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LODI MEMORIAL HOSPITAL ASSOCIATION INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
LODI MEMORIAL HOSPITAL ASSOCIATION INC (EIN 94-1044474)
Tax period
2014-01-01 to 2014-12-31
Filed
2015-11-16
IRS object ID
201503209349314965
Schema version
2014v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-11-16T18:36:58-06:00ReturnTs
Tax Period End2014-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN910189318PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MOSS ADAMS LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13121 W MARCH LN STE 100AddressLine1Txt
CitySTOCKTONCityNm
State AbbreviationCAStateAbbreviationCd
ZIP952192367ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941044474EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LODI MEMORIAL HOSPITAL ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlLODIBusinessNameControlTxt
Phone2093343411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1975 S FAIRMONT AVENUEAddressLine1Txt
CityLODICityNm
State AbbreviationCAStateAbbreviationCd
ZIP95240ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRY DEAKPersonNm
Person TitleCFO & VICE PRESIDENTPersonTitleTxt
Phone2093343411PhoneNum
Signature2015-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTRACY S PAGLIAPreparerPersonNm
PTINP00366884PTIN
Phone2099556100PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1LODI MEMORIAL HOSPITAL & LODI HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDANIEL WOLCOTTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1975 S FAIRMONT AVENUEAddressLine1Txt
CityLODICityNm
State AbbreviationCAStateAbbreviationCd
ZIP95240ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$196,766,345GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.LODIHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1945FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionPROVIDE HEALTHCARE SERVICES TO THE COMMUNITYActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee1536TotalEmployeeCnt
Total Volunteers191TotalVolunteersCnt
Total Gross UBI$53,186TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$334NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$479,674PYContributionsGrantsAmt
CY Contributions Grants$246,454CYContributionsGrantsAmt
PY Program Service Revenue$203,455,454PYProgramServiceRevenueAmt
CY Program Service Revenue$175,780,911CYProgramServiceRevenueAmt
PY Investment Income$1,276,688PYInvestmentIncomeAmt
CY Investment Income$1,907,152CYInvestmentIncomeAmt
PY Other Revenue$158,468PYOtherRevenueAmt
CY Other Revenue$80,506CYOtherRevenueAmt
PY Total Revenue$205,370,284PYTotalRevenueAmt
CY Total Revenue$178,015,023CYTotalRevenueAmt
PY Grants And Similar Paid$259,063PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$125,917CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$94,731,082PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$96,376,902CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$121,583CYTotalFundraisingExpenseAmt
PY Other Expenses$122,576,161PYOtherExpensesAmt
CY Other Expenses$87,296,131CYOtherExpensesAmt
PY Total Expenses$217,566,306PYTotalExpensesAmt
CY Total Expenses$183,798,950CYTotalExpensesAmt
PY Revenues Less Expenses-$12,196,022PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,783,927CYRevenuesLessExpensesAmt
Total Assets BOY$264,618,252TotalAssetsBOYAmt
Total Assets EOY$263,936,164TotalAssetsEOYAmt
Total Liabilities BOY$168,836,580TotalLiabilitiesBOYAmt
Total Liabilities EOY$173,860,474TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$95,781,672NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$90,075,690NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionAS A NOT-FOR-PROFIT, HEALTH-CARE DELIVERY SYSTEM, LODI MEMORIAL HOSPITAL IS DEDICATED TO:- IMPROVING COMMUNITY HEALTH;- PROVIDING QUALITY AND TIMELY HEALTH-CARE SERVICES, RANGING FROM HEALTH PROMOTION AND EDUCATION TO DIAGNOSTICS, ACUTE-INPATIENT CARE, REHABILITATION SERVICES AND HOME CARE;- EXPANDING COMMUNITY ACCESS TO CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$127,240,790ExpenseAmt
Grant$125,917GrantAmt
Revenue$169,634,198RevenueAmt
DescLODI MEMORIAL HOSPITAL IS A NON-PROFIT, ACUTE CARE HOSPITAL PROVIDING HIGH QUALITY SERVICES THAT PROMOTE HEALTH AND REHABILITATION, PREVENT DISEASE, AND TREAT AND CARE FOR THE SICK AND INJURED. HOSPITAL STAFF, MEDICAL STAFF AND THE GOVERNING BOARD ARE DEDICATED TO TREATING ALL PATIENTS AND VISITORS AS INDIVIDUALS WITH EQUAL DIGNITY, RESPECT AND QUALITY OF CARE.LODI MEMORIAL HOSPITAL TREATS AND PROVIDES CARE TO ITS PATIENTS THROUGH INPATIENT AND OUTPATIENT SERVICES. INPATIENTS RECEIVE CARE THROUGH MEDICAL-SURGICAL, PERI-OPERATIVE, PERI-NATAL, PEDIATRIC, INTENSIVE CARE, AND ACUTE-PHYSICAL REHABILITATION SERVICES.OUTPATIENT CARE INCLUDES 24-HOUR EMERGENCY, DIAGNOSTIC SERVICES, SURGERY, REHABILITATION AND EDUCATION.LODI MEMORIAL HOSPITAL IDENTIFIES THE HEALTH-CARE AND HEALTH MAINTENANCE NEEDS AND PREFERENCES OF THE COMMUNITY IT SERVES. DIAGNOSTIC, REHABILITATIVE, EDUCATIONAL, TREATMENT AND PREVENTATIVE SERVICES ARE DEVELOPED AS APPROPRIATE FOR A HOSPITAL OF THIS SIZE AND ROLE.LODI MEMORIAL HOSPITAL, CONSISTENT WITH ITS NON-PROFIT STATUS, DEVELOPS FINANCIAL RESOURCES TO ADEQUATELY SUPPORT HEALTH MAINTENANCE AND PATIENT-CARE SERVICES; CHARITY CARE FOR THOSE UNABLE TO PAY, WORKING CAPITAL NEEDS; AND CAPITAL REQUIREMENTS OF PLANT, EQUIPMENT AND EVOLVING TECHNOLOGY. EVERY EFFORT IS MADE TO KEEP COSTS AFFORDABLE FOR PATIENTS WHILE CONTINUOUSLY STRIVING TO IMPROVE THE QUALITY OF SERVICE.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,553,833ExpenseAmt
Grant$0GrantAmt
Revenue$6,173,151RevenueAmt
DescLODI MEMORIAL COMMUNITY CLINICS ARE LICENSED UNDER THE DEPARTMENT OF PUBLIC HEALTH SERVICES REGULATIONS, AND ARE OWNED AND OPERATED BY THE LODI MEMORIAL HOSPITAL ASSOCIATION, INC., A NOT-FOR-PROFIT ENTITY AND WILL PROVIDE MEDICAL CARE TO ANY AGE. A COMMUNITY CLINIC UNIT OFFERS SERVICES DURING POSTED HOURS OF BUSINESS, WITH AT LEAST ONE PHYSICIAN EXPERIENCED IN THE COMMUNITY CLINIC PRACTICE. SPECIALTY CONSULTATION WILL BE AVAILABLE BY PHONE OR REFERRAL TO MEMBERS OF THE MEDICAL STAFF. IN 2014, FOUR (4) COMMUNITY CLINICS WERE LICENSED AND OPERATIONAL.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$136,794,623TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document474IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1536EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1TERRY DEAK CFO & VICE PRESIDENTBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2093343411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1975 S FAIRMONT AVEAddressLine1Txt
CityLODICityNm
State AbbreviationCAStateAbbreviationCd
ZIP95240ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ADDINGTON RON
BOARD MEMBER2.00Yes (X)$0$0$0
AGUIRE ELIZABETH
BOARD MEMBER2.00Yes (X)$0$0$0
CRABTREE STEVE
BOARD MEMBER, CHAIR5.00Yes (X)$0$0$0Yes (X)
CUMMINS WILLIAM LEE
BOARD MEMBER2.00Yes (X)$0$0$0
DILLON CECIL
BOARD MEMBER, CHAIR (THRU 04/2014)5.00Yes (X)$0$0$0Yes (X)
FERREE CHRISTEEN
BOARD MEMBER2.00Yes (X)$0$0$0
GILL PARAMPAL MD
BOARD MEMBER2.00Yes (X)$303,119$0$0
HALEY PAUL
BOARD MEMBER/SEC&TREASURER2.00Yes (X)$0$0$0Yes (X)
KIRST JEFF
BOARD MEMBER2.00Yes (X)$0$0$0
KHAN TAJ
BOARD MEMBER2.00Yes (X)$0$0$0
FETZER STEVE
BOARD MEMBER2.00Yes (X)$0$0$0
MC LAOUGHLIN TRAVERS MD
BOARD MEMBER & CMS (2014)5.00Yes (X)$16,222$0$0
SHULMAN MONA
BOARD MEMBER2.00Yes (X)$0$0$0
OLSON DEBBIE
BOARD MEMBER2.00Yes (X)$0$0$0
PHELPS DAN
BOARD MEMBER/VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
SORBERA THOMAS MD
BOARD MEMBER & LMCC PHYSICIAN40.00Yes (X)$67,300$0$0
PATRICK ROBERT PAT
BOARD MEMBER2.00Yes (X)$0$0$0
HARRINGTON JOSEPH P
CEO & PRESIDENT50.00$350,053$0$14,416Yes (X)
DEAK TERRANCE A
CFO & VICE PRESIDENT50.00$227,802$0$12,666Yes (X)
MORENO DEBBE JOYCE
CHIEF NURSING OFFICER50.00$203,513$0$14,160Yes (X)
SEY MARK
CHIEF ADMINISTRATIVE OFFICER50.00$202,783$0$13,006Yes (X)
SCHNEIDER PAMELA
EXECUTIVE DIRECTOR-O/P SVCS50.00$154,352$0$11,863Yes (X)
LAVIOLA STEVEN MD
PHYSICIAN, COMMUNITY CLINICS40.00$459,578$0$5,815Yes (X)
FAHEY GORDON MD
PHYSICIAN, COMMUNITY CLINICS40.00$352,687$0$2,970Yes (X)
FREUNDEDMUND A MD
PHYSICIAN, COMMUNITY CLINICS40.00$380,064$0$8,298Yes (X)
SOROUR NAGUI MD
PHYSICIAN, COMMUNITY CLINICS40.00$605,809$0$0Yes (X)
LINGAMURTHY RAVI MD
PHYSICIAN, COMMUNITY CLINICS40.00$360,691$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,683,973TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$83,194TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K199IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
QUANTUM HEALTHCARE MEDICAL ASSOCIATES I
5000 HOPYARD RD STE 100PLEASANTONCA94588PHYSICIAN PROFESSIONAL SERVICES - HOSPIT$2,752,589
PREMIER ANESTHESIA
2655 NORTHWINDS PARKWAYALPHAETAGA30009PHYSICIAN PROFESSIONAL SERVICES - ANESTH$1,382,455
GE HEALTHCARE
3000 N GRANDVIEW BLVDWAUKESHAWI53188BIOMEDICAL MAINTENACE SERVICE$1,132,693
MORPHEUS ANESTHESIA
999 S FAIRMONT AVE SUITE 110LODICA95240PHYSICIAN PROFESSIONAL SERVICES - ANESTH$700,106
MEDITECH
MEDITECH CIRCLEWESTWOODMA02090IT SERVICES AND SUPPORT$535,713
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K45CntrctRcvdGreaterThan100KCnt
Membership Dues$9,705MembershipDuesAmt
Government Grants$86,366GovernmentGrantsAmt
All Other Contributions$150,383AllOtherContributionsAmt
Total Contributions$246,454TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SVC REVENUE621400$171,875,817$171,875,817
CAPITATION FEES621990$2,798,177$2,798,177
LOSS FROM LODI OUTPATIENT SURGICA621400-$78,291-$78,291
LOSS FROM ADVANCED IMAGING CENTER621400-$121,132-$121,132
LOSS FR TRINITY PLAZA SURGERY CEN621400-$824,275-$824,275

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,130,615TotalRevenueColumnAmt
Related Or Exempt Func Income$2,130,615RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$175,780,911TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,078,725TotalRevenueColumnAmt
Exclusion$1,078,725ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$170,803TotalRevenueColumnAmt
Exclusion$170,803ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$199,066RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$172,962RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$26,104RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$26,104TotalRevenueColumnAmt
Related Or Exempt Func Income$26,438RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$334UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,161,284SecuritiesAmt
Other$74,700OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,469,541SecuritiesAmt
Other$108,819OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$691,743SecuritiesAmt
Other-$34,119OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$657,624TotalRevenueColumnAmt
Exclusion$657,624ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
MANAGEMENT FEES541610$53,520$53,520
OTHER REVENUE900099$882$882
FieldValueIRS element (for citing)
Other Revenue Total$54,402OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$178,015,023TotalRevenueColumnAmt
Related Or Exempt Func Income$175,807,349RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$53,186UnrelatedBusinessRevenueAmt
Exclusion$1,908,034ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$112,917TotalAmt
Program Services$112,917ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$13,000TotalAmt
Program Services$13,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,591,255TotalAmt
Program Services$1,146,624ProgramServicesAmt
Management And General$444,631ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$336,755TotalAmt
Program Services$242,658ProgramServicesAmt
Management And General$94,097ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$82,488,509TotalAmt
Program Services$59,393,810ProgramServicesAmt
Management And General$23,031,410ManagementAndGeneralAmt
Fundraising$63,289FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,255,284TotalAmt
Program Services$903,937ProgramServicesAmt
Management And General$350,524ManagementAndGeneralAmt
Fundraising$823FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,689,817TotalAmt
Program Services$3,374,501ProgramServicesAmt
Management And General$1,308,546ManagementAndGeneralAmt
Fundraising$6,770FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,015,282TotalAmt
Program Services$4,331,406ProgramServicesAmt
Management And General$1,679,609ManagementAndGeneralAmt
Fundraising$4,267FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$226,963TotalAmt
Program Services$226,963ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$942,904TotalAmt
Program Services$18,628ProgramServicesAmt
Management And General$924,276ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$64,085TotalAmt
Management And General$64,085ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$106,692TotalAmt
Management And General$106,692ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$115,832TotalAmt
Management And General$115,832ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$17,130,406TotalAmt
Program Services$12,335,122ProgramServicesAmt
Management And General$4,783,247ManagementAndGeneralAmt
Fundraising$12,037FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$164,352TotalAmt
Management And General$158,684ManagementAndGeneralAmt
Fundraising$5,668FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$22,455,080TotalAmt
Program Services$16,178,506ProgramServicesAmt
Management And General$6,273,613ManagementAndGeneralAmt
Fundraising$2,961FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,053,325TotalAmt
Program Services$1,479,581ProgramServicesAmt
Management And General$573,744ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$10,678,219TotalAmt
Program Services$7,682,824ProgramServicesAmt
Management And General$2,979,204ManagementAndGeneralAmt
Fundraising$16,191FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$143,514TotalAmt
Program Services$103,413ProgramServicesAmt
Management And General$40,101ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$161,312TotalAmt
Program Services$115,708ProgramServicesAmt
Management And General$44,869ManagementAndGeneralAmt
Fundraising$735FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$12,046,126TotalAmt
Program Services$8,680,175ProgramServicesAmt
Management And General$3,365,951ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,007,108TotalAmt
Program Services$725,700ProgramServicesAmt
Management And General$281,408ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
BAD DEBTS$10,388,496$10,388,496
HOSP MEDI-CAL QLTY ASSU$8,658,648$8,658,648
DUES, SUBSCRIPTIONS, BO$338,438$238,560$92,507$7,371
BUSINESS TAXES & LICENS$278,571$200,732$77,839

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$336,060TotalAmt
Program Services$242,714ProgramServicesAmt
Management And General$91,875ManagementAndGeneralAmt
Fundraising$1,471FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$183,798,950TotalAmt
Program Services$136,794,623ProgramServicesAmt
Management And General$46,882,744ManagementAndGeneralAmt
Fundraising$121,583FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$181,436BOYAmt
EOY$191,950EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,536,469BOYAmt
EOY$11,231,216EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,297,624BOYAmt
EOY$615,279EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$36,512,423BOYAmt
EOY$43,310,371EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,325,440BOYAmt
EOY$3,466,667EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,670,820BOYAmt
EOY$4,536,701EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$259,356,849LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$106,648,028LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$160,547,228BOYAmt
EOY$152,708,821EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$32,431,079BOYAmt
EOY$33,277,233EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$3,769,407BOYAmt
EOY$9,606,599EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,346,326BOYAmt
EOY$4,991,327EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$264,618,252BOYAmt
EOY$263,936,164EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$28,003,568BOYAmt
EOY$36,119,003EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$140,030,000BOYAmt
EOY$136,905,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$803,012BOYAmt
EOY$836,471EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$168,836,580BOYAmt
EOY$173,860,474EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$94,959,340BOYAmt
EOY$89,476,178EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$822,332BOYAmt
EOY$599,512EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$95,781,672BOYAmt
EOY$90,075,690EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$264,618,252BOYAmt
EOY$263,936,164EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,783,927ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$21,976NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$55,969OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$106,692OtherActivitiesAmt
Total Lobbying Expenditures$106,692TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF DUES PAID TO CALIFORNIA HOSPITAL ASSOCIATION & THE HOSPITAL COUNCIL OF NORTHERN CALIFORNIA ARE CONSIDERED TO BE FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$822,332BeginningYearBalanceAmt
Contributions$94,945ContributionsAmt
Other Expenditures$317,765OtherExpendituresAmt
End Year Balance$599,512EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$736,801BeginningYearBalanceAmt
Contributions$363,885ContributionsAmt
Other Expenditures$278,354OtherExpendituresAmt
End Year Balance$822,332EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$928,619BeginningYearBalanceAmt
Contributions$275,442ContributionsAmt
Other Expenditures$467,260OtherExpendituresAmt
End Year Balance$736,801EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,293,178BeginningYearBalanceAmt
Contributions$647,989ContributionsAmt
Other Expenditures$1,012,548OtherExpendituresAmt
End Year Balance$928,619EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,870,578BeginningYearBalanceAmt
Contributions$1,178,278ContributionsAmt
Other Expenditures$4,755,678OtherExpendituresAmt
End Year Balance$1,293,178EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,655,763OtherCostOrOtherBasisAmt
Book Value$3,655,763BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$614,559InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$132,470,650OtherCostOrOtherBasisAmt
Depreciation$41,517,449DepreciationAmt
Book Value$91,567,760BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,099,191OtherCostOrOtherBasisAmt
Depreciation$2,176,969DepreciationAmt
Book Value$2,922,222BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,242,823OtherCostOrOtherBasisAmt
Depreciation$61,211,189DepreciationAmt
Book Value$51,031,634BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,273,863OtherCostOrOtherBasisAmt
Depreciation$1,742,421DepreciationAmt
Book Value$3,531,442BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$152,708,821TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescCONDITIONAL ASSET RETIREMENTDesc
Amt$836,471Amt
FieldValueIRS element (for citing)
Total Liability$836,471TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationEFFECTIVE JANUARY 1, 2009, WE FOLLOW ASC 74010 GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THESE GUIDELINES PRESCRIBE A COMPREHENSIVE MODEL FOR RECOGNIZING, MEASURING, PRESENTING, AND DISCLOSING IN THE CONSOLIDATED FINANCIAL STATEMENTS, TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THEY ALSO PROVIDE ACCOUNTING GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE, AND TRANSITION. AS OF DECEMBER 31, 2014, WE ARE NOT AWARE OF ANY UNCERTAIN TAX POSITIONS FOR ANY YEARS OPEN UNDER FEDERAL OR STATE OF CALIFORNIA STATUTES OF LIMITATIONS.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served3051PersonsServedCnt
Total Community Benefit Expns$672,778TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$672,778NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs15ActivitiesOrProgramsCnt
Persons Served50054PersonsServedCnt
Total Community Benefit Expns$48,605,328TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,494,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,110,866NetCommunityBenefitExpnsAmt
Total Expense0.06410TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served53105PersonsServedCnt
Total Community Benefit Expns$49,278,106TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,494,462DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,783,644NetCommunityBenefitExpnsAmt
Total Expense0.06800TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served20032PersonsServedCnt
Total Community Benefit Expns$3,697,021TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$20,553DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,676,468NetCommunityBenefitExpnsAmt
Total Expense0.02120TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$175,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,188DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,097NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs4ActivitiesOrProgramsCnt
Persons Served11399PersonsServedCnt
Total Community Benefit Expns$6,504,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,432,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,071,811NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$201,187TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$201,187NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs16ActivitiesOrProgramsCnt
Persons Served31431PersonsServedCnt
Total Community Benefit Expns$10,578,264TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,490,701DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,087,563NetCommunityBenefitExpnsAmt
Total Expense0.02940TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs32ActivitiesOrProgramsCnt
Persons Served84536PersonsServedCnt
Total Community Benefit Expns$59,856,370TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$42,985,163DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,871,207NetCommunityBenefitExpnsAmt
Total Expense0.09740TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$280,458TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$280,458NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$280,458TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$280,458NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,388,496BadDebtExpenseAmt
Bad Debt Expense Attributable$3,635,974BadDebtExpenseAttributableAmt
Reimbursed By Medicare$45,223,636ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$47,374,605CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,150,969MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 TRINITY PLAZA SURGERY CENTER LLC
AMBULATORY SURGERY CENTER - OPERATIONS CEASED, DISSOLVED EFF 12/31/140.940000.000000.06000
2 ADVANCED IMAGING CENTER AT LODI MEMORIAL HOSPITAL LLC
DIAGNOSTIC IMAGING CENTER (WITH MRI)0.510000.000000.49000
3 LODI OUTPATIENT SURGERY CENTER
AMBULATORY SURGERY CENTER0.310000.000000.40100
4 ENDOSCOPY CENTER OF LODI LLC
AMBULATORY SURGERY CENTER0.310000.000000.40100
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescFacility Reporting GroupFacilityReportingGroupCdAddress Line2USAddress/AddressLine2Txt
LODI MEMORIAL HOSPITAL
1975 S FAIRMONT AVELODICA95240LODIHEALTH.ORG030000056Yes (X)Yes (X)Yes (X)GENERAL ACUTE CARE BEDS = 190A
LODI MEMORIAL HOSPITAL - WEST
2800 LOWER SACRAMENTO ROAD ACUTELODICA95242LODIHEALTH.ORG030000056Yes (X)Yes (X)ACUTE PHY REHAB = 24 BEDS (NOTE BEDS IN SUSPENSE / NOT OCCUPIED IN 2014)APHYS

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1FACILITY REPORTING GROUP - ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.LODIHEALTH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.LODIHEALTH.ORGStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care100.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.000000000000FPGFamilyIncmLmtDscntCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION BFACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:- FACILITY 1: LODI MEMORIAL HOSPITAL, - FACILITY 2: LODI MEMORIAL HOSPITAL - WEST
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 5:LODI MEMORIAL HOSPITAL ASSOCIATION, INC (ALSO KNOWN AS LODI HEALTH) CONDUCTED ITS FIRST COMMUNITY-HEALTH NEEDS ASSESSMENT IN 1995 AND, SINCE THEN, HAS DONE SO EVERY THREE YEARS. TO DETERMINE COMMUNITY-HEALTH NEEDS, THE NEEDS ASSESSMENT INCLUDES THE GATHERING AND REVIEW OF THE FOLLOWING DATA: CENSUS DATA, SOCIOECONOMIC AND GEOGRAPHIC INDICATORS; STATEWIDE HEALTH-INDICATOR DATA; COUNTYWIDE HEALTH INDICATORS; EXISTING REGIONAL PROGRAMS AND SERVICES MEETING THE COMMUNITY'S HEALTH NEEDS (ASSET MAPPING); AND SYSTEM-SPECIFIC UTILIZATION DATA. RESULTS FROM THE MOST RECENT 2013 ASSESSMENT, INCLUDING RELEVANT SOCIO-DEMOGRAPHIC DATA, ARE REVIEWED BY YEAR'S END BY SEVERAL INTERNAL AND EXTERNAL STAKEHOLDER GROUPS, INCLUDING NGOS, AND A LIST OF HEALTH PRIORITIES IS DEVELOPED FOR CONSIDERATION. THE LIST IS REVIEWED AND EVALUATED TO DETERMINE WHERE LODI HEALTH MAY BE ABLE TO DEDICATE ADDITIONAL RESOURCES TO IMPROVE COMMUNITY HEALTH. THE 2014 COMMUNITY BENEFIT PLAN WAS DEVELOPED IN THE LATTER PART OF 2013 IN COLLABORATION WITH COMMUNITY GROUPS, NGOS AND HEALTH PROVIDERS. STAKEHOLDER INVOLVEMENT: THOSE INVOLVED IN THE REVIEW, PRIORITIZATION AND PLANNING PROCESS INCLUDE THE SYSTEM'S COMMUNITY-ADVISORY BOARD, REPRESENTING A BROAD CROSS-SECTION OF THE SYSTEM'S COMMUNITY; MEMBERS OF THE SAN JOAQUIN COUNTY HEALTHIER COMMUNITIES COALITION, A COUNTYWIDE GROUP OF HEALTH, EDUCATION AND HUMAN-SERVICE PROVIDERS; SYSTEM STAFF; MEDICAL STAFF; AND SYSTEM BOARD MEMBERS. AS COMMUNITY NEEDS ARE REVIEWED, THE ABILITY OF THE SYSTEM TO MEET THOSE NEEDS WITHIN THE REALM OF ITS RESOURCES AND, WHEN POSSIBLE, IN COLLABORATION WITH COMMUNITY PARTNERSHIPS IS DISCUSSED. DISCUSSION AND RECOMMENDATION PROCESS IS AGENDIZED AT REGULARLY SCHEDULED MEETINGS OF THE COMMUNITY-ADVISORY BOARD AND THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE. RECOMMENDATIONS FROM THOSE REVIEW GROUPS ARE DIRECTED TO THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE SO THEY MAY MAKE RECOMMENDATIONS TO THE SYSTEM'S FULL BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. CURRENTLY, THE REVIEW GROUPS' MAJOR FOCUS HAS BEEN TO ASSESS AND RECOMMEND HOW LODI HEALTH AND ITS RELATED BUSINESSES MAY BEST MEET THE COMMUNITY'S NEED RELATIVE TO THE CURRENT ECONOMY AND IN RESPONSE TO THE AFFORDABLE CARE ACT. KEY AREAS OF ASSESSMENT INCLUDE HOW TO BETTER ENGAGE COMMUNITY MEMBERS RELATIVE TO WELLNESS AND PREVENTION; ALIGNING PHYSICIAN AND SYSTEM INCENTIVES IN ORDER TO BEST MEET THE COMMUNITY'S NEED; AND STRENGTHENING COMMUNITY COLLABORATION TO IMPROVE COMMUNITY HEALTH.HOW THE LODI HEALTH STRATEGIC PLAN IS DEVELOPED: LODI HEALTH IS A 190-BED, TWO-CAMPUS, ACUTE-CARE HOSPITAL WITH 59 SEPARATE INPATIENT AND OUTPATIENT PROGRAMS AND SERVICES. SERVICES BEGAN IN 1952. SINCE ITS OPENING, LODI HEALTH HAS EXPANDED AND GROWN TO ITS CURRENT SIZE, WHICH INCLUDES TWO INPATIENT FACILITIES, LODI MEMORIAL HOSPITAL, LOCATED AT 975 SOUTH FAIRMONT AVE., AND LODI HEALTH WEST, LOCATED AT 800 SOUTH LOWER SACRAMENTO RD. LODI HEALTH WEST WAS ACQUIRED IN 1990. LODI HEALTH ALSO OPERATES FIVE PRIMARY-CARE MEDICAL PRACTICES; TWO PRENATAL PRACTICES; A PEDIATRIC PRACTICE; A PULMONARY PRACTICE; TWO CARDIOLOGY PRACTICES; AN OCCUPATIONAL-MEDICINE PRACTICE; A WOUND-CARE AND HYPERBARIC PRACTICE; A FREE OUTREACH PRACTICE; A GENERAL SURGERY PRACTICE; AN ORTHOPEDIC PRACTICE; AND A NEUROLOGY AND ENDOCRINOLOGY PRACTICE. IN ADDITION TO ITS INPATIENT ACUTE-CARE SERVICES AND MEDICAL PRACTICES, LODI HEALTH OPERATES A HOME HEALTH AGENCY, A DURABLE-MEDICAL-EQUIPMENT COMPANY, AN ADULT-DAY-CARE PROGRAM, A CHILD-CARE PROGRAM, A MEDICAL-SERVICES ORGANIZATION FOR PHYSICIANS AND A FULL ARRAY OF CLINICAL-OUTPATIENT SERVICES, INCLUDING LABORATORY, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES.THE LODI MEMORIAL HOSPITAL ASSOCIATION IS THE SOLE CORPORATE MEMBER AND WAS INCORPORATED IN 1945. LODI MEMORIAL HOSPITAL ASSOCIATION IS A CALIFORNIA PUBLIC-BENEFIT, NON-PROFIT CORPORATION WITH APPROXIMATELY 1,500 MEMBERS. MEMBERSHIP IS OPEN TO ANY INTERESTED MEMBER FOR A LIFETIME FEE OF $100. THE MEMBERS ANNUALLY ELECT DIRECTORS TO THE BOARD, WHICH IS THE GOVERNING BODY FOR THE SYSTEM. THE ASSOCIATION AND THE SYSTEM HAVE BEEN SUCCESSFUL OVER THE PAST DECADES BECAUSE OF THEIR COMMITMENT AND ABILITY TO FULFILL THEIR ORIGINAL MISSION OF PROVIDING QUALITY HEALTH CARE TO RESIDENTS, WHILE CONTINUING TO ADAPT TO THE CHANGING HEALTH-CARE NEEDS OF THE COMMUNITY.THIS STRATEGIC PLAN IS A CONTINUING EFFORT OF THAT COMMITMENT AND EMPHASIZES THE LINK BETWEEN THE COMMUNITY AND THE SYSTEM. THE PLAN IS A COLLABORATIVE WORK OF COMMUNITY MEMBERS, BOARD MEMBERS, MEDICAL STAFF, MANAGEMENT AND STAFF EMPLOYEES. IT REPRESENTS LODI HEALTH'S BEST EFFORT TO ORGANIZE ITS VISION, MISSION, GOALS AND VALUES INTO A COHESIVE AND COMPREHENSIVE BLUEPRINT FOR THE SUCCESSFUL DELIVERY OF A WIDE CONTINUUM OF HEALTH SERVICES TO THE COMMUNITY, WITH THE ULTIMATE GOAL OF IMPROVING THE QUALITY OF LIFE IN AND BEYOND THE HOSPITAL WALLS.THE PLAN IS AN ONGOING, DYNAMIC DOCUMENT, WHICH REPRESENTS A CONTINUATION OF PREVIOUS AND CURRENT PLANS. THE PLAN IS OPEN TO REVISION, REFINEMENT AND CHANGE AS NEW INFORMATION IS ADDED TO OUR PLANNING PROFILE AND AS THE INTERNAL/EXTERNAL ENVIRONMENT DICTATE CHANGES. LODI HEALTH IS COMMITTED TO REMAINING A COMMUNITY-BASED ORGANIZATION AND, ALL THE WHILE, WILLING TO COOPERATE AND/OR COLLABORATE WITH ALL ENTITIES FOR THE BENEFIT OF THE LODI HEALTH SYSTEM, ITS PHYSICIANS, EMPLOYEES, VOLUNTEERS, ADVISORY BOARDS AND THE COMMUNITY AT LARGE. THAT SAID, LODI HEALTH WILL CONTINUE TO EXPLORE PARTNERSHIPS WITH OTHER HEALTH SYSTEMS AND PROVIDERS IN ORDER TO BEST SERVE THE NEEDS OF RESIDENTS IN ITS SERVICE AREA.THE ELEMENTS OF THE PLAN ARE INTENTIONALLY TIED TOGETHER TO ESTABLISH AND MAINTAIN THE ALIGNMENT BETWEEN THE VISION, MISSION, VALUES, GOALS AND PROJECTS. IT IS THE SYSTEM'S SINCERE COMMITMENT TO KEEP THE FOCUS ON THIS ALIGNMENT BETWEEN THE PLAN ELEMENTS TO INCREASE THE CHANCES FOR SUCCESSFUL IMPLEMENTATION. MAJOR GOALS HAVE BEEN DEVELOPED ALONG WITH STRATEGIES THAT ARE DESIGNED TO ACHIEVE THOSE GOALS. FINAL RESPONSIBILITY FOR IMPLEMENTATION OF THIS PLAN LIES WITH THE SYSTEM PRESIDENT AND CHIEF EXECUTIVE OFFICER. METRICS HAVE BEEN ESTABLISHED TO MONITOR PROGRESS OF PROJECTS. THIS PROCESS WILL SERVE TO COMMUNICATE TO ALL OF THE SYSTEM INTERNAL STAKEHOLDERS THE PRIORITIES AND DIRECTION OF THE SYSTEM. STANDING COMMITTEES OF THE SYSTEM BOARD WILL REVIEW AND MONITOR CHANGES TO THE PLAN.PUBLIC REVIEW: EVERY THREE YEARS THE SYSTEM CONDUCTS A COMMUNITY-HEALTH-NEEDS ASSESSMENT TO INCLUDE A REVIEW AND ASSESSMENT OF HEALTH STATUS AND COMMUNITY NEED. AFTER ITS COMMUNITY-NEEDS ASSESSMENT AND DATA-GATHERING ACTIVITIES ARE COMPLETED, FINDINGS ARE REPORTED TO ALL SYSTEM PLANNING PARTICIPANTS AND THE GENERAL PUBLIC, SUMMARIZING COMMENTS, SUGGESTIONS AND ISSUES ROSE.THE SYSTEM THEN MAKES FORMAL PRESENTATIONS TO ITS INTERNAL AND EXTERNAL-PLANNING PARTNERS, INCLUDING THE COMMUNITY-ADVISORY BOARD, MEDICAL STAFF, SYSTEM MANAGEMENT, STRATEGIC-PLANNING COMMITTEE, NGOS AND OTHER COMMUNITY STAKEHOLDERS. INPUT IS SOLICITED AT ALL MEETINGS TO BETTER MEET COMMUNITY NEED, AND AN IMPLEMENTATION PLAN IS DEVELOPED.THIS PAST YEAR IN DECEMBER 2013, THE BOARD OF DIRECTORS ADOPTED THE 2014 COMMUNITY BENEFIT IMPLEMENTATION PLAN.(SEE CONTINUATION FOR PROCESS DESCRIPTION)
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 6A:YES, HOWEVER, THE PROCESS WAS NOT IN CONJUNCTION WITH OTHER REGIONAL HOSPITALS, BUT DONE CONSULTATIVELY AND DATA WAS SHARED. AS THE MOST NORTHERNLY HOSPITAL IN OUR COUNTY, AND ONLY HOSPITAL IN OUR CITY, OUR SERVICE AREA DIFFERS SIGNIFICANTLY FROM OTHER AREA HOSPITALS WHICH FOCUS PRIMARILY ON ONE COUNTY, WHILE LODI HEALTH FOCUSES ON ITS FIVE COUNTY SERVICE AREA. ADDITIONALLY, THE TIMING REQUIREMENTS FOR OTHER AREA HOSPITALS TO COMPLETE THEIR NEEDS ASSESSMENTS PRECEDES LODI HEALTH BY ONE YEAR.HOSPITALS IN SAN JOAQUIN COUNTY INCLUDE:- DAMERON HOSPITAL- ST. JOSEPH'S BEHAVORIAL HEALTH CENTER- ST. JOSEPH'S MEDICAL CENTER- SUTTER TRACY COMMUNITY HOSPITAL
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 7D:DISTRIBUTED ELECTRONICALLY TO STAFF, MEDICAL STAFF, MEDIA AND COMMUNITY ORGANIZATIONS.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 11:AFTER PRIORITIZING THE HEALTH NEEDS, THE HOSPITAL AND ITS COMMUNITY PLANNING GROUP DETERMINED THAT RESOURCES WERE NOT AVAILABLE TO ADDRESS ALL EIGHT HEALTH PRIORITIES IDENTIFIED IN THE CHNA. IT PRIORITIZED ITS FOCUS TO THE TOP FIVE THAT WERE MOST ALIGNED WITH THE HEALTH SYSTEM'S CORE MISSION, CAPABILITIES AND RESOURCES. THOSE SELECTED TO BE ADDRESSED WERE ACCESS TO CARE, CULTURALLY APPROPRIATE CARE, HEALTH LITERACY AND HEALTH EDUCATION, ACCESS TO MENTAL HEALTH SERVICES AND SAFE AND AFFORDABLE PLACES TO EXERCISE. THOSE THAT WILL NOT BE DIRECTLY ADDRESSED ARE RELIABLE TRANSPORTATION, AFFORDABLE DENTAL SERVICES AND ACCESS TO HEALTHY FOOD.FACILITY REPORTING GROUP ASCH H, PART V, SECTION B, LINE 5, CONTINUATION:THE PROCESS:THE LODI HEALTH BOARD OF DIRECTORS' STRATEGICPLANNING COMMITTEE IS CHARGED WITH DEVELOPING AND MONITORING THE SYSTEM'S STRATEGIC PLAN. THEIR PROCESS IS:* ANNUALLY REVIEW THE EXTERNAL HEALTHCARE ENVIRONMENT, INCLUDING NEW AND UPDATED INFORMATION FROM THE: CALIFORNIA HEALTHCARE ASSOCIATION (CHA) "VIEW OF THE FUTURE" LATEST RELEASE; AMERICAN HOSPITAL ASSOCIATION (AHA) "VISION OF THE FUTURE" LATEST RELEASE; AND MAJOR NATIONAL, STATE AND LOCAL EVENTS THAT HAVE OR MAY AFFECT OUR LOCAL MARKET.* ANNUALLY REVIEW THE INTERNAL ENVIRONMENTS, INCLUDING: AUDITED FINANCIALS FOR THE LAST THREE YEARS FOR TRENDS; MARKETSHARE INFORMATION, FOR SYSTEM AND ALL BUSINESS LINES, I.E. INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, HOMEHEALTH AGENCY, ACUTEPHYSICAL REHABILITATION AND CLINICS; PAYER MIX BY SERVICE AND ZIP CODE; UTILIZATION DATA; LIST OF MAJOR EMPLOYEE, BOARD AND MEDICAL STAFF ISSUES CURRENTLY OPEN/IN PROGRESS; COMMUNITYNEEDS ASSESSMENT AND BENEFIT PLAN; QUALITY PERFORMANCE, CLINICAL AND PATIENT SATISFACTION; EMPLOYEE SATISFACTION; PHYSICIAN SATISFACTION; AND INFORMATIONTECHNOLOGY CAPABILITIES.* REVIEW THE FINDINGS AND RECOMMENDATIONS OF THE COMMUNITYNEEDS ASSESSMENT, CONDUCTED EVERY THREE YEARS, TO DETERMINE THE COMMUNITY'S HEALTH STATUS AND NEED FOR HEALTH SERVICES AND INTEGRATE THOSE INTO THE SYSTEM'S STRATEGIC PLAN. ANNUALLY, THE NEEDSASSESSMENT FINDINGS SHALLBE REVISITED PRIOR TO EACH APRIL MEETING TO ASSESS WHETHER LODI HEALTH, WITHIN THE REALM OF ITS RESOURCES, CAN OR SHOULD DEVELOP PROGRAMS AND SERVICES TO MEET COMMUNITY NEED AND/OR WORK WITH OTHER LOCAL HEALTH PROVIDERS, SCHOOLS AND ORGANIZATIONS TO MEET COMMUNITYHEALTH NEEDS FOR WELLNESS, PREVENTION AND TREATMENT.* ANNUALLY REVIEW THE SYSTEM MISSION, VISION AND VALUES FOR BOARD APPROVAL AT ITS MAY MEETING.* ANNUALLY DEVELOP LONG AND SHORTTERM GOALS AND OBJECTIVES FOR SUBMISSION TO THE BOARD FOR APPROVAL.
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16A WEBSITE:WWW.LODIHEALTH.ORG
FACILITY REPORTING GROUP - A PART V, SECTION B, LINE 16C WEBSITE:WWW.LODIHEALTH.ORG
FieldValueIRS element (for citing)
Facility9FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
LODI MEMORIAL HOSP HOME HEALTH AGENCY
800 S LOWER SACRAMENTO RDLODICA95242HOME HEALTH AGENCY
LODI MEMORIAL COMM CLINIC - MILLSBRIDGE
1901 KETTLEMAN LANE SUITE 200LODICA95242COMMUNITY CLINIC
LODI OUTPATIENT SURGERY CENTER
521 S HAM LANELODICA95242AMBULATORY SURGICAL CENTERS
ENDOSCOPY CENTER OF LODI LLC
840 S FAIRMONT AVE SUITE 1LODICA95240AMBULATORY SURGERY CENTER
LODI MEMORIAL COMMUNITY CLINIC - VINE
1235 W VINE ST SUITE 22LODICA95240COMMUNITY CLINIC
ADV IMAGING CENTER AT LODI MEM HOSP LLC
999 S FAIRMONT AVENUE SUITE 110LODICA95240DIAGNOSTIC IMAGING OUTPATIENT CENTER
LODI MEMORIAL SURGICAL GROUP
999 S FAIRMONT AVENUE SUITE 100LODICA95240COMMUNITY CLINC
LODI MEMORIAL COMMUNITY CLINIC - TRINITY
10200 TRINITY PARKWAY SUITE 102STOCKTONCA95219COMMUNITY CLINIC
TRINITY PLAZA SURGICAL CENTER LLC
10200 TRINITY PARKWAY SUITE 101STOCKTONCA95209AMBULATORY SURGERY CENTER (DISSOLVED 12/31/14)

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 7:COST IS ASSIGNED UTILIZING OUR INTERNAL COST ACCOUNTING SYSTEM (EPSI). COST IS ESTIMATED BY UTILIZING RELATIVE VALUE UNITS ASSIGNED TO EACH PRODUCT (I.E. CHARGEABLE TEST, SUPPLY, OR PROCEDURE). EACH PRODUCT'S RELATIVE VALUE IS ESTIMATED BY EACH DEPARTMENT DIRECTOR BASED ON RESOURCES EXPENDED FOR EACH DEPARTMENT PRODUCT. DEPARTMENT COSTS ARE ALLOCATED TO EACH PRODUCT BASED ON ACCUMULATED RELATIVE VALUES. EACH PATIENT ACCUMULATES PRODUCTS DURING THEIR VISIT. THE TOTAL COST FOR EACH PATIENT REPRESENTS THE SUM OF ALL THE PRODUCTS PROVIDED TO THEM DURING THEIR VISIT OR INPATIENT STAY. THE ABOVE METHOD IS THE CALCULATION FOR HOSPITAL CHARGES. FOR COMMUNITY CLINICS, HOSPITAL BASED CLINICS, HOSPITAL BASED HOME HEALTH AGENCY AND TWO SURGERY CENTER JOINT VENTURES A COST TO CHARGE RATIO WAS CALCULATED BASED ON THE DIRECT COSTS OF THESE LINES OF BUSINESS.
PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 10,388,496.
PART II, COMMUNITY BUILDING ACTIVITIES:SAN JOAQUIN COUNTY IS AMONG THE MOST DIFFICULT COUNTIES IN THE STATE WHEN IT COMES TO RECRUITING PHYSICIANS TO PRACTICE MEDICINE, AND THE HOSPITAL DEVOTES SIGNIFICANT FINANCIAL AND HUMAN RESOURCES TO THAT EFFORT. CURRENTLY THE HOSPITAL IS ATTEMPTING TO ESTABLISH A RESIDENCY PROGRAM IN CONJUNCTION WITH THE LOCAL COUNTY HOSPITAL, A TEACHING FACILITY, IN HOPES THAT ONCE PHYSICIANS COME TO PRACTICE HERE THEY WILL APPRECIATE THE REGION AND STAY AND ESTABLISH MEDICAL PRACTICE OR AFFILIATE WITH AN EXISTING PRACTICE. TOTAL PHYSICIAN RECRUITMENT COSTS = $251,493; OTHER HARD TO FILL RECRUITMENT COSTS = $28,965
PART III, LINE 4:COSTING METHODOLOGY:UTILIZING THE PREVIOUS COSTING METHODOLOGY AS OUTLINED IN RESPONSE TO PART I LINE 7, ALL PATIENTS ARE ASSIGNED A PAYOR CLASS (I.E. CHARITY, SELF PAY, MEDICARE, MEDI-CAL, MANAGED CARE). THE COST BY PAYOR IS A SUMMATION OF ALL PATIENTS IN THE ASSIGNED PAYOR CLASS. THE AMOUNTS WRITTEN OFF AS BAD DEBT (ASSIGNED TO A COLLECTION AGENCY) ARE NET OF ANY APPLICABLE PAYMENTS OR DISCOUNTS. ANY PAYMENTS RECEIVED AFTER AN ACCOUNT IS ASSIGNED TO A COLLECTION AGENCY REDUCE THE BAD DEBT EXPENSE IN THE PERIOD RECEIVED.OF THE TOTAL UNINSURED PATIENTS SEEN IN 2014: 17% QUALIFIED FOR CHARITY CARE AND 54% WERE WRITTEN OFF TO BAD DEBTS. IT IS DIFFICULT TO ASCERTAIN HOW MANY UNINSURED WRITTEN OFF TO BAD DEBTS WOULD QUALIFY FOR CHARITY CARE. ALL BAD DEBT WRITE OFFS ARE SENT TO A COLLECTION AGENCY. IF AN ACCOUNT QUALIFIES FOR CHARITY CARE AFTER BEING SENT TO AN AGENCY, NO FURTHER COLLECTION ACTIVITY IS PURSUED AND THE "BAD DEBT" ACCOUNT IS WRITTEN OFF IN FULL - WE HAVE NOT TRACKED THESE IN THE PAST AS PART OF OUR CHARITY CARE EXPENSE BUT ESTIMATE AT LEAST 35% OF OUR BAD DEBT COSTS REPRESENTS CHARITY CARE. WE NOTICED A SIGNIFICANT DECLINE IN BAD DEBTS AND CHARITY CARE IN 2014 DUE TO THE ACA AND THE EXPANSION OF THE MEDICAID PROGRAM IN CALIFORNIA WHICH REDUCED OUR UNINSURED POPULATION FROMOVER 6% TO LESS THAN 2%.COMMUNITY BENEFIT RATIONALE: UNINSURED PATIENTS ARE SCREENED FOR MEDICAID LINKAGE, GIVEN ASSISTANCE IN APPLYING FOR MEDICAID AND IF INELIGIBLE FOR MEDICAID ARE GIVEN INFORMATION REGARDING OUR CHARITY CARE POLICY AND ENCOURAGED TO APPLY FOR CHARITY CARE. OFTEN THE INFORMATION GATHERED IN THE MEDICAID APPLICATION WILL MAKE THIS DETERMINATION "AUTOMATIC". IF ADDITIONAL INFORMATION IS REQUIRED WE ATTEMPT TO CONTACT THE PATIENT.BAD DEBT EXPENSE CAN BE FOUND ON PAGE 5 OF THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS AS THE "PROVISION FOR UNCOLLECTIBLE ACCOUNTS" (NOTE 17 ON PAGE 35 DISCUSSES UNCOMPENSATED CARE AND COMMUNITY BENEFIT COSTS).SEE FOOTNOTE 2 ON THE FINANCIAL STATEMENT THAT DISCUSSES "PATIENT ACCOUNTS RECEIVABLE".
PART III, LINE 8:THE COSTS OF PROVIDING CARE TO MEDICARE RECIPIENTS OFTEN EXCEED THE GOVERNMENT'S REIMBURSEMENT FOR THESE SERVICES. FOR COSTS ASSIGNED TO MEDICARE PATIENTS, PLEASE SEE RESPONSE IN PART III, LINE 4.FEE REIMBURSED CHARGES FOR LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY WITH INCIDENTAL CHARGES FOR SUPPLIES AND DRUGS WERE OBTAINED FROM THE MEDICARE PS&R. COST TO CHARGE RATIOS (CCR) FROM THE FILED COST REPORT WERE UTILIZED TO CALCULATE MEDICARE COSTS. MEDICARE REVENUES FOR THESE SERVICES WERE $45,223,636; COSTS WERE $47,374,605.THE COST ACCOUNTING SYSTEM IS USED FOR HOSPITAL CHARGES - ALL INPATIENT, OUTPATIENT, EMERGENCY AND URGENT CARE - FOR ALL PAYORS. A COST-TO-CHARGE RATIO WAS USED FOR SEGMENTS THAT ARE NOT YET INCLUDED IN THE COST ACCOUNTING SYSTEM: PRIMARILY HOSPITAL BASED CLINICS, COMMUNITY CLINICS, HOME HEALTH AND OUR RURAL HEALTHCARE CLINIC. 95.5% OF OUR CONSOLIDATED GROSS REVENUES ARE CAPTURED IN THE COST ACCOUNTING SYSTEM.
PART III, LINE 9B:UNINSURED PATIENTS ARE SCREENED FOR MEDICAID LINKAGE, GIVEN ASSISTANCE IN APPLYING FOR MEDICAID AND IF INELIGIBLE FOR MEDICAID ARE GIVEN INFORMATION REGARDING OUR CHARITY CARE (FINANCIAL ASSISTANCE) POLICY AND ENCOURAGED TO APPLY FOR CHARITY CARE (FINANCIAL ASSISTANCE).
PART VI, LINE 2:EVERY THREE YEARS LODI MEMORIAL HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS BY 1)CONSULTING WITH REPRESENTATIVES FROM A VARIETY OF COMMUNITY GROUPS TO REVIEW THE NEEDS OF EACH CONSTITUENCY; 2)REVIEWING SERVICE-AREA MORBIDITY AND MORTALITY HEALTH DATA PROVIDED BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES; 3)COMPILING SOCIO-ECONOMIC DATA TO DETERMINE WHERE THE GREATEST NEEDS EXIST WITHIN THE HOSPITAL-SERVICE AREA; AND 4)ASKING AREA RESIDENTS TO COMPLETE A HEALTH SURVEY REGARDING THEIR PERSONAL HEALTH AND NOTIONS ABOUT GOOD HEALTH. ONCE THE DATA IS COLLECTED, IT IS REVIEWED AND ASSESSED BY THE HOSPITAL'S COMMUNITY ADVISORY BOARD, BOARD OF DIRECTORS AND HOSPITAL MANAGERS TO DETERMINE WHAT SERVICES AND GAP AREAS MAY NEED ENHANCING OR ADDRESSING TO IMPROVE HEALTH WITHIN THE REALM OF THE HOSPITAL'S RESOURCES TO DO SO.
PART VI, LINE 3:SIGNS ARE PROMINENTLY POSTED IN THE ADMISSIONS, EMERGENCY AND BILLING DEPARTMENTS OF THE HOSPITAL, IN ADDITION TO ALL THE HOSPITAL CLINICS, TO ADVISE PATIENTS AND VISITORS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO WORK WITH HOSPITAL STAFF TO OBTAIN IT. THE SAME INFORMATION IS INCLUDED IN PATIENT-ADMISSION PACKETS AND POSTED ON THE HOSPITAL WEBSITE. HOSPITAL CASE MANAGERS ARE VIGILANT OF PATIENTS NEEDING FINANCIAL ASSISTANCE AND FOLLOW UP WITH THOSE IN NEED. FINANCIAL ASSISTANCE INCLUDES APPLYING FOR MEDICAID AS WELL AS CHARITY CARE.
PART VI, LINE 4:NEARLY ALL OF THE INDIVIDUALS SEEKING CARE FROM LODI MEMORIAL HOSPITAL RESIDE IN ONE OF FIVE COUNTIES: SAN JOAQUIN, SACRAMENTO, SOLANO, AMADOR, AND CALAVERAS. ABOUT HALF OF THE HOSPITAL'S PATIENTS RESIDES WITHIN A FIVE-MILE RADIUS OF THE HOSPITAL IN SAN JOAQUIN COUNTY. GEOGRAPHICALLY, THE HOSPITAL SITS AT THE NORTHERN END OF THE SAN JOAQUIN VALLEY WHERE THE RESIDENTS ARE AMONG THE POOREST AND LEAST EDUCATED OF ALL THE STATE'S COUNTIES. IN ADDITION, SAN JOAQUIN COUNTY HAS AMONG THE WORST UNEMPLOYMENT RATES IN THE STATE'S COUNTIES; NEARLY TWO IN 10 RESIDENTS ARE UNEMPLOYED. ALSO SAN JOAQUIN COUNTY IS GROUND-ZERO FOR THE MORTGAGE CRISIS IN THIS COUNTRY. THE COUNTY IS ALSO AMONG THE MOST VIOLENT COUNTIES IN WHICH TO LIVE IN THE COUNTRY DUE TO SIGNIFICANT GANG ACTIVITY, LOW LEVELS OF EDUCATION, AND POVERTY. HOSPITAL PATIENTS REPRESENT DIVERSITY: ABOUT 40 PERCENT ARE HISPANIC, WITH MANY OF THOSE PATIENTS BEING MONOLINGUAL SPANISH SPEAKERS. ANOTHER THREE PERCENT ARE PAKISTANI, MANY OF WHOM SPEAK ONLY URDU OR PASHTU. ADDITIONALLY THERE IS A SIGNIFICANT POPULATION OF HOSPITAL PATIENTS WHO ARE GREATER THAN 80 YEARS OF AGE. THE MAJOR HEALTH ISSUES OF PATIENTS ARE HEART DISEASE, STROKE, CANCER, DIABETES AND OBESITY.
PART VI, LINE 5:THE HOSPITAL CONDUCTS A MYRIAD OF ACTIVITIES TO PROMOTE COMMUNITY HEALTH. THOSE ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: HEALTH FAIRS WITH FREE MEDICAL SCREENINGS FOR HIGH CHOLESTEROL, HIGH-BLOOD PRESSURE, DIABETES AND LOW-OXYGEN SATURATION LEVELS; REFERRALS TO FREE CLINICS OR LOCAL PHYSICIANS FOR THOSE WITH HIGH VALUES; A VARIETY OF LINKED VIDEOS TO THE HOSPITAL WEB PAGE, FACEBOOK PAGE, YOUTUBE PAGE, AND TWITTER RELATED TO HEALTH EDUCATION AND PREVENTION; A WELLNESS PROGRAM FOR HOSPITAL EMPLOYEES THAT IS ROOTED IN EXERCISE AND NUTRITION SO THAT EMPLOYEES MAY LEAD BY EXAMPLE; A MONTHLY NUTRITION COLUMN IN THE LOCAL NEWSPAPER; HOSPITAL STAFF SERVING ON THE BOARDS OF REGIONAL NGOS; DONATIONS OF MATERIALS AND EQUIPMENT TO NGOS; EMPLOYEE DONATIONS OF FOOD AND CLOTHING TO THE NEEDY. THE HOSPITAL IS ALSO THE SECOND LARGEST YEAR-ROUND EMPLOYER IN LODI, WITH EMPLOYEES REINVESTING THEIR EARNINGS IN THE LOCAL ECONOMY. THE HOSPITAL HAS ALSO ADOPTED THE MOST IMPOVERISHED, LARGEST AND MOST DIVERSE SCHOOL IN THE LOCAL SCHOOL DISTRICT TO HELP EDUCATE STUDENTS, PARENTS AND TEACHERS IN PREVENTION. IN THAT EFFORT, THE HOSPITAL HOSTS AT THE SCHOOL HEALTH AND EDUCATION FAIRS; PARTICIPATES IN CLASSROOM TEACHING AND HEALTH DEMONSTRATIONS; AND PARTICIPATES IN CAREERS FAIRS AT THE SCHOOL. DUE TO HAND-WASHING EDUCATION ALONE, THE SCHOOLS ABSENTEE RATES HAVE DECLINED DRAMATICALLY. FOR STUDENTS TO LEARN, THEY MUST BE IN SCHOOL; AND FOR SCHOOLS TO RECEIVE STATE FUNDING, THEY MUST MAINTAIN THEIR ATTENDANCE.
PART VI, LINE 6:N/A
PART VI, LINE 7, REPORTS FILED WITH STATESCA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA HEALTH FOUNDATION & TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11215 K ST STE 800AddressLine1Txt
CitySACRAMENTOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP95814ZIPCd
FieldValueIRS element (for citing)
Recipient EIN941498697RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$102,698CashGrantAmt
Purpose Of GrantACCESS TO HEALTH SERVICES FOR UNINSURED/ UNDERINSURED PATIENTSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeSTIPENDS AND SCHOLARSHIPSGrantTypeTxt
Recipient13RecipientCnt
Cash Grant$13,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHROUGH THE USE OF TEMPORARILY RESTRICTED ACCOUNTS, WE TRACK AND MONITOR THE INCOMING RECEIPTS FROM GRANTS AND THE UTILIZATION OF GRANT FUNDS. EACH GRANT IS TRACKED SEPARATELY. SHOULD THE GRANTOR AGENCY REQUIRE SPECIFIC REPORTS, WE COMPLY WITH THEIR REPORTING REQUIREMENTS. THE GRANTS WE MONITOR ARE SPECIFIC TO THE GRANTOR'S NEEDS AND REQUESTS. IN 2014 WE RECEIVED GRANT FUNDS TO USE AS STIPENDS OR SCHOLARSHIPS FOR MEDICAL ASSISTANT STUDENTS THAT INTERN AT OUR CLINICS. THE MAXIMUM GIVEN TO ANY ONE STUDENT IS $1,000 AFTER THEY COMPLETE THE INTERNSHIP PROGRAM. 1099'S ARE ISSUED ON THESE SCHOLARSHIPS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GILL PARAMPAL MD
BOARD MEMBER$303,119$0$0$0$0$0$0$0$0$0$303,119$0$0$0
HARRINGTON JOSEPH P
CEO & PRESIDENT$343,395$0$0$0$6,658$0$6,500$0$7,916$0$364,469$0$0$0
DEAK TERRANCE A
CFO & VICE PRESIDENT$223,602$0$0$0$4,200$0$1,583$0$11,083$0$240,468$0$0$0
MORENO DEBBE JOYCE
CHIEF NURSING OFFICER$199,313$0$0$0$4,200$0$3,077$0$11,083$0$217,673$0$0$0
SEY MARK
CHIEF ADMINISTRATIVE OFFICER$197,147$0$0$0$5,636$0$5,090$0$7,916$0$215,789$0$0$0
SCHNEIDER PAMELA
EXECUTIVE DIRECTOR-O/P SVCS$153,016$0$0$0$1,336$0$3,947$0$7,916$0$166,215$0$0$0
LAVIOLA STEVEN MD
PHYSICIAN, COMMUNITY CLINICS$357,750$0$31,953$0$69,875$0$0$0$5,815$0$465,393$0$0$0
FAHEY GORDON MD
PHYSICIAN, COMMUNITY CLINICS$230,377$0$17,470$0$104,840$0$0$0$2,970$0$355,657$0$0$0
FREUNDEDMUND A MD
PHYSICIAN, COMMUNITY CLINICS$353,511$0$26,353$0$200$0$0$0$8,298$0$388,362$0$0$0
SOROUR NAGUI MD
PHYSICIAN, COMMUNITY CLINICS$459,020$0$38,275$0$108,514$0$0$0$0$0$605,809$0$0$0
LINGAMURTHY RAVI MD
PHYSICIAN, COMMUNITY CLINICS$338,437$0$22,254$0$0$0$0$0$0$0$360,691$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 4BFormAndLineReferenceDesc
ExplanationLINE 4B - LMH HAS A 457(F) SERP WHICH IS LIMITED TO SELECT MEMBERS OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. PARTICIPANTS ARE SELECTED BY THE BOARD OF DIRECTORS OR AN AUTHORIZED OFFICER. THE AMOUNT OF THE DEFERRED COMPENSATION UNDER THE PLAN FOR A PARTICIPANT FOR A PLAN YEAR SHALL BE SPECIFIED IN THE PARTICIPANT'S PARTICIPATION AGREEMENT OR, IF NOT SO SPECIFIED, THE AMOUNT DETERMINED BY THE EMPLOYER FOR SUCH PLAN YEAR IN THE EMPLOYER'S SOLE AND ABSOLUTE DISCRETION. A PARTICIPANT BECOMES FULLY VESTED IN THE PARTICIPANT'S ACCOUNT UPON THE EARLIEST OF NORMAL RETIREMENT, DATE OF DEATH OR DATE OF DISABILITY WHILE STILL AN EMPLOYEE, DATE OF TERMINATION OR DEMOTION BY THE EMPLOYER IF THE EVENT OCCURS WITHIN THE TWELVE MONTH PERIOD FOLLOWING A CHANGE IN CONTROL, THE EMPLOYER'S INVOLUNTARY TERMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE. IF THE PARTICIPANT CEASES TO BE AN EMPLOYEE PRIOR TO BECOMING FULLY VESTED, THE EMPLOYEE SHALL NOT BE ENTITLED TO ANY BENEFIT UNDER THIS PLAN. ANY AMOUNTS CREDITED TO A PARTICIPANT'S ACCOUNT THAT ARE NOT VESTED AT THAT TIME SHALL BE FORFEITED. DISTRIBUTIONS UNDER THE PLAN COMMENCE WITHIN 90 DAYS FOLLOWING VESTING AND NOT LATER THAN MARCH 15 OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR OF VESTING. JOSEPH P HARRINGTON HAS A SERP INVESTMENT ACCOUNT, NO CONTRIUTIONS TO THIS PLAN WERE MADE IN 2014.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1CALIFORNIA STATEWIDE COMMUNITES DEVELOPMENT AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN680164610BondIssuerEIN
Bond Issued2007-12-01BondIssuedDt
Issue Price$150,629,537IssuePriceAmt
PurposeSEE SUPPLEMENTAL INFORMATIONPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$13,095,000RetiredAmt
Total Proceeds$155,434,444TotalProceedsAmt
In Reserve Fund$11,445,998InReserveFundAmt
Capitalized Interest$18,234,618CapitalizedInterestAmt
Issuance Costs From Proceeds$1,547,800IssuanceCostsFromProceedsAmt
Credit Enhancement$5,651,669CreditEnhancementAmt
Capital Expenditures$118,554,358CapitalExpendituresAmt
Substantial Completion2012SubstantialCompletionYr
Current Refunding0CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMEDISSUER NAME: CALIFORNIA STATEWIDE COMMUNITES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/26/2014
SCHEDULE K SUPPLENTAL INFORMATIONTHE DIFFERENCE OF $4,804,907 BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO THE CUMULATIVE INVESTMENT EARNINGS (2007-2014) ON PROJECT FUNDS AND RESERVE FUNDS.
PART I; COLUMN F:TO CONSTRUCT AND EQUIP: GENERAL ACUTE CARE ADDITION & NEW EMERGENCY DEPT. TO ALSO REMODEL WITH NEW EQUIPMENT: KITCHEN AND CAFETERIA.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1P GILL OBSTETRICS AND GYNECOLOGYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Relationship Description>5% OWNED PARTNERSHIP BY PARAMPAL GILL, CURRENT BOARD MEMBERRelationshipDescriptionTxt
Transaction$336,755TransactionAmt
TransactionPHYSICIAN PROFESSIONAL SERVICE-OB CLINIC,PHYSICIAN RECUITMENTTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6ASSOCIATION MEMBERSHIP IS OPEN TO ANYONE FOR A ONE-TIME, LIFETIME FEE OF $100. MEMBERS PARTICIPATE IN THE ANNUAL ELECTION OF BOARD MEMBERS WHO DIRECT THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS PARTICIPATE IN THE ANNUAL ELECTION OF BOARD MEMBERS WHO DIRECT THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7BTHE BOARD OF DIRECTORS CANNOT SELL OR DISSOLVE THE CORPORATION - A 2/3RDS VOTE OF THE ASSOCIATION MEMBERS WOULD BE REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED FORM 990 IS SHARED WITH MEMBERS OF THE HOSPITAL'S BOARD OF DIRECTORS BY ELECTRONIC COMMUNICATION FOR THEIR REVIEW. A SPECIAL BOARD MEETING IS SCHEDULED TO ANSWER QUESTIONS AND RECEIVE INPUT FROM THE BOARD. AFTER REVIEWS ARE COMPLETED AND CHANGES ARE MADE, THE BOARD IS ELECTRONICALLY PROVIDED WITH A COPY OF THE FINAL RETURN PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12CMEMBERS OF THE BOARD, COMMITTEES, OFFICERS AND MANAGEMENT ARE REQUIRED TO REVIEW, ATTEST AND DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS ON AN ANNUAL BASIS. IN ADDITION, IT IS VERBALLY REQUESTED AT EVERY BOARD MEETING FOR ALL MEMBERS TO DECLARE IF THEY HAVE A CONFLICT OF INTEREST ON ANY AGENDA ITEM AND TO ABSTAIN FROM VOTING ON SAID ITEM.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD OF DIRECTORS HAS A CEO COMPENSATION COMMITTEE, WHO REVIEWS THE CEO'S PERFORMANCE AND COMPENSATION AT LEAST ANNUALLY WHOSE SPECIFIC RESPONSIBILITIES INCLUDE: SCHEDULING AND COMPLETING AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE, REVIEWING AND ESTABLISHING PERFORMANCE CRITERIA FOR THE CEO, AN ANNUAL REVIEW OF THE CEO'S JOB DESCRIPTION, SOLICITING INPUT FROM OTHER SOURCES ON CEO PERFORMANCE, ANNUALLY REVIEWING MARKET AREA COMPENSATION AND BENEFITS FOR HOSPITAL CEO TO DETERMINE FAIR MARKET VALUE COMPENSATION, ANNUALLY PROVIDE VERBAL AND WRITTEN FEEDBACK TO CEO ON PERFORMANCE. THE BOARD OF DIRECTORS HAS A CEO COMPENSATION COMMITTEE THAT ALSO ESTABLISHES A COMPENSATION PHILOSOPHY FOR CEO AND SENIOR MANAGEMENT, REVIEWS AND APPROVES THE CEO RECOMMENDATION FOR CAO, CNO, CFO AND VP COMPENSATION AND REVIEWS AND APPROVES MANAGEMENT COMMITTEE INCENTIVE COMPENSATION. IN ADDITION, LODI MEMORIAL HOSPITAL (LMH) PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY SPONSORED BY THE CALIFORNIA HOSPITAL ASSOCIATION, THE HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. LMH SUBMITS THEIR WAGE AND SALARY DATA TO AN INDENDENDENT THIRD PARTY WHICH PRODUCES A REPORT BY JOB TITLE AND JOB DESCRIPTION THAT COMPARES SALARIES BY REGION WITHIN CALIFORNIA FOR ALL HOSPITALS WHO PARTICIPATE IN THE SURVEY.
FORM 990, PART VI, SECTION C, LINE 19AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.
PART VII, SECTION A, LINE 1ALODI MEMORIAL HOSPITAL OPERATES COMMUNITY CLINICS AS DEFINED BY THE CALIFORNIA HEALTH AND SAFETY CODE SECTION 1204(A). THE HOSPITAL ENTERS INTO EMPLOYMENT AGREEMENTS WITH PHYSICIANS FOR THE PROFESSIONAL SERVICES PROVIDED IN THE COMMUNITY CLINICS TO THE UNINSURED AND UNDERINSURED POPULATIONS IN THE COMMUNITY.
FORM 990, PART XI, LINE 9:INCOME OF SUBSIDIARY - VITAL -31,811. INCOME OF SUBSIDIARY - LRHS -44,508. BOOK/TAX K-1 DIFFERENCES 906,954. MINORITY INTEREST TRANSFER -774,666.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVANCED IMAGING CENTER AT LODI MEMORIAL HOSPITAL LLC (AIC)
1001 S FAIRMONT AVELODICA95240943407786DIAGNOSTIC IMAGING / MRI OUTPATIENT TREATMENT CENTERCAN/ARELATED-$121,132$451,427000.51000
LODI SURGICAL VENTURES LLC (LSV)
975 S FAIRMONT AVELODICA95240454239289MAJ. OWNER OF LLC OPERATING AMBULATORY SURGERY CENTERSCAN/ARELATED-$78,291$1,693,8680Yes (1)0.60780
ARTEL LLC
521 S HAM LANELODICA95240263513966AMBULATORY SURGICAL CENTERSCARELATED000.31000LODI SURGICAL VENTURES LLC
TRINITY PLAZA SURGERY CENTER LLC
10200 TRINITY PARKWAY SUITE 101STOCKTONCA95219260358326AMBULATORY SURGICAL CENTERSCAN/ARELATED-$824,2750Yes (1)0.94000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
VITAL ENTERPRISES DBA MEMORIAL HOME MED-EQUIP
1115 S FAIRMONT AVE SUITE 1LODICA95240680021729DURABLE MEDICAL EQUIPMENT COMPANYCAN/AC$344,121$715,3401.00000Yes (1)
LODI REGIONAL HEALTH SYSTEMS INC
975 S FAIRMONT AVELODICA95240680398894PHYSICIAN MANAGEMENT AND MEDICAL OFFICE BUILDING DEVELOPMENT & MANAGEMENTCAN/AC$1,731,952$14,302,1461.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (11 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
LODI REGIONAL HEALTH SYSTEMS INC
O$428,948FMV
VITAL ENTERPRISES
O$241,690FMV
VITAL ENTERPRISES
Q$298,859FMV
LODI REGIONAL HEALTH SYSTEMS INC
K$102,844FMV
ARTEL LLC
D$71,190FMV
ARTEL LLC
A$131,705FMV
TRINITY PLAZA SURGERY CENTER LLC
B$6,007,513FMV
LODI REGIONAL HEALTH SYSTEMS INC
B$797,414FMV
VITAL ENTERPRISES
P$60,269FMV
ARTEL LLC
P$368,466FMV
ARTEL LLC
D$2,487,188FMV