LODI MEMORIAL HOSPITAL ASSOCIATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: LODI MEMORIAL HOSPITAL ASSOCIATION INC (EIN 94-1044474)
Tax period: 2013-01-01 to 2013-12-31
Filed: 2014-11-14
IRS object ID: 201423189349302242
Schema version: 2013v3.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2014-11-14T10:46:36-06:00	ReturnTs
Tax Period End	2013-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	910189318	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MOSS ADAMS LLP	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	3121 W MARCH LN STE 100	AddressLine1
City	STOCKTON	City
State	CA	State
ZIP Code	952192303	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	941044474	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	LODI MEMORIAL HOSPITAL ASSOCIATION INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	LODI	BusinessNameControlTxt
Phone	2093343411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 S FAIRMONT AVENUE	AddressLine1
City	LODI	City
State	CA	State
ZIP Code	95240	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH P HARRINGTON	PersonNm
Person Title	CEO & PRESIDENT	PersonTitleTxt
Phone	2093343411	PhoneNum
Signature	2014-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	TRACY S PAGLIA	PreparerPersonNm
PTIN	P00366884	PTIN
Phone	2099556100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	LODI MEMORIAL HOSPITAL & LODI HEALTH	BusinessNameLine1

Field	Value	IRS element (for citing)
Principal Officer	JOSEPH P HARRINGTON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 S FAIRMONT AVENUE	AddressLine1
City	LODI	City
State	CA	State
ZIP Code	95240	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$210,981,339	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.LODIHEALTH.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1945	FormationYr
Legal Domicile State	CA	LegalDomicileStateCd
Activity Or Mission	PROVIDE HEALTHCARE SERVICES TO THE COMMUNITY	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	1561	TotalEmployeeCnt
Total Volunteers	208	TotalVolunteersCnt
Total Gross UBI	$53,825	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$509,921	PYContributionsGrantsAmt
CY Contributions Grants	$479,674	CYContributionsGrantsAmt
PY Program Service Revenue	$190,645,854	PYProgramServiceRevenueAmt
CY Program Service Revenue	$203,455,454	CYProgramServiceRevenueAmt
PY Investment Income	$1,773,545	PYInvestmentIncomeAmt
CY Investment Income	$1,276,688	CYInvestmentIncomeAmt
PY Other Revenue	$38,829	PYOtherRevenueAmt
CY Other Revenue	$158,468	CYOtherRevenueAmt
PY Total Revenue	$192,968,149	PYTotalRevenueAmt
CY Total Revenue	$205,370,284	CYTotalRevenueAmt
PY Grants And Similar Paid	$163,525	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$259,063	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$86,177,988	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$94,731,082	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$180,758	CYTotalFundraisingExpenseAmt
PY Other Expenses	$108,578,472	PYOtherExpensesAmt
CY Other Expenses	$122,576,161	CYOtherExpensesAmt
PY Total Expenses	$194,919,985	PYTotalExpensesAmt
CY Total Expenses	$217,566,306	CYTotalExpensesAmt
PY Revenues Less Expenses	-$1,951,836	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$12,196,022	CYRevenuesLessExpensesAmt
Total Assets BOY	$271,434,032	TotalAssetsBOYAmt
Total Assets EOY	$264,618,252	TotalAssetsEOYAmt
Total Liabilities BOY	$167,772,972	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$168,836,580	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$103,661,060	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$95,781,672	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	AS A NOT-FOR-PROFIT, HEALTH-CARE DELIVERY SYSTEM, LODI MEMORIAL HOSPITAL IS DEDICATED TO:- IMPROVING COMMUNITY HEALTH;- PROVIDING QUALITY AND TIMELY HEALTH-CARE SERVICES, RANGING FROM HEALTH PROMOTION AND EDUCATION TO DIAGNOSTICS, ACUTE-INPATIENT CARE, REHABILITATION SERVICES AND HOME CARE;- EXPANDING COMMUNITY ACCESS TO CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$169,694,371	ExpenseAmt
Grant	$259,063	GrantAmt
Revenue	$198,451,758	RevenueAmt
Desc	LODI MEMORIAL HOSPITAL IS A NON-PROFIT, ACUTE CARE HOSPITAL PROVIDING HIGH QUALITY SERVICES THAT PROMOTE HEALTH AND REHABILITATION, PREVENT DISEASE, AND TREAT AND CARE FOR THE SICK AND INJURED. HOSPITAL STAFF, MEDICAL STAFF AND THE GOVERNING BOARD ARE DEDICATED TO TREATING ALL PATIENTS AND VISITORS AS INDIVIDUALS WITH EQUAL DIGNITY, RESPECT AND QUALITY OF CARE.LODI MEMORIAL HOSPITAL TREATS AND PROVIDES CARE TO ITS PATIENTS THROUGH INPATIENT AND OUTPATIENT SERVICES. INPATIENTS RECEIVE CARE THROUGH MEDICAL-SURGICAL, PERI-OPERATIVE, PERI-NATAL, PEDIATRIC, INTENSIVE CARE, AND ACUTE-PHYSICAL REHABILITATION SERVICES.OUTPATIENT CARE INCLUDES 24-HOUR EMERGENCY, DIAGNOSTIC SERVICES, SURGERY, REHABILITATION AND EDUCATION.LODI MEMORIAL HOSPITAL IDENTIFIES THE HEALTH-CARE AND HEALTH MAINTENANCE NEEDS AND PREFERENCES OF THE COMMUNITY IT SERVES. DIAGNOSTIC, REHABILITATIVE, EDUCATIONAL, TREATMENT AND PREVENTATIVE SERVICES ARE DEVELOPED AS APPROPRIATE FOR A HOSPITAL OF THIS SIZE AND ROLE.LODI MEMORIAL HOSPITAL, CONSISTENT WITH ITS NON-PROFIT STATUS, DEVELOPS FINANCIAL RESOURCES TO ADEQUATELY SUPPORT HEALTH MAINTENANCE AND PATIENT-CARE SERVICES; CHARITY CARE FOR THOSE UNABLE TO PAY, WORKING CAPITAL NEEDS; AND CAPITAL REQUIREMENTS OF PLANT, EQUIPMENT AND ENVOLVING TECHNOLOGY. EVERY EFFORT IS MADE TO KEEP COSTS AFFORDABLE FOR PATIENTS WHILE CONTINUOUSLY STRIVING TO IMPROVE THE QUALITY OF SERVICE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,051,932	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$5,008,368	RevenueAmt
Desc	LODI MEMORIAL COMMUNITY CLINICS ARE LICENSED UNDER THE DEPARTMENT OF PUBLIC HEALTH SERVICES REGULATIONS, AND ARE OWNED AND OPERATED BY THE LODI MEMORIAL HOSPITAL ASSOCIATION, INC., A NOT-FOR-PROFIT ENTITY AND WILL PROVIDE MEDICAL CARE TO ANY AGE. A COMMUNITY CLINIC UNIT OFFERS SERVICES DURING POSTED HOURS OF BUSINESS, WITH AT LEAST ONE PHYSICIAN EXPERIENCED IN THE COMMUNITY CLINIC PRACTICE. SPECIALTY CONSULTATION WILL BE AVAILABLE BY PHONE OR REFERRAL TO MEMBERS OF THE MEDICAL STAFF. IN 2013, THERE WERE FOUR (4) COMMUNITY CLINICS LICENSED AND OPERATIONAL.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$178,746,303	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	437	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1561	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	CA	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CYNTHIA BUTLER CONTROLLER	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	2093343411	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	975 S FAIRMONT AVE FINANCE DEPT	AddressLine1
City	LODI	City
State	CA	State
ZIP Code	95240	ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
SORBERA THOMAS MD
BOARD MEMBER & LMCC PHYSICIAN	40.00	Yes (X)	$345,901	$0	$7,979
ADDINGTON RON
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
AGUIRE ELIZABETH
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
CRABTREE STEVE
VICE CHAIR	2.00	Yes (X)	$0	$0	$0	Yes (X)
CUMMINS WILLIAM LEE
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
DILLON CECIL
BOARD MEMBER, CHAIR	5.00	Yes (X)	$0	$0	$0	Yes (X)
FERREE CHRISTEEN
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
GILL PARAMPAL MD
BOARD MEMBER	2.00	Yes (X)	$186,525	$0	$0
HALEY PAUL
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
KIRST JEFF
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
KHAN TAJ
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
OLSON DEBBIE
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
PHELPS DAN
SECRETARY/TREASURER	2.00	Yes (X)	$0	$0	$0	Yes (X)
PATRICK ROBERT PAT
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
SHULMAN MONA
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
FETZER STEVE
BOARD MEMBER	2.00	Yes (X)	$0	$0	$0
ALI SYED MD
CHIEF OF MEDICAL STAFF (2013)	2.00	Yes (X)	$0	$0	$0
HARRINGTON JOSEPH P
CEO & PRESIDENT	50.00		$349,458	$0	$64,014	Yes (X)
BUTLER CYNTHIA B
INTERIM CFO (6/23/12-10/13/13)	50.00		$168,870	$0	$12,221	Yes (X)
DEAK TERRANCE A
CFO & VICE PRES. (EFF 10/2013)	50.00		$44,375	$0	$2,558	Yes (X)
MORENO DEBBE JOYCE
CHIEF NURSING OFFICER	50.00		$199,956	$0	$15,894		Yes (X)
SEY MARK
CHIEF ADMINISTRATIVE OFFICER	50.00		$186,644	$0	$12,603		Yes (X)
WOOTON ROBYN
VP OF FUND DEVELOPMENT (THRU 6/2013)	50.00		$161,151	$0	$4,084		Yes (X)
SCHNEIDER PAMELA
EXECUTIVE DIRECTOR-O/P SVC	50.00		$155,653	$0	$11,920		Yes (X)
LAVIOLA STEVEN MD
PHYSICIAN, COMMUNITY CLINICS	40.00		$451,435	$0	$5,815			Yes (X)
CONNOLY JOHN PATRICK MD
PHYSICIAN, COMMUNITY CLINICS	40.00		$346,441	$0	$10,012			Yes (X)
FREUND EDMUND A MD
PHYSICIAN, COMMUNITY CLINICS	40.00		$379,409	$0	$8,298			Yes (X)
SOROUR NAGUI MD
PHYSICIAN, COMMUNITY CLINICS	40.00		$485,708	$0	$0			Yes (X)
SCHOCH DENNY MD
PHYSICIAN, COMMUNITY CLINICS	40.00		$379,186	$0	$1,713			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,840,712	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$157,111	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	192	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
QUANTUM HEALTHCARE MEDICAL ASSOCIATES I
PO BOX 634850	CINCINNATI	OH	45263	PHYSICIAN PROFESSIONAL SERVICES - HOSPIT	$2,577,327
KIMMEL CONSTRUCTION INC
10 MAIN AVE SUITE 2	SACRAMENTO	CA	95838	CONSTRUCTION CONTRACTOR	$1,933,490
PREMIER ANESTHESIA
2655 NORTHWINDS PARKWAY	ALPHAETA	GA	30009	PHYSICIAN PROFESSIONAL SERVICES - ANESTH	$1,852,398
GE HEALTHCARE
3000 N GRANDVIEW BLVD	WAUKESHA	WI	53188	BIOMEDICAL MAINTENANCE SERVICE	$936,478
SIERRA MULTISURGICAL
5635 STRATFORD CIRCLE B-27	STOCKTON	CA	95207	PHYSICIAN PROFESSIONAL SERVICES - E D CA	$933,180

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Membership Dues	$16,540	MembershipDuesAmt
Government Grants	$118,529	GovernmentGrantsAmt
All Other Contributions	$344,605	AllOtherContributionsAmt
Total Contributions	$479,674	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SVC REVENUE	621400	$203,811,071	$203,811,071
CAPITATION FEES	621990	$2,088,910	$2,088,910
LOSS FROM ADVANCED IMAGING CENTER	621400	-$74,837	-$74,837
LOSS FROM LODI SURGICAL	621400	-$107,715	-$107,715
LOSS FR TRINITY PLAZA SURGERY CEN	621400	-$4,785,584	-$4,785,584

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,523,609	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,523,609	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$203,455,454	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$934,491	TotalRevenueColumnAmt
Exclusion	$934,491	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$49,644	TotalRevenueColumnAmt
Exclusion	-$49,644	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$229,063	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$223,936	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$5,127	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,127	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,672	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$455	UnrelatedBusinessRevenueAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,751,155	SecuritiesAmt
Other	$27,805	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,288,043	SecuritiesAmt
Other	$99,076	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$463,112	SecuritiesAmt
Other	-$71,271	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$391,841	TotalRevenueColumnAmt
Exclusion	$391,841	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OTHER REVENUE	900099	$99,971	$99,971
MANAGEMENT FEES - VITAL	541610	$53,370		$53,370

Field	Value	IRS element (for citing)
Other Revenue Total	$153,341	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$205,370,284	TotalRevenueColumnAmt
Related Or Exempt Func Income	$203,460,126	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$53,825	UnrelatedBusinessRevenueAmt
Exclusion	$1,376,659	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$223,063	TotalAmt
Program Services	$223,063	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$36,000	TotalAmt
Program Services	$36,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,929,807	TotalAmt
Program Services	$1,414,477	ProgramServicesAmt
Management And General	$434,754	ManagementAndGeneralAmt
Fundraising	$80,576	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$212,541	TotalAmt
Program Services	$162,573	ProgramServicesAmt
Management And General	$49,968	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$80,196,998	TotalAmt
Program Services	$61,319,036	ProgramServicesAmt
Management And General	$18,847,041	ManagementAndGeneralAmt
Fundraising	$30,921	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,126,443	TotalAmt
Program Services	$860,782	ProgramServicesAmt
Management And General	$264,570	ManagementAndGeneralAmt
Fundraising	$1,091	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,170,313	TotalAmt
Program Services	$3,946,560	ProgramServicesAmt
Management And General	$1,213,016	ManagementAndGeneralAmt
Fundraising	$10,737	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,094,980	TotalAmt
Program Services	$4,656,858	ProgramServicesAmt
Management And General	$1,431,334	ManagementAndGeneralAmt
Fundraising	$6,788	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$220,481	TotalAmt
Program Services	$220,481	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,224,112	TotalAmt
Program Services	$895,942	ProgramServicesAmt
Management And General	$328,170	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,247	TotalAmt
Management And General	$56,247	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$47,171	TotalAmt
Program Services	$36,081	ProgramServicesAmt
Management And General	$11,090	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$107,545	TotalAmt
Management And General	$107,545	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$17,241,315	TotalAmt
Program Services	$13,175,923	ProgramServicesAmt
Management And General	$4,049,757	ManagementAndGeneralAmt
Fundraising	$15,635	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$208,072	TotalAmt
Program Services	$154,172	ProgramServicesAmt
Management And General	$47,386	ManagementAndGeneralAmt
Fundraising	$6,514	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,147,893	TotalAmt
Program Services	$17,702,619	ProgramServicesAmt
Management And General	$5,441,083	ManagementAndGeneralAmt
Fundraising	$4,191	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,207,286	TotalAmt
Program Services	$1,688,353	ProgramServicesAmt
Management And General	$518,933	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,710,554	TotalAmt
Program Services	$8,179,845	ProgramServicesAmt
Management And General	$2,514,160	ManagementAndGeneralAmt
Fundraising	$16,549	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$161,594	TotalAmt
Program Services	$123,603	ProgramServicesAmt
Management And General	$37,991	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$52	TotalAmt
Fundraising	$52	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$151,956	TotalAmt
Program Services	$116,010	ProgramServicesAmt
Management And General	$35,657	ManagementAndGeneralAmt
Fundraising	$289	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$12,019,909	TotalAmt
Program Services	$9,194,029	ProgramServicesAmt
Management And General	$2,825,880	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$994,271	TotalAmt
Program Services	$760,518	ProgramServicesAmt
Management And General	$233,753	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
BAD DEBTS	$40,249,322	$40,249,322
HOSP MEDI-CAL QLTY ASSU	$12,995,235	$12,995,235
DUES, SUBSCRIPTIONS, BO	$287,861	$216,007	$66,392	$5,462
BUSINESS TAXES & LICENS	$247,841	$189,574	$58,267

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$297,444	TotalAmt
Program Services	$229,240	ProgramServicesAmt
Management And General	$66,251	ManagementAndGeneralAmt
Fundraising	$1,953	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$217,566,306	TotalAmt
Program Services	$178,746,303	ProgramServicesAmt
Management And General	$38,639,245	ManagementAndGeneralAmt
Fundraising	$180,758	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$162,960	BOYAmt
EOY	$181,436	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$12,631,307	BOYAmt
EOY	$9,536,469	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,553,635	BOYAmt
EOY	$2,297,624	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,817,702	BOYAmt
EOY	$36,512,423	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,380,948	BOYAmt
EOY	$3,325,440	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,488,204	BOYAmt
EOY	$4,670,820	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$257,707,751	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$97,160,523	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$166,521,636	BOYAmt
EOY	$160,547,228	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$31,526,218	BOYAmt
EOY	$32,431,079	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,725,422	BOYAmt
EOY	$3,769,407	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,626,000	BOYAmt
EOY	$11,346,326	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$271,434,032	BOYAmt
EOY	$264,618,252	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$23,982,081	BOYAmt
EOY	$28,003,568	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$143,020,000	BOYAmt
EOY	$140,030,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$770,891	BOYAmt
EOY	$803,012	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$167,772,972	BOYAmt
EOY	$168,836,580	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$102,924,259	BOYAmt
EOY	$94,959,340	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$736,801	BOYAmt
EOY	$822,332	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$103,661,060	BOYAmt
EOY	$95,781,672	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$271,434,032	BOYAmt
EOY	$264,618,252	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$12,196,022	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,009,758	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$3,306,876	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$47,171	OtherActivitiesAmt
Total Lobbying Expenditures	$47,171	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	A PORTION OF DUES PAID TO CALIFORNIA HOSPITAL ASSOCIATION & THE HOSPITAL COUNCIL OF NORTHERN CALIFORNIA ARE CONSIDERED TO BE FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$614,559	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$132,757,482	OtherCostOrOtherBasisAmt
Depreciation	$37,875,819	DepreciationAmt
Book Value	$95,496,222	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,554,131	OtherCostOrOtherBasisAmt
Depreciation	$1,444,894	DepreciationAmt
Book Value	$2,109,237	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$108,274,757	OtherCostOrOtherBasisAmt
Depreciation	$56,335,056	DepreciationAmt
Book Value	$51,939,701	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,851,059	OtherCostOrOtherBasisAmt
Depreciation	$1,504,754	DepreciationAmt
Book Value	$7,346,305	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$160,547,228	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	CONDITIONAL ASSET RETIREMENT	Desc
Amt	$803,012	Amt

Field	Value	IRS element (for citing)
Total Liability	$803,012	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	WE FOLLOW FASB GUIDANCE RELATING TO ACCOUNTING FOR UNCERTAIN TAX POSITIONS. THESE GUIDELINES PRESCRIBE A COMPREHENSIVE MODEL FOR RECOGNIZING, MEASURING, PRESENTING AND DISCLOSING IN THE CONSOLIDATED FINANCIAL STATEMENTS TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN ON A TAX RETURN. THEY ALSO PROVIDE ACCOUNTING GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST AND PENALTIES, ACCOUNTING IN INTERIM PERIODS, DISCLOSURE AND TRANSITION. AS OF DECEMBER 31, 2013, WE ARE NOT AWARE OF ANY UNCERTAIN TAX POSITIONS FOR ANY YEARS OPEN UNDER FEDERAL OR STATE OF CALIFORNIA STATUTES OF LIMITATIONS.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	300.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	1253	PersonsServedCnt
Total Community Benefit Expns	$2,502,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,502,743	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	15	ActivitiesOrProgramsCnt
Persons Served	49485	PersonsServedCnt
Total Community Benefit Expns	$40,493,166	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,139,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	-$646,440	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	16	ActivitiesOrProgramsCnt
Persons Served	50738	PersonsServedCnt
Total Community Benefit Expns	$42,995,909	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$41,139,606	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,856,303	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	21409	PersonsServedCnt
Total Community Benefit Expns	$3,592,811	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,585	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,582,226	NetCommunityBenefitExpnsAmt
Total Expense	0.02020	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$199,849	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,345	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$128,504	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	22762	PersonsServedCnt
Total Community Benefit Expns	$10,118,666	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,593,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,524,911	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$330,958	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$330,958	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	18	ActivitiesOrProgramsCnt
Persons Served	44171	PersonsServedCnt
Total Community Benefit Expns	$14,242,284	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,675,685	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,566,599	NetCommunityBenefitExpnsAmt
Total Expense	0.03700	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	34	ActivitiesOrProgramsCnt
Persons Served	94909	PersonsServedCnt
Total Community Benefit Expns	$57,238,193	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,815,291	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,422,902	NetCommunityBenefitExpnsAmt
Total Expense	0.05110	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$237,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$237,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$237,561	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$237,561	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$39,743,318	BadDebtExpenseAmt
Bad Debt Expense Attributable	$13,910,161	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$44,948,991	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$49,959,467	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,010,476	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost Accounting System	Yes (X)	CostAccountingSystemInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (4 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 TRINITY PLAZA SURGERY CENTER LLC
AMBULATORY SURGERY CENTER	0.94000	0.00000	0.06000
2 ADVANCED IMAGING CENTER AT LODI MEMORIAL HOSPITAL LLC
DIAGNOSTIC IMAGING CENTER (WITH MRI)	0.51000	0.00000	0.49000
3 LODI OUTPATIENT SURGERY CENTER
AMBULATORY SURGERY CENTER	0.31000	0.00000	0.40100
4 ENDOSCOPY CENTER OF LODI LLC
AMBULATORY SURGERY CENTER	0.31000	0.00000	0.40100

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Website AddressWebsiteAddressTxt	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc	Facility Reporting GroupFacilityReportingGroupCd	Address Line2USAddress/AddressLine2
LODI MEMORIAL HOSPITAL
1	975 S FAIRMONT AVE	LODI	CA	95240	LODIHEALTH.ORG	Yes (X)	Yes (X)	Yes (X)	GENERAL ACUTE CARE BEDS = 190	A
LODI MEMORIAL HOSPITAL - WEST
2	800 LOWER SACRAMENTO ROAD ACUTE	LODI	CA	95242	LODIHEALTH.ORG	Yes (X)	Yes (X)		ACUTE PHY REHAB = 24 BEDS (NOTE BEDS IN SUSPENSE / NOT OCCUPIED ALL YEAR)	A	PHYS

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	FACILITY REPORTING GROUP - A	BusinessNameLine1

Field	Value	IRS element (for citing)
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.LODIHEALTH.ORG	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	300.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	350.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B	FACILITY REPORTING GROUP A
FACILITY REPORTING GROUP A CONSISTS OF:	- FACILITY 1: LODI MEMORIAL HOSPITAL, - FACILITY 2: LODI MEMORIAL HOSPITAL - WEST
FACILITY 1 -- LODI MEMORIAL HOSPITAL PART V, SECTION B, LINE 3:	LODI MEMORIAL HOSPITAL ASSOCIATION, INC (ALSO KNOWN AS LODI HEALTH) CONDUCTED ITS FIRST COMMUNITY-HEALTH NEEDS ASSESSMENT IN 1995 AND, SINCE THEN, HAS DONE SO EVERY THREE YEARS. TO DETERMINE COMMUNITY-HEALTH NEEDS, THE NEEDS ASSESSMENT INCLUDES THE GATHERING AND REVIEW OF THE FOLLOWING DATA: CENSUS DATA, SOCIOECONOMIC AND GEOGRAPHIC INDICATORS; STATEWIDE HEALTH-INDICATOR DATA; COUNTYWIDE HEALTH INDICATORS; EXISTING REGIONAL PROGRAMS AND SERVICES MEETING THE COMMUNITY'S HEALTH NEEDS (ASSET MAPPING); AND SYSTEM-SPECIFIC UTILIZATION DATA. RESULTS FROM THE MOST RECENT 2013 ASSESSMENT, INCLUDING RELEVANT SOCIO-DEMOGRAPHIC DATA, ARE REVIEWED BY YEAR'S END BY SEVERAL INTERNAL AND EXTERNAL STAKEHOLDER GROUPS, INCLUDING NGOS, AND A LIST OF HEALTH PRIORITIES IS DEVELOPED FOR CONSIDERATION. THE LIST IS REVIEWED AND EVALUATED TO DETERMINE WHERE LODI HEALTH MAY BE ABLE TO DEDICATE ADDITIONAL RESOURCES TO IMPROVE COMMUNITY HEALTH. THE 2014 COMMUNITY BENEFIT PLAN WAS DEVELOPED IN THE LATTER PART OF 2013 IN COLLABORATION WITH COMMUNITY GROUPS, NGOS AND HEALTH PROVIDERS. STAKEHOLDER INVOLVEMENT: THOSE INVOLVED IN THE REVIEW, PRIORITIZATION AND PLANNING PROCESS INCLUDE THE SYSTEM'S COMMUNITY-ADVISORY BOARD, REPRESENTING A BROAD CROSS-SECTION OF THE SYSTEM'S COMMUNITY; MEMBERS OF THE SAN JOAQUIN COUNTY HEALTHIER COMMUNITIES COALITION, A COUNTYWIDE GROUP OF HEALTH, EDUCATION AND HUMAN-SERVICE PROVIDERS; SYSTEM STAFF; MEDICAL STAFF; AND SYSTEM BOARD MEMBERS. AS COMMUNITY NEEDS ARE REVIEWED, THE ABILITY OF THE SYSTEM TO MEET THOSE NEEDS WITHIN THE REALM OF ITS RESOURCES AND, WHEN POSSIBLE, IN COLLABORATION WITH COMMUNITY PARTNERSHIPS IS DISCUSSED. DISCUSSION AND RECOMMENDATION PROCESS IS AGENDIZED AT REGULARLY SCHEDULED MEETINGS OF THE COMMUNITY-ADVISORY BOARD AND THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE. RECOMMENDATIONS FROM THOSE REVIEW GROUPS ARE DIRECTED TO THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE SO THEY MAY MAKE RECOMMENDATIONS TO THE SYSTEM'S FULL BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. CURRENTLY, THE REVIEW GROUPS' MAJOR FOCUS HAS BEEN TO ASSESS AND RECOMMEND HOW LODI HEALTH AND ITS RELATED BUSINESSES MAY BEST MEET THE COMMUNITY'S NEED RELATIVE TO THE CURRENT ECONOMY AND IN RESPONSE TO THE AFFORDABLE CARE ACT. KEY AREAS OF ASSESSMENT INCLUDE HOW TO BETTER ENGAGE COMMUNITY MEMBERS RELATIVE TO WELLNESS AND PREVENTION; ALIGNING PHYSICIAN AND SYSTEM INCENTIVES IN ORDER TO BEST MEET THE COMMUNITY'S NEED; AND STRENGTHENING COMMUNITY COLLABORATION TO IMPROVE COMMUNITY HEALTH.HOW THE LODI HEALTH STRATEGIC PLAN IS DEVELOPED: LODI HEALTH IS A 190-BED, TWO-CAMPUS, ACUTE-CARE HOSPITAL WITH 59 SEPARATE INPATIENT AND OUTPATIENT PROGRAMS AND SERVICES. SERVICES BEGAN IN 1952. SINCE ITS OPENING, LODI HEALTH HAS EXPANDED AND GROWN TO ITS CURRENT SIZE, WHICH INCLUDES TWO INPATIENT FACILITIES, LODI MEMORIAL HOSPITAL, LOCATED AT 975 SOUTH FAIRMONT AVE., AND LODI HEALTH WEST, LOCATED AT 800 SOUTH LOWER SACRAMENTO RD. LODI HEALTH WEST WAS ACQUIRED IN 1990. LODI HEALTH ALSO OPERATES FIVE PRIMARY-CARE MEDICAL PRACTICES; TWO PRENATAL PRACTICES; A PEDIATRIC PRACTICE; A PULMONARY PRACTICE; TWO CARDIOLOGY PRACTICES; AN OCCUPATIONAL-MEDICINE PRACTICE; A WOUND-CARE AND HYPERBARIC PRACTICE; A FREE OUTREACH PRACTICE; A GENERAL SURGERY PRACTICE; AN ORTHOPEDIC PRACTICE; AND A NEUROLOGY AND ENDOCRINOLOGY PRACTICE. IN ADDITION TO ITS INPATIENT ACUTE-CARE SERVICES AND MEDICAL PRACTICES, LODI HEALTH OPERATES A HOME HEALTH AGENCY, A DURABLE-MEDICAL-EQUIPMENT COMPANY, AN ADULT-DAY-CARE PROGRAM, A CHILD-CARE PROGRAM, A MEDICAL-SERVICES ORGANIZATION FOR PHYSICIANS AND A FULL ARRAY OF CLINICAL-OUTPATIENT SERVICES, INCLUDING LABORATORY, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES.THE LODI MEMORIAL HOSPITAL ASSOCIATION IS THE SOLE CORPORATE MEMBER AND WAS INCORPORATED IN 1945. LODI MEMORIAL HOSPITAL ASSOCIATION IS A CALIFORNIA PUBLIC-BENEFIT, NON-PROFIT CORPORATION WITH APPROXIMATELY 1,500 MEMBERS. MEMBERSHIP IS OPEN TO ANY INTERESTED MEMBER FOR A LIFETIME FEE OF $100. THE MEMBERS ANNUALLY ELECT DIRECTORS TO THE BOARD, WHICH IS THE GOVERNING BODY FOR THE SYSTEM. THE ASSOCIATION AND THE SYSTEM HAVE BEEN SUCCESSFUL OVER THE PAST DECADES BECAUSE OF THEIR COMMITMENT AND ABILITY TO FULFILL THEIR ORIGINAL MISSION OF PROVIDING QUALITY HEALTH CARE TO RESIDENTS, WHILE CONTINUING TO ADAPT TO THE CHANGING HEALTH-CARE NEEDS OF THE COMMUNITY.THIS STRATEGIC PLAN IS A CONTINUING EFFORT OF THAT COMMITMENT AND EMPHASIZES THE LINK BETWEEN THE COMMUNITY AND THE SYSTEM. THE PLAN IS A COLLABORATIVE WORK OF COMMUNITY MEMBERS, BOARD MEMBERS, MEDICAL STAFF, MANAGEMENT AND STAFF EMPLOYEES. IT REPRESENTS LODI HEALTH'S BEST EFFORT TO ORGANIZE ITS VISION, MISSION, GOALS AND VALUES INTO A COHESIVE AND COMPREHENSIVE BLUEPRINT FOR THE SUCCESSFUL DELIVERY OF A WIDE CONTINUUM OF HEALTH SERVICES TO THE COMMUNITY, WITH THE ULTIMATE GOAL OF IMPROVING THE QUALITY OF LIFE IN AND BEYOND THE HOSPITAL WALLS.THE PLAN IS AN ONGOING, DYNAMIC DOCUMENT, WHICH REPRESENTS A CONTINUATION OF PREVIOUS AND CURRENT PLANS. THE PLAN IS OPEN TO REVISION, REFINEMENT AND CHANGE AS NEW INFORMATION IS ADDED TO OUR PLANNING PROFILE AND AS THE INTERNAL/EXTERNAL ENVIRONMENT DICTATE CHANGES. LODI HEALTH IS COMMITTED TO REMAINING A COMMUNITY-BASED ORGANIZATION AND, ALL THE WHILE, WILLING TO COOPERATE AND/OR COLLABORATE WITH ALL ENTITIES FOR THE BENEFIT OF THE LODI HEALTH SYSTEM, ITS PHYSICIANS, EMPLOYEES, VOLUNTEERS, ADVISORY BOARDS AND THE COMMUNITY AT LARGE. THAT SAID, LODI HEALTH WILL CONTINUE TO EXPLORE PARTNERSHIPS WITH OTHER HEALTH SYSTEMS AND PROVIDERS IN ORDER TO BEST SERVE THE NEEDS OF RESIDENTS IN ITS SERVICE AREA.THE ELEMENTS OF THE PLAN ARE INTENTIONALLY TIED TOGETHER TO ESTABLISH AND MAINTAIN THE ALIGNMENT BETWEEN THE VISION, MISSION, VALUES, GOALS AND PROJECTS. IT IS THE SYSTEM'S SINCERE COMMITMENT TO KEEP THE FOCUS ON THIS ALIGNMENT BETWEEN THE PLAN ELEMENTS TO INCREASE THE CHANCES FOR SUCCESSFUL IMPLEMENTATION. MAJOR GOALS HAVE BEEN DEVELOPED ALONG WITH STRATEGIES THAT ARE DESIGNED TO ACHIEVE THOSE GOALS. FINAL RESPONSIBILITY FOR IMPLEMENTATION OF THIS PLAN LIES WITH THE SYSTEM PRESIDENT AND CHIEF EXECUTIVE OFFICER. METRICS HAVE BEEN ESTABLISHED TO MONITOR PROGRESS OF PROJECTS. THIS PROCESS WILL SERVE TO COMMUNICATE TO ALL OF THE SYSTEM INTERNAL STAKEHOLDERS THE PRIORITIES AND DIRECTION OF THE SYSTEM. STANDING COMMITTEES OF THE SYSTEM BOARD WILL REVIEW AND MONITOR CHANGES TO THE PLAN.PUBLIC REVIEW: EVERY THREE YEARS THE SYSTEM CONDUCTS A COMMUNITY-HEALTH-NEEDS ASSESSMENT TO INCLUDE A REVIEW AND ASSESSMENT OF HEALTH STATUS AND COMMUNITY NEED. AFTER ITS COMMUNITY-NEEDS ASSESSMENT AND DATA-GATHERING ACTIVITIES ARE COMPLETED, FINDINGS ARE REPORTED TO ALL SYSTEM PLANNING PARTICIPANTS AND THE GENERAL PUBLIC, SUMMARIZING COMMENTS, SUGGESTIONS AND ISSUES ROSE.THE SYSTEM THEN MAKES FORMAL PRESENTATIONS TO ITS INTERNAL AND EXTERNAL-PLANNING PARTNERS, INCLUDING THE COMMUNITY-ADVISORY BOARD, MEDICAL STAFF, SYSTEM MANAGEMENT, STRATEGIC-PLANNING COMMITTEE, NGOS AND OTHER COMMUNITY STAKEHOLDERS. INPUT IS SOLICITED AT ALL MEETINGS TO BETTER MEET COMMUNITY NEED, AND AN IMPLEMENTATION PLAN IS DEVELOPED.THIS PAST YEAR IN DECEMBER 2013, THE BOARD OF DIRECTORS ADOPTED THE 2014 COMMUNITY BENEFIT IMPLEMENTATION PLAN.(SEE CONTINUATION FOR PROCESS DESCRIPTION)
FACILITY 1 -- LODI MEMORIAL HOSPITAL PART V, SECTION B, LINE 4:	YES, HOWEVER, THE PROCESS WAS NOT IN CONJUNCTION WITH OTHER REGIONAL HOSPITALS, BUT DONE CONSULTATIVELY AND DATA WAS SHARED. AS THE MOST NORTHERNLY HOSPITAL IN OUR COUNTY, AND ONLY HOSPITAL IN OUR CITY, OUR SERVICE AREA DIFFERS SIGNIFICANTLY FROM OTHER AREA HOSPITALS WHICH FOCUS PRIMARILY ON ONE COUNTY, WHILE LODI HEALTH FOCUSES ON ITS FIVE COUNTY SERVICE AREA. ADDITIONALLY, THE TIMING REQUIREMENTS FOR OTHER AREA HOSPITALS TO COMPLETE THEIR NEEDS ASSESSMENTS PRECEDES LODI HEALTH BY ONE YEAR.HOSPITALS IN SAN JOAQUIN COUNTY INCLUDE:- DAMERON HOSPITAL- ST. JOSEPH'S BEHAVORIAL HEALTH CENTER- ST. JOSEPH'S MEDICAL CENTER- SUTTER TRACY COMMUNITY HOSPITAL
FACILITY 1 -- LODI MEMORIAL HOSPITAL PART V, SECTION B, LINE 5D:	DISTRIBUTED ELECTRONICALLY TO STAFF, MEDICAL STAFF, MEDIA AND COMMUNITY ORGANIZATIONS.
FACILITY 1 -- LODI MEMORIAL HOSPITAL PART V, SECTION B, LINE 7:	AFTER PRIORITIZING THE HEALTH NEEDS, THE HOSPITAL AND ITS COMMUNITY PLANNING GROUP DETERMINED THAT RESOURCES WERE NOT AVAILABLE TO ADDRESS ALL EIGHT HEALTH PRIORITIES IDENTIFIED IN THE CHNA. IT PRIORITIZED ITS FOCUS TO THE TOP FIVE THAT WERE MOST ALIGNED WITH THE HEALTH SYSTEMS CORE MISSION, CAPABILITIES AND RESOURCES. THOSE SELECTED TO BE ADDRESSED WERE ACCESS TO CARE, CULTURALLY APPROPRIATE CARE, HEALTH LITERACY AND EDUCATION, ACCESS TO MENTAL HEALTH SERVICES AND SAFE AND AFFORDABLE PLACES TO EXERCISE. THOSE THAT WILL NOT BE DIRECTLY ADDRESSED ARE HEALTH LITERACY, AFFORDABLE DENTAL SERVICES AND ACCESS TO HEALTHY FOOD.
FACILITY 1 -- LODI MEMORIAL HOSPITAL PART V, SECTION B, LINE 20D:	THE FINANCIAL ASSISTANCE (CHARITY CARE) POLICY CHARGES THE PATIENT 10% OF GROSS CHARGES IF THEIR POVERTY LEVEL IS BETWEEN 300% AND 350% OF THE FEDERAL GUIDELINES. THE 10% OF GROSS CHARGES APPROXIMATES THE HOSPITAL'S REIMBURSEMENT FROM MEDICARE AND IS THE MAXIMUM CHARGED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE.
FACILITY 2 -- LODI MEMORIAL HOSPITAL - WEST PART V, SECTION B, LINE 3:	LODI MEMORIAL HOSPITAL ASSOCIATION, INC (ALSO KNOWN AS LODI HEALTH) CONDUCTED ITS FIRST COMMUNITY-HEALTH NEEDS ASSESSMENT IN 1995 AND, SINCE THEN, HAS DONE SO EVERY THREE YEARS. TO DETERMINE COMMUNITY-HEALTH NEEDS, THE NEEDS ASSESSMENT INCLUDES THE GATHERING AND REVIEW OF THE FOLLOWING DATA: CENSUS DATA, SOCIOECONOMIC AND GEOGRAPHIC INDICATORS; STATEWIDE HEALTH-INDICATOR DATA; COUNTYWIDE HEALTH INDICATORS; EXISTING REGIONAL PROGRAMS AND SERVICES MEETING THE COMMUNITY'S HEALTH NEEDS (ASSET MAPPING); AND SYSTEM-SPECIFIC UTILIZATION DATA. RESULTS FROM THE MOST RECENT 2013 ASSESSMENT, INCLUDING RELEVANT SOCIO-DEMOGRAPHIC DATA, ARE REVIEWED BY YEAR'S END BY SEVERAL INTERNAL AND EXTERNAL STAKEHOLDER GROUPS, INCLUDING NGOS, AND A LIST OF HEALTH PRIORITIES IS DEVELOPED FOR CONSIDERATION. THE LIST IS REVIEWED AND EVALUATED TO DETERMINE WHERE LODI HEALTH MAY BE ABLE TO DEDICATE ADDITIONAL RESOURCES TO IMPROVE COMMUNITY HEALTH. THE 2014 COMMUNITY BENEFIT PLAN WAS DEVELOPED IN THE LATTER PART OF 2013 IN COLLABORATION WITH COMMUNITY GROUPS, NGOS AND HEALTH PROVIDERS. STAKEHOLDER INVOLVEMENT: THOSE INVOLVED IN THE REVIEW, PRIORITIZATION AND PLANNING PROCESS INCLUDE THE SYSTEM'S COMMUNITY-ADVISORY BOARD, REPRESENTING A BROAD CROSS-SECTION OF THE SYSTEM'S COMMUNITY; MEMBERS OF THE SAN JOAQUIN COUNTY HEALTHIER COMMUNITIES COALITION, A COUNTYWIDE GROUP OF HEALTH, EDUCATION AND HUMAN-SERVICE PROVIDERS; SYSTEM STAFF; MEDICAL STAFF; AND SYSTEM BOARD MEMBERS. AS COMMUNITY NEEDS ARE REVIEWED, THE ABILITY OF THE SYSTEM TO MEET THOSE NEEDS WITHIN THE REALM OF ITS RESOURCES AND, WHEN POSSIBLE, IN COLLABORATION WITH COMMUNITY PARTNERSHIPS IS DISCUSSED. DISCUSSION AND RECOMMENDATION PROCESS IS AGENDIZED AT REGULARLY SCHEDULED MEETINGS OF THE COMMUNITY-ADVISORY BOARD AND THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE. RECOMMENDATIONS FROM THOSE REVIEW GROUPS ARE DIRECTED TO THE SYSTEM'S STRATEGIC-PLANNING COMMITTEE SO THEY MAY MAKE RECOMMENDATIONS TO THE SYSTEM'S FULL BOARD OF DIRECTORS FOR DISCUSSION AND APPROVAL. CURRENTLY, THE REVIEW GROUPS' MAJOR FOCUS HAS BEEN TO ASSESS AND RECOMMEND HOW LODI HEALTH AND ITS RELATED BUSINESSES MAY BEST MEET THE COMMUNITY'S NEED RELATIVE TO THE CURRENT ECONOMY AND IN RESPONSE TO THE AFFORDABLE CARE ACT. KEY AREAS OF ASSESSMENT INCLUDE HOW TO BETTER ENGAGE COMMUNITY MEMBERS RELATIVE TO WELLNESS AND PREVENTION; ALIGNING PHYSICIAN AND SYSTEM INCENTIVES IN ORDER TO BEST MEET THE COMMUNITY'S NEED; AND STRENGTHENING COMMUNITY COLLABORATION TO IMPROVE COMMUNITY HEALTH.HOW THE LODI HEALTH STRATEGIC PLAN IS DEVELOPED: LODI HEALTH IS A 190-BED, TWO-CAMPUS, ACUTE-CARE HOSPITAL WITH 59 SEPARATE INPATIENT AND OUTPATIENT PROGRAMS AND SERVICES. SERVICES BEGAN IN 1952. SINCE ITS OPENING, LODI HEALTH HAS EXPANDED AND GROWN TO ITS CURRENT SIZE, WHICH INCLUDES TWO INPATIENT FACILITIES, LODI MEMORIAL HOSPITAL, LOCATED AT 975 SOUTH FAIRMONT AVE., AND LODI HEALTH WEST, LOCATED AT 800 SOUTH LOWER SACRAMENTO RD. LODI HEALTH WEST WAS ACQUIRED IN 1990. LODI HEALTH ALSO OPERATES FIVE PRIMARY-CARE MEDICAL PRACTICES; TWO PRENATAL PRACTICES; A PEDIATRIC PRACTICE; A PULMONARY PRACTICE; TWO CARDIOLOGY PRACTICES; AN OCCUPATIONAL-MEDICINE PRACTICE; A WOUND-CARE AND HYPERBARIC PRACTICE; A FREE OUTREACH PRACTICE; A GENERAL SURGERY PRACTICE; AN ORTHOPEDIC PRACTICE; AND A NEUROLOGY AND ENDOCRINOLOGY PRACTICE. IN ADDITION TO ITS INPATIENT ACUTE-CARE SERVICES AND MEDICAL PRACTICES, LODI HEALTH OPERATES A HOME HEALTH AGENCY, A DURABLE-MEDICAL-EQUIPMENT COMPANY, AN ADULT-DAY-CARE PROGRAM, A CHILD-CARE PROGRAM, A MEDICAL-SERVICES ORGANIZATION FOR PHYSICIANS AND A FULL ARRAY OF CLINICAL-OUTPATIENT SERVICES, INCLUDING LABORATORY, PHYSICAL THERAPY AND DIAGNOSTIC SERVICES.THE LODI MEMORIAL HOSPITAL ASSOCIATION IS THE SOLE CORPORATE MEMBER AND WAS INCORPORATED IN 1945. LODI MEMORIAL HOSPITAL ASSOCIATION IS A CALIFORNIA PUBLIC-BENEFIT, NON-PROFIT CORPORATION WITH APPROXIMATELY 1,500 MEMBERS. MEMBERSHIP IS OPEN TO ANY INTERESTED MEMBER FOR A LIFETIME FEE OF $100. THE MEMBERS ANNUALLY ELECT DIRECTORS TO THE BOARD, WHICH IS THE GOVERNING BODY FOR THE SYSTEM. THE ASSOCIATION AND THE SYSTEM HAVE BEEN SUCCESSFUL OVER THE PAST DECADES BECAUSE OF THEIR COMMITMENT AND ABILITY TO FULFILL THEIR ORIGINAL MISSION OF PROVIDING QUALITY HEALTH CARE TO RESIDENTS, WHILE CONTINUING TO ADAPT TO THE CHANGING HEALTH-CARE NEEDS OF THE COMMUNITY.THIS STRATEGIC PLAN IS A CONTINUING EFFORT OF THAT COMMITMENT AND EMPHASIZES THE LINK BETWEEN THE COMMUNITY AND THE SYSTEM. THE PLAN IS A COLLABORATIVE WORK OF COMMUNITY MEMBERS, BOARD MEMBERS, MEDICAL STAFF, MANAGEMENT AND STAFF EMPLOYEES. IT REPRESENTS LODI HEALTH'S BEST EFFORT TO ORGANIZE ITS VISION, MISSION, GOALS AND VALUES INTO A COHESIVE AND COMPREHENSIVE BLUEPRINT FOR THE SUCCESSFUL DELIVERY OF A WIDE CONTINUUM OF HEALTH SERVICES TO THE COMMUNITY, WITH THE ULTIMATE GOAL OF IMPROVING THE QUALITY OF LIFE IN AND BEYOND THE HOSPITAL WALLS.THE PLAN IS AN ONGOING, DYNAMIC DOCUMENT, WHICH REPRESENTS A CONTINUATION OF PREVIOUS AND CURRENT PLANS. THE PLAN IS OPEN TO REVISION, REFINEMENT AND CHANGE AS NEW INFORMATION IS ADDED TO OUR PLANNING PROFILE AND AS THE INTERNAL/EXTERNAL ENVIRONMENT DICTATE CHANGES. LODI HEALTH IS COMMITTED TO REMAINING A COMMUNITY-BASED ORGANIZATION AND, ALL THE WHILE, WILLING TO COOPERATE AND/OR COLLABORATE WITH ALL ENTITIES FOR THE BENEFIT OF THE LODI HEALTH SYSTEM, ITS PHYSICIANS, EMPLOYEES, VOLUNTEERS, ADVISORY BOARDS AND THE COMMUNITY AT LARGE. THAT SAID, LODI HEALTH WILL CONTINUE TO EXPLORE PARTNERSHIPS WITH OTHER HEALTH SYSTEMS AND PROVIDERS IN ORDER TO BEST SERVE THE NEEDS OF RESIDENTS IN ITS SERVICE AREA.THE ELEMENTS OF THE PLAN ARE INTENTIONALLY TIED TOGETHER TO ESTABLISH AND MAINTAIN THE ALIGNMENT BETWEEN THE VISION, MISSION, VALUES, GOALS AND PROJECTS. IT IS THE SYSTEM'S SINCERE COMMITMENT TO KEEP THE FOCUS ON THIS ALIGNMENT BETWEEN THE PLAN ELEMENTS TO INCREASE THE CHANCES FOR SUCCESSFUL IMPLEMENTATION. MAJOR GOALS HAVE BEEN DEVELOPED ALONG WITH STRATEGIES THAT ARE DESIGNED TO ACHIEVE THOSE GOALS. FINAL RESPONSIBILITY FOR IMPLEMENTATION OF THIS PLAN LIES WITH THE SYSTEM PRESIDENT AND CHIEF EXECUTIVE OFFICER. METRICS HAVE BEEN ESTABLISHED TO MONITOR PROGRESS OF PROJECTS. THIS PROCESS WILL SERVE TO COMMUNICATE TO ALL OF THE SYSTEM INTERNAL STAKEHOLDERS THE PRIORITIES AND DIRECTION OF THE SYSTEM. STANDING COMMITTEES OF THE SYSTEM BOARD WILL REVIEW AND MONITOR CHANGES TO THE PLAN.PUBLIC REVIEW: EVERY THREE YEARS THE SYSTEM CONDUCTS A COMMUNITY-HEALTH-NEEDS ASSESSMENT TO INCLUDE A REVIEW AND ASSESSMENT OF HEALTH STATUS AND COMMUNITY NEED. AFTER ITS COMMUNITY-NEEDS ASSESSMENT AND DATA-GATHERING ACTIVITIES ARE COMPLETED, FINDINGS ARE REPORTED TO ALL SYSTEM PLANNING PARTICIPANTS AND THE GENERAL PUBLIC, SUMMARIZING COMMENTS, SUGGESTIONS AND ISSUES ROSE.THE SYSTEM THEN MAKES FORMAL PRESENTATIONS TO ITS INTERNAL AND EXTERNAL-PLANNING PARTNERS, INCLUDING THE COMMUNITY-ADVISORY BOARD, MEDICAL STAFF, SYSTEM MANAGEMENT, STRATEGIC-PLANNING COMMITTEE, NGOS AND OTHER COMMUNITY STAKEHOLDERS. INPUT IS SOLICITED AT ALL MEETINGS TO BETTER MEET COMMUNITY NEED, AND AN IMPLEMENTATION PLAN IS DEVELOPED.THIS PAST YEAR IN DECEMBER 2013, THE BOARD OF DIRECTORS ADOPTED THE 2014 COMMUNITY BENEFIT IMPLEMENTATION PLAN.(SEE CONTINUATION FOR PROCESS DESCRIPTION)
FACILITY 2 -- LODI MEMORIAL HOSPITAL - WEST PART V, SECTION B, LINE 4:	YES, HOWEVER, THE PROCESS WAS NOT IN CONJUNCTION WITH OTHER REGIONAL HOSPITALS, BUT DONE CONSULTATIVELY AND DATA WAS SHARED. AS THE MOST NORTHERNLY HOSPITAL IN OUR COUNTY, AND ONLY HOSPITAL IN OUR CITY, OUR SERVICE AREA DIFFERS SIGNIFICANTLY FROM OTHER AREA HOSPITALS WHICH FOCUS PRIMARILY ON ONE COUNTY, WHILE LODI HEALTH FOCUSES ON ITS FIVE COUNTY SERVICE AREA. ADDITIONALLY, THE TIMING REQUIREMENTS FOR OTHER AREA HOSPITALS TO COMPLETE THEIR NEEDS ASSESSMENTS PRECEDES LODI HEALTH BY ONE YEAR.HOSPITALS IN SAN JOAQUIN COUNTY INCLUDE:- DAMERON HOSPITAL- ST. JOSEPH'S BEHAVORIAL HEALTH CENTER- ST. JOSEPH'S MEDICAL CENTER- SUTTER TRACY COMMUNITY HOSPITAL
FACILITY 2 -- LODI MEMORIAL HOSPITAL - WEST PART V, SECTION B, LINE 5D:	DISTRIBUTED ELECTRONICALLY TO STAFF, MEDICAL STAFF, MEDIA AND COMMUNITY ORGANIZATIONS.
FACILITY 2 -- LODI MEMORIAL HOSPITAL - WEST PART V, SECTION B, LINE 7:	AFTER PRIORITIZING THE HEALTH NEEDS, THE HOSPITAL AND ITS COMMUNITY PLANNING GROUP DETERMINED THAT RESOURCES WERE NOT AVAILABLE TO ADDRESS ALL EIGHT HEALTH PRIORITIES IDENTIFIED IN THE CHNA. IT PRIORITIZED ITS FOCUS TO THE TOP FIVE THAT WERE MOST ALIGNED WITH THE HEALTH SYSTEMS CORE MISSION, CAPABILITIES AND RESOURCES. THOSE SELECTED TO BE ADDRESSED WERE ACCESS TO CARE, CULTURALLY APPROPRIATE CARE, HEALTH LITERACY AND EDUCATION, ACCESS TO MENTAL HEALTH SERVICES AND SAFE AND AFFORDABLE PLACES TO EXERCISE. THOSE THAT WILL NOT BE DIRECTLY ADDRESSED ARE HEALTH LITERACY, AFFORDABLE DENTAL SERVICES AND ACCESS TO HEALTHY FOOD.
FACILITY 2 -- LODI MEMORIAL HOSPITAL - WEST PART V, SECTION B, LINE 20D:	THE FINANCIAL ASSISTANCE (CHARITY CARE) POLICY CHARGES THE PATIENT 10% OF GROSS CHARGES IF THEIR POVERTY LEVEL IS BETWEEN 300% AND 350% OF THE FEDERAL GUIDELINES. THE 10% OF GROSS CHARGES APPROXIMATES THE HOSPITAL'S REIMBURSEMENT FROM MEDICARE AND IS THE MAXIMUM CHARGED TO INDIVIDUALS ELIGIBLE FOR FINANCIAL ASSISTANCE.
SCHEDULE H, PART V, FACILITY INFORMATION:	SECTION B APPLIES TO BOTH LODI MEMORIAL HOSPITAL AND LODI MEMORIAL HOSPITAL - WEST.
SCH H, PART V, SECTION B, LINE 3, CONTINUATION	THE PROCESS:THE LODI HEALTH BOARD OF DIRECTORS' STRATEGIC-PLANNING COMMITTEE IS CHARGED WITH DEVELOPING AND MONITORING THE SYSTEM'S STRATEGIC PLAN. THEIR PROCESS IS:* ANNUALLY REVIEW THE EXTERNAL HEALTH-CARE ENVIRONMENT, INCLUDING NEW AND UPDATED INFORMATION FROM THE:- CALIFORNIA HEALTHCARE ASSOCIATION (CHA) "VIEW OF THE FUTURE" LATEST RELEASE;- AMERICAN HOSPITAL ASSOCIATION (AHA) "VISION OF THE FUTURE" LATEST RELEASE; AND- MAJOR NATIONAL, STATE AND LOCAL EVENTS THAT HAVE OR MAY AFFECT OUR LOCAL MARKET.* ANNUALLY REVIEW THE INTERNAL ENVIRONMENTS, INCLUDING:- AUDITED FINANCIALS FOR THE LAST THREE YEARS FOR TRENDS;- MARKET-SHARE INFORMATION, FOR SYSTEM AND ALL BUSINESS LINES, I.E. INPATIENT, OUTPATIENT, EMERGENCY DEPARTMENT, HOME-HEALTH AGENCY, ACUTE-PHYSICAL REHABILITATION AND CLINICS;- PAYER MIX BY SERVICE AND ZIP CODE;- UTILIZATION DATA;- LIST OF MAJOR EMPLOYEE, BOARD AND MEDICAL STAFF ISSUES CURRENTLY OPEN/IN- PROGRESS;- COMMUNITY-NEEDS ASSESSMENT AND BENEFIT PLAN;- QUALITY PERFORMANCE, CLINICAL AND PATIENT SATISFACTION;- EMPLOYEE SATISFACTION;- PHYSICIAN SATISFACTION; AND- INFORMATION-TECHNOLOGY CAPABILITIES.* REVIEW THE FINDINGS AND RECOMMENDATIONS OF THE COMMUNITY-NEEDS ASSESSMENT, CONDUCTED EVERY THREE YEARS, TO DETERMINE THE COMMUNITY'S HEALTH STATUS AND NEED FOR HEALTH SERVICES AND INTEGRATE THOSE INTO THE SYSTEM'S STRATEGIC PLAN. ANNUALLY, THE NEEDS-ASSESSMENT FINDINGS SHALL BE REVISITED PRIOR TO EACH APRIL MEETING TO ASSESS WHETHER LODI HEALTH, WITHIN THE REALM OF ITS RESOURCES, CAN OR SHOULD DEVELOP PROGRAMS AND SERVICES TO MEET COMMUNITY NEED AND/OR WORK WITH OTHER LOCAL HEALTH PROVIDERS, SCHOOLS AND ORGANIZATIONS TO MEET COMMUNITY-HEALTH NEEDS FOR WELLNESS, PREVENTION AND TREATMENT.* ANNUALLY REVIEW THE SYSTEM MISSION, VISION AND VALUES FOR BOARD APPROVAL AT ITS MAY MEETING.* ANNUALLY DEVELOP LONG AND SHORT-TERM GOALS AND OBJECTIVES FOR SUBMISSION TO THE BOARD FOR APPROVAL.

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
LODI MEMORIAL HOSP HOME HEALTH AGENCY
800 S LOWER SACRAMENTO RD	LODI	CA	95242	HOME HEALTH AGENCY
LODI MEMORIAL COMM CLINIC - MILLSBRIDGE
1901 KETTLEMAN LANE SUITE 200	LODI	CA	95242	COMMUNITY CLINIC
LODI OUTPATIENT SURGERY CENTER
521 S HAM LANE	LODI	CA	95242	AMBULATORY SURGICAL CENTERS
ENDOSCOPY CENTER OF LODI LLC
840 S FAIRMONT AVE SUITE 1	LODI	CA	95240	AMBULATORY SURGERY CENTER
LODI MEMORIAL COMMUNITY CLINIC - VINE
1235 W VINE ST SUITE 22	LODI	CA	95240	COMMUNITY CLINIC
ADV IMAGING CENTER AT LODI MEM HOSP LLC
999 S FAIRMONT AVENUE SUITE 110	LODI	CA	95240	DIAGNOSTIC IMAGING OUTPATIENT CENTER
LODI MEMORIAL SURGICAL GROUP
999 S FAIRMONT AVENUE SUITE 100	LODI	CA	95240	COMMUNITY CLINC
LODI MEMORIAL COMMUNITY CLINIC - TRINITY
10200 TRINITY PARKWAY SUITE 102	STOCKTON	CA	95219	COMMUNITY CLINIC
TRINITY PLAZA SURGICAL CENTER LLC
10200 TRINITY PARKWAY SUITE 101	STOCKTON	CA	95219	AMBULATORY SURGERY CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COST IS ASSIGNED UTILIZING OUR INTERNAL COST ACCOUNTING SYSTEM (EPSI). COST IS ESTIMATED BY UTILIZING RELATIVE VALUE UNITS ASSIGNED TO EACH PRODUCT (I.E. CHARGEABLE TEST, SUPPLY, OR PROCEDURE). EACH PRODUCT'S RELATIVE VALUE IS ESTIMATED BY EACH DEPARTMENT DIRECTOR BASED ON RESOURCES EXPENDED FOR EACH DEPARTMENT PRODUCT. DEPARTMENT COSTS ARE ALLOCATED TO EACH PRODUCT BASED ON ACCUMULATED RELATIVE VALUES. EACH PATIENT ACCUMULATES PRODUCTS DURING THEIR VISIT. THE TOTAL COST FOR EACH PATIENT REPRESENTS THE SUM OF ALL THE PRODUCTS PROVIDED TO THEM DURING THEIR VISIT OR INPATIENT STAY. THE ABOVE METHOD IS THE CALCULATION FOR HOSPITAL CHARGES. FOR COMMUNITY CLINICS, HOSPITAL BASED CLINICS, HOSPITAL BASED HOME HEALTH AGENCY AND TWO SURGERY CENTER JOINT VENTURES A COST TO CHARGE RATIO WAS CALCULATED BASED ON THE DIRECT COSTS OF THESE LINES OF BUSINESS.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 40,249,322.
SCHEDULE H, PART I EXPLANATION	OVERVIEW:CHA: "THE HOSPITAL PROVIDER FEE IS CRUCIAL TO THE PRESERVATION OF CALIFORNIA'S ENTIRE SAFETY NET, WHICH IS WHY CALIFORNIA'S SAFETY-NET HOSPITALS INITIATED PROVIDER FEE LEGISLATION, AND WHY ALL CALIFORNIA HOSPITALS SUPPORT IT. THE PROGRAM USES FEES ASSESSED BY THE STATE ON HOSPITALS TO DRAW DOWN FEDERAL MATCHING FUNDS, WHICH ARE THEN ISSUED AS SUPPLEMENTAL PAYMENTS TO HOSPITALS. THE HOSPITAL PROVIDER FEE IS AN INTEGRAL ELEMENT TO IMPROVING ACCESS TO HEALTH CARE FOR SOME OF CALIFORNIA'S MOST VULNERABLE RESIDENTS."THE 30 MONTH HOSPITAL QA FEE / SUPPLEMENTAL MEDI-CAL FEE FOR SERVICE (FFS) REVENUE PROGRAM WAS APPROVED BY CMS IN JUNE 2012. 24 MONTHS OF THE MEDI-CAL MANAGED CARE PORTION WAS APPROVED IN JUNE 2013. PERIOD COVERED JULY 1, 2011 - DECEMBER 31, 2013, WHICH COMPRISE 10 CALENDAR QUARTERS.BENEFIT TO LMH:IN 2013 WE RECORDED ON A PRORATED BASIS 12 MONTHS (1/1/2013-12/31/2013) OF THE HOSPITAL QA FEE / SUPPLEMENTAL MEDI-CAL FEE FOR SERVICE (FFS) PROGRAM'S EXPENSES AND REVENUES AND 24 MONTHS OF THE MANAGED CARE PORTION EXPENSES AND REVENUES. - TOTAL REVENUES EARNED FROM THIS PROGRAM TOTALED $18,218,878.41 - TOTAL FEES EXPENSED FOR THIS PROGRAM TOTALED $12,995,234.53 - ADDITIONAL FEES EXPENSED FOR THE CALIFORNIA HEALTH FOUNDATION AND TRUST TOTALED $201,537.46INCOME EARNED WAS CREDITED TO THE MEDI-CAL PROGRAM AND GREATLY REDUCED THE UNREIMBURSED COST OF THE MEDI-CAL PROGRAM IN 2013 WHICH IN TURN REDUCED THE CHARITY CARE COSTS REPORTED ON SCHEDULE H COMPARED TO 2012.
PART II, COMMUNITY BUILDING ACTIVITIES:	THE HOSPITAL PROVIDES MANY COMMUNITY-BUILDING ACTIVITIES TO INCREASE ACCESS TO PRIMARY-CARE SERVICES AND REDUCE THE NUMBER OF PATIENTS WHO PRESENT THEMSELVES TO THE EMERGENCY DEPARTMENT SEEKING CARE FOR MEDICAL CONDITIONS OR INJURIES THAT COULD HAVE EASILY BEEN TREATED AT THE ONSET BY A PRIMARY-CARE PHYSICIAN. THE FOLLOWING WERE LAUNCHED AND ARE NOW SUSTAINED BY THE HOSPITAL TO ADDRESS THE NEED FOR ACCESS TO CARE: A FREE CLINIC; THREE HOSPITAL BASED PRIMARY-CARE CLINICS, AN OBSTETRIC CLINIC AND A PEDIATRIC CLINIC; TWO PRIMARY-CARE COMMUNITY CLINICS AND TWO SPECIALTY COMMUNITY CLINICS. THE CLINICS ALSO KEEP LOCAL PHYSICIANS PRACTICING MEDICINE IN THE AREA. MANY PHYSICIANS WOULD HAVE RETIRED OR MOVED OUT OF THE AREA TO PRACTICE IN A HEALTH SYSTEM HAD THE HOSPITAL NOT AGREED TO EMPLOY THEM OR MANAGE THEIR PRACTICES. SO THAT ADULTS CAN WORK WHILE THEIR CHILDREN AND PARENTS ARE SAFELY AND LOVINGLY CARED FOR DURING THE DAY, THE HOSPITAL OFFERS AN AFFORDABLE CHILD-CARE CENTER AND AN ADULT-DAY-CARE CENTER. ADDITIONALLY, THE HOSPITAL PROVIDES NURSE TRAINING, SALARIES AND SUPPORT FOR NINE PARISH-NURSE PROGRAMS SO THAT PEOPLE IN THEIR CHURCHES HAVE ACCESS TO HEALTH EDUCATION, PREVENTION AND OTHER SUPPORTIVE SERVICES. TO PREVENT DISEASE AND INJURY AND ENCOURAGE WELLNESS, HEALTH NEWSLETTERS ARE MAILED TO 85,000 SERVICE-AREA HOUSEHOLDS AND MADE AVAILABLE ON THE HOSPITAL WEBSITE THREE TIMES A YEAR. SAN JOAQUIN COUNTY IS AMONG THE MOST DIFFICULT COUNTIES IN THE STATE WHEN IT COMES TO RECRUITING PHYSICIANS TO PRACTICE MEDICINE, AND THE HOSPITAL DEVOTES SIGNIFICANT FINANCIAL AND HUMAN RESOURCES TO THAT EFFORT. CURRENTLY THE HOSPITAL IS ATTEMPTING TO ESTABLISH A RESIDENCY PROGRAM IN CONJUNCTION WITH THE LOCAL COUNTY HOSPITAL, A TEACHING FACILITY, IN HOPES THAT ONCE PHYSICIANS COME TO PRACTICE HERE THEY WILL APPRECIATE THE REGION AND STAY AND ESTABLISH MEDICAL PRACTICE OR AFFILIATE WITH AN EXISTING PRACTICE.
PART III, LINE 4:	COSTING METHODOLOGY:UTILIZING THE PREVIOUS COSTING METHODOLOGY AS OUTLINED IN RESPONSE TO PART I LINE 7, ALL PATIENTS ARE ASSIGNED A PAYOR CLASS (I.E. CHARITY, SELF PAY, MEDICARE, MEDI-CAL, MANAGED CARE). THE COST BY PAYOR IS A SUMMATION OF ALL PATIENTS IN THE ASSIGNED PAYOR CLASS. THE AMOUNTS WRITTEN OFF AS BAD DEBT (ASSIGNED TO A COLLECTION AGENCY) ARE NET OF ANY APPLICABLE PAYMENTS OR DISCOUNTS. ANY PAYMENTS RECEIVED AFTER AN ACCOUNT IS ASSIGNED TO A COLLECTION AGENCY REDUCE THE BAD DEBT EXPENSE IN THE PERIOD RECEIVED.OF THE TOTAL UNINSURED PATIENTS SEEN IN 2013: 34% QUALIFIED FOR CHARITY CARE AND 54% WERE WRITTEN OFF TO BAD DEBTS. IT IS DIFFICULT TO ASCERTAIN HOW MANY UNINSURED WRITTEN OFF TO BAD DEBTS WOULD QUALIFY FOR CHARITY CARE. ALL BAD DEBT WRITE OFFS ARE SENT TO A COLLECTION AGENCY. IF AN ACCOUNT QUALIFIES FOR CHARITY CARE AFTER BEING SENT TO AN AGENCY, NO FURTHER COLLECTION ACTIVITY IS PURSUED AND THE "BAD DEBT" ACCOUNT IS WRITTEN OFF IN FULL - WE HAVE NOT TRACKED THESE IN THE PAST AS PART OF OUR CHARITY CARE EXPENSE BUT ESTIMATE AT LEAST 35% OF OUR BAD DEBT COSTS REPRESENTS CHARITY CARE.COMMUNITY BENEFIT RATIONALE: UNINSURED PATIENTS ARE SCREENED FOR MEDICAID LINKAGE, GIVEN ASSISTANCE IN APPLYING FOR MEDICAID AND IF INELIGIBLE FOR MEDICAID ARE GIVEN INFORMATION REGARDING OUR CHARITY CARE POLICY AND ENCOURAGED TO APPLY FOR CHARITY CARE. OFTEN THE INFORMATION GATHERED IN THE MEDICAID APPLICATION WILL MAKE THIS DETERMINATION "AUTOMATIC". IF ADDITIONAL INFORMATION IS REQUIRED WE ATTEMPT TO CONTACT THE PATIENT.BAD DEBT FOOTNOTE CAN BE FOUND ON PAGE 27 OF THE ORGANIZATION'S FINANCIAL STATEMENTS (NOTE 19 - UNCOMPENSATED CARE AND COMMUNITY BENEFIT COSTS). ALSO SEE FOOTNOTE 2 ON THE FINANCIAL STATEMENT THAT DISCUSSES "PATIENT ACCOUNTS RECEIVABLE".
PART III, LINE 8:	THE COSTS OF PROVIDING CARE TO MEDICARE RECIPIENTS OFTEN EXCEED THE GOVERNMENT'S REIMBURSEMENT FOR THESE SERVICES. FOR COST ASSIGNED TO MEDICARE PATIENTS, PLEASE SEE RESPONSE IN PART III, LINE 4.FEE REIMBURSED CHARGES FOR LABORATORY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY WITH INCIDENTAL CHARGES FOR SUPPLIES AND DRUGS WERE OBTAINED FROM THE MEDICARE PS&R. COST TO CHARGE RATIOS (CCR) FROM THE FILED COST REPORT WERE UTILIZED TO CALCULATE MEDICARE COSTS. MEDICARE REVENUES FOR THESE SERVICES WERE $44,948,991; COSTS WERE $49,959,467.THE COST ACCOUNTING SYSTEM IS USED FOR HOSPITAL CHARGES - ALL INPATIENT, OUTPATIENT, EMERGENCY AND URGENT CARE - FOR ALL PAYORS. A COST-TO-CHARGE RATIO WAS USED FOR SEGMENTS THAT ARE NOT YET INCLUDED IN THE COST ACCOUNTING SYSTEM: PRIMARILY HOSPITAL BASED CLINICS, COMMUNITY CLINICS, HOME HEALTH AND OUR RURAL HEALTHCARE CLINIC. 96.3% OF OUR CONSOLIDATED GROSS REVENUES ARE CAPTURED IN THE COST ACCOUNTING SYSTEM.
PART III, LINE 9B:	UNINSURED PATIENTS ARE SCREENED FOR MEDICAID LINKAGE, GIVEN ASSISTANCE IN APPLYING FOR MEDICAID AND IF INELIGIBLE FOR MEDICAID ARE GIVEN INFORMATION REGARDING OUR CHARITY CARE (FINANCIAL ASSISTANCE)POLICY AND ENCOURAGED TO APPLY FOR CHARITY CARE (FINANCIAL ASSISTANCE).
PART VI, LINE 2:	EVERY THREE YEARS LODI MEMORIAL HOSPITAL ASSESSES COMMUNITY HEALTH NEEDS BY 1)CONSULTING WITH REPRESENTATIVES FROM A VARIETY OF COMMUNITY GROUPS TO REVIEW THE NEEDS OF EACH CONSTITUENCY; 2)REVIEWING SERVICE-AREA MORBIDITY AND MORTALITY HEALTH DATA PROVIDED BY THE CALIFORNIA DEPARTMENT OF HEALTH SERVICES; 3)COMPILING SOCIO-ECONOMIC DATA TO DETERMINE WHERE THE GREATEST NEEDS EXIST WITHIN THE HOSPITAL-SERVICE AREA; AND 4)ASKING AREA RESIDENTS TO COMPLETE A HEALTH SURVEY REGARDING THEIR PERSONAL HEALTH AND NOTIONS ABOUT GOOD HEALTH. ONCE THE DATA IS COLLECTED, IT IS REVIEWED AND ASSESSED BY THE HOSPITAL'S COMMUNITY ADVISORY BOARD, BOARD OF DIRECTORS AND HOSPITAL MANAGERS TO DETERMINE WHAT SERVICES AND GAP AREAS MAY NEED ENHANCING OR ADDRESSING TO IMPROVE HEALTH WITHIN THE REALM OF THE HOSPITAL'S RESOURCES TO DO SO.
PART VI, LINE 3:	SIGNS ARE PROMINENTLY POSTED IN THE ADMISSIONS, EMERGENCY AND BILLING DEPARTMENTS OF THE HOSPITAL, IN ADDITION TO ALL THE HOSPITAL CLINICS, TO ADVISE PATIENTS AND VISITORS THAT THEY MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE AND HOW TO WORK WITH HOSPITAL STAFF TO OBTAIN IT. THE SAME INFORMATION IS INCLUDED IN PATIENT-ADMISSION PACKETS AND POSTED ON THE HOSPITAL WEBSITE. HOSPITAL CASE MANAGERS ARE VIGILANT OF PATIENTS NEEDING FINANCIAL ASSISTANCE AND FOLLOW UP WITH THOSE IN NEED. FINANCIAL ASSISTANCE INCLUDES APPLYING FOR MEDICAID AS WELL AS CHARITY CARE.
PART VI, LINE 4:	NEARLY ALL OF THE INDIVIDUALS SEEKING CARE FROM LODI MEMORIAL HOSPITAL RESIDE IN ONE OF FIVE COUNTIES: SAN JOAQUIN, SACRAMENTO, SOLANO, AMADOR, AND CALAVERAS. ABOUT HALF OF THE HOSPITAL'S PATIENTS RESIDES WITHIN A FIVE-MILE RADIUS OF THE HOSPITAL IN SAN JOAQUIN COUNTY. GEOGRAPHICALLY, THE HOSPITAL SITS AT THE NORTHERN END OF THE SAN JOAQUIN VALLEY WHERE THE RESIDENTS ARE AMONG THE POOREST AND LEAST EDUCATED OF ALL THE STATE'S COUNTIES. IN ADDITION, SAN JOAQUIN COUNTY HAS AMONG THE WORST UNEMPLOYMENT RATES IN THE STATE'S COUNTIES; NEARLY TWO IN 10 RESIDENTS ARE UNEMPLOYED. ALSO SAN JOAQUIN COUNTY IS GROUND-ZERO FOR THE MORTGAGE CRISIS IN THIS COUNTRY. THE COUNTY IS ALSO AMONG THE MOST VIOLENT COUNTIES IN WHICH TO LIVE IN THE COUNTRY DUE TO SIGNIFICANT GANG ACTIVITY, LOW LEVELS OF EDUCATION, AND POVERTY. HOSPITAL PATIENTS REPRESENT DIVERSITY: ABOUT 40 PERCENT ARE HISPANIC, WITH MANY OF THOSE PATIENTS BEING MONOLINGUAL SPANISH SPEAKERS. ANOTHER THREE PERCENT ARE PAKISTANI, MANY OF WHOM SPEAK ONLY URDU OR PASHTU. ADDITIONALLY THERE IS A SIGNIFICANT POPULATION OF HOSPITAL PATIENTS WHO ARE GREATER THAN 80 YEARS OF AGE. THE MAJOR HEALTH ISSUES OF PATIENTS ARE HEART DISEASE, STROKE, CANCER, DIABETES AND OBESITY.
PART VI, LINE 5:	THE HOSPITAL CONDUCTS MYRIAD ACTIVITIES TO PROMOTE COMMUNITY HEALTH. THOSE ACTIVITIES INCLUDE BUT ARE NOT LIMITED TO: HEALTH FAIRS WITH FREE MEDICAL SCREENINGS FOR HIGH CHOLESTEROL, HIGH-BLOOD PRESSURE, DIABETES AND LOW-OXYGEN SATURATION LEVELS; REFERRALS TO FREE CLINICS OR LOCAL PHYSICIANS FOR THOSE WITH HIGH VALUES; A VARIETY OF LINKED VIDEOS TO THE HOSPITAL WEB PAGE, FACEBOOK PAGE, YOUTUBE PAGE, AND TWITTER RELATED TO HEALTH EDUCATION AND PREVENTION; A WELLNESS PROGRAM FOR HOSPITAL EMPLOYEES THAT IS ROOTED IN EXERCISE AND NUTRITION SO THAT EMPLOYEES MAY LEAD BY EXAMPLE; A MONTHLY NUTRITION COLUMN IN THE LOCAL NEWSPAPER; HOSPITAL STAFF SERVING ON THE BOARDS OF REGIONAL NGOS; DONATIONS OF MATERIALS AND EQUIPMENT TO NGOS; EMPLOYEE DONATIONS OF FOOD AND CLOTHING TO THE NEEDY. THE HOSPITAL IS ALSO THE SECOND LARGEST YEAR-ROUND EMPLOYER IN LODI, WITH EMPLOYEES REINVESTING THEIR EARNINGS IN THE LOCAL ECONOMY. THE HOSPITAL HAS ALSO ADOPTED THE MOST IMPOVERISHED, LARGEST AND MOST DIVERSE SCHOOL IN THE LOCAL SCHOOL DISTRICT TO HELP EDUCATE STUDENTS, PARENTS AND TEACHERS IN PREVENTION. IN THAT EFFORT, THE HOSPITAL HOSTS AT THE SCHOOL HEALTH AND EDUCATION FAIRS; PARTICIPATES IN CLASSROOM TEACHING AND HEALTH DEMONSTRATIONS; AND PARTICIPATES IN CAREERS FAIRS AT THE SCHOOL. DUE TO HAND-WASHING EDUCATION ALONE, THE SCHOOLS ABSENTEE RATES HAVE DECLINED DRAMATICALLY. FOR STUDENTS TO LEARN, THEY MUST BE IN SCHOOL; AND FOR SCHOOLS TO RECEIVE STATE FUNDING, THEY MUST MAINTAIN THEIR ATTENDANCE.
PART VI, LINE 6:	N/A
PART VI, LINE 7, REPORTS FILED WITH STATES	CA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA HEALTH FOUNDATION & TRUST	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1215 K ST STE 800	AddressLine1
City	SACRAMENTO	City
State	CA	State
ZIP Code	95814	ZIPCode

Field	Value	IRS element (for citing)
Recipient EIN	941498697	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$201,537	CashGrantAmt
Purpose Of Grant	HOSPITAL QA FEE PROGRAM PLEDGES	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	STIPENDS AND SCHOLARSHIPS	GrantTypeTxt
Recipient	36	RecipientCnt
Cash Grant	$36,000	CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THROUGH THE USE OF TEMPORARILY RESTRICTED ACCOUNTS, WE TRACK AND MONITOR THE INCOMING RECEIPTS FROM GRANTS AND THE UTILIZATION OF GRANT FUNDS. EACH GRANT IS TRACKED SEPARATELY. SHOULD THE GRANTOR AGENCY REQUIRE SPECIFIC REPORTS, WE COMPLY WITH THEIR REPORTING REQUIREMENTS. THE GRANTS WE MONITOR ARE SPECIFIC TO THE GRANTOR'S NEEDS AND REQUESTS. IN 2013 WE RECEIVED GRANT FUNDS TO USE AS STIPENDS OR SCHOLARSHIPS FOR MEDICAL ASSISTANT STUDENTS THAT INTERN AT OUR CLINICS. THE MAXIMUM GIVEN TO ANY ONE STUDENT IS $1,000 AFTER THEY COMPLETE THE INTERNSHIP PROGRAM. 1099'S ARE ISSUED ON THESE SCHOLARSHIPS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
SORBERA THOMAS MD
BOARD MEMBER & LMCC PHYSICIAN	$330,633	$0	$14,193	$0	$1,075	$0	$0	$0	$7,979	$0	$353,880	$0	$0	$0
GILL PARAMPAL MD
BOARD MEMBER	$186,525	$0	$0	$0	$0	$0	$0	$0	$0	$0	$186,525	$0	$0	$0
HARRINGTON JOSEPH P
CEO & PRESIDENT	$343,207	$0	$0	$0	$6,251	$0	$56,098	$0	$7,916	$0	$413,472	$0	$0	$0
BUTLER CYNTHIA B
INTERIM CFO (6/23/12-10/13/13)	$168,238	$0	$0	$0	$632	$0	$4,305	$0	$7,916	$0	$181,091	$0	$0	$0
MORENO DEBBE JOYCE
CHIEF NURSING OFFICER	$195,756	$0	$0	$0	$4,200	$0	$4,811	$0	$11,083	$0	$215,850	$0	$0	$0
SEY MARK
CHIEF ADMINISTRATIVE OFFICER	$181,707	$0	$0	$0	$4,937	$0	$4,687	$0	$7,916	$0	$199,247	$0	$0	$0
WOOTON ROBYN
VP OF FUND DEVELOPMENT (THRU 6/2013)	$85,300	$0	$0	$0	$75,851	$0	$2,182	$0	$1,902	$0	$165,235	$0	$0	$0
SCHNEIDER PAMELA
EXECUTIVE DIRECTOR-O/P SVC	$154,724	$0	$0	$0	$929	$0	$4,004	$0	$7,916	$0	$167,573	$0	$0	$0
LAVIOLA STEVEN MD
PHYSICIAN, COMMUNITY CLINICS	$350,827	$0	$31,358	$0	$69,250	$0	$0	$0	$5,815	$0	$457,250	$0	$0	$0
CONNOLY JOHN PATRICK MD
PHYSICIAN, COMMUNITY CLINICS	$317,215	$0	$28,851	$0	$375	$0	$0	$0	$10,012	$0	$356,453	$0	$0	$0
FREUND EDMUND A MD
PHYSICIAN, COMMUNITY CLINICS	$354,338	$0	$24,871	$0	$200	$0	$0	$0	$8,298	$0	$387,707	$0	$0	$0
SOROUR NAGUI MD
PHYSICIAN, COMMUNITY CLINICS	$447,365	$0	$37,968	$0	$375	$0	$0	$0	$0	$0	$485,708	$0	$0	$0
SCHOCH DENNY MD
PHYSICIAN, COMMUNITY CLINICS	$354,186	$0	$25,000	$0	$0	$0	$0	$0	$1,713	$0	$380,899	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINES 4A-B	FormAndLineReferenceDesc
Explanation	LINE 4A - SEVERANCE PAY WAS PAID TO ROBYN WOOTON IN THE AMOUNT OF $75,601 (VP OF FUND DEVELOPMENT POSITION ELIMINATED). LINE 4B - LMH HAS A 457(F) SERP WHICH IS LIMITED TO SELECT MEMBERS OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. PARTICIPANTS ARE SELECTED BY THE BOARD OF DIRECTORS OR AN AUTHORIZED OFFICER. THE AMOUNT OF THE DEFERRED COMPENSATION UNDER THE PLAN FOR A PARTICIPANT FOR A PLAN YEAR SHALL BE SPECIFIED IN THE PARTICIPANT'S PARTICIPATION AGREEMENT OR, IF NOT SO SPECIFIED, THE AMOUNT DETERMINED BY THE EMPLOYER FOR SUCH PLAN YEAR IN THE EMPLOYER'S SOLE AND ABSOLUTE DISCRETION. A PARTICIPANT BECOMES FULLY VESTED IN THE PARTICIPANT'S ACCOUNT UPON THE EARLIEST OF NORMAL RETIREMENT, DATE OF DEATH OR DATE OF DISABILITY WHILE STILL AN EMPLOYEE, DATE OF TERMINATION OR DEMOTION BY THE EMPLOYER IF THE EVENT OCCURS WITHIN THE TWELVE MONTH PERIOD FOLLOWING A CHANGE IN CONTROL, THE EMPLOYER'S INVOLUNTARY TERMINATION OF THE PARTICIPANT'S EMPLOYMENT WITHOUT CAUSE. IF THE PARTICIPANT CEASES TO BE AN EMPLOYEE PRIOR TO BECOMING FULLY VESTED, THE EMPLOYEE SHALL NOT BE ENTITLED TO ANY BENEFIT UNDER THIS PLAN. ANY AMOUNTS CREDITED TO A PARTICIPANT'S ACCOUNT THAT ARE NOT VESTED AT THAT TIME SHALL BE FORFEITED. DISTRIBUTIONS UNDER THE PLAN COMMENCE WITHIN 90 DAYS FOLLOWING VESTING AND NOT LATER THAN MARCH 15 OF THE CALENDAR YEAR FOLLOWING THE CALENDAR YEAR OF VESTING. CONTRIBUTIONS OF $100,000 WERE MADE TO THE PLAN DURING THE YEAR. NO PAYMENTS WERE MADE.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	CALIFORNIA STATEWIDE COMMUNITES DEVELOPMENT AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	680164610	BondIssuerEIN
Bond Issued	2007-12-01	BondIssuedDt
Issue Price	$150,629,537	IssuePriceAmt
Purpose	SEE SUPPLEMENTAL INFORMATION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$9,970,000	RetiredAmt
Total Proceeds	$155,144,987	TotalProceedsAmt
In Reserve Fund	$11,156,542	InReserveFundAmt
Capitalized Interest	$18,234,618	CapitalizedInterestAmt
Issuance Costs From Proceeds	$1,547,800	IssuanceCostsFromProceedsAmt
Credit Enhancement	$5,651,669	CreditEnhancementAmt
Capital Expenditures	$118,554,358	CapitalExpendituresAmt
Substantial Completion	2012	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (1)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	Yes (1)	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: CALIFORNIA STATEWIDE COMMUNITES DEVELOPMENT AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/26/2014
SCHEDULE K SUPPLENTAL INFORMATION	THE DIFFERENCE OF $4,515,450 BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND THE TOTAL PROCEEDS OF ISSUE IN PART II, LINE 3 IS DUE TO THE CUMULATIVE INVESTMENT EARNINGS (2007-2013) ON PROJECT FUNDS AND RESERVE FUNDS.
PART I; COLUMN F:	TO CONSTRUCT AND EQUIP: GENERAL ACUTE CARE ADDITION & NEW EMERGENCY DEPT. TO ALSO REMODEL WITH NEW EQUIPMENT: KITCHEN AND CAFETERIA.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	P GILL OBSTETRICS AND GYNECOLOGY	BusinessNameLine1

Field	Value	IRS element (for citing)
Relationship Description	>5% OWNED PARTNERSHIP BY PARAMPAL GILL, CURRENT BOARD MEMBER	RelationshipDescriptionTxt
Transaction	$212,541	TransactionAmt
Transaction	PHYSICIAN PROFESSIONAL SERVICE-OB CLINIC	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	ASSOCIATION MEMBERSHIP IS OPEN TO ANYONE FOR A ONE-TIME, LIFETIME FEE OF $100. MEMBERS PARTICIPATE IN THE ANNUAL ELECTION OF BOARD MEMBERS WHO DIRECT THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7A	MEMBERS PARTICIPATE IN THE ANNUAL ELECTION OF BOARD MEMBERS WHO DIRECT THE HOSPITAL.
FORM 990, PART VI, SECTION A, LINE 7B	THE BOARD OF DIRECTORS CANNOT SELL OR DISSOLVE THE CORPORATION - A 2/3RDS VOTE OF THE ASSOCIATION MEMBERS WOULD BE REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11	THE DRAFT OF THE FORM 990 IS PRESENTED TO THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS OF LODI MEMORIAL HOSPITAL TO REVIEW. THE REVIEWED DRAFT COPY IS THEN PROVIDED ELECTRONICALLY TO THE FULL BOARD PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12C	MEMBERS OF THE BOARD, COMMITTEES, OFFICERS AND MANAGEMENT ARE REQUIRED TO REVIEW, ATTEST AND DISCLOSE ANY POTENTIAL CONFLICT OF INTERESTS ON AN ANNUAL BASIS. IN ADDITION, IT IS VERBALLY REQUESTED AT EVERY BOARD MEETING FOR ALL MEMBERS TO DECLARE IF THEY HAVE A CONFLICT OF INTEREST ON ANY AGENDA ITEM AND TO ABSTAIN FROM VOTING ON SAID ITEM.
FORM 990, PART VI, SECTION B, LINE 15	THE BOARD OF DIRECTORS HAS A CEO COMPENSATION COMMITTEE, WHO REVIEWS THE CEO'S PERFORMANCE AND COMPENSATION AT LEAST ANNUALLY WHOSE SPECIFIC RESPONSIBILITIES INCLUDE: SCHEDULING AND COMPLETING AN ANNUAL REVIEW OF THE CEO'S PERFORMANCE, REVIEWING AND ESTABLISHING PERFORMANCE CRITERIA FOR THE CEO, AN ANNUAL REVIEW OF THE CEO'S JOB DESCRIPTION, SOLICITING INPUT FROM OTHER SOURCES ON CEO PERFORMANCE, ANNUALLY REVIEWING MARKET AREA COMPENSATION AND BENEFITS FOR HOSPITAL CEOS TO DETERMINE FAIR MARKET VALUE COMPENSATION, ANNUALLY PROVIDE VERBAL AND WRITTEN FEEDBACK TO CEO ON PERFORMANCE. THE BOARD OF DIRECTORS HAS A CEO COMPENSATION COMMITTEE THAT ALSO ESTABLISHES A COMPENSATION PHILOSOPHY FOR CEO AND SENIOR MANAGEMENT, REVIEWS AND APPROVES THE CEO RECOMMENDATION FOR CAO, CNO, CFO AND VP COMPENSATION AND REVIEWS AND APPROVES MANAGEMENT COMMITTEE INCENTIVE COMPENSATION. IN ADDITION, LODI MEMORIAL HOSPITAL (LMH) PARTICIPATES IN AN ANNUAL COMPENSATION SURVEY SPONSORED BY THE CALIFORNIA HOSPITAL ASSOCIATION, THE HOSPITAL COUNCIL OF NORTHERN & CENTRAL CALIFORNIA AND THE HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA. LMH SUBMITS THEIR WAGE AND SALARY DATA TO AN INDENDENDENT THIRD PARTY WHICH PRODUCES A REPORT BY JOB TITLE AND JOB DESCRIPTION THAT COMPARES SALARIES BY REGION WITHIN CALIFORNIA FOR ALL HOSPITALS WHO PARTICIPATE IN THE SURVEY.
FORM 990, PART VI, SECTION C, LINE 19	AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:	INCOME OF SUBSIDIARY - VITAL 62,263. INCOME OF SUBSIDIARY - LRHS -162,278. BOOK/TAX K-1 DIFFERENCES 3,406,891.

Schedule R IRS990ScheduleR

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Business Name Line1DirectControllingEntityName/BusinessNameLine1
TRINITY PLAZA SURGERY CENTER LLC
10200 TRINITY PARKWAY SUITE 101	STOCKTON	CA	95219	260358326	AMBULATORY SURGICAL CENTER	CA	N/A	RELATED	-$4,785,584	$727,660	0	Yes (1)	0.94000
ADVANCED IMAGING CENTER AT LODI MEMORIAL HOSPITAL LLC (AIC)
1001 S FAIRMONT AVE	LODI	CA	95240	943407786	DIAGNOSTIC IMAGING / MRI OUTPATIENT TREATMENT CENTER	CA	N/A	RELATED	-$74,837	$605,892	0	0	0.51000
LODI SURGICAL VENTURES LLC (LSV)
975 S FAIRMONT AVE	LODI	CA	95240	454239289	MAJ. OWNER OF LLC OPERATING AMBULATORY SURGERY CENTERS	CA	N/A	RELATED	-$107,715	$1,760,161	0	Yes (1)	0.60780
ARTEL LLC
521 S HAM LANE	LODI	CA	95240	263513966	AMBULATORY SURGICAL CENTERS	CA		RELATED			0	0	0.31000	LODI SURGICAL VENTURES LLC

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
VITAL ENTERPRISES INC DBA MEMORIAL HOME MED-EQUIP
1115 S FAIRMONT AVE SUITE 1	LODI	CA	95240	680021729	DURABLE MEDICAL EQUIPMENT COMPANY	CA	N/A	C	$464,803	$752,723	1.00000	Yes (1)
LODI REGIONAL HEALTH SYSTEMS INC
975 S FAIRMONT AVE	LODI	CA	95240	680398894	PHYSICIAN MANAGEMENT AND MEDICAL OFFICE BUILDING DEVELOPMENT & MANAGEMENT	CA	N/A	C	$2,344,610	$14,387,644	1.00000	Yes (1)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
TRINITY PLAZA SURGERY CENTER LLC
O	$173,216	FMV
LODI REGIONAL HEALTH SYSTEMS INC
O	$394,229	FMV
VITAL ENTERPRISE INC
O	$227,235	FMV
LODI REGIONAL HEALTH SYSTEMS INC
Q	$150,656	FMV
TRINITY PLAZA SURGERY CENTER LLC
D	$6,007,398	FMV
LODI REGIONAL HEALTH SYSTEMS INC
J	$108,610	FMV
LODI REGIONAL HEALTH SYSTEMS INC
P	$217,779	FMV
VITAL ENTERPRISE INC
Q	$287,219	FMV
ARTEL LLC
D	$2,508,378	FMV
ARTEL LLC
A	$136,453	FMV
VITAL ENTERPRISE INC
A	$31,104	FMV
ADVANCED IMAGING CENTER AT LODI MEMORIAL HOSPITAL LLC (AIC)
A	$8,159	FMV
LODI REGIONAL HEALTH SYSTEMS INC
B	$577,745	FMV
TRINITY PLAZA SURGERY CENTER LLC
P	$878,659	FMV