGHT AND NOMINATIONS. CONFLICTS ARE EVALUATED FOR BEING OCCASIONAL OR DISABLING IN NATURE. THE GENERAL COUNSEL MAKES THE INITIAL EVALUATION AND ADVISES THE GOVERNANCE COMMITTEE IN ITS DELIBERATIONS. IF AND AS AN OCCASIONAL CONFLICT IS IDENTIFIED, THE GENERAL COUNSEL ADVISES THE SUBJECT DIRECTOR AND GOVERNANCE IN A "REBUTTABLE PRESUMPTION" TYPE PROCESS. SHOULD A DISABLING CONFLICT BE IDENTIFIED, THE DIRECTOR RESIGNS OR IS REMOVED UPON THE RECOMMENDATION OF THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND BOARD. IN ADDITION, AN ANNUAL NOTICE OF THE MEMORIALCARE GIFT POLICY IS EMAILED TO EACH EMPLOYEE REGARDING THE ACCEPTANCE AND NONACCEPTANCE OF GIFTS. |
| FORM 990, PART VI, SECTION B, LINE 15B | FREDERIC W. COOK & CO. IS RETAINED BY THE COMPENSATION COMMITTEE TO PROVIDE ADVICE AND COUNSEL REGARDING ITS COMPENSATION PROGRAM PROVIDED TO MEMORIALCARE'S SENIOR MANAGEMENT TEAM (VP'S AND ABOVE). FREDERIC W. COOK & CO. PROVIDES OBJECTIVE, THIRD-PARTY ADVICE ON THE REASONABLENESS OF COMPENSATION AND BENEFIT LEVELS PROVIDED IN COMPARISON WITH THOSE OF OTHER SIMILARLY SITUATED ORGANIZATIONS, AND THE APPROPRIATENESS OF THE OVERALL COMPENSATION PROGRAM IN LIGHT OF ORGANIZATION'S PERFORMANCE AND OTHER RELEVANT FACTORS USED IN DETERMINING THE REASONABLENESS OF COMPENSATION. FINAL REVIEW AND APPROVAL BY THE MHS BOARD OF DIRECTORS. REVIEW OF MANAGERS, PROGRAM DIRECTORS, DIRECTORS AND EXECUTIVE DIRECTORS COMPENSATION IS CONDUCTED BY THE MHS COMPENSATION DIRECTOR IN CONJUNCTION WITH THE COMPENSATION VALUE ADDED TEAM. FINAL APPROVAL IS OBTAINED FROM THE MHS COO AND THE MHS VP PEOPLE & CULTURE. ALL MANAGEMENT WAS LAST REVIEWED ON OCTOBER 26, 2015. THE REVIEW THAT WAS PERFORMED FOR FY16 WAS COMPLETED ON OCTOBER 26, 2015. |
| FORM 990, PART VI, SECTION C, LINE 19 | THESE DOCUMENTS ARE NOT POSTED PUBLICLY, BUT INSTEAD ARE MADE AVAILABLE AS REQUESTED BY THE PUBLIC. |
| FORM 990, PART VI, LINE 16A | THE FOLLOWING ORGANIZATIONS INVESTED IN, CONTRIBUTED ASSETS TO, OR PARTICIPATED IN A JOINT VENTURE OR SIMILAR ARRANGEMENT WITH A TAXABLE ENTITY DURING THE YEAR: OCMMC, SMMC AND MCMF. |
| FORM 990, PART VI, LINE 16B | OCMMC, SMMC AND MCMF HAVE ADOPTED A WRITTEN POLICY OR PROCEDURE REQUIRING THEM TO EVALUATE THEIR PARTICIPATION IN JOINT VENUTRE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW, AND HAVE TAKEN STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENTS. |
| FORM 990, PART XI, LINE 9: | OTHER CHANGES IN FUND BALANCE-SURGERY CENTER AT ORANGE COAST 4,288,949. OTHER CHANGES IN FUND BALANCE-SMMC 396,000. RESERVE ADJUSTMENT 80,000. OTHER CHANGES IN NET ASSETS-MCMF 164,546. CHANGES IN JOINT VENTURE INTERESTS-MCMF 15,887,936. |
| FORM 990, PART XII, LINE 2B | THE MEMBERS OF THE GROUP ARE INCLUDED IN CONSOLIDATED AUDITED FINANCIALS AND MHS' AUDIT COMMITTEE SELECTS AN INDEPENDENT AUDITOR ON BEHALF OF THE CONSOLIDATED GROUP. |
| FORM 990, PART XII, LINES 3A AND 3B | THE FOLLOWING ORGANIZATION WAS REQUIRED TO UNDERGO AN AUDIT OR AUDITS, AND COMPLETED THE AUDIT, AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AS A RESULT OF A FEDERAL AWARD: LBMMC. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| MEMORIALCARE IMAGING CNTR - SAN CLEMENTE | |||||||||
| 675 CAMINO DE LOS MARES 101 | SAN CLEMENTE | CA | 92673 | 270713649 | IMAGING SVCS | CA | $3,702,907 | $2,004,946 | SMMC |
| NAUTILUS HEALTHCARE MANAGEMENT GROUP LLC | |||||||||
| PO BOX 6270 | NEWPORT | CA | 92658 | 260808876 | MGMT SVCS | CA | $40,499,243 | $55,894,533 | MCMF |
| MEMORIALCARE REGIONAL ACO LLC | |||||||||
| 2742 DOW AVE | TUSTIN | CA | 92780 | 452970665 | MEDICAL SVCS | CA | $0 | $0 | MCMF |
| NAUTILUS INSURANCE SERVICES | |||||||||
| PO BOX 6270 | NEWPORT | CA | 92658 | INSURANCE SVC | CA | $0 | $0 | NHMG | |
| WAVE IMAGING LLC | |||||||||
| 2742 DOW AVE | TUSTIN | CA | 92780 | 300762119 | IMAGING SVCS | CA | $12,338,069 | $12,918,236 | MCMF |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANAHEIM MEMORIAL MEDICAL CENTER (AMMC) | ||||||||||
| 1111 WEST LA PALMA AVE | ANAHEIM | CA | 92801 | 951966746 | HOSPITAL | CA | 501(C)(3) | LINE 9 | MHS | 0 |
| SEASIDE HEALTH PLAN (SHP) | ||||||||||
| 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 461870181 | MEDICAL SERVICES | CA | 501(C)(4) | MHS | 0 | |
| SADDLEBACK MEMORIAL FOUNDATION | ||||||||||
| 24451 HEALTH CENTER DR | LAGUNA HILLS | CA | 92653 | 330011887 | PHILANTHROPY | CA | 501(C)(3) | LINE 7 | SMMC | Yes (1) |
| MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) | ||||||||||
| 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 956105984 | PHILANTHROPY | CA | 501(C)(3) | LINE 7 | LBMMC | Yes (1) |
| AMERICAN INSTITUTE FOR PHILANTHROPIC STUDIES | ||||||||||
| 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 953756364 | PHILANTHROPY EDUCATION | CA | 501(C)(3) | LINE 7 | MCMF | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIALCARE HOME HEALTH LLC | ||||||||||||||
| 23521 PASEO DE VALENCIA STE 100 | FOUNTAIN VALLEY | CA | 92708 | 463056446 | HEALTHCARE | CA | SMMC | RELATED | $172,943 | $2,500,658 | 0 | 0 | 0.60000 | |
| MEMORIALCARE INNOVATION FUND LP | ||||||||||||||
| 320 GOLDEN SHORE AVENUE STE 120 | LONG BEACH | CA | 90802 | 460791893 | INVESTMENTS | CA | N/A | |||||||
| BEACH SURGICAL HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 371708521 | HEALTHCARE | CA | MCMF | RELATED | $51,535,814 | $82,038,519 | 0 | Yes (1) | 0.51000 | |
| MEMORIALCARE SURGICAL CENTER AT ORANGE COAST LLC | ||||||||||||||
| 9920 TALBERT AVENUE | FOUNTAIN VALLEY | CA | 92708 | 261394069 | HEALTHCARE | CA | N/A | |||||||
| SUMMATION HEALTH VENTURES | ||||||||||||||
| 320 GOLDEN SHORE AVENUE STE 120 | LONG BEACH | CA | 90802 | 465252681 | INVESTMENTS | DE | N/A | |||||||
| BEACH SURGICAL HOLDINGS II LLC | ||||||||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 472083076 | HEALTHCARE | CA | MCMF | RELATED | $955,273 | $5,850,354 | 0 | Yes (1) | 0.51000 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| NATIONAL HEALTHCARE SERVICES | |||||||||
| 330 GOLDEN SHORE AVE | LONG BEACH | CA | 92802 | 953496341 | MEDICAL INVESTING | CA | N/A | C | 0 |
| SADDLEBACK MEDICAL VENTURES | |||||||||
| 330 GOLDEN SHORE AVE | LONG BEACH | CA | 92802 | 330308236 | MEDICAL INVESTING | CA | N/A | C | 0 |
| CHARITABLE REMAINDER ANNUITY TRUST | |||||||||
| HOSPITAL SUPPORT | CA | N/A | T | Yes (1) | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 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 | Yes (1) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (11 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| C | $5,725,168 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| O | $2,230,519 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| Q | $215,708 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| R | $128,946 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| S | $7,682,272 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| B | $126,477 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| R | $107,308 | ACCRUAL |
| SEASIDE HEALTH PLAN (LBMMC) | ||
| S | $4,438,951 | ACCRUAL |
| SEASIDE HEALTH PLAN (LBMMC) | ||
| Q | $4,753,963 | ACCRUAL |
| SADDLEBACK MEMORIAL FOUNDATION (SMMC) | ||
| C | $4,547,663 | ACCRUAL |
| MEMORIALCARE SURGERY CENTER AT ORANGE COAST MEMORIAL | ||
| A | $55,598 | ACCRUAL |