MEMORIAL HEALTH SERVICES GROUP RETURN: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- MEMORIAL HEALTH SERVICES GROUP RETURN (EIN 35-2391110)
- Tax period
- 2013-07-01 to 2014-06-30
- Filed
- 2015-05-11
- IRS object ID
- 201541319349303464
- Schema version
- 2013v4.0
- 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 M
- Schedule O
- Schedule R
- Affiliate Listing
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-05-11T16:55:07-05:00 | ReturnTs |
| Tax Period End | 2014-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 18111 VON KARMAN AVENUE SUITE 1000 | AddressLine1 |
| City | IRVINE | City |
| State | CA | State |
| ZIP Code | 92612 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-07-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARY GALLARDO | InCareOfNm |
| Business Name Control | MEMO | BusinessNameControlTxt |
| Phone | 7143773002 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | FOUNTAIN VALLEY | City |
| State | CA | State |
| ZIP Code | 92708 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Rick Graniere | PersonNm |
| Person Title | Executive Vice President | PersonTitleTxt |
| Signature | 2015-04-30 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | KARA ADAMS | PreparerPersonNm |
| PTIN | P00023315 | PTIN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | 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 ST | AddressLine1 |
| City | FOUNTAIN VALLEY | City |
| State | CA | State |
| ZIP Code | 92708 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,050,080,532 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (true) | GroupReturnForAffiliatesInd |
| All Affiliates Included | false | 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 | 43 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 34 | VotingMembersIndependentCnt |
| Total Employee | 11084 | TotalEmployeeCnt |
| Total Volunteers | 2172 | TotalVolunteersCnt |
| Total Gross UBI | $34,695,875 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,739,122 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,878,609 | PYContributionsGrantsAmt |
| CY Contributions Grants | $25,997,556 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,093,221,306 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,015,245,109 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,303,103 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,442,633 | CYInvestmentIncomeAmt |
| PY Other Revenue | $6,087,730 | PYOtherRevenueAmt |
| CY Other Revenue | $6,140,821 | CYOtherRevenueAmt |
| PY Total Revenue | $2,116,490,748 | PYTotalRevenueAmt |
| CY Total Revenue | $2,048,826,119 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $567,228 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $488,726 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $815,436,022 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $838,108,248 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,234,858,483 | PYOtherExpensesAmt |
| CY Other Expenses | $1,141,763,619 | CYOtherExpensesAmt |
| PY Total Expenses | $2,050,861,733 | PYTotalExpensesAmt |
| CY Total Expenses | $1,980,360,593 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $65,629,015 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $68,465,526 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,664,202,095 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,703,513,785 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $375,736,403 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $338,917,990 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,288,465,692 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,364,595,795 | 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 | Yes (true) | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $1,715,998,315 | ExpenseAmt |
| Grant | $488,726 | GrantAmt |
| Revenue | $2,020,512,425 | RevenueAmt |
| Desc | REFER TO SCHEDULE O. | Desc |
| Total Program Service Expenses | $1,715,998,315 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 1831 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 11084 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 43 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 34 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | CA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARY GALLARDO | PersonNm |
| Phone | 7143773411 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 17360 BROOKHURST ST | AddressLine1 |
| City | FOUNTAIN VALLEY | City |
| State | CA | State |
| ZIP Code | 92708 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (85 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| BARRY ARBUCKLE | |||||||||
| BD MEMBER-LBMMC,OCMMC,SMMC,MMF | 8.0 | 52.0 | Yes (X) | Yes (X) | $0 | $1,864,919 | $1,020,263 | ||
| RUSSELL HILL | |||||||||
| BOARD CHAIR-LBMMC | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| DAVE CARVER | |||||||||
| BOARD VICE CHAIR-LBMMC | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CLIFFORD HANCOCK MD | |||||||||
| BOARD SECRETARY-LBMMC | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| H RICHARD ADAMS MD | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GAIL CARRUTHERS MD | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SANTOS CORTEZ DDS | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN HRYNIEWICKI MD | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LAURENCE W JACKSON | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JOSEPH MAGA | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SEAN MILLER | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| NANCY MYERS | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SUZANNE NOSWORTHY | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BEVERLY O'NEILL | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| GUADALUPE PADILLA MD | |||||||||
| BOARD MEMBER-LBMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BRUCE CHANNING | |||||||||
| BOARD CHAIR-SMMC | 2.0 | 3.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JIM GAUSS | |||||||||
| BOARD VICE CHAIR-SMMC | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JACI SONGSTAD | |||||||||
| BOARD SECRETARY-SMMC | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| VALDEMAR ASCENCIO MD | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SHARON CHEEVER | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK DONAHUE | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JOEL LAUTENSCHLEGER | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DONNA RAYNE-SZOSTAK EDD | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS ROGERS | |||||||||
| BOARD MEMBER-SMMC | 4.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| SAMUEL TANG | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LAWRENCE TRAN MD | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 1.0 | Yes (X) | $12,000 | $0 | $0 | |||
| MYRON WACHOLDER MD | |||||||||
| BOARD MEMBER-SMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| HUGH MORAN | |||||||||
| BOARD CHAIR-OCMMC | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TIM HELGESON | |||||||||
| BOARD VICE CHAIR-OCMMC | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JULIO IBARRA MD | |||||||||
| BOARD SECRETARY-OCMMC | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BILL BARNES | |||||||||
| BOARD MEMBER-OCMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD MCAULEY | |||||||||
| BOARD MEMBER-OCMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT SCHACK | |||||||||
| BOARD MEMBER-OCMMC | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| GALE SCHLUTER | |||||||||
| BOARD MEMBER-OCMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JOHN STROH | |||||||||
| BOARD MEMBER-OCMMC | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| LARRY LAMBERT | |||||||||
| CHAIR-MMF/BOARD MEMBER-OCMMC | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK CIANCIOLA MD | |||||||||
| BOARD VICE CHAIR-MMF | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| LAURA CROCITTO | |||||||||
| BOARD SECRETARY-MMF | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| BARRY BEHRSTOCK MD | |||||||||
| BOARD MEMBER-MMF | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| THOMAS COLLINS | |||||||||
| BOARD MEMBER-MMF | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | |||
| JAMES HILLMAN | |||||||||
| BOARD MEMBER-MMF | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY RIKER MD | |||||||||
| BOARD MEMBER-MMF | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MARCIA MANKER | |||||||||
| BOARD MEMBER-MMF/CEO,EVP-OCMMC | 60.0 | 0.0 | Yes (X) | Yes (X) | $0 | $650,326 | $356,147 | ||
| DIANA L HENDEL | |||||||||
| CEO/EVP-LBMMC | 60.0 | 1.0 | Yes (X) | $0 | $789,171 | $365,007 | |||
| MELVIN I MARKS MD | |||||||||
| EXEC VP, RESEARCH-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $439,476 | $39,541 | |||
| WENDY L DORCHESTER | |||||||||
| SVP/CHIEF ADMIN OFFICER-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $443,174 | $44,420 | |||
| JUDITH A FIX | |||||||||
| SVP, PATIENT CARE SVCS-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $438,834 | $35,126 | |||
| TAMRA L KAPLAN | |||||||||
| CHIEF OPERATING OFFICER-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $430,009 | $41,818 | |||
| JOHN BISHOP | |||||||||
| SVP, CFO FIN & COMM SVCS-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $384,029 | $34,102 | |||
| PAULA SUZANNE REINSVOLD | |||||||||
| COO (MCH)-LBMMC | 60.0 | 0.0 | Yes (X) | $0 | $327,286 | $22,141 | |||
| SUSAN Y MELVIN DO | |||||||||
| CHIEF MEDICAL OFFICER-LBMMC | 60.0 | 0.0 | Yes (X) | $468,390 | $0 | $26,173 | |||
| DIVYA-DEVI JOSHI MD | |||||||||
| CHIEF MED OFFICER(MCH)-LBMMC | 60.0 | 0.0 | Yes (X) | $456,411 | $0 | $8,040 | |||
| DONNA E HARTMAN | |||||||||
| VP, QUALITY-LBMMC | 60.0 | 0.0 | Yes (X) | $304,879 | $0 | $23,008 | |||
| IDA M MERLINE | |||||||||
| VP, MEMORIAL HEART INST-LBMMC | 60.0 | 0.0 | Yes (X) | $283,149 | $0 | $15,575 | |||
| LINDA L HOFF | |||||||||
| VP, MED SURG PERI-OP SVC-LBMMC | 60.0 | 0.0 | Yes (X) | $302,770 | $0 | $37,181 | |||
| PAMELA S CHEVREAUX | |||||||||
| VP, AMBULATORY SERVICES-LBMMC | 60.0 | 0.0 | Yes (X) | $255,005 | $0 | $23,549 | |||
| MYRA J GREGORIAN | |||||||||
| VP, HUMAN RESOURCES-LBMMC | 60.0 | 0.0 | Yes (X) | $280,358 | $0 | $32,315 | |||
| JOYCE G VOLSCH RN | |||||||||
| VP, PATIENT CARE (MCH)-LBMMC | 60.0 | 0.0 | Yes (X) | $226,518 | $0 | $29,704 | |||
| RICHELE CRAVEIRO-STEELE | |||||||||
| VP, MKTG/PHYSICIAN RELAT-LBMMC | 60.0 | 0.0 | Yes (X) | $203,648 | $0 | $30,697 | |||
| KRIKOR JANSEZIAN | |||||||||
| ADMINISTRATOR CHLB-LBMMC | 60.0 | 0.0 | Yes (X) | $262,758 | $0 | $31,221 | |||
| STEPHEN B GEIDT | |||||||||
| CEO/EVP-SMMC | 60.0 | 0.0 | Yes (X) | $0 | $3,728,492 | $42,385 | |||
| CHERYL JACOB | |||||||||
| CHIEF OPERATING OFFICER-SMMC | 60.0 | 0.0 | Yes (X) | $0 | $406,340 | $34,774 | |||
| ADOLFO OSCAR CHANEZ | |||||||||
| VP, FINANCE/CFO-SMMC | 60.0 | 0.0 | Yes (X) | $0 | $359,132 | $31,195 | |||
| KATHY DAWSON | |||||||||
| VP, NURSING, CNO-SMMC | 60.0 | 0.0 | Yes (X) | $0 | $290,978 | $26,753 | |||
| HUGO L FOLLI | |||||||||
| VP, ANCILLARY SERVICES-SMMC | 60.0 | 0.0 | Yes (X) | $309,021 | $0 | $44,254 | |||
| TONY STRUTHERS | |||||||||
| VP, ADMINISTRATOR-SMMC | 60.0 | 0.0 | Yes (X) | $255,221 | $0 | $32,318 | |||
| BRENNAN R JAMES | |||||||||
| VP, STRAT & BUS DEV-SMMC | 60.0 | 0.0 | Yes (X) | $322,268 | $0 | $21,591 | |||
| EMILY M RANDLE | |||||||||
| CHIEF OPERATING OFFICER-OCMMC | 60.0 | 0.0 | Yes (X) | $302,825 | $0 | $36,400 | |||
| STEPHEN MCNAMARA | |||||||||
| VP, FINANCE/CFO-OCMMC | 60.0 | 0.0 | Yes (X) | $0 | $333,178 | $31,117 | |||
| DALE VITAL | |||||||||
| VP, NURSING/CNO-OCMMC | 60.0 | 0.0 | Yes (X) | $0 | $308,626 | $40,525 | |||
| PATRICK KAPSNER | |||||||||
| CHIEF EXECUTIVE OFFICER-MMF | 60.0 | 0.0 | Yes (X) | $0 | $559,823 | $32,057 | |||
| MARK D SCHAFER MD | |||||||||
| CHIEF EXEC OFFICER/CMO-MMF | 60.0 | 0.0 | Yes (X) | $0 | $493,664 | $1,398,558 | |||
| JOHN SOMERS | |||||||||
| CHIEF OPERATING OFFICER-MMF | 60.0 | 0.0 | Yes (X) | $0 | $371,282 | $32,197 | |||
| JACQUELINE LUXENBERG | |||||||||
| CHIEF FINANCIAL OFFICER-MMF | 60.0 | 0.0 | Yes (X) | $0 | $231,206 | $27,995 | |||
| STEVEN BEAL | |||||||||
| VP, INFORMATION SERVICES-MMF | 60.0 | 0.0 | Yes (X) | $0 | $349,086 | $18,650 | |||
| JUDY SHUBIN | |||||||||
| VP, PAYOR CONTRACTING-MMF | 60.0 | 0.0 | Yes (X) | $0 | $298,665 | $39,680 | |||
| SCOTT SHIFFMAN MD | |||||||||
| MEDICAL DIRECTOR-MMF | 60.0 | 0.0 | Yes (X) | $0 | $369,130 | $37,342 | |||
| MARIA E ZITLAU | |||||||||
| RN, COORD, CVOR-OCMMC | 60.0 | 0.0 | $284,923 | $0 | $41,463 | Yes (X) | |||
| JANE H HODDING | |||||||||
| EXEC DIR PHARMACY-LBMMC | 60.0 | 0.0 | $239,420 | $0 | $31,196 | Yes (X) | |||
| ANIL SHARMA | |||||||||
| PRGM DIR MED PHYSICIST-LBMMC | 60.0 | 0.0 | $224,106 | $0 | $40,251 | Yes (X) | |||
| UMESH C BHARGAVA | |||||||||
| PHARM. CLINIC SPECIALIST-LBMMC | 60.0 | 0.0 | $221,028 | $0 | $35,855 | Yes (X) | |||
| CASEY HUDSON | |||||||||
| EXEC DIR, RESOURCE MGMT-LBMMC | 60.0 | 0.0 | $213,954 | $0 | $39,965 | Yes (X) | |||
| GLENN CRABTREE | |||||||||
| VP, FACILIIES-LBMMC | 0.0 | 0.0 | $193,696 | $0 | $5,623 | Yes (X) | |||
| DANA E CROMPTON-HIME | |||||||||
| VP, PERI-OPERATIVE SVCS-LBMMC | 0.0 | 0.0 | $102,301 | $0 | $5,158 | Yes (X) | |||
| CATHY D CAPALDI | |||||||||
| VP, CLINICAL/BUS DVMT-OCMMC | 0.0 | 60.0 | $0 | $300,320 | $43,791 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,724,649 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,167,146 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,387,121 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1254 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| GREATER NEWPORT PHYSICIANS | |||||
| 330 PLACENTIA AVENUE | NEWPORT BEACH | CA | 92663 | MEDICAL SERVICES | $133,315,033 |
| MEMORIALCARE MEDICAL GROUP | |||||
| 2742 DOW AVENUE | TUSTIN | CA | 92780 | MEDICAL SERVICES | $59,119,535 |
| SODEXO AMERICA LLC | |||||
| 1000 N ALAMEDA ST | LOS ANGELES | CA | 900121804 | FOOD & FACILITY SVCS | $7,024,213 |
| MILLER CHILDREN'S SUBSPECIALTY | |||||
| 2801 ATLANTIC AVENUE 3RD FLOOR | LONG BEACH | CA | 90801 | SPECIALTY GROUP SVCS | $4,587,025 |
| SHIFTWISE | |||||
| 180 5TH SREET E | ST PAUL | MN | 551709705 | STAFFING SERVICES | $4,498,352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 209 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $285,342 | FundraisingAmt |
| Related Organizations | $19,890,989 | RelatedOrganizationsAmt |
| Government Grants | $2,851,466 | GovernmentGrantsAmt |
| All Other Contributions | $2,969,759 | AllOtherContributionsAmt |
| Noncash Contributions | $37,461 | NoncashContributionsAmt |
| Total Contributions | $25,997,556 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUE | 622110 | $1,282,480,020 | $1,282,480,020 | |
| CAPITATION REVENUE | 622110 | $375,930,112 | $375,930,112 | |
| LABORATORY | 621500 | $109,745,223 | $95,941,517 | $13,803,706 |
| PHARMACY | 446110 | $91,921,056 | $90,853,886 | $1,067,170 |
| MOB RENTAL | 531120 | $13,977,403 | $13,977,403 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $141,191,295 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $121,366,296 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $19,824,999 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,015,245,109 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,344,999 | TotalRevenueColumnAmt |
| Exclusion | $1,344,999 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,700,956 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $842,466 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $858,490 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $858,490 | TotalRevenueColumnAmt |
| Exclusion | $858,490 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $243,431 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $135,819 | SecuritiesAmt |
| Other | $9,987 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$135,819 | SecuritiesAmt |
| Other | $233,444 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $97,634 | TotalRevenueColumnAmt |
| Exclusion | $97,634 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $80,161 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $285,342 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $149,840 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$69,679 | TotalRevenueColumnAmt |
| Exclusion | -$69,679 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $200,995 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $116,301 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $84,694 | TotalRevenueColumnAmt |
| Exclusion | $84,694 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| FOOD SERVICES | 722310 | $3,616,079 | $3,616,079 |
| PARKING SERVICES | 812930 | $1,651,237 | $1,651,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,267,316 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,048,826,119 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,985,816,550 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $34,695,875 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,316,138 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $488,726 | TotalAmt |
| Program Services | $488,726 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,946,765 | TotalAmt |
| Program Services | $4,914,797 | ProgramServicesAmt |
| Management And General | $9,031,968 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,348 | TotalAmt |
| Program Services | $133,348 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $570,100,360 | TotalAmt |
| Program Services | $527,766,924 | ProgramServicesAmt |
| Management And General | $42,333,436 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,116,077 | TotalAmt |
| Program Services | $29,592,859 | ProgramServicesAmt |
| Management And General | $2,523,218 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $174,430,019 | TotalAmt |
| Program Services | $158,702,676 | ProgramServicesAmt |
| Management And General | $15,727,343 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,381,679 | TotalAmt |
| Program Services | $43,076,472 | ProgramServicesAmt |
| Management And General | $4,305,207 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,555,404 | TotalAmt |
| Program Services | $21,696,922 | ProgramServicesAmt |
| Management And General | $29,858,482 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,764,902 | TotalAmt |
| Management And General | $3,764,902 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $702,108 | TotalAmt |
| Management And General | $702,108 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,213 | TotalAmt |
| Program Services | $177,213 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $292,974,148 | TotalAmt |
| Program Services | $226,457,312 | ProgramServicesAmt |
| Management And General | $66,516,836 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,875,193 | TotalAmt |
| Program Services | $6,189,220 | ProgramServicesAmt |
| Management And General | $5,685,973 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,372,932 | TotalAmt |
| Program Services | $18,123,859 | ProgramServicesAmt |
| Management And General | $1,249,073 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,224,421 | TotalAmt |
| Program Services | $69,895,200 | ProgramServicesAmt |
| Management And General | $10,329,221 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,087,617 | TotalAmt |
| Program Services | $32,796,007 | ProgramServicesAmt |
| Management And General | $2,291,610 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $993,478 | TotalAmt |
| Program Services | $861,690 | ProgramServicesAmt |
| Management And General | $131,788 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $930,551 | TotalAmt |
| Program Services | $722,780 | ProgramServicesAmt |
| Management And General | $207,771 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,698 | TotalAmt |
| Program Services | $17,772 | ProgramServicesAmt |
| Management And General | $78,926 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $96,404,657 | TotalAmt |
| Program Services | $60,672,763 | ProgramServicesAmt |
| Management And General | $35,731,894 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,824,631 | TotalAmt |
| Program Services | $13,423,685 | ProgramServicesAmt |
| Management And General | $2,400,946 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL & OTHER SUPPLIES | $236,228,441 | $234,510,918 | $1,717,523 |
| CAPITATED CLAIMS | $179,335,378 | $179,335,378 | |
| CA HOSPITAL FEE & TAX | $15,586,135 | $15,586,135 | |
| DUES & SUBSCRIPTIONS | $1,958,084 | $610,884 | $1,347,200 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,671,628 | TotalAmt |
| Program Services | $70,244,775 | ProgramServicesAmt |
| Management And General | $28,426,853 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,980,360,593 | TotalAmt |
| Program Services | $1,715,998,315 | ProgramServicesAmt |
| Management And General | $264,362,278 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,288,870 | BOYAmt |
| EOY | $2,216,337 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,859,100 | BOYAmt |
| EOY | $4,584,664 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,758,154 | BOYAmt |
| EOY | $1,591,048 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,624,123 | BOYAmt |
| EOY | $248,654,616 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $923,352 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,604,581 | BOYAmt |
| EOY | $23,937,070 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,558,987 | BOYAmt |
| EOY | $25,908,459 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,381,012,979 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $770,355,787 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $606,215,444 | BOYAmt |
| EOY | $610,657,192 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,635,594 | BOYAmt |
| EOY | $14,646,772 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $195,314,665 | BOYAmt |
| EOY | $178,503,863 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $460,419,225 | BOYAmt |
| EOY | $592,813,764 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,202,095 | BOYAmt |
| EOY | $1,703,513,785 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $255,644,571 | BOYAmt |
| EOY | $219,892,717 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $732,389 | BOYAmt |
| EOY | $953,807 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,657,069 | BOYAmt |
| EOY | $1,033,305 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,702,374 | BOYAmt |
| EOY | $117,038,161 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $375,736,403 | BOYAmt |
| EOY | $338,917,990 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,285,255,199 | BOYAmt |
| EOY | $1,361,106,844 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,210,493 | BOYAmt |
| EOY | $3,488,951 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,288,465,692 | BOYAmt |
| EOY | $1,364,595,795 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,664,202,095 | BOYAmt |
| EOY | $1,703,513,785 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $68,465,526 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$51,780 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $7,716,357 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $177,213 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $177,213 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1I | FormAndLineReferenceDesc |
| Explanation | LOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $95,004,511 | BeginningYearBalanceAmt |
| Contributions | $16,687,368 | ContributionsAmt |
| Investment Earnings Or Losses | $9,040,813 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $1,451,897 | GrantsOrScholarshipsAmt |
| Other Expenditures | $1,146,002 | OtherExpendituresAmt |
| Administrative Expenses | $597,217 | AdministrativeExpensesAmt |
| End Year Balance | $117,537,576 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.21430 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.46120 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.32450 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $1,056,617 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $50,140,089 | OtherCostOrOtherBasisAmt |
| Book Value | $51,196,706 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $659,562,459 | OtherCostOrOtherBasisAmt |
| Depreciation | $299,639,082 | DepreciationAmt |
| Book Value | $359,923,377 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,072,951 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,636,437 | DepreciationAmt |
| Book Value | $14,436,514 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $540,498,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $416,620,926 | DepreciationAmt |
| Book Value | $123,877,619 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $99,682,318 | OtherCostOrOtherBasisAmt |
| Depreciation | $38,459,342 | DepreciationAmt |
| Book Value | $61,222,976 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $610,657,192 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $571,313,077 |
| OTHER RECEIVABLES | $21,490,554 |
| OTHER ASSETS | $10,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $592,813,764 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| WORKERS COMPENSATION LIABILITY | $34,144,498 |
| MEDICAL PROFESSIONAL LIABILITY | $31,014,886 |
| INCURRED BUT NOT REPORTED CLAIMS | $10,308,968 |
| DUE TO THIRD PARTY PAYORS | $3,725,649 |
| SPLIT INTEREST LIABILITY | $83,491 |
| LOAN WITH RELATED ENTITY | $55,280 |
| OTHER LIABILITIES | $37,705,389 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $117,038,161 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, 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 $110.8 MILLION AS OF JUNE 30, 2014 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. ONLY THE NET INVESTMENT INCOME, WITHIN POLICY GUIDELINES AND THRESHOLDS, CAN BE USED ANNUALLY. |
| SCHEDULE D, 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, 2014 AND 2013. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 2013 FALL GALA | NameOfEvent1Amt |
| Gross Receipts Event1 | $225,182 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $177,657 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $47,525 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $3,561 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $53,422 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $8,200 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $23,122 | OtherDirectExpensesEvent1Amt |
| Name Of Event2 | GOLF TOURN. | NameOfEvent2Amt |
| Gross Receipts Event2 | $92,966 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $75,894 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $17,072 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $12,500 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $11,137 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $21,523 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 1 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $47,355 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $31,791 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $15,564 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $4,333 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $10,733 | FoodAndBeverageOtherEventsAmt |
| Oth Direct Expnss Other Events | $1,309 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $365,503 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $285,342 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $80,161 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $20,394 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $75,292 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $8,200 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $45,954 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $149,840 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$69,679 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,464,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $19,156 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,445,781 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00880 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $353,956,353 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $260,627,084 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $93,329,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04690 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $20,743,305 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,521,038 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | -$5,777,733 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $392,164,595 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $287,167,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $104,997,317 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05280 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,606,244 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $560,071 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,046,173 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,937,867 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,801,599 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,136,268 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00510 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,474,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,148,294 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,326,325 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,918,082 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,499,996 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $418,086 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $615,834 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $615,834 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $45,552,646 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $13,009,960 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $32,542,686 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01630 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $437,717,241 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $300,177,238 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $137,540,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06910 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $456 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $456 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $891 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $93,399 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $93,399 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $752 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $752 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,824 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,824 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $292 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $292 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,155 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $17,155 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $118,769 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $118,769 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $92,281,597 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $213,062,639 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $236,836,124 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$23,773,485 | 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 (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| MEMORIALCARE SURG | |||
| AMBULATORY SURGERY CENTER | 0.59000 | 0.00000 | 0.41000 |
| CENTER AT ORANGE | |||
| COAST LLC | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 5 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (5 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Research FacilityResearchFacilityInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Childrens HospitalChildrensHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LONG BEACH MEMORIAL MEDICAL CENTER | |||||||||||||
| 1 | 2801 ATLANTIC AVE PO BOX 1428 | LONG BEACH | CA | 908011428 | WWW.MEMORIALCARE.ORG | 930000102 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| SADDLEBACK MEMORIAL MEDICAL CENTER | |||||||||||||
| 2 | 24451 HEALTH CENTER DRIVE | LAGUNA HILLS | CA | 92653 | WWW.MEMORIALCARE.ORG | 060000166 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B | |
| EARL & LORAINE MILLER CHILDREN'S HOSP | |||||||||||||
| 3 | 2801 ATLANTIC AVE PO BOX 1428 | LONG BEACH | CA | 908011428 | WWW.MEMORIALCARE.ORG | 930000949 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| ORANGE COAST MEMORIAL MEDICAL CENTER | |||||||||||||
| 4 | 9920 TALBERT AVENUE | FOUNTAIN VALLEY | CA | 927085115 | WWW.MEMORIALCARE.ORG | 060000066 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | B | ||
| COMMUNITY HOSPITAL OF LONG BEACH | |||||||||||||
| 5 | 1720 TERMINO AVENUE | LONG BEACH | CA | 90804 | WWW.MEMORIALCARE.ORG | 930000090 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| 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 Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Rpt Available Upon RequestRptAvailableUponRequestInd | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Asset LevelAssetLevelInd | Medical IndigencyMedicalIndigencyInd | Insurance StatusInsuranceStatusInd | Uninsured DiscountUninsuredDiscountInd | Medicaid MedicareMedicaidMedicareInd | State RegulationStateRegulationInd | ResidencyResidencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Available On RequestAvailableOnRequestInd | Other PublicityOtherPublicityInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | Yes (true) | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 350. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
| B | |||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 12 | Yes (true) | false | Yes (true) | Yes (X) | SEE PART V, SECTION C | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | false | false | Yes (true) | Yes (true) | 200. | Yes (true) | 350. | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP A | A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP A. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP A: (1) LONG BEACH MEMORIAL MEDICAL CENTER (3) EARL & LORAINE MILLER CHILDREN'S HOSPITAL (5) COMMUNITY HOSPITAL OF LONG BEACH THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: IN CONDUCTING OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL FACILITIES TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY. THIS WAS ACCOMPLISHED THROUGH PRIMARY DATA COLLECTION AS PART OF OUR CHNA. 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. THE PERSONS WE CONSULTED WERE: NAME TITLE/ROLE ORGANIZATION DEBBIE ACEVEDO SUPERVISOR LOW VISION CENTER LUIS AGREDANO PROGRAM SPECIALIST CAMBODIAN ASSOC OF AMERICA HARALD ARNDT, MD MEDICAL DIRECTOR EMERGENCY PHYS MED ASSOC LB ANNABEL BARAJAS ASSIST COORDINATOR LONG BEACH HEALTH DEPT CHERYL BARRIT PREVENTION SVC OFCR DEPT OF HEALTH & HUMAN SVCS SANDRA BAZANT SR SVCS COORDINATOR ST. MARY MEDICAL CENTER ROZ BOGER COMMUNITY SVCS SUP CITY OF LONG BEACH ANDREW BURG, MD CHIEF MED OFFICER ST. MARY MEDICAL CENTER HEIDI BURKEY COORDINATOR CSULB STUDENT HEALTH SERVICES TIFFANY CANTRELL DIRECTOR OF GRANTS ST. MARY MED CTR FDN LAURA CARGILL DIRECTOR, CASE MGMT DIGNITY HEALTH PAUL CARTER ATTORNEY SELF-EMPLOYED LADINE CHAN PROGRAM COORDINATOR FAMILIES IN GOOD HEALTH MARIBEL CHAVEZ KEY FAMILY CONTACT FOR THE CHILD CHESTER CHOI PHYSICIAN ST. MARY MEDICAL CENTER ELEANOR COCHRAN SENIOR DIRECTOR ST. MARY MEDICAL CENTER PATRICIA COSTALES EXECUTIVE DIRECTOR THE GUIDANCE CENTER LESBIA DE LA FEENTE ADMINISTRATOR UN MUNDO DE AMIGOS GARY DELONG COUNCILMEMBER CITY OF LONG BEACH ROBIN DIAZ ACCESS CARE DIR ST. MARY MEDICAL CENTER SR. GERARD EARLS VICE PRESIDENT ST. MARY MEDICAL CENTER PAMELA FAIR DIRECTOR ST. MARY MEDICAL CENTER DENNIS FISHER DIRECTOR CTR BEHAVIORAL RESEARCH SVCS LANI GARCIA REHAB UNIT DIR ST. MARY MEDICAL CENTER LORENA GARCIA ASTHMA HEALTH WORKER THE CHILDREN'S CENTER STEVE GERHARDT SENIOR PLANNER LONG BEACH DEV SERVICES MARIA GREEN MOLINA HEALTHCARE MICHAEL GOMEZ VICE PRESIDENT ST. MARY MEDICAL CENTER TERESA GONZALEZ SPECIALIST CITY OF LONG BEACH RITA GOSHERT CLINICAL OP MGR CHILD LIFE ANTIONETTE GREER EXECUTIVE DIRECTOR MY SISTER, MY FRIEND DARLENE HELM BONNIE HENSON MGR CLINICAL OPS PERINATAL EDUCATION LILLIAN HERRERA OFFICE MANAGER ST. MARY MEDICAL CENTER CHAN HOPSON EXECUTIVE DIRECTOR KHMER PARENT ASSOCIATION KRIKOR JANSEZIAN ADMINISTRATOR COMMUNITY HOSP LONG BEACH DIANE JOHNSON DIRECTOR/COMMISS MAYORS SR CITIZEN ADVISORY MICHAEL JOHNSON MGR, SUPPORT SVCSS LONG BEACH DEPT OF HEALTH NANCY JOHNSON DIRECTOR ST. MARY MEDICAL CENTER DAA'IYAH JORDAN MARKETING ST. MARY MEDICAL CENTER CINDY JOVEL COMM COORDINATOR HUMAN POTENTIAL CONSULTANTS SABRINA JUNKIN COMM COORDINATOR CITY OF LAKEWOOD ROSA KELSON DIR, COMM MISSIO AMERICAN CANCER SOCIETY PAT KENNEDY EXECUTIVE DIRECTOR GREATER LB INTERFAITH COMM CAILINE KIM VOCATIONAL REHAB VA LONG BEACH HEALTH CARE PATTI LAPLACE MENTAL HEALTH COORD LONG BEACH DEPT OF HEALTH ELSIE LARRIVA CENTER DIRECTOR COUNTY OF LOS ANGELES ANN LEE CLINICAL PSYCH LA COUNTY DEPT MENTAL HEALTH VAL LERCH SENIOR FIELD REP OFFICE OF CONGRESSWOMAN LILLIAN LEW DIRECTOR FAMILIES IN GOOD HEALTH RAMONA LOCSIN HEAD START MANAGER LONG BEACH UNIFIED SCHOOLS LUIS LOZANO EXECUTIVE DIRECTOR THE BEACON HOUSE ASSOCIATION STELA LUGO CASE ANALYST FAIR HOUSING FOUNDATION JUDETH LUONG PROGRAM COORDINATOR LONG BEACH DEPT OF HEALTH ANTHONY LY PROGRAM COORDINATOR LONG BEACH DEPT OF HEALTH GABRIELA MADRIGAL IMMUNIZATIONS WORKER LONG BEACH DEPT OF HEALTH ISELA MAGALLANES CHAIRPERSON LATINO ADVISORY CHIEF POLICE C. KEVIN MALOTTE PROFESSOR CA STATE UNIVERSITY, LB MEL MARKS, MD EXECUTIVE VP MEMORIAL HEALTH SERVICES JOSE MILLAND LONG BEACH DEPT OF HEALTH MARY MONTGOMERY REHAB MANAGER ST. MARY MEDICAL CENTER MARISELA MONTOYA PUBLIC HLTH ASSOC CITY OF LONG BEACH WIC ISMAEL MORALES DIRECTOR, HEALTH SVC THE CENTER LONG BEACH SUSAN NEEDHAM TERRI NIKOLETICH PUBLIC HEALTH NURSE LONG BEACH DEPT OF HEALTH UDUAK NTUK PETROLEUM ENGINEER CITY OF LONG BEACH JULIE NUNEZ, RN PALLIATIVE CARE MGR ST. MARY MEDICAL CENTER PHYLLIS O'CONNOR DIRECTOR LEAGUE OF WOMEN VOTERS, LA JUDY OGUNJI MANAGER CITY OF LONG BEACH VERONICA ORNELAS HEALTH EDUCATOR LONG BEACH DEPT OF HEALTH TIM PATTON SENIOR FIELD REP OFFICE OF ASSEMBLYMEMBER LUZ A. PARRA CASE MANAGER LONG BEACH DEPT OF HEALTH JEAN PETRILLO ORAL HEALTH ED COORD CHILDREN'S DENTAL HEALTH LORAINE PHOMSOPHA DIRECTOR, EDUCATION ST. MARY MEDICAL CENTER RACHEL OLUMESE COMMUNITY OUTREACH ST. MARY MEDICAL CENTER JENNIFER PONCE DIRECTOR THE CHILDREN'S CLINIC WENDY PUZARNE EXECUTIVE DIRECTOR JEWISH FAMILY SERVICES NAOMI RAINEY PRESIDENT LONG BEACH BRANCH NAACP JOE RAMIREZ DIRECTOR ANCILLARY ST. MARY MEDICAL CENTER ELSA RAMOS CENTER COORDINATOR LONG BEACH MULTI-SVC CENTER NORI READDY DIRECTOR ST. MARY MEDICAL CENTER KAREN RESIDE PRINCIPAL RESIDE & ASSOCIATES TONIA REYES URANGA EXECUTIVE DIRECTOR THE MIGUEL CONTRERAS FDN BRITT RIOS-ELLIS PROFESSOR AND DIR NCLR/CSULB LESLIE ROSENTHAL OWNER MASSAGE WORKS JUDY ROSS EXECUTIVE DIRECTOR LONG BEACH NONPROFIT PSHIP ANTHONY SCHIAVONI PHYSICIAN LIAISON ST. MARY MEDICAL CENTER DANIELLE SEES PUBLIC HEALTH NURSE LONG BEACH DEPT OF HEALTH LUCILLE SEVIGNY, RN PARISH NURSE ST. MATTHEWS PAM SHAW NURSING SVCS OFFICER LONG BEACH DEPT OF HEALTH TIFFANY SICKLER DISTRICT ADMIN KOINANIA FAMILY SERVICES LAURA SIDNEY LB COMMUNITY IMPROV LEAGUE DELORES SIMMS COMMUNITY WORKER LB ALLIANCE CHILDREN ASTHMA STEPHANIE STEMBRIDGE LB MEMORIAL MEDICAL CENTER JOAN SWAIN, RN DIANA TANG GOVERNMENT ANALYST CITY OF LONG BEACH JEANNE TAPIA DIRECTOR ST. MARY MEDICAL CENTER ALAN TERWEY EXECUTIVE DIRECTOR WESTSIDE NEIGHBORHOOD CLINIC MAURO TORNO PHYSICIAN LONG BEACH DEPT OF HEALTH MARIE TREADWELL CHAIRPERSON LONG BEACH NAACP LARA TURNBULL PROJECT DIRECTOR LONG BEACH DEPT OF HEALTH NOEMY UMANA DIRECTOR YMCA FRANCISCO VARGAS YOUTH SVCS OFFICER LONG BEACH PUBLIC LIBRARY ROSIE GUTIERREZ CENTER DIRECTOR LONG BEACH DEPT OF HEALTH MARK WALLACE DIRECTOR CERRITOS COLLEGE FELTON WILLIAMS, PHD JEFF WILLIAMS EXECUTIVE DIRECTOR LEADERSHIP LONG BEACH DONNA WOO VICE PRESIDENT PACIFIC COLLEGE LORI WOODRUFF EXECUTIVE DIRECTOR TICHENOR ORTHOPEDIC CLINIC MARY WRIGHT PROJECT COORDINATOR LONG BEACH DEPT OF HEALTH SAMIN YOAK FAMILY ADVOCATE PACIFIC ASIAN COUNSELING BECKY YOUREX, RN MANAGER ST. MARY MEDICAL CENTER |
| THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 4 | 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. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5A APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: THE WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP A: COMMUNITY HOSPITAL OF LONG BEACH (CHLB) 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, AND SEXUALLY TRANSMITTED INFECTIONS OR DISEASE. CHLB 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. LONG BEACH MEMORIAL MEDICAL CENTER (LBM) 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, AND SEXUALLY TRANSMITTED INFECTIONS OR DISEASE. LBM 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. MILLER CHILDREN'S HOSPITAL (MCH) 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, AND 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. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) 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. |
| SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP B | A SINGLE SCHEDULE H, PART V, SECTION B WAS COMPLETED FOR FACILITY REPORTING GROUP B. THE FOLLOWING HOSPITAL FACILITIES ARE INCLUDED IN FACILITY REPORTING GROUP B: (2) SADDLEBACK MEMORIAL MEDICAL CENTER (4) ORANGE COAST MEMORIAL MEDICAL CENTER THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 3 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: IN CONDUCTING OUR MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL FACILITIES TOOK INTO ACCOUNT INPUT FROM PERSONS REPRESENTING THE COMMUNITY. THIS WAS ACCOMPLISHED THROUGH PRIMARY DATA COLLECTION AS PART OF OUR CHNA. ORANGE COAST MEMORIAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. FOURTEEN INTERVIEWS WERE COMPLETED FROM AUGUST THROUGH NOVEMBER, 2012. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY (PUBLIC HEALTH). THE PERSONS WE CONSULTED WERE: NAME TITLE/ROLE ORGANIZATION ART GROENENVELD EXECUTIVE DIRECTOR BOYS & GIRLS CLUB HUNTINGTON NANCY HOANG OUTREACH MANAGER YWCA OF NORTH ORANGE COUNTY TANYA HOXIE CEO BOYS & GIRLS CLUB HUNTINGTON PETER LE PORT, MD SURGEON OCMMC CENTER FOR OBESITY BICH LIEN NGUYEN ONCOLOGIST/DIRECTOR VIETNAMESE AMERICAN CANCER RANDY PESQUEIRA EXECUTIVE DIRECTOR HUNTINGTON BEACH SR SVCS TANH PHAN DIRECTOR VIETNAMESE AMERICAN CANCER JULIE SCHOEN ATTORNEY COUNCIL ON AGING, OC DIANE SHARPE DIRECTOR, FOOD SVCS FOUNTAIN VALLEY SCHOOLS ANNE SILAZAS ASSIST SUPERINTEND FOUNTAIN VALLEY SCHOOLS DAVID TROUNG BUSINESS OWNER MIMI'S JEWELRY, INC. SHELLEY VRUNGOS ASSOCIATE ADMIN OC HEALTH CARE AGENCY NORA WEBB COMMUNITY SUPERVISOR CITY OF FOUNTAIN VALLEY MICHELLE YERKE SOCIAL WORKER HUNTINGTON BEACH SR SVCS 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. SADDLEBACK MEMORIAL CONDUCTED TARGETED INTERVIEWS TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED BY THE HOSPITAL. TWELVE INTERVIEWS WERE COMPLETED FROM JANUARY THROUGH FEBRUARY, 2013. INTERVIEWEES INCLUDED INDIVIDUALS WHO ARE LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY AND CHRONIC DISEASE POPULATIONS. ADDITIONALLY, INPUT WAS OBTAINED FROM THE ORANGE COUNTY HEALTH CARE AGENCY (PUBLIC HEALTH). THE PERSONS WE CONSULTED WERE: NAME TITLE/ROLE ORGANIZATION THOMAS BENT, MD MED DIR & COO LAGUNA BEACH COMM CLINIC HELENE CALVET, MD DEP CNTY HLTH OFF OC HEALTH CARE AGENCY CARLA DICANDIA MANAGER, HEALTH SVC MISSION HOSPITAL MARILYN DITTY CEO AGE WELL SR SERVICES, INC. LADESHIA GOUBERT LEAD CASE MANAGER IHOPE BARBARA KOGERMAN MAYOR CITY OF LAGUNA HILLS SYLVIA MANN EXECUTIVE DIRECTOR OC OFFICE ON AGING ERIN ULIBARRI HEALTH EDUCATOR OC OFFICE ON AGING JEFF MCBRIDE PRESIDENT & CEO YMCA OF ORANGE COUNTY GARY PRITCHARD TRUSTEE CAPISTRANO UNIFIED SCHOOLS RANDY SMITH PROGRAM DIRECTOR CAMINO HEALTH CENTER SUZIE SWARTZ GOV BOARD MEMBER SADDLEBACK VLY UNI SCHOOLS MARGIE WAKEHAM EXECUTIVE DIRECTOR FAMILIES FORWARD FOUR FOCUS GROUPS WERE CONDUCTED IN JANUARY AND FEBRUARY, 2013. THE FOCUS GROUPS ENGAGED 28 PARTICIPANTS. FOCUS GROUPS WERE HELD WITH: SERVICE PROVIDERS AT THE PEACE CENTER SADDLEBACK CHURCH, SERVICE PROVIDERS AT THE SAN CLEMENTE COLLABORATIVE, MEMBERS OF THE SOUTH ORANGE COUNTY REGIONAL CHAMBER OF COMMERCE, AND SENIOR VOLUNTEERS AT AGE WELL SENIOR SERVICES. |
| THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 5A | APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: THE WEBSITE ADDRESS WHERE THE CHNA CAN BE ACCESSED IS: HTTP://WWW.MEMORIALCARE.ORG/CONTENT/COMMUNITY-BENEFIT THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 7 APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: SADDLEBACK 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: 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. ORANGE COAST MEMORIAL HAS CHOSEN NOT TO ACTIVELY ADDRESS THE FOLLOWING 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. THE FOLLOWING DESCRIPTION FOR SCHEDULE H, PART V, SECTION B, LINE 14(G) APPLIES TO ALL HOSPITAL FACILITIES INCLUDED IN FACILITY REPORTING GROUP B: 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 82 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (82 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| OCMMC IMAGING SERVICES | ||||
| 18111 BROOKHURST ST STE 1400 | FOUNTAIN VALLEY | CA | 92708 | IMAGING |
| LAGUNA HILLS SURGERY CENTER | ||||
| 24331 EL TORO RD | LAGUNA WOODS | CA | 92637 | OUTPATIENT SURGICAL FACILITY |
| SURGICAL CENTER AT SADDLEBACK | ||||
| 24411 HEALTH CENTER DR | LAGUNA HILLS | CA | 92653 | OUTPATIENT SURGICAL FACILITY |
| MEMORIAL CARE IMAGING CENTER | ||||
| 403 COLUMBIA STREET | LONG BEACH | CA | 90806 | IMAGING CENTER |
| SMMC BREAST CENTERBREAST MRI | ||||
| 24401 CALLE DE LOUISA STE 101 A 10 | LAGUNA HILLS | CA | 92653 | BREAST CENTER |
| BREAST CENTER | ||||
| 2810 LONG BEACH BLVD 2ND FLOOR | LONG BEACH | CA | 90806 | BREAST CENTER AND OSTEOPOROSIS CLINIC |
| SMMC RADIATION ONCOLOGY | ||||
| 24953 PASEO DE VALENCIA SUITE B1 | LAGUNA HILLS | CA | 92653 | RADIATION CLINIC |
| MEMORIALCARE MED GROUP-FOUNTAIN VALLEY | ||||
| 11420 WARNER AVE | FOUNTAIN VALLEY | CA | 92708 | PRIMARY CARE FACILITY AND URGENT CARE FACILITY |
| DIGESTIVE DISEASE CENTER | ||||
| 24411 HEALTH CENTER DR | LAGUNA HILLS | CA | 92653 | SPECIALTY CLINIC |
| MEMORIALCARE MEDICAL GROUP - IRVINE | ||||
| 250 E YALE LOOP DR STE 200 | IRVINE | CA | 92614 | PRIMARY CARE FACILITY |
| OCMMC CARDIOLOGY & CARDIAC REHAB | ||||
| 18111 BROOKHURST ST STE 2200 240 | FOUNTAIN VALLEY | CA | 92708 | CARDIOLOGY AND CARDIAC REHAB |
| MEMORIALCARE IMAGING CENTER | ||||
| 675 CAMINO DE LOS MARES | SAN CLEMENTE | CA | 92673 | IMAGING CENTER |
| MEMORIALCARE MEDICAL GROUP | ||||
| 2110 N BELLFLOWER BLVD | LONG BEACH | CA | 90815 | PRIMARY CARE FACILITY AND |
| BREAST CARE CENTER AT OCMMC | ||||
| 9900 TALBERT AVE STE 102 | FOUNTAIN VALLEY | CA | 92708 | BREAST CARE |
| MEMORIALCARE MED GROUP-SJ CAPISTRANO | ||||
| 30300 30310 RANCHO VIEJO RD | SAN JUAN CAPISTRANO | CA | 92675 | PRIMARY CARE FACILITY |
| REHABILITATION OUTPATIENT SPECIALTY CNTR | ||||
| 1760 TERMINO AVE STE G19 G20 100 | LONG BEACH | CA | 90804 | PEDIATRIC REHAB |
| OCMMC NUCLEAR MEDICINE | ||||
| 18111 BROOKHURST ST STE 1400 | FOUNTAIN VALLEY | CA | 92708 | NUCLEAR MEDICINE |
| BUFFUM MEDICAL PAVILLION | ||||
| 455 E COLUMBIA STREET | LONG BEACH | CA | 90806 | HOME CARE PHARMACY AND CHILDRENS DENTAL CLINIC |
| MMC MEDICAL GROUP-RANCHO SANTA MARGARITA | ||||
| 29472 AVE DE LAS BANDERAS | RANCHO SANTA MARGARITA | CA | 92688 | PRIMARY CARE FACILITY |
| SMMC COORDINATED HOME CARE | ||||
| 23521 PASEO DE VALENCIA SUITE 100- | LAGUNA HILLS | CA | 92653 | HOME CARE SVCS |
| MEMORIALCARE MEDICAL GROUP-MISSION VIEJO | ||||
| 23512 MADERO RD | MISSION VIEJO | CA | 92691 | PRIMARY CARE FACILITY |
| MEMORIALCARE MEDICAL GROUP-COSTA MESA | ||||
| 722 BAKER ST | COSTA MESA | CA | 92626 | PRIMARY CARE FACILITY |
| SMMC HOSPICE | ||||
| 23521 PASEO DE VALENCIA SUITE 100- | LAGUNA HILLS | CA | 92653 | HOSPICE |
| MEMORIALCARE MEDICAL GROUP-SANTA ANA | ||||
| 1212 W 17TH ST | SANTA ANA | CA | 92706 | PRIMARY CARE FACILITY |
| MEMORIAL FAMILY MEDICINE | ||||
| 450 E SPRING ST SUITE 1 | LONG BEACH | CA | 90806 | PRIMARY CARE FACILITY |
| MEMORIALCARE MEDICAL GROUP-ALISO VIEJO | ||||
| 15 MAREBLU | ALISA VIEJO | CA | 92656 | PRIMARY CARE FACILITY |
| SMMC WOUND CARE | ||||
| 26137 LA PAZ ROAD SUITE 120 | MISSION VIEJO | CA | 92691 | WOUND CARE |
| WAVE IMAGING | ||||
| 3300 W COAST HIGHWAY | NEWPORT BEACH | CA | 92663 | IMAGING FACILITY |
| OCMMC OUTPATIENT SERVICES | ||||
| 18111 BROOKHURST ST STE 2400 | FOUNTAIN VALLEY | CA | 92708 | REHABILITATION |
| MEMORIALCARE MEDICAL GROUP - ANAHEIM | ||||
| 3010 W ORANGE AVE STE 302 104 | ANAHEIM | CA | 92804 | PRIMARY CARE FACILITY |
| MEMORIAL PROMPT CARE-WESTMINSTER | ||||
| 15464 GOLDENWEST ST | WESTMINSTER | CA | 92683 | PRIMARY CARE FACILITY AND URGENT CARE FACILITY |
| SMMC HEART INSTITUTE | ||||
| 24401 CALLE DE LOUISA SUITE 201 2 | LAGUNA HILLS | CA | 92653 | HEART INSTITUTE |
| ADULT INFUSION CENTER | ||||
| 2810 LONG BEACH BLVD 3RD FLOOR | LONG BEACH | CA | 90806 | ADULT INFUSION CENTER |
| SMMC OUTPATIENT REHAB | ||||
| 24401 CALLE DE LOUISA SUITE 100 | LAGUNA HILLS | CA | 92653 | OUTPATIENT REHAB |
| MEMORIALCARE MEDICAL GROUP | ||||
| 1300 AVENIDA VISTA HERMOSA | SAN CLEMENTE | CA | 92673 | PRIMARY CARE FACILITY |
| SLEEP DISORDERS CENTER | ||||
| 5182 KATELLA AVE SUITE 106 | LOS ALAMITOS | CA | 90720 | SLEEP DISORDER CLINIC |
| MEMORIALCARE MEDICAL GROUP | ||||
| 161 AVENIDA VAQUERO | SAN CLEMENTE | CA | 92673 | PRIMARY CARE FACILITY |
| MEMORIALCARE MEDICAL GROUP | ||||
| 2865 ATLANTIC AVE SUITE 205 | LONG BEACH | CA | 90806 | SPECIALTY CLINIC |
| WAVE IMAGING | ||||
| 250 E YALE LOOP DR STE A | IRVINE | CA | 92604 | IMAGING FACILITY |
| ADULT PULMONARY REHAB CENTER ADULT DIAB | ||||
| 2840 LONG BEACH BLVD SUITE 210 2 | LONG BEACH | CA | 90806 | DIABETES CLINIC AND PULMONARY REHABILITATION |
| MEMORIAL PROMPT CARE-BEACH | ||||
| 18561 BEACH BLVD | HUNTINGTON BEACH | CA | 92648 | PRIMARY CARE FACILITY AND URGENT CARE FACILITY |
| MEMORIALCARE MEDICAL GROUP-CROWN VALLEY | ||||
| 26991 CROWN VALLEY PKWY | MISSION VIEJO | CA | 92691 | PRIMARY CARE FACILITY AND URGENT CARE FACILITY |
| MEMORIAL PROMPT CARE - ADAMS | ||||
| 9122 ADAMS AVE | HUNTINGTON BEACH | CA | 92648 | PRIMARY CARE FACILITY AND URGENT CARE FACILITY |
| CLINICAL RESEARCH CENTER | ||||
| 2840 LONG BEACH BLVD SUITE 345 | LONG BEACH | CA | 90806 | CLINICAL RESEARCH CENTER |
| OCMMC INFUSION | ||||
| 18111 BROOKHURST ST STE 4300 | FOUNTAIN VALLEY | CA | 92708 | INFUSION CARE |
| MEMORIALCARE MEDICAL GROUP | ||||
| 675 CAMINO DE LOS MARES SUITE 200 | SAN CLEMENTE | CA | 92673 | PRIMARY CARE FACILITY |
| WAVE IMAGING | ||||
| 7677 CENTER AVENUE SUITE 103 212 | HUNTINGTON BEACH | CA | 92647 | IMAGING FACILITY |
| MEMORIAL OCCUPATIONAL MEDICINE | ||||
| 1720 TERMINO AVE | LONG BEACH | CA | 90804 | OCCUPATIONAL MEDICINE |
| WOUND HEALING CENTER | ||||
| 2888 LONG BEACH BLVD SUITE 125 | LONG BEACH | CA | 90806 | WOUND CARE CENTER |
| MEMORIALCARE MEDICAL GROUP | ||||
| 2865 ATLANTIC AVE SUITE 202 | LONG BEACH | CA | 90806 | SPECIALTY CLINIC |
| MEMORIALCARE MEDICAL GROUP | ||||
| 34052 LA PLAZA DRIVE SUITE 103 | DANA POINT | CA | 92629 | PRIMARY CARE FACILITY |
| WAVE IMAGING | ||||
| 25500 RANCHO NIGUEL R SUITE 140 | LAGUNA NIGUEL | CA | 92677 | IMAGING FACILITY |
| WAVE IMAGING | ||||
| 4200 E PACIFIC COAST HIGHWAY | LONG BEACH | CA | 90804 | IMAGING FACILITY |
| MEMORIALCARE MEDICAL GROUP | ||||
| 2880 ATLANTIC AVE SUITE 220 | LONG BEACH | CA | 90806 | SPECIALTY CLINIC |
| MEMORIALCARE MEDICAL GROUP | ||||
| 2865 ATLANTIC AVE SUITE 104 | LONG BEACH | CA | 90806 | MULTISPECIALTY CLINIC |
| MEMORIALCARE MEDICAL GROUP | ||||
| 7677 CENTER AVE SUITE 100 | HUNTINGTON BEACH | CA | 92647 | PRIMARY CARE FACILITY |
| MEMORIALCARE MEDICAL GROUP | ||||
| 18111 BROOKHURST STREET SUITE 6300 | FOUNTAIN VALLEY | CA | 92708 | SPECIALTY CLINIC |
| TRANSITIONAL REHAB | ||||
| 2085 E 3RD STREET | LONG BEACH | CA | 90804 | REHABILITATION CENTER |
| OBGYN CLINIC | ||||
| 2865 ATLANTIC AVE SUITE 110 115 | LONG BEACH | CA | 90806 | OB/GYN CLINIC LACTATION CLINC CHILD ABUSE CENTER |
| ENDOCRINE DIABETES & METABOLIC CENTERS | ||||
| 2880 ATLANTIC AVE SUITE 255 | LONG BEACH | CA | 90806 | PEDIATRIC CENTERS |
| STRAMSKI CHILDRENS DEVELOPMENTAL CENTER | ||||
| 2650 ELM AVENUE SUITE 205 | LONG BEACH | CA | 90806 | PEDIATRIC CLINIC |
| MEMORIALCARE MEDICAL GROUP | ||||
| 24411 HEALTH CENTER DRIVE SUITE 68 | LAGUNA HILLS | CA | 92653 | SPECIALTY CLINIC |
| PEDIATRIC HEMATOLOGY-ONCOLOGY CENTER | ||||
| 2653 ELM AVE SUITE 200 | LONG BEACH | CA | 90806 | PEDIATRIC SERVICES |
| MEMORIALCARE MEDICAL GROUP | ||||
| 34052 LA PLAZA DRIVE SUITE 105 | DANA POINT | CA | 92629 | PRIMARY CARE FACILITY |
| BICKERSTAFF HIV CENTER | ||||
| 2701 ATLANTIC AVE SUITES B C | LONG BEACH | CA | 90806 | HIV CENTER |
| CHLB CANCER CENTER | ||||
| 1649 TERMINO AVENUE | LONG BEACH | CA | 90804 | CANCER CENTER |
| GI HEPATOLOGY & NUTRITION CENTER | ||||
| 1760 TERMINO AVENUE SUITE 300 30 | LONG BEACH | CA | 90804 | PEDIATRIC SERVICES |
| ORTHOPEDIC CENTER | ||||
| 1760 TERMINO AVENUE SUITE 308 | LONG BEACH | CA | 90804 | PEDIATRIC ORTHOPEDIC SERVICE |
| SLEEP DISORDERS CENTER | ||||
| 2651 ELM AVE SUITE 307 | LONG BEACH | CA | 90806 | SLEEP DISORDER CLINIC |
| PACIFIC SURGERY CENTER | ||||
| 1640 NEWPORT BLVD SUITE 250 | COSTA MESA | CA | 92627 | OUTPATIENT SURGICAL FACILITY |
| EYE CENTER | ||||
| 450 E SPRING STREET SUITE 6 | LONG BEACH | CA | 90806 | EYE CLINIC |
| CARDIOLOGY OUTPATIENT CTRNEUROLOGY CTR | ||||
| 2880 ATLANTIC AVENUE SUITE 220 | LONG BEACH | CA | 90806 | PEDIATRIC SERVICES |
| CHILDREN'S SPECIALTY CENTER | ||||
| 9440 TALBERT AVE SUITE 200 | FOUNTAIN VALLEY | CA | 92708 | CHILDREN'S SPECIALTY CENTER |
| EDUCATIONTRANSITIONS | ||||
| 23961 CALLE DE LA MAGDALENA SUITE | LAGUNA HILLS | CA | 92653 | EDUCATION CENTER |
| TODD CANCER INSTITUTE | ||||
| 2810 LONG BEACH BLVD | LONG BEACH | CA | 90806 | CANCER RISK AND PREVENTION |
| MEMORIALCARE MEDICAL GROUP | ||||
| 3640 LOMITA BLVD SUITE 205 | TORRANCE | CA | 90505 | PRIMARY CARE FACILITY |
| MULTISPECIALTY CLINIC | ||||
| 2865 ATLANTIC AVE SUITE 104 152 | LONG BEACH | CA | 90806 | MULTISPECIALTY CLINIC |
| CENTER FOR CARDIAC HEALTH & RESEARCH | ||||
| 2865 ATLANTIC AVE SUITE 210 | LONG BEACH | CA | 90806 | CARDIAC HEALTH AND RESEARCH |
| JONATHAN JAQUES CENTER | ||||
| 701 E 28TH STREET SUITE 202 | LONG BEACH | CA | 90806 | PEDIATRIC CANCER CENTER |
| DEVELOPMENTAL & MULTISPECIALTY CENTER | ||||
| 3640 LOMITA BLVD SUITE 102 | TORRANCE | CA | 90505 | CHILDREN'S SPECIALTY CENTER |
| CHLB PARTIAL HOSP INTENSIVE OP PROGRAM | ||||
| 4111 WILTON STREET | LONG BEACH | CA | 90804 | OUTPATIENT BEHAVIORAL HEALTH |
| CHLB PSYCHIATRIC CLINIC | ||||
| 1760 TERMINO AVE SUITE G18 | LONG BEACH | CA | 90804 | PSYCHIATRIC CLINIC |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, 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. |
| SCHEDULE H, PART I, LINE 7B | CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE PROGRAM THE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE (HQAF) PROGRAM WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA ON SEPTEMBER 8, 2010 AND BECAME RETROACTIVELY EFFECTIVE APRIL 1, 2009. THE HQAF PROGRAM, IN COMBINED SUPPORT OF THE HOSPITAL INDUSTRY AND THE STATE OF CALIFORNIA, IMPOSES A PROVIDER FEE ON GENERAL ACUTE CARE HOSPITALS THAT, COMBINED WITH FEDERAL MATCHING FUNDS, WOULD BE USED TO PROVIDE SUPPLEMENTAL MEDI-CAL PAYMENTS TO HOSPITALS AND THE STATE MEDI-CAL PROGRAM. THE INITIAL 21-MONTH RETROACTIVE PHASE OF THE HQAF PROGRAM ENDED ON DECEMBER 31, 2010. IN MAY 2011, THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) APPROVED AN EXTENSION OF THE FEE-FOR-SERVICE PORTION OF THE HQAF PROGRAM FOR THE SIX MONTH PERIOD FROM JANUARY 1 THROUGH JUNE 30, 2011. IN LATE DECEMBER 2011, CMS APPROVED AN EXTENSION OF THE MANAGED CARE PORTION OF THE HQAF PROGRAM FOR THAT SAME SIX-MONTH PERIOD. THE CALIFORNIA STATE LEGISLATURE ALSO ENACTED SB335 IN 2011, WHICH EXTENDED THE HQAF PROGRAM ANOTHER THIRTY MONTHS, FROM JULY 1, 2011 TO DECEMBER 31, 2013. THE NONMANAGED CARE REVENUE OF THE PROGRAM WAS APPROVED ON JUNE 22, 2012 BY CMS. ON MAY 9, 2013 AND JUNE 28, 2013, CMS APPROVED THE MANAGED CARE PROGRAM FOR THE TWELVE-MONTH PERIOD ENDED JUNE 30, 2012 AND 2013, RESPECTIVELY. AS OF JUNE 30, 2014, THE SIX-MONTH PERIOD ENDED DECEMBER 31, 2013, HAS YET TO BE APPROVED. THE NET HQAF PAYMENTS RECEIVED OR ACCRUED DURING FY 2014 REPORTED ON LINE 7B IS $6,513,505, WHICH CONSISTED OF REVENUE OF $22,099,640 AND FEE EXPENSE OF $15,586,135. THE UNREIMBURSED MEDICAID PERCENTAGE ON LINE 7B IS 5.02% WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. THE TOTAL FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PERCENTAGE ON LINE 7K IS 7.24% WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. IN OCTOBER OF 2013, THE CALIFORNIA STATE LEGISLATURE ALSO ENACTED SB239, WHICH EXTENDED THE HQAF PROGRAM ANOTHER THIRTY SIX MONTHS, FROM JANUARY 1, 2013 THROUGH DECEMBER 31, 2016. AS OF JUNE 30, 2014, THE STATE PLAN AMENDMENT FOR THIS PROGRAM IS UNDER REVIEW BY CMS AND NO REVENUE OR EXPENSE HAS BEEN RECORDED RELATED TO THIS PROGRAM. |
| SCHEDULE H, PART I, LINE 7, COLUMN F | OUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $1,980,360,593. OUR SHARE OF THE TOTAL EXPENSE FROM JOINT VENTURES WAS $8,703,703. |
| SCHEDULE H, 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. |
| SCHEDULE H, 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. |
| SCHEDULE H, PART II | 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 2014: 1. ECONOMIC DEVELOPMENT - HOSPITAL STAFF PARTICIPATE ON THE BOARD OF DIRECTORS FOR A LONG BEACH, CALIFORNIA BUSINESS DEVELOPMENT AGENCY. 2. 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. 3. LEADERSHIP DEVELOPMENT - STAFF FROM MILLER CHILDREN'S HOSPITAL CONTRIBUTE TO THE PLANNING OF THE BEST START (PRENATAL CARE) LEADERSHIP RETREAT FOR COMMUNITY MEMBERS. 4. COALITION BUILDING - AS A RECOGNIZED LEADER IN FAMILY CENTERED CARE, HOSPITAL STAFF HOLD MEMBER AND BOARD POSITIONS FOR LOCAL, REGIONAL, STATE AND NATIONAL COALITIONS. 5. 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. 6. 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. 7. 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. |
| SCHEDULE H, 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. SCHEDULE H, 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. |
| SCHEDULE H, PART III, LINE 8 | COSTING METHODOLOGY THE ALLOWABLE MEDICARE COST USED IN LINE 6 WAS TAKEN FROM THE APPLICABLE FILED MEDICARE COST REPORTS. THE COST IS DETERMINED BY A MULTI-STEP PROCESS. FIRST, DIRECT COSTS ARE ACCUMULATED BY DEPARTMENT AND REPORTED ON THE APPROPRIATE LINES OF THE COST REPORT. THESE LINES ARE GROUPED BY TYPE. THESE TYPES ARE: GENERAL SERVICE (OVERHEAD), ROUTINE SERVICE, ANCILLARY SERVICE, OUTPATIENT SERVICE, SPECIAL PURPOSE AND NON-REIMBURSABLE. THE GENERAL SERVICE COSTS ARE THEN ALLOCATED DOWN TO THE OTHER TYPES OF COSTS USING A SIMPLE STEP-DOWN METHODOLOGY. ONCE THE OVERHEAD HAS BEEN ALLOCATED, ROUTINE PER DIEMS AND ANCILLARY COST TO CHARGE RATIOS ARE CALCULATED. THE COST OF MEDICARE SERVICES IS DETERMINED BY APPORTIONING THE TOTAL COST BASED ON MEDICARE DAYS FOR ROUTINE (DAYS X COST PER DAY) AND MEDICARE CHARGES FOR ANCILLARY, OUTPATIENT AND SPECIAL PURPOSE COSTS (MEDICARE CHARGES X COST TO CHARGE RATIO) AND ADDING THEM TOGETHER. |
| SCHEDULE H, 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 AMOUNT WILL 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. |
| SCHEDULE H, 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. |
| SCHEDULE H, PART VI, LINE 3 | PUBLIC NOTICE EACH 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. |
| SCHEDULE H, PART VI, LINE 4 | THE THREE MEMORIAL CARE HOSPITALS IN LONG BEACH ARE LONG BEACH MEMORIAL, MILLER CHILDREN'S HOSPITAL LONG BEACH AND COMMUNITY HOSPITAL LONG BEACH. TOGETHER THEY SERVE THE GREATER LONG BEACH AREA, INCLUDING LAKEWOOD, SEAL BEACH, COMPTON, BELLFLOWER, CARSON, CERRITOS, PARAMOUNT, LOS ALAMITOS, SIGNAL HILL, CYPRESS, NORWALK, LYNWOOD, AND WILMINGTON. IN LONG BEACH, THE LARGEST SEGMENT OF THE POPULATION IS WITHIN THE AGE GROUP 25-44 (30.5% OF THE POPULATION) FOLLOWED BY THOSE AGED 18 AND UNDER WITH 24.9%. SENIORS, AGES 65 AND OVER, MAKE UP 9.3% OF THE CITY'S POPULATION. THE CITY OF LONG BEACH IS OFTEN REFERRED TO AS ONE OF THE MOST DIVERSE CITIES IN THE NATION. OVER 40% OF THE POPULATION IS HISPANIC FOLLOWED BY WHITE (29%), AFRICAN AMERICAN (13%) AND ASIAN (OVER 12%) AND OTHER ETHNIC OR RACE IDENTIFIERS (4.3%). ALONG WITH THE DIVERSITY IN THE POPULATION COMES LANGUAGE DIVERSITY. THE MAJORITY OF THE POPULATION IN LONG BEACH SPEAK ENGLISH (53.2%) FOLLOWED BY SPANISH (34%). ABOUT 10% OF THE POPULATION REPORTS SPEAKING AN ASIAN OR PACIFIC ISLANDER LANGUAGE E.G., KHMER. THE ESTIMATED MEDIAN FAMILY INCOME IN 2010 WAS $51,173 AND THE PERCENTAGE OF FAMILIES BELOW THE POVERTY LINE WAS REPORTED AT 19.1% COMPARED TO THE STATE RATE OF 13.7% AND NATIONAL RATE OF 15.1%. THE UNEMPLOYMENT RATE IN LONG BEACH FOR NOVEMBER 2010 WAS REPORTED AS 12.2%. SADDLEBACK MEMORIAL MEDICAL CENTER HAS TWO CAMPUSES - LAGUNA HILLS AND SAN CLEMENTE. THE SERVICE AREA IS LOCATED IN ORANGE COUNTY AND REPRESENTS: ALISO VIEJO, CAPISTRANO BEACH, DANA POINT, FOOTHILL RANCH, IRVINE, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA, SAN CLEMENTE, SAN JUAN CAPISTRANO, AND TRABUCO HILLS. THE POPULATION OF THE SADDLEBACK MEMORIAL SERVICE AREA IS 683,634. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 24.1% OF THE POPULATION; 62.8% ARE ADULTS, AGES 18-64; AND 13.1% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. THE POPULATION IN THE SADDLEBACK MEMORIAL SERVICE AREA TENDS TO BE OLDER THAN THE ORANGE COUNTY POPULATION AS A WHOLE. 65.5% OF THE RESIDENTS ARE WHITE; 15.4% ARE HISPANIC/LATINO; 14.2% ARE ASIAN; 1.1% ARE AFRICAN AMERICAN; AND 3.8% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY. ENGLISH IS SPOKEN IN THE HOME AMONG 74% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 9.9% OF THE POPULATION; 9.2% OF THE POPULATION SPEAKS AN ASIAN LANGUAGE; AND 6.2% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. AMONG THE RESIDENTS IN THE SADDLEBACK MEMORIAL SERVICE AREA, 6.4% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 15% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE LOWER THAN FOUND IN THE COUNTY WHERE 10.9% OF RESIDENTS ARE AT POVERTY LEVEL AND 27.3% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 6.6% OF CHILDREN, UNDER AGE 18 YEARS, AND 6.4% OF SENIORS ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA RANGES FROM $34,789 IN LAGUNA WOODS TO $138,826 IN TRABUCO HILLS. HEALTH INSURANCE COVERAGE IS A KEY COMPONENT TO ACCESS HEALTH CARE. 89.5% OF THE TOTAL POPULATION IN THE SADDLEBACK MEMORIAL SERVICE AREA HAS HEALTH INSURANCE. LAGUNA BEACH HAS THE HIGHEST HEALTH INSURANCE RATE (92.7%) AND SAN JUAN CAPISTRANO HAS THE LOWEST RATE OF HEALTH INSURANCE (80.8%). ORANGE COAST MEMORIAL IS LOCATED IN FOUNTAIN VALLEY, CALIFORNIA. THE SERVICE AREA IS LOCATED IN ORANGE COUNTY AND REPRESENTS: ANAHEIM, CORONA DEL MAR, COSTA MESA, CYPRESS, FOUNTAIN VALLEY, GARDEN GROVE, HUNTINGTON BEACH, LOS ALAMITOS, NEWPORT BEACH, SANTA ANA, SEAL BEACH, TUSTIN, AND WESTMINSTER. THE POPULATION OF THE ORANGE COAST MEMORIAL SERVICE AREA IS 1,183,451. CHILDREN AND YOUTH, AGES 0-17, MAKE UP 24.2% OF THE POPULATION; 63.7% ARE ADULTS, AGES 18-64; AND 12.1% OF THE POPULATION ARE SENIORS, AGES 65 AND OVER. 39.3% OF THE RESIDENTS ARE WHITE; 36.8% ARE HISPANIC/LATINO; 19.8% ARE ASIAN; 1.2% ARE AFRICAN AMERICAN; AND 2.9% ARE AMERICAN INDIAN/ALASKAN NATIVE/NATIVE HAWAIIAN OR OTHER RACE/ETHNICITY. ENGLISH IS SPOKEN IN THE HOME AMONG 49.1% OF THE SERVICE AREA POPULATION. SPANISH IS SPOKEN AT HOME AMONG 29.8% OF THE POPULATION; 17.4% OF THE POPULATION SPEAKS AN ASIAN LANGUAGE; AND 2.8% OF THE POPULATION SPEAKS AN INDO-EUROPEAN LANGUAGE AT HOME. AMONG THE RESIDENTS IN THE ORANGE COAST MEMORIAL SERVICE AREA, 12.6% ARE AT OR BELOW 100% OF THE FEDERAL POVERTY LEVEL (FPL) AND 31.8% ARE AT 200% OF FPL OR BELOW. THESE RATES OF POVERTY ARE HIGHER THAN FOUND IN THE COUNTY WHERE 10.9% OF RESIDENTS ARE AT POVERTY LEVEL AND 27.3% ARE AT 200% OF FPL OR BELOW. IN THE SERVICE AREA, 17.2% OF CHILDREN, UNDER AGE 18 YEARS, ARE LIVING IN POVERTY. THE MEDIAN HOUSEHOLD INCOME IN THE AREA RANGES FROM $50,595 IN GARDEN GROVE 92844 TO $113,054 IN NEWPORT BEACH 92660. THE UNEMPLOYMENT RATE OF SERVICE AREA CITIES SHOWS A DIVERSE RANGE FROM 4.8% IN LOS ALAMITOS TO 13.7% IN SANTA ANA. ORANGE COUNTY HAS AN UNEMPLOYMENT RATE OF 8.7%. 78.3% OF THE TOTAL POPULATION IN THE ORANGE COAST MEMORIAL SERVICE AREA HAS HEALTH INSURANCE. SEAL BEACH HAS THE HIGHEST HEALTH INSURANCE RATE (93.5%) AND SANTA ANA HAS THE LOWEST RATE OF HEALTH INSURANCE (65.7%). |
| SCHEDULE H, 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. |
| SCHEDULE H, 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 (MMF). 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. |
| SCHEDULE H, PART VI, LINE 7 | CALIFORNIA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| THE CENTER OF ECONOMIC DEVELOPMENT | |||||||
| 444 S FLOWER ST | LOS ANGELES | CA | 90071 | 953643339 | 501(C)(3) | $20,000 | PROGRAM SUPPORT |
| UNIVERSITY OF CA IRVINE FOUNDATION | |||||||
| 100 THEORY SUITE 250 | IRVINE | CA | 92617 | 952540117 | 501(C)(3) | $15,000 | PROGRAM SUPPORT |
| NELLIGAN SPORTS MARKETING INC | |||||||
| 150 CLOVE ROAD | LITTLE FALLS | NJ | 07424 | 223659064 | $7,500 | PROGRAM SUPPORT | |
| SADDLEBACK MEMORIAL FOUNDATION | |||||||
| 24451 HEALTH CTR DR | LAGUNA HILLS | CA | 92653 | 330011887 | 501(C)(3) | $18,507 | PROGRAM SUPPORT |
| CALIFORNIA HEALTH FOUNDATION AND TRUST | |||||||
| 1215 K STREET STE 800 | SACRAMENTO | CA | 95814 | 941498697 | 501(C)(3) | $243,565 | CA HOSPITAL FEE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 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 | ||||||||||||||
| BD MEMBER-LBMMC,OCMMC,SMMC,MMF | $0 | $997,012 | $0 | $736,633 | $0 | $131,274 | $0 | $997,988 | $0 | $22,275 | $0 | $2,885,182 | $0 | $0 |
| MARCIA MANKER | ||||||||||||||
| BOARD MEMBER-MMF/CEO,EVP-OCMMC | $0 | $400,493 | $0 | $221,694 | $0 | $28,139 | $0 | $336,970 | $0 | $19,177 | $0 | $1,006,473 | $0 | $0 |
| DIANA L HENDEL | ||||||||||||||
| CEO/EVP-LBMMC | $0 | $511,408 | $0 | $230,555 | $0 | $47,208 | $0 | $345,543 | $0 | $19,464 | $0 | $1,154,178 | $0 | $0 |
| MELVIN I MARKS MD | ||||||||||||||
| EXEC VP, RESEARCH-LBMMC | $0 | $312,488 | $0 | $75,089 | $0 | $51,899 | $0 | $25,500 | $0 | $14,041 | $0 | $479,017 | $0 | $0 |
| WENDY L DORCHESTER | ||||||||||||||
| SVP/CHIEF ADMIN OFFICER-LBMMC | $0 | $321,755 | $0 | $84,028 | $0 | $37,391 | $0 | $25,500 | $0 | $18,920 | $0 | $487,594 | $0 | $0 |
| JUDITH A FIX | ||||||||||||||
| SVP, PATIENT CARE SVCS-LBMMC | $0 | $309,104 | $0 | $80,719 | $0 | $49,011 | $0 | $17,850 | $0 | $17,276 | $0 | $473,960 | $0 | $0 |
| TAMRA L KAPLAN | ||||||||||||||
| CHIEF OPERATING OFFICER-LBMMC | $0 | $305,170 | $0 | $81,646 | $0 | $43,193 | $0 | $22,950 | $0 | $18,868 | $0 | $471,827 | $0 | $0 |
| JOHN BISHOP | ||||||||||||||
| SVP, CFO FIN & COMM SVCS-LBMMC | $0 | $283,047 | $0 | $71,349 | $0 | $29,633 | $0 | $15,300 | $0 | $18,802 | $0 | $418,131 | $0 | $0 |
| PAULA SUZANNE REINSVOLD | ||||||||||||||
| COO (MCH)-LBMMC | $0 | $237,216 | $0 | $61,791 | $0 | $28,279 | $0 | $12,750 | $0 | $9,391 | $0 | $349,427 | $0 | $0 |
| SUSAN Y MELVIN DO | ||||||||||||||
| CHIEF MEDICAL OFFICER-LBMMC | $341,110 | $0 | $91,743 | $0 | $35,537 | $0 | $12,750 | $0 | $13,423 | $0 | $494,563 | $0 | $0 | $0 |
| DIVYA-DEVI JOSHI MD | ||||||||||||||
| CHIEF MED OFFICER(MCH)-LBMMC | $335,810 | $0 | $87,642 | $0 | $32,959 | $0 | $0 | $0 | $8,040 | $0 | $464,451 | $0 | $0 | $0 |
| DONNA E HARTMAN | ||||||||||||||
| VP, QUALITY-LBMMC | $234,835 | $0 | $56,980 | $0 | $13,064 | $0 | $15,300 | $0 | $7,708 | $0 | $327,887 | $0 | $0 | $0 |
| IDA M MERLINE | ||||||||||||||
| VP, MEMORIAL HEART INST-LBMMC | $210,141 | $0 | $48,207 | $0 | $24,801 | $0 | $12,750 | $0 | $2,825 | $0 | $298,724 | $0 | $0 | $0 |
| LINDA L HOFF | ||||||||||||||
| VP, MED SURG PERI-OP SVC-LBMMC | $214,817 | $0 | $51,994 | $0 | $35,959 | $0 | $25,500 | $0 | $11,681 | $0 | $339,951 | $0 | $0 | $0 |
| PAMELA S CHEVREAUX | ||||||||||||||
| VP, AMBULATORY SERVICES-LBMMC | $197,401 | $0 | $46,066 | $0 | $11,538 | $0 | $15,300 | $0 | $8,249 | $0 | $278,554 | $0 | $0 | $0 |
| MYRA J GREGORIAN | ||||||||||||||
| VP, HUMAN RESOURCES-LBMMC | $206,286 | $0 | $50,931 | $0 | $23,141 | $0 | $12,750 | $0 | $19,565 | $0 | $312,673 | $0 | $0 | $0 |
| JOYCE G VOLSCH RN | ||||||||||||||
| VP, PATIENT CARE (MCH)-LBMMC | $174,074 | $0 | $41,879 | $0 | $10,565 | $0 | $11,732 | $0 | $17,972 | $0 | $256,222 | $0 | $0 | $0 |
| RICHELE CRAVEIRO-STEELE | ||||||||||||||
| VP, MKTG/PHYSICIAN RELAT-LBMMC | $155,835 | $0 | $37,768 | $0 | $10,045 | $0 | $12,463 | $0 | $18,234 | $0 | $234,345 | $0 | $0 | $0 |
| KRIKOR JANSEZIAN | ||||||||||||||
| ADMINISTRATOR CHLB-LBMMC | $202,700 | $0 | $49,901 | $0 | $10,157 | $0 | $12,750 | $0 | $18,471 | $0 | $293,979 | $0 | $0 | $0 |
| STEPHEN B GEIDT | ||||||||||||||
| CEO/EVP-SMMC | $0 | $410,979 | $0 | $224,038 | $0 | $3,093,475 | $0 | $25,500 | $0 | $16,885 | $0 | $3,770,877 | $0 | $3,048,629 |
| CHERYL JACOB | ||||||||||||||
| CHIEF OPERATING OFFICER-SMMC | $0 | $287,301 | $0 | $85,749 | $0 | $33,290 | $0 | $25,500 | $0 | $9,274 | $0 | $441,114 | $0 | $0 |
| ADOLFO OSCAR CHANEZ | ||||||||||||||
| VP, FINANCE/CFO-SMMC | $0 | $249,616 | $0 | $73,526 | $0 | $35,990 | $0 | $12,750 | $0 | $18,445 | $0 | $390,327 | $0 | $0 |
| KATHY DAWSON | ||||||||||||||
| VP, NURSING, CNO-SMMC | $0 | $207,700 | $0 | $57,818 | $0 | $25,460 | $0 | $12,750 | $0 | $14,003 | $0 | $317,731 | $0 | $0 |
| HUGO L FOLLI | ||||||||||||||
| VP, ANCILLARY SERVICES-SMMC | $228,344 | $0 | $63,442 | $0 | $17,235 | $0 | $25,500 | $0 | $18,754 | $0 | $353,275 | $0 | $0 | $0 |
| TONY STRUTHERS | ||||||||||||||
| VP, ADMINISTRATOR-SMMC | $193,330 | $0 | $51,758 | $0 | $10,133 | $0 | $12,750 | $0 | $19,568 | $0 | $287,539 | $0 | $0 | $0 |
| BRENNAN R JAMES | ||||||||||||||
| VP, STRAT & BUS DEV-SMMC | $232,541 | $0 | $69,952 | $0 | $19,775 | $0 | $20,400 | $0 | $1,191 | $0 | $343,859 | $0 | $0 | $0 |
| EMILY M RANDLE | ||||||||||||||
| CHIEF OPERATING OFFICER-OCMMC | $214,965 | $0 | $67,482 | $0 | $20,378 | $0 | $17,850 | $0 | $18,550 | $0 | $339,225 | $0 | $0 | $0 |
| STEPHEN MCNAMARA | ||||||||||||||
| VP, FINANCE/CFO-OCMMC | $0 | $235,185 | $0 | $71,791 | $0 | $26,202 | $0 | $15,300 | $0 | $15,817 | $0 | $364,295 | $0 | $0 |
| DALE VITAL | ||||||||||||||
| VP, NURSING/CNO-OCMMC | $0 | $218,218 | $0 | $62,576 | $0 | $27,832 | $0 | $25,500 | $0 | $15,025 | $0 | $349,151 | $0 | $0 |
| PATRICK KAPSNER | ||||||||||||||
| CHIEF EXECUTIVE OFFICER-MMF | $0 | $368,774 | $0 | $144,711 | $0 | $46,338 | $0 | $25,500 | $0 | $6,557 | $0 | $591,880 | $0 | $0 |
| MARK D SCHAFER MD | ||||||||||||||
| CHIEF EXEC OFFICER/CMO-MMF | $0 | $357,302 | $0 | $102,369 | $0 | $33,993 | $0 | $1,383,907 | $0 | $14,651 | $0 | $1,892,222 | $0 | $0 |
| JOHN SOMERS | ||||||||||||||
| CHIEF OPERATING OFFICER-MMF | $0 | $262,350 | $0 | $80,041 | $0 | $28,891 | $0 | $17,850 | $0 | $14,347 | $0 | $403,479 | $0 | $0 |
| JACQUELINE LUXENBERG | ||||||||||||||
| CHIEF FINANCIAL OFFICER-MMF | $0 | $172,020 | $0 | $48,248 | $0 | $10,938 | $0 | $14,057 | $0 | $13,938 | $0 | $259,201 | $0 | $0 |
| STEVEN BEAL | ||||||||||||||
| VP, INFORMATION SERVICES-MMF | $0 | $236,748 | $0 | $72,924 | $0 | $39,414 | $0 | $0 | $0 | $18,650 | $0 | $367,736 | $0 | $0 |
| JUDY SHUBIN | ||||||||||||||
| VP, PAYOR CONTRACTING-MMF | $0 | $217,987 | $0 | $67,405 | $0 | $13,273 | $0 | $25,500 | $0 | $14,180 | $0 | $338,345 | $0 | $0 |
| SCOTT SHIFFMAN MD | ||||||||||||||
| MEDICAL DIRECTOR-MMF | $0 | $273,738 | $0 | $84,264 | $0 | $11,128 | $0 | $22,950 | $0 | $14,392 | $0 | $406,472 | $0 | $0 |
| MARIA E ZITLAU | ||||||||||||||
| RN, COORD, CVOR-OCMMC | $273,192 | $0 | $0 | $0 | $11,731 | $0 | $25,500 | $0 | $15,963 | $0 | $326,386 | $0 | $0 | $0 |
| JANE H HODDING | ||||||||||||||
| EXEC DIR PHARMACY-LBMMC | $236,017 | $0 | $2,000 | $0 | $1,403 | $0 | $23,978 | $0 | $7,218 | $0 | $270,616 | $0 | $0 | $0 |
| ANIL SHARMA | ||||||||||||||
| PRGM DIR MED PHYSICIST-LBMMC | $221,239 | $0 | $2,000 | $0 | $867 | $0 | $18,269 | $0 | $21,982 | $0 | $264,357 | $0 | $0 | $0 |
| UMESH C BHARGAVA | ||||||||||||||
| PHARM. CLINIC SPECIALIST-LBMMC | $203,826 | $0 | $0 | $0 | $17,202 | $0 | $22,560 | $0 | $13,295 | $0 | $256,883 | $0 | $0 | $0 |
| CASEY HUDSON | ||||||||||||||
| EXEC DIR, RESOURCE MGMT-LBMMC | $192,647 | $0 | $20,906 | $0 | $401 | $0 | $21,888 | $0 | $18,077 | $0 | $253,919 | $0 | $0 | $0 |
| GLENN CRABTREE | ||||||||||||||
| VP, FACILIIES-LBMMC | $62,464 | $0 | $0 | $0 | $131,232 | $0 | $0 | $0 | $5,623 | $0 | $199,319 | $0 | $0 | $0 |
| DANA E CROMPTON-HIME | ||||||||||||||
| VP, PERI-OPERATIVE SVCS-LBMMC | $35,104 | $0 | $0 | $0 | $67,197 | $0 | $0 | $0 | $5,158 | $0 | $107,459 | $0 | $0 | $0 |
| CATHY D CAPALDI | ||||||||||||||
| VP, CLINICAL/BUS DVMT-OCMMC | $0 | $216,161 | $0 | $66,222 | $0 | $17,937 | $0 | $25,250 | $0 | $18,541 | $0 | $344,111 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, 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. |
| SCHEDULE J, PART I, LINE 4A | THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS IN 2013: GLENN CRABTREE: $103,498 DANA E CROMPTON-HIME: $40,814 |
| SCHEDULE J, 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. THE FOLLOWING INDIVIDUAL RECEIVED A SERP PAYOUT IN 2013: STEPHEN B GEIDT: $3,048,629 DURING FY 2014, STEPHEN GEIDT VESTED IN THE SERP AFTER 31 YEARS OF SERVICE TO SADDLEBACK MEMORIAL MEDICAL CENTER. IN ACCORDANCE WITH THE PLAN, HE RECEIVED A LUMP SUM PAYMENT AT HIS VESTING DATE. PRIOR TO VESTING IN FY 2014, THE SERP BENEFIT WAS SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE. THE CURRENT YEAR PAYOUT IS REFLECTED IN COLUMN LINE B(III) OF SCHEDULE J. THE AMOUNTS WERE REPORTED ON PRIOR YEARS FORM 990 AS DEFERRED COMPENSATION IN COLUMN LINE C. 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. 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. |
| SCHEDULE J, 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 IN | |||
| GAIL CARUTHERS/SEE PART V | $1,003,047 | MEDICAL SVCS PROVIDED TO LBMMC | false |
| FARMERS MERCHANTS BANK | |||
| SEAN MILLER/SEE PART V | $176,319 | BANK FEES | false |
| GREATER NEWPORT PHYSICIANS INC | |||
| BARRY BEHRSTOCK/SEE PT V | $129,301,554 | MEDICAL SVCS PROVIDED TO MMF | false |
| BRISTOL PARK INVESTMENT GROUP I LP | |||
| PATRICK KAPSNER/SEE PT V | $410,368 | RENTAL INCOME PAID BY MMF | false |
| BRISTOL PARK INVESTMENT GROUP II L | |||
| PATRICK KAPSNER/SEE PT V | $506,740 | RENTAL INCOME PAID BY MMF | false |
| BRISTOL PARK INVESTMENT GROUP III | |||
| SEE PART V | $562,842 | RENTAL INCOME PAID BY MMF | false |
| MEMORIALCARE MEDICAL GROUP | |||
| MARK CIANCIOLA | $53,241,449 | MEDICAL SVCS PROVIDED TO MMF | false |
| LB MEMORIAL PATHOLOGY MEDICAL GROUP | |||
| JULIO IBARRA/SEE PART V | $3,099,000 | MEDICAL SVCS PROVIDED TO OCMMC | false |
| SEAN LAMBERT | |||
| SON OF LARRY LAMBERT | $15,348 | EMPLOYEE COMPENSATION | false |
| DAVID KAPSNER | |||
| SON OF PATRICK KAPSNER | $37,125 | EMPLOYEE COMPENSATION | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV | FormAndLineReferenceDesc |
| Explanation | GAIL CURRUTHERS, M.D. IS A BOARD MEMBER OF LBMMC AND IS ALSO A DIRECTOR OF COLUMBIA EMERGENCY MEDICAL GROUP. SEAN MILLER IS A BOARD MEMBER OF LBMMC AND IS ALSO AN OFFICER OF FARMERS & MERCHANTS BANK. BARRY BEHRSTOCK, MD IS A BOARD MEMBER OF MMF AND IS ALSO AN OFFICER AND 7% OWNER OF GREATER NEWPORT PHYSICIANS INC. PATRICK KAPSNER IS AN OFFICER OF MMF AND IS ALSO AN 8% OWNER OF BRISTOL PARK INVESTMENT GROUP, I, LP. PATRICK KAPSNER IS AN OFFICER OF MMF AND IS ALSO A 10% OWNER OF BRISTOL PARK INVESTMENT GROUP, II, LP. PATRICK KAPSNER AND JUDY SHUBIN ARE OFFICERS OF MMF AND ARE ALSO 8% and 7.51% OWNERS, respectively, OF BRISTOL PARK INVESTMENT GROUP, III, LP. MARK CIANCOLA, MD IS A BOARD MEMBER OF MMF AND IS ALSO AN OFFICER AND OWNER 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. | ExplanationTxt |
Schedule M IRS990ScheduleM
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | MEDICAL EQUIP. | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $37,461 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN (B) | FormAndLineReferenceDesc |
| Explanation | THE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECIEVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 2 | ON NOVEMBER 1, 2013 MEMORIALCARE MEDICAL FOUNDATION (MCMF) ENTERED INTO A JOINT VENTURE WITH SIMONMED IMAGING TO FORM WAVING IMAGING, LLC (WAVE), IN WHICH MCMF OWNS A 51% INTEREST. WAVE ACQUIRED THE ASSETS OF FIVE SIMONMED IMAGING CENTERS LOCATED IN LONG BEACH, HUNTINGTON BEACH, IRVINE, NEWPORT BEACH AND LAGUNA NIGUEL. THE PURPOSES OF THE JOINT VENTURE ARE TO DEVELOP, ESTABLISH, OWN AND OPERATE ONE OR MORE IMAGING CENTERS, TO PROVIDE SUCH DIAGNOSTIC MEDICAL IMAGING SERVICES AT THE IMAGING CENTERS, INCLUDING BUT NOT LIMITED TO MRI, CT, PET, ULTRASOUND, AND DIAGNOSTIC X-RAY AND OTHER MODALITIES. FORM 990, PART III, LINE 4A MEMORIALCARE 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 CENTER MAJOR 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 FOUNDATION | MEMORIALCARE MEDICAL FOUNDATION (MMF) 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. MMF 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, MMF OFFERS TELEPHONE ADVICE NURSES, AS WELL AS LAB AND X-RAY SERVICES AT MOST LOCATIONS. |
| ORANGE COAST MEMORIAL MEDICAL CENTER | ORANGE 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. COMMUNITY STAKEHOLDERS ARE AN IMPORTANT PART OF OCMMC'S COMMITMENT TO DELIVERING QUALITY COMMUNITY BENEFIT PROGRAMS TO THE LOCAL COMMUNITY. A COMMITTEE MADE UP OF LOCAL PHYSICIANS, COMMUNITY VOLUNTEERS, SCHOOL DISTRICT AND NON-PROFIT ORGANIZATION LEADERS HELP ENSURE THAT COMMUNITY BENEFIT PROGRAMMING AT OCMMC IS DIRECTED TOWARDS THE NEEDS OF THE VULNERABLE, ARE PLANNED IN SUCH A WAY TO ENSURE SUSTAINABILITY, AND EVALUATED TO DETERMINE OUTCOME MEASURES. THE PUBLIC RELATIONS DEPARTMENT IS CHARGED WITH INFORMING EMPLOYEES, PHYSICIANS AND THE COMMUNITY ABOUT NEW PROGRAMS AND OUTREACH ACTIVITIES. NEWSLETTERS, EMPLOYEE FORUMS, MEETINGS, RADIO PROGRAMS AND PRESS RELEASES ARE SOME OF THE AVENUES USED TO DISSEMINATE INFORMATION AND SECURE INVOLVEMENT. AT SIGNIFICANT EXPENSE AND EFFORT, THE HOSPITAL ALSO PROMOTES ITS ACTIVITIES TO THE COMMUNITY-AT-LARGE THROUGH PAID ADVERTISEMENTS, DIRECT MAIL LITERATURE, FLYERS AND VIA THE HOSPITAL'S WEBSITE. THE FOREMOST TOOL FOR PROMOTING COMMUNITY OUTREACH PROGRAMS IS A COMMUNITY NEWSLETTER, WHICH IS DISTRIBUTED QUARTERLY AND SENT TO NEARLY 100,000 HOUSEHOLDS IN THE PRIMARY AND SECONDARY MARKET AREAS. WE RECOGNIZE THE PRESENCE OF SEVERAL VULNERABLE POPULATIONS WITHIN THE OCMMC SERVICE AREA. THE HOSPITAL STRIVES TO PROVIDE COMMUNITY BENEFIT ACTIVITIES TO THE LOCAL VULNERABLE THAT BRIDGE THE GAPS THEY MAY HAVE IN REACHING HEALTH CARE SERVICES. FOR EXAMPLE, WITH OUR VIETNAMESE OUTREACH PROGRAM, BICULTURAL AND BILINGUAL VIETNAMESE STAFF CONDUCT COMMUNITY-BASED MONTHLY SCREENINGS AND EDUCATIONAL EVENTS. COMMUNITY AWARENESS OF THESE EVENTS IS SECURED THROUGH REGULAR VIETNAMESE RADIO AND TV PROGRAMS. IN 2013, A COMMUNITY-WIDE HEALTH NEEDS ASSESSMENT WAS DONE. THE DATA WITHIN THE REPORT HELP THE COMMUNITY BENEFIT STAFF TO IDENTIFY THOSE AT GREATEST RISK FOR PARTICULAR DISEASES AND CONDITIONS. THE DATA IS USED TO ENGAGE THE COMMUNITY STAKEHOLDERS IN DIALOGUE THAT HELPS PRODUCE BALANCED COMMUNITY HEALTH CARE SERVICES. FOR 2014, THE PRIORITIES HAVE INCLUDED: PRIORITY I - ESTABLISHMENT OF A SUSTAINABLE COMMUNITY BENEFITS STRUCTURE. PRIORITY II - COMPREHENSIVE REVIEW OF COMMUNITY BENEFIT PROGRAMS/ACTIVITIES PRIORITY III - WITH A SPECIAL FOCUS ON THE VIETNAMESE AND SENIOR POPULATIONS, OUR PROGRAMS ADDRESS THE FOLLOWING HEALTH NEEDS: A. ACCESS TO CARE B. CHRONIC DISEASE C. OVERWEIGHT AND OBESITY D. PREVENTION/PREVENTIVE CARE OCMMC WILL CONTINUE TO MEET THE IDENTIFIED HEALTH NEEDS THROUGH A COMMITMENT OF RESOURCES WITH THE FOLLOWING PROGRAMS AND SERVICES: - COMMUNITY EDUCATION - SENIOR OUTREACH AND ADVOCACY - HEALTH SCREENINGS - CASH AND IN-KIND DONATIONS TO SUPPORT IDENTIFIED NEEDS - TRANSPORTATION - FREE PHYSICIAN REFERRAL SERVICE SADDLEBACK MEMORIAL MEDICAL CENTER A 325 BED ACUTE CARE, NOT-FOR-PROFIT HOSPITAL WITH TWO LOCATIONS, LAGUNA HILLS AND SAN CLEMENTE, SADDLEBACK MEMORIAL MEDICAL CENTER HAS BEEN MEETING THE HEALTHCARE NEEDS OF SOUTH ORANGE COUNTY RESIDENTS SINCE 1974. SADDLEBACK MEMORIAL TREATS MORE THAN HALF A MILLION PEOPLE EACH YEAR, INCLUDING INPATIENTS, OUTPATIENTS, NEW BABIES AND PATIENTS IN THE EMERGENCY DEPARTMENT. IN ADDITION TO 24-HOUR EMERGENCY CARE, SADDLEBACK MEMORIAL OFFERS COMPLETE CRITICAL, SURGICAL AND OBSTETRICAL SERVICES, AS WELL AS A VARIETY OF EDUCATIONAL CLASSES AND PROGRAMS IN KEEPING WITH ITS MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY. ITS CENTERS OF EXCELLENCE INCLUDE: -SADDLEBACK WOMEN'S HOSPITAL, WITH LDRP SUITES, A FETAL DIAGNOSTICS CENTER FOR HIGH-RISK PREGNANCIES, A NEONATAL INTENSIVE CARE UNIT AND MEMORIALCARE BREAST CENTER; - SADDLEBACK HEART INSTITUTE AND WELLNESS CENTER, INCLUDING TWO CARDIAC CATHETERIZATION LABORATORIES, AN OPEN-HEART SURGERY PROGRAM, A CARDIAC REHABILITATION PROGRAM, EDUCATIONAL CLASSES, SCREENINGS AND SUPPORT GROUPS; -SADDLEBACK REHABILITATION AND ORTHOPEDIC SERVICES AND TALEGA OUTPATIENT REHABILITATION CENTER, OFFERING INPATIENT AND OUTPATIENT REHABILITATION PROGRAMS AND COMPREHENSIVE ORTHOPEDIC SERVICES, INCLUDING HIP AND KNEE REPLACEMENTS; -SADDLEBACK CANCER SERVICES, WITH A FULL LINE ON ONCOLOGY TREATMENTS AND STATE-OF THE-ART RADIOLOGY SERVICES; -SADDLEBACK HOME CARE SERVICES, PROVIDING SKILLED HOME CARE AND HOSPICE SERVICES. |
| 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 4 THE FOLLOWING ORGANIZATIONS ENGAGED IN LOBBYING ACTIVITIES: LBMMC, OCMMC AND 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. FOMR 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, OCMMC AND MMF. FORM 990, PART IV, LINE 29 THE FOLLOWING ORGANIZATION RECEIVED MORE THAN $25,000 IN NON-CASH CONTRIBUTIONS: LBMMC. FORM 990, PART IV, LINE 33 THE FOLLOWING ORGANIZATION OWNED 100% OF A DISREGARDED ENTITY: SMMC AND MMF. 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 MMF. 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, 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, 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 (MMF). |
| FORM 990, PART VI, 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 MMF. |
| FORM 990, PART VI, 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, LINE 11B | 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 2015 BOARD MEETING. |
| FORM 990, PART VI, 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 IS SENT BY EMAIL TO EACH EMPLOYEE HAVING EMAIL REGARDING THE ACCEPTANCE OF GIFTS. |
| FORM 990, PART VI, LINES 15A & 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 27, 2014. THE REVIEW THAT WAS PERFORMED FOR FY14 WAS COMPLETED ON OCTOBER 30, 2013. |
| 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 MMF. FORM 990, PART VI, LINE 16B OCMMC, SMMC AND MMF 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 IX, LINE 11G | PURCHASED MEDICAL SERVICES $ 93,550,679 CONTRACTED PHYSICIAN SERVICES $ 90,073,337 OTHER PROFESSIONAL FEES $ 38,843,960 OTHER PURCHASED SERVICES $ 70,506,172 ------------ TOTAL $292,974,148 ============ |
| FORM 990, PART XI, LINE 9 | GRANT AUDIT RESERVE (LBMMC) $ (80,000) OTHER CHANGES IN NET ASSETS (LBMMC) $ 252,964 GAIN/(LOSS) ASC / NON-CONTROLLING INTEREST IN JVS (OCMMC) $ 912,631 OTHER CHANGES IN NET ASSETS (SMMC) $ 601,721 GAIN/(LOSS) ASC / NON-CONTROLLING INTEREST IN JVS (SMMC) $ (241,237) OTHER CHANGES IN NET ASSETS (SMMC GIFT SHOP) $ (17,887) OTHER CHANGES IN NET ASSETS (MMF) $ 6,052,083 GAIN/(LOSS) ASC / NON-CONTROLLING INTEREST IN JVS (MMF) $ 236,082 ------------ TOTAL $ 7,716,357 ============ |
| 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 (6 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| MEMORIALCARE IMAGING CNTR - SAN CLEMENTE | |||||||||
| 675 CAMINO DE LOS MARES 101 | SAN CLEMENTE | CA | 92673 | 270713649 | IMAGING SVCS | CA | $3,630,367 | $2,399,093 | SMMC |
| NAUTILUS HEALTHCARE MANAGEMENT GROUP LLC | |||||||||
| PO BOX 6270 | NEWPORT | CA | 92658 | 260808876 | MGMT SVCS | CA | $41,049,715 | $59,358,339 | MMF |
| MEMORIALCARE REGIONAL ACO LLC | |||||||||
| 2742 DOW AVE | TUSTIN | CA | 92780 | 452970665 | MEDICAL SVCS | CA | $0 | $0 | MMF |
| NAUTILUS INSURANCE SERVICES | |||||||||
| PO BOX 6270 | NEWPORT | CA | 92658 | INSURANCE SVC | CA | $102,867 | $0 | MMF | |
| WAVE IMAGING LLC | |||||||||
| 2742 DOW AVE | TUSTIN | CA | 92780 | 300762119 | IMAGING SVCS | CA | $0 | $0 | MMF |
| BEACH SURGICAL HOLDINGS II LLC | |||||||||
| 17360 BROOKHURST ST | FOUNTAIN VALLEY | CA | 92708 | 472083076 | SURGICAL SVCS | CA | $46,729 | $5,211,211 | MMF |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| ANAHEIM MEMORIAL MEDICAL CENTER | ||||||||||
| 1111 WEST LA PALMA AVENUE | ANAHEIM | CA | 92801 | 951966746 | HEALTHCARE | CA | 501(C)(3) | 9 | MHS | Yes (true) |
| AMERICAN INST FOR PHILANTHROPIC STUDIES | ||||||||||
| 2801 ATLANTIC AVENUE | LONG BEACH | CA | 90801 | 953756364 | PHILAN. EDU. | CA | 501(C)(3) | 7 | MMCF | Yes (true) |
| SEASIDE HEALTH PLAN | ||||||||||
| 2801 ATLANTIC AVENUE | LONG BEACH | CA | 90806 | 461870181 | MEDICAL SVCS | CA | 501(C)(4) | MHS | Yes (true) | |
| Saddleback Memorial Foundation | ||||||||||
| 24451 HEALTH CENTER DRIVE | LAGUNA HILLS | CA | 92653 | 330011887 | PHILANTHROPY | CA | 501(C)(3) | 7 | SMMC | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEMORIALCARE SURG CNTR OC LLC | ||||||||||||||
| 9920 TALBERT AVENUE | FOUNTAIN VALLEY | CA | 92708 | 261394069 | HEALTHCARE | CA | OCMMC | RELATED | $1,914,925 | $7,056,672 | false | $0 | false | 0.51000 |
| MEMORIALCARE HOME HEALTH LLC | ||||||||||||||
| 23521 PASEO DE VALENCIA STE 100 | FOUNTAIN VALLEY | CA | 92708 | HEALTHCARE | CA | SMMC | RELATED | $0 | $0 | false | $0 | false | 0.60000 | |
| BEACH SURGICAL HOLDINGS LLC | ||||||||||||||
| 3000 RIVERCHASE GALLERIA STE 500 | BIRMINGHAM | AL | 35244 | 371708521 | HEALTHCARE | CA | MMF | RELATED | $1,017,252 | $12,079,559 | false | $0 | Yes (true) | 0.51000 |
| MEMORIALCARE INNOVATION FUND LP | ||||||||||||||
| 320 GOLDEN SHORE STE 120 | LONG BEACH | CA | 90802 | 460791893 | INVESTMENTS | CA | NA | N/A | ||||||
| WAVE IMAGING LLC | ||||||||||||||
| IMAGING | CA | MMF | RELATED | false | $0 | 0.51000 | ||||||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| NATIONAL HEALTHCARE SERVICES | |||||||||
| 330 GOLDEN SHORE AVENUE | LONG BEACH | CA | 92802 | 953496341 | MEDICAL INVESTING | CA | NA | C-CORP | |
| SADDLEBACK MEDICAL VENTURES | |||||||||
| 330 GOLDEN SHORE AVENUE 120 | LONG BEACH | CA | 90802 | 330308236 | MEDICAL SERVICES | CA | NA | C-CORP | |
| CHARITABLE REMAINDER ANNUITY TRUST | |||||||||
| HOSPITAL SUPPORT | CA | NA | Yes (true) | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | Yes (true) | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (43 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| MEMORIALCARE SURGERY CENTER AT OCMMC (OCMMC) | ||
| A (IV | $652,992 | ACCRUAL |
| Orange Coast Memorial Medical Center (LBMMC) | ||
| k | $136,585 | ACCRUAL |
| Orange Coast Memorial Medical Center (LBMMC) | ||
| p | $686,358 | ACCRUAL |
| Orange Coast Memorial Medical Center (LBMMC) | ||
| q | $5,656,388 | ACCRUAL |
| Orange Coast Memorial Medical Center (LBMMC) | ||
| s | $770,563 | ACCRUAL |
| Saddleback Memorial Medical Center (LBMMC) | ||
| p | $333,576 | ACCRUAL |
| Saddleback Memorial Medical Center (LBMMC) | ||
| q | $1,351,974 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION (LBMMC) | ||
| L | $92,643 | ACCRUAL |
| MemorialCare Medical Foundation (LBMMC) | ||
| p | $9,105,871 | ACCRUAL |
| MemorialCare Medical Foundation (LBMMC) | ||
| q | $1,413,091 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| c | $12,008,892 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| o | $2,292,083 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| q | $237,689 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| r | $279,969 | ACCRUAL |
| MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC) | ||
| s | $14,542,336 | ACCRUAL |
| Seaside Health Plan (LBMMC) | ||
| s | $2,079,268 | ACCRUAL |
| Seaside Health Plan (LBMMC) | ||
| p | $2,313,987 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC) | ||
| J | $136,585 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC) | ||
| Q | $686,358 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC) | ||
| P | $5,656,388 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC) | ||
| R | $770,563 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC) | ||
| Q | $7,874,404 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC) | ||
| P | $3,745,087 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION (OCMMC) | ||
| P | $2,956,020 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION (OCMMC) | ||
| S | $534,816 | ACCRUAL |
| Long Beach Memorial Medical Center (SMMC) | ||
| q | $333,576 | ACCRUAL |
| Long Beach Memorial Medical Center (SMMC) | ||
| p | $1,351,974 | ACCRUAL |
| Orange Coast Memorial Medical Center (SMMC) | ||
| q | $3,745,087 | ACCRUAL |
| Orange Coast Memorial Medical Center (SMMC) | ||
| p | $7,874,404 | ACCRUAL |
| MEMORIALCARE MEDICAL FOUNDATION | ||
| L | $563,831 | ACCRUAL |
| Memorialcare Medical Foundation (SMMC) | ||
| o | $1,182,155 | ACCRUAL |
| Memorialcare Medical Foundation (SMMC) | ||
| p | $434,549 | ACCRUAL |
| Memorialcare Medical Foundation (SMMC) | ||
| q | $653,895 | ACCRUAL |
| Saddleback Memorial Foundation (SMMC) | ||
| c | $7,867,097 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (MMF) | ||
| M | $92,643 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (MMF) | ||
| P | $1,413,091 | ACCRUAL |
| LONG BEACH MEMORIAL MEDICAL CENTER (MMF) | ||
| Q | $9,105,872 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER (MMF) | ||
| Q | $2,956,020 | ACCRUAL |
| ORANGE COAST MEMORIAL MEDICAL CENTER (MMF) | ||
| R | $534,816 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (MMF) | ||
| M | $563,831 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (MMF) | ||
| O | $1,182,155 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (MMF) | ||
| P | $653,895 | ACCRUAL |
| SADDLEBACK MEMORIAL MEDICAL CENTER (MMF) | ||
| Q | $434,549 | ACCRUAL |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE R, PART II | MEMORIAL HEALTH SERVICES (MHS) IS THE CENTRAL ORGANIZATION OF THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION. IN ACCORDANCE WITH THE IRS INSTRUCTIONS, MHS HAS NOT BEEN INCLUDED ON SCHEDULE R, PART II. |
| SCHEDULE R, PART III | MEMORIALCARE SURGICAL CENTER AT ORANGE COAST, LLC EIN: 26-1394069 ADDRESS: 9920 TALBERT AVENUE FOUNTAIN VALLEY, CA 92708 MEMORIALCARE HOME HEALTH, LLC EIN: 46-3056446 ADDRESS 23521 PASEO DE VALENCIA, STE 100 FOUNTAIN VALLEY, CA 92708 BEACH SURGICAL HOLDINGS, LLC EIN: 37-1708521 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 MEMORIALCARE INNOVATION FUND, LP EIN: 46-0791893 ADDRESS: 320 GOLDEN SHORE AVENUE, STE 120 LONG BEACH, CA 90802 WAVE IMAGING LLC EIN: 30-0762119 ADDRESS: 2742 DOW AVE TUSTIN, CA 92780 |
| SCHEDULE R, PART V, LINE 2 | THE NAME IN PARENTHESES IS THE NAME OF THE FILING ORGANIZATION WITH WHOM THE TRANSACTION WAS ENTERED INTO. |
Affiliate Listing AffiliateListing
Affiliate Listing AffiliateListingGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Business Name ControlBusinessNameControlTxt |
|---|---|---|---|---|---|
| LONG BEACH MEMORIAL MEDICAL CENTER | |||||
| 2801 ATLANTIC AVE | LONG BEACH | CA | 90806 | 953527031 | LONG |
| MEMORIALCARE MEDICAL FOUNDATION | |||||
| 2742 DOW AVE | TUSTIN | CA | 92780 | 271504911 | MEMO |
| ORANGE COAST MEMORIAL MEDICAL | |||||
| 9920 TALBERT AVE | FOUNTAIN VLY | CA | 92708 | 330687414 | ORAN |
| SADDLEBACK MEMORIAL MEDICAL CENTER | |||||
| 24451 HEALTH CENTER DR | LAGUNA HILLS | CA | 92653 | 952585792 | SADD |