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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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-05-11T16:55:07-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN352391110EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MEMORIAL HEALTH SERVICES GROUP RETURNBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% MARY GALLARDOInCareOfNm
Business Name ControlMEMOBusinessNameControlTxt
Phone7143773002PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STREETAddressLine1
Address Line2SuiteAddressLine2
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRick GranierePersonNm
Person TitleExecutive Vice PresidentPersonTitleTxt
Signature2015-04-30SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKARA ADAMSPreparerPersonNm
PTINP00023315PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-04-25 22:37:26ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBARRY ARBUCKLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$2,050,080,532GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedfalseAllAffiliatesIncludedInd
Group Exemption5661GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MEMORIALCARE.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionTO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.ActivityOrMissionDesc
Voting Members Governing Body43VotingMembersGoverningBodyCnt
Voting Members Independent34VotingMembersIndependentCnt
Total Employee11084TotalEmployeeCnt
Total Volunteers2172TotalVolunteersCnt
Total Gross UBI$34,695,875TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,739,122NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,878,609PYContributionsGrantsAmt
CY Contributions Grants$25,997,556CYContributionsGrantsAmt
PY Program Service Revenue$2,093,221,306PYProgramServiceRevenueAmt
CY Program Service Revenue$2,015,245,109CYProgramServiceRevenueAmt
PY Investment Income$1,303,103PYInvestmentIncomeAmt
CY Investment Income$1,442,633CYInvestmentIncomeAmt
PY Other Revenue$6,087,730PYOtherRevenueAmt
CY Other Revenue$6,140,821CYOtherRevenueAmt
PY Total Revenue$2,116,490,748PYTotalRevenueAmt
CY Total Revenue$2,048,826,119CYTotalRevenueAmt
PY Grants And Similar Paid$567,228PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$488,726CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$815,436,022PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$838,108,248CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$1,234,858,483PYOtherExpensesAmt
CY Other Expenses$1,141,763,619CYOtherExpensesAmt
PY Total Expenses$2,050,861,733PYTotalExpensesAmt
CY Total Expenses$1,980,360,593CYTotalExpensesAmt
PY Revenues Less Expenses$65,629,015PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$68,465,526CYRevenuesLessExpensesAmt
Total Assets BOY$1,664,202,095TotalAssetsBOYAmt
Total Assets EOY$1,703,513,785TotalAssetsEOYAmt
Total Liabilities BOY$375,736,403TotalLiabilitiesBOYAmt
Total Liabilities EOY$338,917,990TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,288,465,692NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,364,595,795NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.MissionDesc
Significant New Program SrvcYes (true)SignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$1,715,998,315ExpenseAmt
Grant$488,726GrantAmt
Revenue$2,020,512,425RevenueAmt
DescREFER TO SCHEDULE O.Desc
Total Program Service Expenses$1,715,998,315TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document1831IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee11084EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members43GoverningBodyVotingMembersCnt
Independent Voting Member34IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARY GALLARDOPersonNm
Phone7143773411PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (85 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BARRY ARBUCKLE
BD MEMBER-LBMMC,OCMMC,SMMC,MMF8.052.0Yes (X)Yes (X)$0$1,864,919$1,020,263
RUSSELL HILL
BOARD CHAIR-LBMMC2.02.0Yes (X)Yes (X)$0$0$0
DAVE CARVER
BOARD VICE CHAIR-LBMMC2.00.0Yes (X)Yes (X)$0$0$0
CLIFFORD HANCOCK MD
BOARD SECRETARY-LBMMC2.00.0Yes (X)Yes (X)$0$0$0
H RICHARD ADAMS MD
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
GAIL CARRUTHERS MD
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
SANTOS CORTEZ DDS
BOARD MEMBER-LBMMC2.02.0Yes (X)$0$0$0
STEPHEN HRYNIEWICKI MD
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
LAURENCE W JACKSON
BOARD MEMBER-LBMMC2.02.0Yes (X)$0$0$0
JOSEPH MAGA
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
SEAN MILLER
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
NANCY MYERS
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
SUZANNE NOSWORTHY
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
BEVERLY O'NEILL
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
GUADALUPE PADILLA MD
BOARD MEMBER-LBMMC2.00.0Yes (X)$0$0$0
BRUCE CHANNING
BOARD CHAIR-SMMC2.03.0Yes (X)Yes (X)$0$0$0
JIM GAUSS
BOARD VICE CHAIR-SMMC2.02.0Yes (X)Yes (X)$0$0$0
JACI SONGSTAD
BOARD SECRETARY-SMMC2.00.0Yes (X)Yes (X)$0$0$0
VALDEMAR ASCENCIO MD
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
SHARON CHEEVER
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
PATRICK DONAHUE
BOARD MEMBER-SMMC2.02.0Yes (X)$0$0$0
JOEL LAUTENSCHLEGER
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
DONNA RAYNE-SZOSTAK EDD
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
THOMAS ROGERS
BOARD MEMBER-SMMC4.02.0Yes (X)$0$0$0
SAMUEL TANG
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
LAWRENCE TRAN MD
BOARD MEMBER-SMMC2.01.0Yes (X)$12,000$0$0
MYRON WACHOLDER MD
BOARD MEMBER-SMMC2.00.0Yes (X)$0$0$0
HUGH MORAN
BOARD CHAIR-OCMMC2.02.0Yes (X)Yes (X)$0$0$0
TIM HELGESON
BOARD VICE CHAIR-OCMMC2.00.0Yes (X)Yes (X)$0$0$0
JULIO IBARRA MD
BOARD SECRETARY-OCMMC2.00.0Yes (X)Yes (X)$0$0$0
BILL BARNES
BOARD MEMBER-OCMMC2.00.0Yes (X)$0$0$0
RICHARD MCAULEY
BOARD MEMBER-OCMMC2.00.0Yes (X)$0$0$0
ROBERT SCHACK
BOARD MEMBER-OCMMC2.02.0Yes (X)$0$0$0
GALE SCHLUTER
BOARD MEMBER-OCMMC2.00.0Yes (X)$0$0$0
JOHN STROH
BOARD MEMBER-OCMMC2.00.0Yes (X)$0$0$0
LARRY LAMBERT
CHAIR-MMF/BOARD MEMBER-OCMMC2.02.0Yes (X)Yes (X)$0$0$0
MARK CIANCIOLA MD
BOARD VICE CHAIR-MMF2.00.0Yes (X)Yes (X)$0$0$0
LAURA CROCITTO
BOARD SECRETARY-MMF2.00.0Yes (X)Yes (X)$0$0$0
BARRY BEHRSTOCK MD
BOARD MEMBER-MMF2.00.0Yes (X)$0$0$0
THOMAS COLLINS
BOARD MEMBER-MMF2.02.0Yes (X)$0$0$0
JAMES HILLMAN
BOARD MEMBER-MMF2.00.0Yes (X)$0$0$0
JEFFREY RIKER MD
BOARD MEMBER-MMF2.00.0Yes (X)$0$0$0
MARCIA MANKER
BOARD MEMBER-MMF/CEO,EVP-OCMMC60.00.0Yes (X)Yes (X)$0$650,326$356,147
DIANA L HENDEL
CEO/EVP-LBMMC60.01.0Yes (X)$0$789,171$365,007
MELVIN I MARKS MD
EXEC VP, RESEARCH-LBMMC60.00.0Yes (X)$0$439,476$39,541
WENDY L DORCHESTER
SVP/CHIEF ADMIN OFFICER-LBMMC60.00.0Yes (X)$0$443,174$44,420
JUDITH A FIX
SVP, PATIENT CARE SVCS-LBMMC60.00.0Yes (X)$0$438,834$35,126
TAMRA L KAPLAN
CHIEF OPERATING OFFICER-LBMMC60.00.0Yes (X)$0$430,009$41,818
JOHN BISHOP
SVP, CFO FIN & COMM SVCS-LBMMC60.00.0Yes (X)$0$384,029$34,102
PAULA SUZANNE REINSVOLD
COO (MCH)-LBMMC60.00.0Yes (X)$0$327,286$22,141
SUSAN Y MELVIN DO
CHIEF MEDICAL OFFICER-LBMMC60.00.0Yes (X)$468,390$0$26,173
DIVYA-DEVI JOSHI MD
CHIEF MED OFFICER(MCH)-LBMMC60.00.0Yes (X)$456,411$0$8,040
DONNA E HARTMAN
VP, QUALITY-LBMMC60.00.0Yes (X)$304,879$0$23,008
IDA M MERLINE
VP, MEMORIAL HEART INST-LBMMC60.00.0Yes (X)$283,149$0$15,575
LINDA L HOFF
VP, MED SURG PERI-OP SVC-LBMMC60.00.0Yes (X)$302,770$0$37,181
PAMELA S CHEVREAUX
VP, AMBULATORY SERVICES-LBMMC60.00.0Yes (X)$255,005$0$23,549
MYRA J GREGORIAN
VP, HUMAN RESOURCES-LBMMC60.00.0Yes (X)$280,358$0$32,315
JOYCE G VOLSCH RN
VP, PATIENT CARE (MCH)-LBMMC60.00.0Yes (X)$226,518$0$29,704
RICHELE CRAVEIRO-STEELE
VP, MKTG/PHYSICIAN RELAT-LBMMC60.00.0Yes (X)$203,648$0$30,697
KRIKOR JANSEZIAN
ADMINISTRATOR CHLB-LBMMC60.00.0Yes (X)$262,758$0$31,221
STEPHEN B GEIDT
CEO/EVP-SMMC60.00.0Yes (X)$0$3,728,492$42,385
CHERYL JACOB
CHIEF OPERATING OFFICER-SMMC60.00.0Yes (X)$0$406,340$34,774
ADOLFO OSCAR CHANEZ
VP, FINANCE/CFO-SMMC60.00.0Yes (X)$0$359,132$31,195
KATHY DAWSON
VP, NURSING, CNO-SMMC60.00.0Yes (X)$0$290,978$26,753
HUGO L FOLLI
VP, ANCILLARY SERVICES-SMMC60.00.0Yes (X)$309,021$0$44,254
TONY STRUTHERS
VP, ADMINISTRATOR-SMMC60.00.0Yes (X)$255,221$0$32,318
BRENNAN R JAMES
VP, STRAT & BUS DEV-SMMC60.00.0Yes (X)$322,268$0$21,591
EMILY M RANDLE
CHIEF OPERATING OFFICER-OCMMC60.00.0Yes (X)$302,825$0$36,400
STEPHEN MCNAMARA
VP, FINANCE/CFO-OCMMC60.00.0Yes (X)$0$333,178$31,117
DALE VITAL
VP, NURSING/CNO-OCMMC60.00.0Yes (X)$0$308,626$40,525
PATRICK KAPSNER
CHIEF EXECUTIVE OFFICER-MMF60.00.0Yes (X)$0$559,823$32,057
MARK D SCHAFER MD
CHIEF EXEC OFFICER/CMO-MMF60.00.0Yes (X)$0$493,664$1,398,558
JOHN SOMERS
CHIEF OPERATING OFFICER-MMF60.00.0Yes (X)$0$371,282$32,197
JACQUELINE LUXENBERG
CHIEF FINANCIAL OFFICER-MMF60.00.0Yes (X)$0$231,206$27,995
STEVEN BEAL
VP, INFORMATION SERVICES-MMF60.00.0Yes (X)$0$349,086$18,650
JUDY SHUBIN
VP, PAYOR CONTRACTING-MMF60.00.0Yes (X)$0$298,665$39,680
SCOTT SHIFFMAN MD
MEDICAL DIRECTOR-MMF60.00.0Yes (X)$0$369,130$37,342
MARIA E ZITLAU
RN, COORD, CVOR-OCMMC60.00.0$284,923$0$41,463Yes (X)
JANE H HODDING
EXEC DIR PHARMACY-LBMMC60.00.0$239,420$0$31,196Yes (X)
ANIL SHARMA
PRGM DIR MED PHYSICIST-LBMMC60.00.0$224,106$0$40,251Yes (X)
UMESH C BHARGAVA
PHARM. CLINIC SPECIALIST-LBMMC60.00.0$221,028$0$35,855Yes (X)
CASEY HUDSON
EXEC DIR, RESOURCE MGMT-LBMMC60.00.0$213,954$0$39,965Yes (X)
GLENN CRABTREE
VP, FACILIIES-LBMMC0.00.0$193,696$0$5,623Yes (X)
DANA E CROMPTON-HIME
VP, PERI-OPERATIVE SVCS-LBMMC0.00.0$102,301$0$5,158Yes (X)
CATHY D CAPALDI
VP, CLINICAL/BUS DVMT-OCMMC0.060.0$0$300,320$43,791Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,724,649TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,167,146TotReportableCompRltdOrgAmt
Total Other Compensation$4,387,121TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1254IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
GREATER NEWPORT PHYSICIANS
330 PLACENTIA AVENUENEWPORT BEACHCA92663MEDICAL SERVICES$133,315,033
MEMORIALCARE MEDICAL GROUP
2742 DOW AVENUETUSTINCA92780MEDICAL SERVICES$59,119,535
SODEXO AMERICA LLC
1000 N ALAMEDA STLOS ANGELESCA900121804FOOD & FACILITY SVCS$7,024,213
MILLER CHILDREN'S SUBSPECIALTY
2801 ATLANTIC AVENUE 3RD FLOORLONG BEACHCA90801SPECIALTY GROUP SVCS$4,587,025
SHIFTWISE
180 5TH SREET EST PAULMN551709705STAFFING SERVICES$4,498,352
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K209CntrctRcvdGreaterThan100KCnt
Fundraising$285,342FundraisingAmt
Related Organizations$19,890,989RelatedOrganizationsAmt
Government Grants$2,851,466GovernmentGrantsAmt
All Other Contributions$2,969,759AllOtherContributionsAmt
Noncash Contributions$37,461NoncashContributionsAmt
Total Contributions$25,997,556TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUE622110$1,282,480,020$1,282,480,020
CAPITATION REVENUE622110$375,930,112$375,930,112
LABORATORY621500$109,745,223$95,941,517$13,803,706
PHARMACY446110$91,921,056$90,853,886$1,067,170
MOB RENTAL531120$13,977,403$13,977,403

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$141,191,295TotalRevenueColumnAmt
Related Or Exempt Func Income$121,366,296RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,824,999UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,015,245,109TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,344,999TotalRevenueColumnAmt
Exclusion$1,344,999ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,700,956RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$842,466RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$858,490RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$858,490TotalRevenueColumnAmt
Exclusion$858,490ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$243,431OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$135,819SecuritiesAmt
Other$9,987OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$135,819SecuritiesAmt
Other$233,444OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$97,634TotalRevenueColumnAmt
Exclusion$97,634ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$80,161FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$285,342ContriRptFundraisingEventAmt
Fundraising Direct Expenses$149,840FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$69,679TotalRevenueColumnAmt
Exclusion-$69,679ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$200,995GrossSalesOfInventoryAmt
Cost Of Goods Sold$116,301CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$84,694TotalRevenueColumnAmt
Exclusion$84,694ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
FOOD SERVICES722310$3,616,079$3,616,079
PARKING SERVICES812930$1,651,237$1,651,237
FieldValueIRS element (for citing)
Other Revenue Total$5,267,316OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,048,826,119TotalRevenueColumnAmt
Related Or Exempt Func Income$1,985,816,550RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$34,695,875UnrelatedBusinessRevenueAmt
Exclusion$2,316,138ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$488,726TotalAmt
Program Services$488,726ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,946,765TotalAmt
Program Services$4,914,797ProgramServicesAmt
Management And General$9,031,968ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$133,348TotalAmt
Program Services$133,348ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$570,100,360TotalAmt
Program Services$527,766,924ProgramServicesAmt
Management And General$42,333,436ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$32,116,077TotalAmt
Program Services$29,592,859ProgramServicesAmt
Management And General$2,523,218ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$174,430,019TotalAmt
Program Services$158,702,676ProgramServicesAmt
Management And General$15,727,343ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$47,381,679TotalAmt
Program Services$43,076,472ProgramServicesAmt
Management And General$4,305,207ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$51,555,404TotalAmt
Program Services$21,696,922ProgramServicesAmt
Management And General$29,858,482ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,764,902TotalAmt
Management And General$3,764,902ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$702,108TotalAmt
Management And General$702,108ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$177,213TotalAmt
Program Services$177,213ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$292,974,148TotalAmt
Program Services$226,457,312ProgramServicesAmt
Management And General$66,516,836ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,875,193TotalAmt
Program Services$6,189,220ProgramServicesAmt
Management And General$5,685,973ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$19,372,932TotalAmt
Program Services$18,123,859ProgramServicesAmt
Management And General$1,249,073ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$80,224,421TotalAmt
Program Services$69,895,200ProgramServicesAmt
Management And General$10,329,221ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$35,087,617TotalAmt
Program Services$32,796,007ProgramServicesAmt
Management And General$2,291,610ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$993,478TotalAmt
Program Services$861,690ProgramServicesAmt
Management And General$131,788ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$930,551TotalAmt
Program Services$722,780ProgramServicesAmt
Management And General$207,771ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$96,698TotalAmt
Program Services$17,772ProgramServicesAmt
Management And General$78,926ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$96,404,657TotalAmt
Program Services$60,672,763ProgramServicesAmt
Management And General$35,731,894ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$15,824,631TotalAmt
Program Services$13,423,685ProgramServicesAmt
Management And General$2,400,946ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$98,671,628TotalAmt
Program Services$70,244,775ProgramServicesAmt
Management And General$28,426,853ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,980,360,593TotalAmt
Program Services$1,715,998,315ProgramServicesAmt
Management And General$264,362,278ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,288,870BOYAmt
EOY$2,216,337EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,859,100BOYAmt
EOY$4,584,664EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,758,154BOYAmt
EOY$1,591,048EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$326,624,123BOYAmt
EOY$248,654,616EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$923,352BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$22,604,581BOYAmt
EOY$23,937,070EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$23,558,987BOYAmt
EOY$25,908,459EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,381,012,979LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$770,355,787LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$606,215,444BOYAmt
EOY$610,657,192EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

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

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$12,635,594BOYAmt
EOY$14,646,772EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$195,314,665BOYAmt
EOY$178,503,863EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$460,419,225BOYAmt
EOY$592,813,764EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,664,202,095BOYAmt
EOY$1,703,513,785EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$255,644,571BOYAmt
EOY$219,892,717EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$732,389BOYAmt
EOY$953,807EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,657,069BOYAmt
EOY$1,033,305EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$117,702,374BOYAmt
EOY$117,038,161EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$375,736,403BOYAmt
EOY$338,917,990EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,285,255,199BOYAmt
EOY$1,361,106,844EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,210,493BOYAmt
EOY$3,488,951EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,288,465,692BOYAmt
EOY$1,364,595,795EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,664,202,095BOYAmt
EOY$1,703,513,785EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$68,465,526ReconcilationRevenueExpnssAmt
Prior Period Adjustments-$51,780PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$7,716,357OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$177,213OtherActivitiesAmt
Total Lobbying Expenditures$177,213TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1IFormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$151,492,725BeginningYearBalanceAmt
Contributions$4,125,437ContributionsAmt
Investment Earnings Or Losses$24,032,180InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,854,563GrantsOrScholarshipsAmt
Other Expenditures$1,268,288OtherExpendituresAmt
Administrative Expenses$327,703AdministrativeExpensesAmt
End Year Balance$175,199,788EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$141,593,718BeginningYearBalanceAmt
Contributions$156,060ContributionsAmt
Investment Earnings Or Losses$14,350,691InvestmentEarningsOrLossesAmt
Grants Or Scholarships$2,816,166GrantsOrScholarshipsAmt
Other Expenditures$1,473,042OtherExpendituresAmt
Administrative Expenses$318,536AdministrativeExpensesAmt
End Year Balance$151,492,725EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$141,556,834BeginningYearBalanceAmt
Contributions$5,135,564ContributionsAmt
Investment Earnings Or Losses-$1,379,097InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,085,168GrantsOrScholarshipsAmt
Other Expenditures$2,314,764OtherExpendituresAmt
Administrative Expenses$319,651AdministrativeExpensesAmt
End Year Balance$141,593,718EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$117,537,576BeginningYearBalanceAmt
Contributions$5,388,572ContributionsAmt
Investment Earnings Or Losses$22,648,421InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,374,166GrantsOrScholarshipsAmt
Other Expenditures$2,363,176OtherExpendituresAmt
Administrative Expenses$280,393AdministrativeExpensesAmt
End Year Balance$141,556,834EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$95,004,511BeginningYearBalanceAmt
Contributions$16,687,368ContributionsAmt
Investment Earnings Or Losses$9,040,813InvestmentEarningsOrLossesAmt
Grants Or Scholarships$1,451,897GrantsOrScholarshipsAmt
Other Expenditures$1,146,002OtherExpendituresAmt
Administrative Expenses$597,217AdministrativeExpensesAmt
End Year Balance$117,537,576EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.21430BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.46120PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.32450TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$1,056,617InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$50,140,089OtherCostOrOtherBasisAmt
Book Value$51,196,706BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$659,562,459OtherCostOrOtherBasisAmt
Depreciation$299,639,082DepreciationAmt
Book Value$359,923,377BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,072,951OtherCostOrOtherBasisAmt
Depreciation$15,636,437DepreciationAmt
Book Value$14,436,514BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$540,498,545OtherCostOrOtherBasisAmt
Depreciation$416,620,926DepreciationAmt
Book Value$123,877,619BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$99,682,318OtherCostOrOtherBasisAmt
Depreciation$38,459,342DepreciationAmt
Book Value$61,222,976BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$610,657,192TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE FROM AFFILIATES$571,313,077
OTHER RECEIVABLES$21,490,554
OTHER ASSETS$10,133
FieldValueIRS element (for citing)
Total Book Value Other Assets$592,813,764TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$117,038,161TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE 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 2ACCOUNTING 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

FieldValueIRS element (for citing)
Name Of Event12013 FALL GALANameOfEvent1Amt
Gross Receipts Event1$225,182GrossReceiptsEvent1Amt
Charitable Contri Event1$177,657CharitableContriEvent1Amt
Gross Revenue Event1$47,525GrossRevenueEvent1Amt
Rent Facility Costs Event1$3,561RentFacilityCostsEvent1Amt
Food And Beverage Event1$53,422FoodAndBeverageEvent1Amt
Entertainment Event1$8,200EntertainmentEvent1Amt
Other Direct Expenses Event1$23,122OtherDirectExpensesEvent1Amt
Name Of Event2GOLF TOURN.NameOfEvent2Amt
Gross Receipts Event2$92,966GrossReceiptsEvent2Amt
Charitable Contri Event2$75,894CharitableContriEvent2Amt
Gross Revenue Event2$17,072GrossRevenueEvent2Amt
Rent Facility Costs Event2$12,500RentFacilityCostsEvent2Amt
Food And Beverage Event2$11,137FoodAndBeverageEvent2Amt
Other Direct Expenses Event2$21,523OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$47,355GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$31,791CharitableContriOtherEventsAmt
Gross Revenue Other Events$15,564GrossRevenueOtherEventsAmt
Rent Fclty Costs Other Events$4,333RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events$10,733FoodAndBeverageOtherEventsAmt
Oth Direct Expnss Other Events$1,309OthDirectExpnssOtherEventsAmt
Gross Receipts Total$365,503GrossReceiptsTotalAmt
Charitable Contributions Tot$285,342CharitableContributionsTotAmt
Gross Revenue Total Events$80,161GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$20,394RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$75,292FoodAndBeverageTotalEventsAmt
Entertainment Total Events$8,200EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$45,954OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$149,840DirectExpenseSummaryEventsAmt
Net Income Summary-$69,679NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent350Yes (X)Percent350Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,464,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,156DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,445,781NetCommunityBenefitExpnsAmt
Total Expense0.00880TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$353,956,353TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$260,627,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,329,269NetCommunityBenefitExpnsAmt
Total Expense0.04690TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$20,743,305TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,521,038DirectOffsettingRevenueAmt
Net Community Benefit Expns-$5,777,733NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$392,164,595TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$287,167,278DirectOffsettingRevenueAmt
Net Community Benefit Expns$104,997,317NetCommunityBenefitExpnsAmt
Total Expense0.05280TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,606,244TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$560,071DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,046,173NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,937,867TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,801,599DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,136,268NetCommunityBenefitExpnsAmt
Total Expense0.00510TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,474,619TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,148,294DirectOffsettingRevenueAmt
Net Community Benefit Expns$19,326,325NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,918,082TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,499,996DirectOffsettingRevenueAmt
Net Community Benefit Expns$418,086NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$615,834TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$615,834NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$45,552,646TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,009,960DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,542,686NetCommunityBenefitExpnsAmt
Total Expense0.01630TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$437,717,241TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$300,177,238DirectOffsettingRevenueAmt
Net Community Benefit Expns$137,540,003NetCommunityBenefitExpnsAmt
Total Expense0.06910TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$456TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$456NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$891TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$891NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$93,399TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,399NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$752TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$752NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,824TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,824NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$292TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$292NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$17,155TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$17,155NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$118,769TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$118,769NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$92,281,597BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$213,062,639ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$236,836,124CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$23,773,485MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MEMORIALCARE SURG
AMBULATORY SURGERY CENTER0.590000.000000.41000
CENTER AT ORANGE
COAST LLC
FieldValueIRS element (for citing)
Hospital Facilities5HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (5 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndResearch FacilityResearchFacilityIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
LONG BEACH MEMORIAL MEDICAL CENTER
12801 ATLANTIC AVE PO BOX 1428LONG BEACHCA908011428WWW.MEMORIALCARE.ORG930000102Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
SADDLEBACK MEMORIAL MEDICAL CENTER
224451 HEALTH CENTER DRIVELAGUNA HILLSCA92653WWW.MEMORIALCARE.ORG060000166Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)B
EARL & LORAINE MILLER CHILDREN'S HOSP
32801 ATLANTIC AVE PO BOX 1428LONG BEACHCA908011428WWW.MEMORIALCARE.ORG930000949Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)AYes (X)
ORANGE COAST MEMORIAL MEDICAL CENTER
49920 TALBERT AVENUEFOUNTAIN VALLEYCA927085115WWW.MEMORIALCARE.ORG060000066Yes (X)Yes (X)Yes (X)Yes (X)B
COMMUNITY HOSPITAL OF LONG BEACH
51720 TERMINO AVENUELONG BEACHCA90804WWW.MEMORIALCARE.ORG930000090Yes (X)Yes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

CHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndInclude Operational PlanIncludeOperationalPlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndInsurance StatusInsuranceStatusIndUninsured DiscountUninsuredDiscountIndMedicaid MedicareMedicaidMedicareIndState RegulationStateRegulationIndResidencyResidencyIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAvailable On RequestAvailableOnRequestIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified Upon AdmissionFAPNotifiedUponAdmissionIndFAP Notified Before DischargeFAPNotifiedBeforeDischargeIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
A
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)Yes (true)Yes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (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)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
B
Yes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (true)falseYes (true)Yes (X)SEE PART V, SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)falsefalseYes (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)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B - FACILITY REPORTING GROUP AA 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 4APPLIES 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 BA 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 5AAPPLIES 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.
FieldValueIRS element (for citing)
Facility82FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (82 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
OCMMC IMAGING SERVICES
18111 BROOKHURST ST STE 1400FOUNTAIN VALLEYCA92708IMAGING
LAGUNA HILLS SURGERY CENTER
24331 EL TORO RDLAGUNA WOODSCA92637OUTPATIENT SURGICAL FACILITY
SURGICAL CENTER AT SADDLEBACK
24411 HEALTH CENTER DRLAGUNA HILLSCA92653OUTPATIENT SURGICAL FACILITY
MEMORIAL CARE IMAGING CENTER
403 COLUMBIA STREETLONG BEACHCA90806IMAGING CENTER
SMMC BREAST CENTERBREAST MRI
24401 CALLE DE LOUISA STE 101 A 10LAGUNA HILLSCA92653BREAST CENTER
BREAST CENTER
2810 LONG BEACH BLVD 2ND FLOORLONG BEACHCA90806BREAST CENTER AND OSTEOPOROSIS CLINIC
SMMC RADIATION ONCOLOGY
24953 PASEO DE VALENCIA SUITE B1LAGUNA HILLSCA92653RADIATION CLINIC
MEMORIALCARE MED GROUP-FOUNTAIN VALLEY
11420 WARNER AVEFOUNTAIN VALLEYCA92708PRIMARY CARE FACILITY AND URGENT CARE FACILITY
DIGESTIVE DISEASE CENTER
24411 HEALTH CENTER DRLAGUNA HILLSCA92653SPECIALTY CLINIC
MEMORIALCARE MEDICAL GROUP - IRVINE
250 E YALE LOOP DR STE 200IRVINECA92614PRIMARY CARE FACILITY
OCMMC CARDIOLOGY & CARDIAC REHAB
18111 BROOKHURST ST STE 2200 240FOUNTAIN VALLEYCA92708CARDIOLOGY AND CARDIAC REHAB
MEMORIALCARE IMAGING CENTER
675 CAMINO DE LOS MARESSAN CLEMENTECA92673IMAGING CENTER
MEMORIALCARE MEDICAL GROUP
2110 N BELLFLOWER BLVDLONG BEACHCA90815PRIMARY CARE FACILITY AND
BREAST CARE CENTER AT OCMMC
9900 TALBERT AVE STE 102FOUNTAIN VALLEYCA92708BREAST CARE
MEMORIALCARE MED GROUP-SJ CAPISTRANO
30300 30310 RANCHO VIEJO RDSAN JUAN CAPISTRANOCA92675PRIMARY CARE FACILITY
REHABILITATION OUTPATIENT SPECIALTY CNTR
1760 TERMINO AVE STE G19 G20 100LONG BEACHCA90804PEDIATRIC REHAB
OCMMC NUCLEAR MEDICINE
18111 BROOKHURST ST STE 1400FOUNTAIN VALLEYCA92708NUCLEAR MEDICINE
BUFFUM MEDICAL PAVILLION
455 E COLUMBIA STREETLONG BEACHCA90806HOME CARE PHARMACY AND CHILDRENS DENTAL CLINIC
MMC MEDICAL GROUP-RANCHO SANTA MARGARITA
29472 AVE DE LAS BANDERASRANCHO SANTA MARGARITACA92688PRIMARY CARE FACILITY
SMMC COORDINATED HOME CARE
23521 PASEO DE VALENCIA SUITE 100-LAGUNA HILLSCA92653HOME CARE SVCS
MEMORIALCARE MEDICAL GROUP-MISSION VIEJO
23512 MADERO RDMISSION VIEJOCA92691PRIMARY CARE FACILITY
MEMORIALCARE MEDICAL GROUP-COSTA MESA
722 BAKER STCOSTA MESACA92626PRIMARY CARE FACILITY
SMMC HOSPICE
23521 PASEO DE VALENCIA SUITE 100-LAGUNA HILLSCA92653HOSPICE
MEMORIALCARE MEDICAL GROUP-SANTA ANA
1212 W 17TH STSANTA ANACA92706PRIMARY CARE FACILITY
MEMORIAL FAMILY MEDICINE
450 E SPRING ST SUITE 1LONG BEACHCA90806PRIMARY CARE FACILITY
MEMORIALCARE MEDICAL GROUP-ALISO VIEJO
15 MAREBLUALISA VIEJOCA92656PRIMARY CARE FACILITY
SMMC WOUND CARE
26137 LA PAZ ROAD SUITE 120MISSION VIEJOCA92691WOUND CARE
WAVE IMAGING
3300 W COAST HIGHWAYNEWPORT BEACHCA92663IMAGING FACILITY
OCMMC OUTPATIENT SERVICES
18111 BROOKHURST ST STE 2400FOUNTAIN VALLEYCA92708REHABILITATION
MEMORIALCARE MEDICAL GROUP - ANAHEIM
3010 W ORANGE AVE STE 302 104ANAHEIMCA92804PRIMARY CARE FACILITY
MEMORIAL PROMPT CARE-WESTMINSTER
15464 GOLDENWEST STWESTMINSTERCA92683PRIMARY CARE FACILITY AND URGENT CARE FACILITY
SMMC HEART INSTITUTE
24401 CALLE DE LOUISA SUITE 201 2LAGUNA HILLSCA92653HEART INSTITUTE
ADULT INFUSION CENTER
2810 LONG BEACH BLVD 3RD FLOORLONG BEACHCA90806ADULT INFUSION CENTER
SMMC OUTPATIENT REHAB
24401 CALLE DE LOUISA SUITE 100LAGUNA HILLSCA92653OUTPATIENT REHAB
MEMORIALCARE MEDICAL GROUP
1300 AVENIDA VISTA HERMOSASAN CLEMENTECA92673PRIMARY CARE FACILITY
SLEEP DISORDERS CENTER
5182 KATELLA AVE SUITE 106LOS ALAMITOSCA90720SLEEP DISORDER CLINIC
MEMORIALCARE MEDICAL GROUP
161 AVENIDA VAQUEROSAN CLEMENTECA92673PRIMARY CARE FACILITY
MEMORIALCARE MEDICAL GROUP
2865 ATLANTIC AVE SUITE 205LONG BEACHCA90806SPECIALTY CLINIC
WAVE IMAGING
250 E YALE LOOP DR STE AIRVINECA92604IMAGING FACILITY
ADULT PULMONARY REHAB CENTER ADULT DIAB
2840 LONG BEACH BLVD SUITE 210 2LONG BEACHCA90806DIABETES CLINIC AND PULMONARY REHABILITATION
MEMORIAL PROMPT CARE-BEACH
18561 BEACH BLVDHUNTINGTON BEACHCA92648PRIMARY CARE FACILITY AND URGENT CARE FACILITY
MEMORIALCARE MEDICAL GROUP-CROWN VALLEY
26991 CROWN VALLEY PKWYMISSION VIEJOCA92691PRIMARY CARE FACILITY AND URGENT CARE FACILITY
MEMORIAL PROMPT CARE - ADAMS
9122 ADAMS AVEHUNTINGTON BEACHCA92648PRIMARY CARE FACILITY AND URGENT CARE FACILITY
CLINICAL RESEARCH CENTER
2840 LONG BEACH BLVD SUITE 345LONG BEACHCA90806CLINICAL RESEARCH CENTER
OCMMC INFUSION
18111 BROOKHURST ST STE 4300FOUNTAIN VALLEYCA92708INFUSION CARE
MEMORIALCARE MEDICAL GROUP
675 CAMINO DE LOS MARES SUITE 200SAN CLEMENTECA92673PRIMARY CARE FACILITY
WAVE IMAGING
7677 CENTER AVENUE SUITE 103 212HUNTINGTON BEACHCA92647IMAGING FACILITY
MEMORIAL OCCUPATIONAL MEDICINE
1720 TERMINO AVELONG BEACHCA90804OCCUPATIONAL MEDICINE
WOUND HEALING CENTER
2888 LONG BEACH BLVD SUITE 125LONG BEACHCA90806WOUND CARE CENTER
MEMORIALCARE MEDICAL GROUP
2865 ATLANTIC AVE SUITE 202LONG BEACHCA90806SPECIALTY CLINIC
MEMORIALCARE MEDICAL GROUP
34052 LA PLAZA DRIVE SUITE 103DANA POINTCA92629PRIMARY CARE FACILITY
WAVE IMAGING
25500 RANCHO NIGUEL R SUITE 140LAGUNA NIGUELCA92677IMAGING FACILITY
WAVE IMAGING
4200 E PACIFIC COAST HIGHWAYLONG BEACHCA90804IMAGING FACILITY
MEMORIALCARE MEDICAL GROUP
2880 ATLANTIC AVE SUITE 220LONG BEACHCA90806SPECIALTY CLINIC
MEMORIALCARE MEDICAL GROUP
2865 ATLANTIC AVE SUITE 104LONG BEACHCA90806MULTISPECIALTY CLINIC
MEMORIALCARE MEDICAL GROUP
7677 CENTER AVE SUITE 100HUNTINGTON BEACHCA92647PRIMARY CARE FACILITY
MEMORIALCARE MEDICAL GROUP
18111 BROOKHURST STREET SUITE 6300FOUNTAIN VALLEYCA92708SPECIALTY CLINIC
TRANSITIONAL REHAB
2085 E 3RD STREETLONG BEACHCA90804REHABILITATION CENTER
OBGYN CLINIC
2865 ATLANTIC AVE SUITE 110 115LONG BEACHCA90806OB/GYN CLINIC LACTATION CLINC CHILD ABUSE CENTER
ENDOCRINE DIABETES & METABOLIC CENTERS
2880 ATLANTIC AVE SUITE 255LONG BEACHCA90806PEDIATRIC CENTERS
STRAMSKI CHILDRENS DEVELOPMENTAL CENTER
2650 ELM AVENUE SUITE 205LONG BEACHCA90806PEDIATRIC CLINIC
MEMORIALCARE MEDICAL GROUP
24411 HEALTH CENTER DRIVE SUITE 68LAGUNA HILLSCA92653SPECIALTY CLINIC
PEDIATRIC HEMATOLOGY-ONCOLOGY CENTER
2653 ELM AVE SUITE 200LONG BEACHCA90806PEDIATRIC SERVICES
MEMORIALCARE MEDICAL GROUP
34052 LA PLAZA DRIVE SUITE 105DANA POINTCA92629PRIMARY CARE FACILITY
BICKERSTAFF HIV CENTER
2701 ATLANTIC AVE SUITES B CLONG BEACHCA90806HIV CENTER
CHLB CANCER CENTER
1649 TERMINO AVENUELONG BEACHCA90804CANCER CENTER
GI HEPATOLOGY & NUTRITION CENTER
1760 TERMINO AVENUE SUITE 300 30LONG BEACHCA90804PEDIATRIC SERVICES
ORTHOPEDIC CENTER
1760 TERMINO AVENUE SUITE 308LONG BEACHCA90804PEDIATRIC ORTHOPEDIC SERVICE
SLEEP DISORDERS CENTER
2651 ELM AVE SUITE 307LONG BEACHCA90806SLEEP DISORDER CLINIC
PACIFIC SURGERY CENTER
1640 NEWPORT BLVD SUITE 250COSTA MESACA92627OUTPATIENT SURGICAL FACILITY
EYE CENTER
450 E SPRING STREET SUITE 6LONG BEACHCA90806EYE CLINIC
CARDIOLOGY OUTPATIENT CTRNEUROLOGY CTR
2880 ATLANTIC AVENUE SUITE 220LONG BEACHCA90806PEDIATRIC SERVICES
CHILDREN'S SPECIALTY CENTER
9440 TALBERT AVE SUITE 200FOUNTAIN VALLEYCA92708CHILDREN'S SPECIALTY CENTER
EDUCATIONTRANSITIONS
23961 CALLE DE LA MAGDALENA SUITELAGUNA HILLSCA92653EDUCATION CENTER
TODD CANCER INSTITUTE
2810 LONG BEACH BLVDLONG BEACHCA90806CANCER RISK AND PREVENTION
MEMORIALCARE MEDICAL GROUP
3640 LOMITA BLVD SUITE 205TORRANCECA90505PRIMARY CARE FACILITY
MULTISPECIALTY CLINIC
2865 ATLANTIC AVE SUITE 104 152LONG BEACHCA90806MULTISPECIALTY CLINIC
CENTER FOR CARDIAC HEALTH & RESEARCH
2865 ATLANTIC AVE SUITE 210LONG BEACHCA90806CARDIAC HEALTH AND RESEARCH
JONATHAN JAQUES CENTER
701 E 28TH STREET SUITE 202LONG BEACHCA90806PEDIATRIC CANCER CENTER
DEVELOPMENTAL & MULTISPECIALTY CENTER
3640 LOMITA BLVD SUITE 102TORRANCECA90505CHILDREN'S SPECIALTY CENTER
CHLB PARTIAL HOSP INTENSIVE OP PROGRAM
4111 WILTON STREETLONG BEACHCA90804OUTPATIENT BEHAVIORAL HEALTH
CHLB PSYCHIATRIC CLINIC
1760 TERMINO AVE SUITE G18LONG BEACHCA90804PSYCHIATRIC CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 6AEACH 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 7BCALIFORNIA 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 FOUR 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 7GALL 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 7SEVERAL 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 IIMEMORIAL 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 2THE 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 8COSTING 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 9BONCE 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 2IN 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 3PUBLIC 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 4THE 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 5AS 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 6MEMORIAL 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 7CALIFORNIA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
THE CENTER OF ECONOMIC DEVELOPMENT
444 S FLOWER STLOS ANGELESCA90071953643339501(C)(3)$20,000PROGRAM SUPPORT
UNIVERSITY OF CA IRVINE FOUNDATION
100 THEORY SUITE 250IRVINECA92617952540117501(C)(3)$15,000PROGRAM SUPPORT
NELLIGAN SPORTS MARKETING INC
150 CLOVE ROADLITTLE FALLSNJ07424223659064$7,500PROGRAM SUPPORT
SADDLEBACK MEMORIAL FOUNDATION
24451 HEALTH CTR DRLAGUNA HILLSCA92653330011887501(C)(3)$18,507PROGRAM SUPPORT
CALIFORNIA HEALTH FOUNDATION AND TRUST
1215 K STREET STE 800SACRAMENTOCA95814941498697501(C)(3)$243,565CA HOSPITAL FEE
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationLONG 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

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (44 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3THE 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 4ATHE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS IN 2013: GLENN CRABTREE: $103,498 DANA E CROMPTON-HIME: $40,814
SCHEDULE J, PART I, LINE 4BMEMORIAL 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 7CERTAIN 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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
COLUMBIA EMERGENCY MEDICAL GROUP IN
GAIL CARUTHERS/SEE PART V$1,003,047MEDICAL SVCS PROVIDED TO LBMMCfalse
FARMERS MERCHANTS BANK
SEAN MILLER/SEE PART V$176,319BANK FEESfalse
GREATER NEWPORT PHYSICIANS INC
BARRY BEHRSTOCK/SEE PT V$129,301,554MEDICAL SVCS PROVIDED TO MMFfalse
BRISTOL PARK INVESTMENT GROUP I LP
PATRICK KAPSNER/SEE PT V$410,368RENTAL INCOME PAID BY MMFfalse
BRISTOL PARK INVESTMENT GROUP II L
PATRICK KAPSNER/SEE PT V$506,740RENTAL INCOME PAID BY MMFfalse
BRISTOL PARK INVESTMENT GROUP III
SEE PART V$562,842RENTAL INCOME PAID BY MMFfalse
MEMORIALCARE MEDICAL GROUP
MARK CIANCIOLA$53,241,449MEDICAL SVCS PROVIDED TO MMFfalse
LB MEMORIAL PATHOLOGY MEDICAL GROUP
JULIO IBARRA/SEE PART V$3,099,000MEDICAL SVCS PROVIDED TO OCMMCfalse
SEAN LAMBERT
SON OF LARRY LAMBERT$15,348EMPLOYEE COMPENSATIONfalse
DAVID KAPSNER
SON OF PATRICK KAPSNER$37,125EMPLOYEE COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationGAIL 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

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMEDICAL EQUIP.Desc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$37,461NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN (B)FormAndLineReferenceDesc
ExplanationTHE AMOUNT IN COLUMN (B) REPRESENTS THE NUMBER OF CONTRIBUTIONS RECIEVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 2ON 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 FOUNDATIONMEMORIALCARE 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 CENTERORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), A MEMBER OF THE NOT-FOR-PROFIT MEMORIALCARE MEDICAL CENTERS SINCE JANUARY, 1996, IS COMMITTED TO UPHOLDING THE HIGHEST STANDARDS OF CARE AND MEETING THE NEEDS OF THE COMMUNITY. OCMMC HAS CREATED AN ENVIRONMENT WHICH FOSTERS COMMUNITY OUTREACH. DEPARTMENT DIRECTORS, EMPLOYEES, PHYSICIANS, SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS ALL PARTICIPATE IN DEVELOPING AND IMPLEMENTING OUTREACH ACTIVITIES AND NEW PROGRAMS. 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 2THE 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 2PATRICK KAPSNER, JUDY SHUBIN AND MARK SCHAEFER HAVE A BUSINESS RELATIONSHIP. MARK CIANCIOLA AND JEFFREY RIKER HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, LINE 6MEMORIAL 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 7ATHE 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 7BTHE 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 11BTHE 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 12CTHE 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 & 15BFREDERIC 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 16ATHE 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 11GPURCHASED 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 9GRANT 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 2BTHE 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 3BTHE 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)

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MEMORIALCARE IMAGING CNTR - SAN CLEMENTE
675 CAMINO DE LOS MARES 101SAN CLEMENTECA92673270713649IMAGING SVCSCA$3,630,367$2,399,093SMMC
NAUTILUS HEALTHCARE MANAGEMENT GROUP LLC
PO BOX 6270NEWPORTCA92658260808876MGMT SVCSCA$41,049,715$59,358,339MMF
MEMORIALCARE REGIONAL ACO LLC
2742 DOW AVETUSTINCA92780452970665MEDICAL SVCSCA$0$0MMF
NAUTILUS INSURANCE SERVICES
PO BOX 6270NEWPORTCA92658INSURANCE SVCCA$102,867$0MMF
WAVE IMAGING LLC
2742 DOW AVETUSTINCA92780300762119IMAGING SVCSCA$0$0MMF
BEACH SURGICAL HOLDINGS II LLC
17360 BROOKHURST STFOUNTAIN VALLEYCA92708472083076SURGICAL SVCSCA$46,729$5,211,211MMF

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
ANAHEIM MEMORIAL MEDICAL CENTER
1111 WEST LA PALMA AVENUEANAHEIMCA92801951966746HEALTHCARECA501(C)(3)9MHSYes (true)
AMERICAN INST FOR PHILANTHROPIC STUDIES
2801 ATLANTIC AVENUELONG BEACHCA90801953756364PHILAN. EDU.CA501(C)(3)7MMCFYes (true)
SEASIDE HEALTH PLAN
2801 ATLANTIC AVENUELONG BEACHCA90806461870181MEDICAL SVCSCA501(C)(4)MHSYes (true)
Saddleback Memorial Foundation
24451 HEALTH CENTER DRIVELAGUNA HILLSCA92653330011887PHILANTHROPYCA501(C)(3)7SMMCYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
MEMORIALCARE SURG CNTR OC LLC
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MEMORIALCARE HOME HEALTH LLC
23521 PASEO DE VALENCIA STE 100FOUNTAIN VALLEYCA92708HEALTHCARECASMMCRELATED$0$0false$0false0.60000
BEACH SURGICAL HOLDINGS LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244371708521HEALTHCARECAMMFRELATED$1,017,252$12,079,559false$0Yes (true)0.51000
MEMORIALCARE INNOVATION FUND LP
320 GOLDEN SHORE STE 120LONG BEACHCA90802460791893INVESTMENTSCANAN/A
WAVE IMAGING LLC
IMAGINGCAMMFRELATEDfalse$00.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
NATIONAL HEALTHCARE SERVICES
330 GOLDEN SHORE AVENUELONG BEACHCA92802953496341MEDICAL INVESTINGCANAC-CORP
SADDLEBACK MEDICAL VENTURES
330 GOLDEN SHORE AVENUE 120LONG BEACHCA90802330308236MEDICAL SERVICESCANAC-CORP
CHARITABLE REMAINDER ANNUITY TRUST
HOSPITAL SUPPORTCANAYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangeYes (true)AssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (43 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MEMORIALCARE SURGERY CENTER AT OCMMC (OCMMC)
A (IV$652,992ACCRUAL
Orange Coast Memorial Medical Center (LBMMC)
k$136,585ACCRUAL
Orange Coast Memorial Medical Center (LBMMC)
p$686,358ACCRUAL
Orange Coast Memorial Medical Center (LBMMC)
q$5,656,388ACCRUAL
Orange Coast Memorial Medical Center (LBMMC)
s$770,563ACCRUAL
Saddleback Memorial Medical Center (LBMMC)
p$333,576ACCRUAL
Saddleback Memorial Medical Center (LBMMC)
q$1,351,974ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION (LBMMC)
L$92,643ACCRUAL
MemorialCare Medical Foundation (LBMMC)
p$9,105,871ACCRUAL
MemorialCare Medical Foundation (LBMMC)
q$1,413,091ACCRUAL
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
c$12,008,892ACCRUAL
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
o$2,292,083ACCRUAL
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
q$237,689ACCRUAL
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
r$279,969ACCRUAL
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
s$14,542,336ACCRUAL
Seaside Health Plan (LBMMC)
s$2,079,268ACCRUAL
Seaside Health Plan (LBMMC)
p$2,313,987ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
J$136,585ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
Q$686,358ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
P$5,656,388ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
R$770,563ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC)
Q$7,874,404ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC)
P$3,745,087ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION (OCMMC)
P$2,956,020ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION (OCMMC)
S$534,816ACCRUAL
Long Beach Memorial Medical Center (SMMC)
q$333,576ACCRUAL
Long Beach Memorial Medical Center (SMMC)
p$1,351,974ACCRUAL
Orange Coast Memorial Medical Center (SMMC)
q$3,745,087ACCRUAL
Orange Coast Memorial Medical Center (SMMC)
p$7,874,404ACCRUAL
MEMORIALCARE MEDICAL FOUNDATION
L$563,831ACCRUAL
Memorialcare Medical Foundation (SMMC)
o$1,182,155ACCRUAL
Memorialcare Medical Foundation (SMMC)
p$434,549ACCRUAL
Memorialcare Medical Foundation (SMMC)
q$653,895ACCRUAL
Saddleback Memorial Foundation (SMMC)
c$7,867,097ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (MMF)
M$92,643ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (MMF)
P$1,413,091ACCRUAL
LONG BEACH MEMORIAL MEDICAL CENTER (MMF)
Q$9,105,872ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER (MMF)
Q$2,956,020ACCRUAL
ORANGE COAST MEMORIAL MEDICAL CENTER (MMF)
R$534,816ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (MMF)
M$563,831ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (MMF)
O$1,182,155ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (MMF)
P$653,895ACCRUAL
SADDLEBACK MEMORIAL MEDICAL CENTER (MMF)
Q$434,549ACCRUAL

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE R, PART IIMEMORIAL 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 IIIMEMORIALCARE 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 2THE 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINBusiness Name ControlBusinessNameControlTxt
LONG BEACH MEMORIAL MEDICAL CENTER
2801 ATLANTIC AVELONG BEACHCA90806953527031LONG
MEMORIALCARE MEDICAL FOUNDATION
2742 DOW AVETUSTINCA92780271504911MEMO
ORANGE COAST MEMORIAL MEDICAL
9920 TALBERT AVEFOUNTAIN VLYCA92708330687414ORAN
SADDLEBACK MEMORIAL MEDICAL CENTER
24451 HEALTH CENTER DRLAGUNA HILLSCA92653952585792SADD