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MEMORIAL HEALTH SERVICES GROUP RETURN: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MEMORIAL HEALTH SERVICES GROUP RETURN (EIN 35-2391110)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-11
IRS object ID
201231329349301218
Schema version
2010v3.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-05-11T10:15:12-04:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line118111 VON KARMAN AVENUE SUITE 1000AddressLine1
CityIRVINECity
StateCAState
ZIP Code92612ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN352391110EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Memorial Health Services Group ReturnBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMEMONameControl
Phone7143773002Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameRICHARD GRANIEREName
TitleCFOTitle
Date Signed2012-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone9497942300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARRY S ARBUCKLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1829766328GrossReceipts
Group Return For AffiliatestrueGroupReturnForAffiliates
All Affiliates IncludedfalseAllAffiliatesIncluded
Group Exemption Number5661GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.MEMORIALCARE.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Activity Or Mission DescriptionTO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.ActivityOrMissionDescription
Nbr Voting Members Governing Body39NbrVotingMembersGoverningBody
Nbr Independent Voting Members31NbrIndependentVotingMembers
Total Nbr Employees9885TotalNbrEmployees
Total Nbr Volunteers1636TotalNbrVolunteers
Total Gross UBI27440212TotalGrossUBI
Net Unrelated Business Txbl Income4614151NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12187480ContributionsGrantsPriorYear
Contributions Grants Current Year35239562ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1459031013ProgramServiceRevenuePriorYear
Program Service Revenue CY1780719268ProgramServiceRevenueCY
Investment Income Prior Year1658428InvestmentIncomePriorYear
Investment Income Current Year997238InvestmentIncomeCurrentYear
Other Revenue Prior Year6938942OtherRevenuePriorYear
Other Revenue Current Year11660939OtherRevenueCurrentYear
Total Revenue Prior Year1479815863TotalRevenuePriorYear
Total Revenue Current Year1828617007TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year100288GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY289645GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year654302355SalariesEtcPriorYear
Salaries Etc Current Year692178130SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year717004512OtherExpensePriorYear
Other Expenses Current Year999000375OtherExpensesCurrentYear
Total Expenses Prior Year1371407155TotalExpensesPriorYear
Total Expenses Current Year1691468150TotalExpensesCurrentYear
Revenues Less Expenses Prior Year108408708RevenuesLessExpensesPriorYear
Revenues Less Expenses CY137148857RevenuesLessExpensesCY
Total Assets BOY1059511793TotalAssetsBOY
Total Assets EOY1258155693TotalAssetsEOY
Total Liabilities BOY288571585TotalLiabilitiesBOY
Total Liabilities EOY267733129TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY770940208NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY990422564NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1539434864Expense
Grants289645Grants
Revenue1791119109Revenue
DescriptionREFER TO SCHEDULE ODescription
Total Program Service Expense1539434864TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096787NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9885NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members39NbrVotingGoverningBodyMembers
Number Independent Voting Members31NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicyfalseWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProcedurefalseWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARY GALLARDONamePerson
Telephone Number7143773411TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line117360 BROOKHURST STAddressLine1
CityFOUNTAIN VALLEYCity
StateCAState
ZIP Code92708ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (75 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Bruce Channing
Chairman of Board - SMMC2.0XX000
Anthony Abbate
Board Member - SMMC2.0X000
Valdemar Ascencio MD
Board Member - SMMC2.0X000
Patrick Donahue
Board Member - SMMC2.0X000
Gus Gialamas MD
Board Member - SMMC2.0X000
Donald Hansen
Board Member - SMMC2.0X000
William Phillips
Board Member - SMMC2.0X000
David Skinner MD
Board Member - SMMC2.0X12980000
Jaci Songstad
Board Member - SMMC2.0X000
Robert Miller
Board Member - SMMC (Part Yr)2.0X000
Thomas Rogers
Board Member - SMMC2.0X000
Barry S Arbuckle
Bd Member-LBMMC,OCMMC,SMMC,MMF7.0X0143318287086
Gail Carruthers MD
Board Member - LBMMC2.0X000
Dave Carver
Board Member - LBMMC2.0X000
John Dameron
Board Member - LBMMC2.0X000
Clifford Hancock MD
Board Member - LBMMC2.0X000
Russell Hill
Vice-Chairman of Board - LBMMC2.0XX000
Larry Jackson
Chairman of Board - LBMMC2.0XX000
B Peter Knudson
Board Member - LBMMC2.0X000
Joseph Maga Jr
Board Member - LBMMC2.0X000
Sean Miller
Board Member - LBMMC2.0X000
Beverly O'Neill
Board Member - LBMMC2.0X000
Lupe Padilla
Board Member - LBMMC2.0X000
James Wells
Board Member - LBMMC2.0X000
Howard Worcester
Board Member - LBMMC2.0X000
Santos Cortez DDS
Board Member - LBMMC2.0X000
Robert Schack
Chairman of Board - OCMMC2.0XX000
Hugh Moran
Vice-Chairman of Board - OCMMC2.0XX000
Julio Ibarra MD
Secretary of Board - OCMMC2.0XX000
Haydee V Tillotson
Board Member - OCMMC2.0X000
Bill Barnes
Board Member - OCMMC2.0X000
Diane Truong
Board Member - OCMMC2.0X000
Gale Schluter
Board Member - OCMMC2.0X000
Larry Lambert
Vice-Chairman-MMF/Bd Mem-OCMMC2.0XX000
Art Aviles
Board Member - OCMMC2.0X000
Tim Helgeson
Board Member - OCMMC2.0X000
Marcia Manker
CEO/EVP-OCMMC/ Bd Member-MMF60.0XX531161051778
Thomas Collins
Chairman of Board - MMF2.0X000
Gainer Pillsbury
Secretary of Board - MMF2.0XX000
Mark Cianciola MD
Board Member - MMF2.0X000
La Donna Butler
COO, EVP - SMMC60.0X403037039916
Adolfo Oscar Chanez
CFO, VP - SMMC60.0X274157015811
Kathy R Dawson
VP, Nursing, CNO - SMMC60.0X257260026521
Stephen B Geidt
CEO/EVP - SMMC60.0X538185067307
Cheryl Jacob
Chief Operating Officer - SMMC60.0X232818029421
Hugo L Folli
VP, Ancillary Services - SMMC60.0X264918044268
Tony Struthers
VP, Administration - SMMC60.0X215305018352
Kenneth Dalebout
VP, Bus Develop (Part Yr)-SMMC60.0X196606012064
John Bishop
SVP, CFO - LBMMC60.0X323922034157
Richard DeCarlo
COO - LBMMC60.0X36590606991
Diane Hendel
CEO, EVP - LBMMC60.0X568368099855
Wendy L Dorchester
CPO, SVP - LBMMC60.0X391627044725
Judith A Fix
SR. VP,Patient Care Svcs-LBMMC60.0X375344032453
Tamra L Kaplan
COO - LBMMC60.0X292817041987
Melvin Marks MD
Executive VP, CAO - LBMMC60.0X455549037658
Paula Suzanne Reinsvold
Chief Operating Ofrc-MCH/LBMMC60.0X184020624
William M Roberts MD
Chief Medical Officer - LBMMC60.0X320356013934
Donna E Hartman
VP, Quality - LBMMC60.0X245800022621
Linda L Hoff
VP, Medical & Surgical - LBMMC60.0X235668038749
Pamela S Chevreaux
VP, Ambulatory Svcs - LBMMC60.0X229125021640
Glenn Crabtree
VP, Facilities - LBMMC60.0X262773019258
Dana E Crompton-Hime
VP, Peri-Operative - LBMMC60.0X205986026908
Stacie Crompton-Hime
VP, Marketing - LBMMC60.0X210936018476
Myra J Gregorian
VP, Human Resources - LBMMC60.0X155125011584
Ida M Merline
VP, Memorial Heart Inst -LBMMC60.0X25287908901
Stephen McNamara
VP. Finance - OCMMC60.0X299389029136
Dale S Vital
VP, Nursing CNO - OCMMC60.0X274611032568
Emily Randal
VP, Operation - OCMMC60.0X174756029688
Lorraine Booth
VP, People and Culture - OCMMC60.0X152211029590
Steven Beal
VP, Information Services - MMF60.0X16214504072
Anil Sharma
Program Dir, Medical - LBMMC45.0219107037084X
Umesh C Bhargava
Pharmacist Clinical Spec-LBMMC45.0202939035189X
Emma G Alforja
Manager, Asst Unit RN - LBMMC45.0195070032016X
Anita Kapur
Cntrl/Exec Dir Finance - LBMMC45.0194157027543X
Jane H Hodding
Executive Dir, Pharmacy -LBMMC45.0193166027203X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10021381TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1433182TotalReportableCompFrmRltdOrgs
Total Other Compensation1157134TotalOtherCompensation
Number Individuals GT100 K990NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MILLER CHILDRENS SUBSPECIALTY
2801 ATLANTIC AVE 3RD FLOORLONG BEACHCA90801SPECIALTY GROUP SVCS3854119
LONG BEACH MEMORIAL PATHOLOGY
PO BOX 6015CYPRESSCA90630PATHOLOGY GROUP SVCS3331522
MEMORIAL FAMILY MEDICINE
450 E SPRING ST 1LONG BEACHCA90806FAMILY MEDICINE2969311
ARUP USC
500 CHIPETA WAYSALT LAKE CITYUT84108REFERENCE LAB SVCS2735745
SHIFTWISE
1800 SW 1ST AVENUE SUITE 510PORTLANDOR97201STAFFING SERVICES2636547
FieldValueIRS element (for citing)
Number Of Contractors GT100 K135NumberOfContractorsGT100K
Fundraising Events120335FundraisingEvents
Related Organizations8161946RelatedOrganizations
Government Grants26735300GovernmentGrants
All Other Contributions221981AllOtherContributions
Total Contributions35239562TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
NET PATIENT REVENUE62211013366453921336645392
CAPITATION REVENUE622110188473704188473704
PHARMACY4461101081903231059577522232571
LABORATORY6215001070722258956539317506832
MOB RENTAL5311201127129911271299

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column29066325TotalRevenueColumn
Related Or Exempt Function Income21365516RelatedOrExemptFunctionIncome
Unrelated Business Revenue7700809UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue1780719268TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1106605TotalRevenueColumn
Exclusion$1,106,605ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1693356Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real508636Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1184720Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1184720TotalRevenueColumn
Exclusion$1,184,720ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities95835Securities
Other-109367Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities205202Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-109367Securities
Other-109367Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-109367TotalRevenueColumn
Exclusion-$109,367ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events73425GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events120335CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses122323FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-48898TotalRevenueColumn
Exclusion-$48,898ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory438436GrossSalesOfInventory
Cost Of Goods Sold313160CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column125276TotalRevenueColumn
Exclusion$125,276ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
FOOD SERVICES72231042764994276499
PARKING SERVICES81293016436771643677
MISCELLANEOUS REVENUE90009944796654479665
FieldValueIRS element (for citing)
Total Other Revenue10399841TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1828617007TotalRevenueColumn
Related Or Exempt Function Income1763678897RelatedOrExemptFunctionIncome
Unrelated Business Revenue27440212UnrelatedBusinessRevenue
Exclusion$2,258,336ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total289645Total
Program Services289645ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10786889Total
Management And General10786889ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total421127Total
Program Services421127ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total484676243Total
Program Services464125123ProgramServices
Management And General20551120ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total27036484Total
Program Services25554023ProgramServices
Management And General1482461ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total76725758Total
Program Services71403601ProgramServices
Management And General5322157ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total92531629Total
Program Services89369122ProgramServices
Management And General3162507ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total22973968Total
Program Services17319175ProgramServices
Management And General5654793ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3168223Total
Program Services2468ProgramServices
Management And General3165755ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total521162Total
Management And General521162ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total176277Total
Program Services176277ProgramServices

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total562Total
Management And General562ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total303847287Total
Program Services232352938ProgramServices
Management And General71494349ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total6037063Total
Program Services5589798ProgramServices
Management And General447265ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total237109040Total
Program Services235055036ProgramServices
Management And General2054004ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total36762364Total
Program Services32180461ProgramServices
Management And General4581903ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total23200350Total
Program Services22958689ProgramServices
Management And General241661ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total754944Total
Program Services626260ProgramServices
Management And General128684ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total842985Total
Program Services633238ProgramServices
Management And General209747ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total274542Total
Management And General274542ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total67389171Total
Program Services51835926ProgramServices
Management And General15553245ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total11746375Total
Program Services6456724ProgramServices
Management And General5289651ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE9980994999809949
CA HOSPITAL FEE TAX9958100499581004
HOSPITAL FEES PROGRAM8308386283083862
DUES AND SUBSCRIPTIONS17212476104181110829

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1691468150Total
Program Services1539434864ProgramServices
Management And General152033286ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY599062BOY
EOY247102EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1699401BOY
EOY5511937EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY205973463BOY
EOY222799330EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY116679BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16044661BOY
EOY17905683EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4910892BOY
EOY6749008EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1118034428LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec577800838LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY528615357BOY
EOY540233590EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
EOY2500511EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1761272BOY
EOY77182101EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY299791006BOY
EOY385026431EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1059511793BOY
EOY1258155693EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY178218568BOY
EOY182164023EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5778878BOY
EOY103497EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY104574139BOY
EOY85465609EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY288571585BOY
EOY267733129EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY768056517BOY
EOY968864064EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2883691BOY
EOY21558500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY770940208BOY
EOY990422564EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1059511793BOY
EOY1258155693EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses137148857ReconcilationRevenueExpenses
Reconcilation Other Changes82333499ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$176,277OtherActivitiesAmount
Total Lobbying Expenditures IIB176277TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITIESIdentifier
Return ReferenceSCHEDULE C, PART II-B, line 1IReturnReference
ExplanationLOBBYING EXPENSES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS ALLOCATED TO LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1056617InvestmentCostOrOtherBasis
Other Cost Or Other Basis42400089OtherCostOrOtherBasis
Book Value43456706BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1496980InvestmentCostOrOtherBasis
Other Cost Or Other Basis584291636OtherCostOrOtherBasis
Depreciation249425495Depreciation
Book Value336363121BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis11902398OtherCostOrOtherBasis
Depreciation7188748Depreciation
Book Value4713650BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis436713601OtherCostOrOtherBasis
Depreciation314602591Depreciation
Book Value122111010BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis40173107OtherCostOrOtherBasis
Depreciation6584004Depreciation
Book Value33589103BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings540233590TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATES365230863
OTHER RECEIVABLES19702288
OTHER ASSETS93280
FieldValueIRS element (for citing)
Total Book Value Other Assets385026431TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
MEDICAL PROFESSIONAL LIABILITY$29,947,569
DUE TO AFFILIATES$22,544,582
WORKERS COMPENSATION LIABILITY$21,667,148
DUE TO THIRD PARTY PAYORS$4,569,025
LOAN WITH RELATED ENTITY$5,153,322
SPLIT INTEREST LIABILITY$396,656
OTHER LIABILITIES$555,056
FieldValueIRS element (for citing)
Total Of Amounts84833358TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierCONSOLIDATED AUDIT FOOTNOTE FOR FIN 48 (ASC 740)Identifier
Return ReferenceSCHEDULE D, PART X, LINE 2ReturnReference
ExplanationACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DERECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY OR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2011 AND 2010.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event12010 FALL GALANameOfEvent1
Gross Receipts Event1205500GrossReceiptsEvent1
Charitable Contributions Event1142948CharitableContributionsEvent1
Gross Revenue Event162552GrossRevenueEvent1
Rent Facility Costs Event122185RentFacilityCostsEvent1
Food And Beverage Event118650FoodAndBeverageEvent1
Entertainment Event110910EntertainmentEvent1
Other Direct Expenses Event147630OtherDirectExpensesEvent1
Name Of Event2GOLF TOURN.NameOfEvent2
Gross Receipts Event261685GrossReceiptsEvent2
Charitable Contributions Event250812CharitableContributionsEvent2
Gross Revenue Event210873GrossRevenueEvent2
Rent Facility Costs Event26768RentFacilityCostsEvent2
Food And Beverage Event22798FoodAndBeverageEvent2
Other Direct Expenses Event213382OtherDirectExpensesEvent2
Total Number Of Other Events0TotalNumberOfOtherEvents
Gross Receipts Total267185GrossReceiptsTotal
Charitable Contributions Total193760CharitableContributionsTotal
Gross Revenue Total Events73425GrossRevenueTotalEvents
Rent Facility Costs Total Events28953RentFacilityCostsTotalEvents
Food And Beverage Total Events21448FoodAndBeverageTotalEvents
Entertainment Total Events10910EntertainmentTotalEvents
Other Direct Expenses Total Events61012OtherDirectExpensesTotalEvents
Direct Expense Summary Events122323DirectExpenseSummaryEvents
Net Income Summary-48898NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense12656324TotalCommunityBenefitExpense
Direct Offsetting Revenue240011DirectOffsettingRevenue
Net Community Benefit Expense12416313NetCommunityBenefitExpense
Percent Of Total Expense0.00780PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense280354168TotalCommunityBenefitExpense
Direct Offsetting Revenue344343540DirectOffsettingRevenue
Net Community Benefit Expense-63989372NetCommunityBenefitExpense
Percent Of Total Expense0.04020PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense109150638TotalCommunityBenefitExpense
Direct Offsetting Revenue90788544DirectOffsettingRevenue
Net Community Benefit Expense18362093NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense402161130TotalCommunityBenefitExpense
Direct Offsetting Revenue435372095DirectOffsettingRevenue
Net Community Benefit Expense-33210966NetCommunityBenefitExpense
Percent Of Total Expense0.02090PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3297948TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3297948NetCommunityBenefitExpense
Percent Of Total Expense0.00210PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense17474861TotalCommunityBenefitExpense
Direct Offsetting Revenue3796644DirectOffsettingRevenue
Net Community Benefit Expense13678217NetCommunityBenefitExpense
Percent Of Total Expense0.00860PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense22544437TotalCommunityBenefitExpense
Direct Offsetting Revenue4270745DirectOffsettingRevenue
Net Community Benefit Expense18273692NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense1549837TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1549837NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1619530TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1619530NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense46486613TotalCommunityBenefitExpense
Direct Offsetting Revenue8067389DirectOffsettingRevenue
Net Community Benefit Expense38419224NetCommunityBenefitExpense
Percent Of Total Expense0.02420PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense448647743TotalCommunityBenefitExpense
Direct Offsetting Revenue443439484DirectOffsettingRevenue
Net Community Benefit Expense5208258NetCommunityBenefitExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense3806TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense3806NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense24315TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense24315NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense2002TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense2002NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense28441TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense28441NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense58564TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense58564NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$25,124,305BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare194781563AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare217468850CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-22687287MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (6 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
MEMORIALCARE SURG
AMBULATORY SURGERY CENTER0.620000.38000
CENTER AT ORANGE
COAST LLC
MEMORIALCARE SURG
AMBULATORY SURGERY CENTER0.775000.22500
CENTER AT
SADDLEBACK LLC
FieldValueIRS element (for citing)
Number Of Hospital Facilities6NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (6 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursChildrens HospitalChildrensHospital
LONG BEACH MEMORIAL MEDICAL CENTER
12801 ATLANTIC AVE PO BOX 1428LONG BEACHCA908011428XXXXX
SADDLEBACK MEMORIAL MEDICAL CENTER
224451 HEALTH CENTER DRIVELAGUNA HILLSCA92653XXXXX
EARL & LORAINE MILLER CHILDREN'S HOSP
32801 ATLANTIC AVE PO BOX 1428LONG BEACHCA908011428XXXXX
ORANGE COAST MEMORIAL MEDICAL CENTER
49920 TALBERT AVENUEFOUNTAIN VALLEYCA927085115XXXX
SMMC AT SAN CLEMENTE
5654 CAMINO DE LOS MARESSAN CLEMENTECA92673XXXXX
COMMUNITY HOSPITAL OF LONG BEACH
61720 TERMINO AVENUELONG BEACHCA90804XXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (6 entries)

Hospital Facility NumberHospitalFacilityNumber
LONG BEACH MEMORIAL MEDICAL CENTER
1
SADDLEBACK MEMORIAL MEDICAL CENTER
2
EARL & LORAINE MILLER CHILDREN'S HOSP
3
ORANGE COAST MEMORIAL MEDICAL CENTER
4
SMMC AT SAN CLEMENTE
5
COMMUNITY HOSPITAL OF LONG BEACH
6

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities90NumberOfOtherFacilities

Other Facilities OtherFacilities (90 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Buffum Medical Pavillion
450 E Spring StreetLong BeachCA90806Home Care Pharmacy/Children's Dental Clinic
Imaging Services
11811 Brookhurst St Ste 1400Fountain ValleyCA92708Imaging Services
MemorialCare Imaging Center
403 Columbia StLong BeachCA90806Imaging Center
Breast Center
24401 Calle De La Louise 200Laguna HillsCA92653Breast Ctr & Osteoporosis Clinic, Satellite Screening Center
Breast Center
701 E 28th St Ste 200Long BeachCA90806Breast Center
Home Health Care Services
23521 Paseo De Valencia Ste 100Laguna HillsCA92653Home Health, Hospice, and Paliative Care
Cancer Institute
24953 Paseo De Valencia B-1Laguna HillsCA92653Cancer Institute
Cardiology & Cardiac Rehab
11811 Brookhurst St Ste 2200 240Fountain ValleyCA92708Cardiology & Cardiac Rehab
MC Medical Group - Fountain Valley
11420 Warner AveFountain ValleyCA92708Primary Care Facility and Urgent Care Facility
Breast Care Center
9900 Talbert Ave Ste 102Fountain ValleyCA92708Breast Care Center
Nuclear Medicine
11811 Brookhurst St Ste 2200Fountain ValleyCA92708Nuclear Medicine Center
Imaging Center
675 Camino De Los MaresSan ClementeCA92673Imaging Center
Rehabilitation Outpatient Specialty Cent
1760 Termino Ave Ste G19 G20 100Long BeachCA90804Pediatric Rehab
Hyperbaric Wound Care Center
26137 La Paz Rd Ste 120Mission ViejoCA92691Wound Care Center
MemorialCare Medical Group - Irvine
250 E Yale Loop Dr Ste 200IrvineCA92614Primary Care Facility
Memorial HealthTech Laboratory
2865 Atlantic Ave Ste 103Long BeachCA90806Lab
Rehabilitation
11811 Brookhurst St Ste 2400Fountain ValleyCA92708Rehabilitation Center
Sleep Disorders Center
5182 Katella Ave Ste 106Los AlamitosCA90720Sleep Disorders Clinic
MC Medical Group - Crown Valley
26991 Crown Valley PkwyMission ViejoCA92691Urgent Care Facility
MC Medical Group - San Juan Capistrano
30300 30310 Rancho Viejo RdSan Juan CapistranoCA92675Primary Care Facility
Ambulatory Infusion
701 E 28th St Ste 116Long BeachCA90806Ambulatory Infusion
Familty Medicine ClinicEye Clinic
450 E Spring St Ste 1 6Long BeachCA90806Family Medicine
Adult Pulmonary Rehab Center
2840 Long Beach Blvd Ste 210 260Long BeachCA90806Diabetes clinic & Pulm Rehab
Transitional Rehab
2085 E 3rd StLong BeachCA90804Transitional Rehab
MC Medical Group- Rancho Santa Margarita
29472 Ave de las BanderasRancho Santa MargaritaCA92688Primary Care Facility
Memorial HealthTech Laboratory
10861 Cherry St Ste 208Los AlamitosCA90720Lab
MC Medical Group - Mission Viejo
23512 Madero RdMission ViejoCA92691Primary Care Facility
Memorial HealthTech Laboratory
3801 Katella Ave Ste 115Los AlamitosCA90720Lab
Memorial HealthTech Laboratory
1198 Pacific Coast Hwy Ste ESeal BeachCA90740Lab
Memorial HealthTech Laboratory
6226 E Spring St Ste 300Long BeachCA90815Lab
Memorial Prompt Care - Santa Ana
1212 W 17th StSanta AnaCA92706Primary Care Facility
MemorialCare Medical Group - Aliso Viejo
15 MarebluAlisa ViejoCA92656Primary Care Facility
Memorial HealthTech Laboratory
2704 E WillowLong BeachCA90755Lab
MemorialCare Medical Group - Costa Mesa
722 Baker StCosta MesaCA92626Primary Care Facility
Memorial HealthTech Laboratory
10601 Walker St Ste 250CypressCA90630Lab
Clinical Research Center
2840 Long Beach Blvd Ste 345Long BeachCA90806Research Center
Memorial HealthTech Laboratory
701 E 28th St Ste 100Long BeachCA90806Lab
Ambulatory Surgical Center
11811 Brookhurst St 3rd FlFountain ValleyCA92708Surgical Center
Infusion Center
11811 Brookhurst St Ste 4300BFountain ValleyCA92708Infusion Center
Memorial Prompt Care - Adams
9122 Adams AveHuntington BeachCA92648Primary Care Facility and Care Facility
Memorial Prompt Care - Beach
18561 Beach BlvdHuntington BeachCA92648Primary Care Facility and Care Facility
Memorial Prompt Care - Westminster
15464 Goldenwest StWestminsterCA92683Primary Care Facility and Care Facility
MemorialCare Medical Group - Anaheim
3010 W Orange Ave Ste 302 104AnaheimCA92804Primary Care Facility
Heart Institute & Wellness Center
24401 Calle De La Louise 201 202Laguna HillsCA92653Diabetes clinic
Wound Healing Center
2865 Atlantic Ave Ste 152Long BeachCA90806Wound Healing Center
Bickerstaff HIV Center
2701 Atlantic Ave Ste A BLong BeachCA90806HIV Center
Memorial HealthTech Laboratory
3771 Katella Ave Ste 110Los AlamitosCA90720Lab
Memorial HealthTech Laboratory
2650 Elm Avenue Ste 101Long BeachCA90806Lab
Urgent Care
22855 Lake Forest Dr Ste ALake ForestCA92630Urgent Care
OBGYN Clinic
2865 Atlantic Ave Ste 110 115Long BeachCA90806OB/GYN and Lactation Clinics and Child Abuse Center
JJCCC HematologyOncology OP Spec Cntr
2653 Elm Ave Ste 301 200Long BeachCA90807Various Pediatric OP Clinics
Memorial HealthTech Laboratory
18111 Brookhurst St Ste 2100Fountain ValleyCA92708Lab
Urgent Care
23962 Alicia ParkwayMission ViejoCA92691Lab
Laboratory
25982 Pala Dr Ste 180Mission ViejoCA92691Lab
CHLB Cancer Center
1649 Termino AvenueLong BeachCA90804Cancer Center
Memorial HealthTech Laboratory
5740 E 2nd St Ste ALong BeachCA90803Lab
Endocrine Diabetes & Metabolic Centers
2880 Atlantic Ave Ste 255Long BeachCA90806Pediatric Centers
Memorial HealthTech Laboratory
2840 Long Beach Blvd Ste 430Long BeachCA90806Lab
Laboratory
1300 Avenida Vista Hermosa Ste 160San ClementeCA92673Lab
Sleep Disorders Center
2651 Elm Ave Ste 307Long BeachCA90806Sleep Disorders Clinic
Rehabilitation Services Outpatient
1300 Avenida Vista Hermosa Ste 100San ClementeCA92673Physical Rehab
Memorial HealthTech Laboratory
3400 Lomita Blvd Ste 208TorranceCA90505Lab
Laboratory
24953 Paseo De Valencia Ste B-10Laguna HillsCA92653Lab
Stramski Children's Developmental Center
2650 Elm Avenue Ste 301Long BeachCA90806Various Pediatric OP Clinics
Memorial HealthTech Laboratory
1760 Termino Ave Ste 315Long BeachCA90804Lab
Women's Services
23961 Calle De La Magdalena 300Laguna HillsCA92653Transitions and Breastfeeding Support
Laboratory
24401 Calle De La Louise Ste 100Laguna HillsCA92653Lab
Memorial HealthTech Laboratory
7677 Center Ave Ste 101Huntington BeachCA92647Lab
Laboratory
655 Camino De Los Mares Ste 302San ClementeCA92673Lab
Multispecialty Clinic
2865 Atlantic Ave Ste 104Long BeachCA90806Multispecialty Clinic
Jonathan Jaques Center
701 E 28th St Ste 202Long BeachCA90806Pediatric Cancer Center
Memorial HealthTech Laboratory
1801 W Romneya Dr Ste 102AnaheimCA92801Lab
GI Hepatology & Nutrition Center
1760 Termino Avenue Ste 300 301Long BeachCA90804Pediatric Services
Memorial HealthTech Laboratory
3516 South StLakewoodCA90712Lab
Orthopedic Center
1760 Termino Avenue Ste 308Long BeachCA90804Pediatric Orthopedic
Cardiology Otptnt CntrNeurology Cntr
2880 Atlantic Ave Ste 220Long BeachCA90806Pediatric Services
Laboratory
27725 Santa Margarita Pkwy Ste 121Mission ViejoCA92691Lab
Laboratory
910 South El Camino Real Ste ESan ClementeCA92672Lab
Laboratory
26921 Crown Valley Pkwy Ste 130Mission ViejoCA92691Lab
Nutrition & Wellness
24401 Calle De La Louise 100Laguna HillsCA92653Nurtition & Wellness Center
Outpatient Center at Torrance Memorial
3640 Lomita Blvd Ste 205TorranceCA90505Various Pediatric OP Centers
Laboratory
3500 Barranca Pkwy Ste 305IrvineCA92606Lab
MemorialCare Health Express
7201 Yorktown AveHuntington BeachCA92648Walk-in Clinic
MemorialCare Health Express
14201 Jeffrey RoadIrvineCA92620Walk-in Clinic
MemorialCare Health Express
25872 Muirlands BlvdMission ViejoCA92691Walk-in Clinic
Children's Specialty Center
9440 Talbert Ave Ste 200Fountain ValleyCA92708Children's Specialty Center
Cntr for Women's Cardiac Health & Rsrch
2865 Atlantic Ave Ste 210Long BeachCA90806Women's Cardiac Center
Todd Cancer Institute
2880 Atlantic Ave Ste 412Long BeachCA90806Cancer Risk & Prevention
Bickerstaff Pediatric Family Center
3640 Lomita Blvd Ste 102TorranceCA90505Pediatric Family Center
GI Hepatology & Nutrition Center
2865 Atlantic Ave Ste 104Long BeachCA90806Pediatric Services

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 6AEACH FACILITY PREPARES A SEPARATE COMMUNITY BENEFIT REPORT FOR THE OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT FILING PURPOSES. A CONSOLIDATING SCHEDULE FOR THE DOLLAR AMOUNTS OF CHARITY & COMMUNITY BENEFITS PROVIDED TO THE COMMUNITIES IS PREPARED BY THE CORPORATE OFFICE FOR THE AUDITED FINANCIAL STATEMENTS AND THE ANNUAL REPORT.
CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE PROGRAMTHE CALIFORNIA HOSPITAL QUALITY ASSURANCE FEE (HQAF) PROGRAM WAS SIGNED INTO LAW BY THE GOVERNOR OF CALIFORNIA AND BECAME EFFECTIVE SEPTEMBER 8, 2010. THE HQAF PROGRAM, IN COMBINED SUPPORT OF THE HOSPITAL INDUSTRY AND THE STATE OF CALIFORNIA, IMPOSES A PROVIDER FEE ON GENERAL ACUTE CARE HOSPITALS THAT, COMBINED WITH FEDERAL MATCHING FUNDS, WOULD BE USED TO PROVIDE SUPPLEMENTAL MEDI-CAL PAYMENTS TO HOSPITALS AND THE STATE MEDI-CAL PROGRAM. THE INITIAL 21-MONTH RETROACTIVE PHASE OF THE HQAF PROGRAM ENDED ON DECEMBER 31, 2010. IN MAY 2011, CMS APPROVED AN EXTENSION OF THE FEE-FOR-SERVICE PORTION OF THE HQAF PROGRAM FOR THE SIX MONTH PERIOD FROM JANUARY 1 THROUGH JUNE 30, 2011. THE NET HQAF PAYMENTS RECEIVED DURING FY 11 REPORTED ON LINE 7B IS $83,083,862, WHICH CONSISTED OF REVENUE OF $182,661,866 AND FEE EXPENSE OF $99,578,004. THE UNREIMBURSED MEDICAID PERCENTAGE ON LINE 7B IS 1.20%, WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. THE TOTAL FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PERCENTAGE ON LINE 7K IS 5.54%, WHEN THE NET HQAF PAYMENTS ARE EXCLUDED FROM THE CALCULATION. SCHEDULE H, PART I, LINE 7G ALL COSTS ON LINE 7G ARE SUBSIDIZED HEALTH SERVICES RELATING TO THE OUTPATIENT SPECIALTY CENTERS (CLINICS) AT EARL & LORRAINE MILLER CHILDREN'S HOSPITAL. THESE SPECIALTY CENTERS OFFER MORE THAN 30 PEDIATRIC SUB-SPECIALTIES. CHILDREN ARE SEEN FOR ACUTE, CHRONIC OR SURGICAL CONDITIONS. THESE OUTPATIENT CENTERS SERVE AS THE PATIENT'S "MEDICAL HOME" FOR THE MANY THAT WILL NEED ONGOING FOLLOW-UP CARE AND SUPPORT ON A REGULAR BASIS. THESE MUCH NEEDED PEDIATRIC SERVICES ARE SUBSIDIZED IN ORDER TO PROVIDE SERVICES REGARDLESS OF ABILITY TO PAY.SCHEDULE H, PART I, LINE 7B
SCHEDULE H, PART I, LINE 7, COLUMN FOUR TOTAL EXPENSE FROM FORM 990, PART IX, LINE 25, COLUMN (A) WAS $1,691,468,150. OUR SHARE OF THE TOTAL EXPENSE FROM JOINT VENTURES WAS $2,014,687. BAD DEBT EXPENSE OF $99,809,949 WAS DEDUCTED FROM THE TOTAL COMBINED EXPENSES TO LEAVE US WITH $1,593,672,888 FOR PURPOSES OF CALCULATING LINE 7, COLUMN (F).
SCHEDULE H, PART I, LINE 7THE COST TO CHARGE METHODOLOGY IS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE IN PART I. WORKSHEET 2 WAS USED FOR THE COSTING METHODOLOGY FOR CONSISTENCY.
SCHEDULE H, PART IIMEMORIALCARE HEALTH SYSTEM, A SIX HOSPITAL NOT-FOR-PROFIT PRIVATE HEALTH SYSTEM SERVICING LOS ANGELES AND ORANGE COUNTIES, ENGAGED IN COMMUNITY BUILDING ACTIVITIES IN THE FOLLOWING FOUR CATEGORIES IN FY 2011: 1. COMMUNITY SUPPORT - ALL FACILITIES HOST SUPPORT GROUPS FOR VARIOUS ILLNESSES AND COMMUNITY GROUPS AS NEEDED. THESE GROUPS INCLUDE SUPPORT FOR ADOLESCENTS WITH HIV/AIDS, BRAIN INJURY, BREAST CANCER, LUNG DISEASE, PEDIATRIC CANCER, PARKINSON'S, PERINATAL LOSS, SPINAL CORD INJURY, STROKE AND OTHERS. OTHER GROUPS AND SERVICES INCLUDE BEREAVEMENT SUPPORT, DISASTER PREPAREDNESS AND INJURY PREVENTION PRESENTATIONS, LACTATION SUPPORT, VARIOUS ACTIVITIES FOR THE DISABLED AND OTHERS. 2. COALITION BUILDING - THE FACILITIES SUPPORT AND/OR PARTICIPATE IN VARIOUS ADVOCACY GROUPS, BOARDS AND COUNCILS WITHIN THEIR COMMUNITIES SUCH AS THE STROKE ASSOCIATION OF CALIFORNIA, COUNCIL ON AGING, KIWANIS CLUB, HEP B FREE COALITION, BREAST FEEDING COALITION, ROTARY, SOUTH COAST INTERFAITH COUNCIL, STATE BOARD OF PHARMACY, AND MANY OTHERS. 3. WORKFORCE DEVELOPMENT - THE FACILITIES ALL PROVIDE WORKFORCE DEVELOPMENT FOR THEIR COMMUNITIES. ACTIVITIES INCLUDED A PATIENT CARE ASSISTANT TRAINING PROGRAM, WORK PROGRAMS FOR THE DISABLED AND YOUTH PROGRAMS TO ENCOURAGE CAREERS IN HEALTHCARE. LONG BEACH MEMORIAL MADE AN EFFORT TO RECRUIT UNDERREPRESENTED MINORITIES. THESE ACTIVITIES HELP TO IMPROVE THE HEALTH OF OUR COMMUNITIES BOTH DIRECTLY AND INDIRECTLY. SUPPORT GROUPS AND EDUCATION HELP TO PROMOTE HEALTHIER LIVING AND ADDRESS SIGNIFICANT HEALTH ISSUES; COALITION BUILDING WORKS TO EXTEND OUR MANY OUTREACH ENDEAVORS; AND WORKFORCE DEVELOPMENT HELPS ENSURE THE FUTURE NEEDS OF OUR COMMUNITIES ARE MET AND RELIEVE WORKER SHORTAGES FOR CRITICAL POSITIONS.
SCHEDULE H, PART III, LINE 4BAD DEBT AT COST WAS CALCULATED BY AGGREGATING BAD DEBT FOR ALL ORGANIZATIONS INCLUDED IN THE GROUP RETURN AND MULTIPLYING BY THE COST TO CHARGE RATIO FROM WORKSHEET 2. THE BAD DEBT IS DETERMINED BASED ON THE PATIENT LIABILITY, IRRESPECTIVE OF ANY PREVIOUS PAYMENTS OR DISCOUNTS ON THE ACCOUNT. FOR ACCOUNTS WITH INSURANCE, ONCE THE INSURANCE HAS PAID, A STATEMENT IS SENT TO THE PATIENT FOR THEIR PORTION (DEDUCTIBLE, CO-PAY, NON-COVERED CHARGES). FOR SELF-PAY ACCOUNTS, PATIENTS HAVE SEVERAL OPTIONS FOR DISCOUNTS. IN BOTH CASES, AFTER A SET PERIOD OF TIME, IF PAYMENTS ARE NOT MADE, THE PATIENT PORTION IS WRITTEN OFF TO BAD DEBT. BAD DEBT FOOTNOTE: THE CORPORATION CLASSIFIES AS BAD DEBT ALL PATIENT CHARGE AMOUNTS DEEMED TO BE UNCOLLECTIBLE, AFTER A SERIES OF COLLECTION PROCESSES HAVE BEEN ATTEMPTED BY THE IN-HOUSE PERSONNEL. THESE ARE AMOUNTS WHERE THE PATIENT OR THEIR GUARANTOR IS RESPONSIBLE FOR PAYMENT AND NO OTHER THIRD PARTY LIABILITY EXISTS. A MINIMUM OF TWO STATEMENTS WILL BE SENT TO THE GUARANTOR NOTIFYING THEM THAT THE BALANCE OF THE ACCOUNT IS DUE. AFTER REASONABLE AND CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS OUTSTANDING FOR MORE THAN 120 DAYS AFTER THE MAILING DATE OF THE FIRST BILL, THE ACCOUNT WILL BE REFERRED TO AN OUTSIDE COLLECTION AGENCY. AT THAT POINT THE ACCOUNT IS WRITTEN OFF AND CHARGED TO BAD DEBT EXPENSE. THE UNPAID PATIENT PORTION OF MEDICARE ACCOUNTS WILL NOT BE DEEMED UNCOLLECTIBLE AND SENT TO A COLLECTION AGENCY UNTIL A MINIMUM OF 120 DAYS HAVE PASSED FROM THE DATE OF THE FIRST BILL MAILED TO THE BENEFICIARY, WITH NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. THE MEDICARE ACCOUNT WILL THEN BE SENT TO A COLLECTION AGENCY BUT NOT WRITTEN OFF TO BAD DEBT EXPENSE UNTIL IT IS RETURNED FROM THE COLLECTION AGENCY. UNRESOLVED ACCOUNTS ARE RETURNED TO IN-HOUSE PERSONNEL BY THE COLLECTION AGENCIES AFTER THEY HAVE PERFORMED ALL REASONABLE AND CUSTOMARY COLLECTIONS EFFORTS ON ASSIGNED ACCOUNTS AND THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE. THE AMOUNT ON LINE 3 (CHARITY CARE AT COST) WAS DETERMINED BY REDUCING THE CHARITY CARE CHARGES TO COST BY USING THE OVERALL COST TO CHARGE RATIO, CONSISTENT WITH OTHER COST CALCULATIONS ON THIS FORM. THE CHARITY CARE CHARGES ARE ACTUAL AMOUNTS WRITTEN OFF (CONVERTED) TO CHARITY BY 6/30/2011 FROM ACCOUNTS ORIGINALLY WRITTEN OFF TO BAD DEBT BY 6/30/2011.
SCHEDULE H, PART III, LINE 8TREATMENT AS COMMUNITY BENEFIT WE BELIEVE THE ENTIRE MEDICARE SHORTFALL SHOULD BE TREATED AS A COMMUNITY BENEFIT AS THE ORGANIZATION MUST SUBSIDIZE THE COST OF TREATING THE PATIENTS. ALTHOUGH MEDICARE IS NOT A MEANS-TESTED PROGRAM, HOSPITALS CANNOT COLLECT THE SHORTFALL IN REIMBURSEMENT FROM THE PATIENT THEREFORE, THEY ARE PROVIDING A BENEFIT TO THE COMMUNITY BY OFFERING SERVICES TO MEDICARE BENEFICIARIES AT A FINANCIAL LOSS. ALSO, THE FINANCIAL LOSS REALIZED THROUGH THE MEDICARE SHORTFALL PREVENTS US FROM PROVIDING EVEN MORE COMMUNITY BENEFIT SERVICES. COSTING METHODOLOGY THE ALLOWABLE MEDICARE COST USED IN LINE 6 WAS TAKEN FROM THE APPLICABLE FILED MEDICARE COST REPORTS. THE COST IS DETERMINED BY A MULTI-STEP PROCESS. FIRST, DIRECT COSTS ARE ACCUMULATED BY DEPARTMENT AND REPORTED ON THE APPROPRIATE LINES OF THE COST REPORT. THESE LINES ARE GROUPED BY TYPE. THESE TYPES ARE: GENERAL SERVICE (OVERHEAD), ROUTINE SERVICE, ANCILLARY SERVICE, OUTPATIENT SERVICE, SPECIAL PURPOSE AND NON-REIMBURSABLE. THE GENERAL SERVICE COSTS ARE THEN ALLOCATED DOWN TO THE OTHER TYPES OF COSTS USING A SIMPLE STEP-DOWN METHODOLOGY. ONCE THE OVERHEAD HAS BEEN ALLOCATED, ROUTINE PER DIEMS AND ANCILLARY COST TO CHARGE RATIOS ARE CALCULATED. THE COST OF MEDICARE SERVICES IS DETERMINED BY APPORTIONING THE TOTAL COST BASED ON MEDICARE DAYS FOR ROUTINE (DAYS X COST PER DAY) AND MEDICARE CHARGES FOR ANCILLARY, OUTPATIENT AND SPECIAL PURPOSE COSTS (MEDICARE CHARGES X COST TO CHARGE RATIO) AND ADDING THEM TOGETHER.
SCHEDULE H, PART III, LINE 9BONCE A BALANCE HAS BEEN IDENTIFIED AS A PATIENT RESPONSIBILITY A MINIMUM OF TWO DATAMAILERS/STATEMENTS ARE SENT TO THE GUARANTOR NOTIFYING THEM OF THE AMOUNT DUE. AFTER CUSTOMARY COLLECTION EFFORTS HAVE BEEN MADE AND THE PATIENT LIABILITY REMAINS UNPAID, THE ACCOUNT WILL BE PROCESSED FOR REFERRAL TO AN OUTSIDE COLLECTION AGENCY. ONCE ASSIGNED, THE COLLECTION AGENCY WILL CONTINUE USING REASONABLE AND CUSTOMARY COLLECTION EFFORTS IN ORDER TO OBTAIN PAYMENT. AT ANY TIME DURING THIS PROCESS THE PATIENT INDICATES FINANCIAL HARDSHIP, THE PATIENT WILL BE INFORMED OF THE MEMORIAL HEALTH SERVICES CHARITY CARE AND LOW INCOME FINANCIAL ASSISTANCE PROGRAMS. IF ALL OR PART OF A BALANCE QUALIFIES FOR CHARITY, THE AMOUNT WILL BE RECLASSED FROM BAD DEBT TO CHARITY. IF NOT, THE AMOUNT STAYS IN BAD DEBT. ONCE THE COLLECTION AGENCY DEEMS THERE IS NO LIKELIHOOD OF RECOVERY AT ANY TIME IN THE FUTURE, THE COLLECTION AGENCY WILL CEASE COLLECTION EFFORTS. ON A MONTHLY BASIS, THE COLLECTION AGENCY WILL ISSUE A REPORT IDENTIFYING THOSE ACCOUNTS WHERE COLLECTION EFFORTS HAVE CEASED.
NEEDS ASSESSMENTIN OUR LONG BEACH MARKET, THE HEALTH NEEDS ASSESSMENT IS CONDUCTED BY SURVEYING COMMUNITY MEMBERS EVERY THREE YEARS AND IS DONE IN PARTNERSHIP WITH TWO OTHER NON-PROFIT HOSPITALS LOCATED IN THE CITY OF LONG BEACH. THE DATA IS COMPILED AND ANALYZED BY A LOCAL PUBLIC UNIVERSITY WHO ISSUES THE FINAL REPORT. IN ORANGE COUNTY, A COLLABORATIVE OF GOVERNMENT AGENCIES, HOSPITALS AND OTHER HEALTH CARE ORGANIZATIONS PARTICIPATE IN THE ORANGE COUNTY HEALTH NEEDS ASSESSMENT (OCHNA) TO COLLECT DATA AND REPORT ON THE HEALTH OF THE COMMUNITY.SCHEDULE H, PART VI, LINE 2
PATIENT NOTIFICATION OF ELIGIBILITY FOR ASSISTANCEPUBLIC NOTICE EACH MEMORIAL HEALTH SYSTEM HOSPITAL SHALL POST NOTICES INFORMING THE PUBLIC OF THE FINANCIAL ASSISTANCE PROGRAM. SUCH NOTICES SHALL BE POSTED IN HIGH VOLUME INPATIENT, OUTPATIENT AND EMERGENCY SERVICE AREAS OF THE HOSPITAL. NOTICES SHALL ALSO BE POSTED IN THE PATIENT FINANCIAL SERVICES AND COLLECTION DEPARTMENTS. NOTICES WILL INCLUDE CONTACT INFORMATION ON HOW A PATIENT MAY OBTAIN MORE INFORMATION ON FINANCIAL ASSISTANCE AS WELL AS WHERE TO APPLY FOR SUCH ASSISTANCE. THESE NOTICES SHALL BE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. DATA MAILERS AND STATEMENTS SENT TO PATIENTS AS PART OF THE ROUTINE BILLING PROCESS WILL CONTAIN INFORMATION ABOUT THE MHS FINANCIAL ASSISTANCE PROGRAM. THESE NOTICES SHALL BE AVAILABLE IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES. A PATIENT INFORMATION BROCHURE THAT DESCRIBES THE FEATURES OF THE MHS FINANCIAL ASSISTANCE PROGRAM WILL BE MADE AVAILABLE TO PATIENTS AND MEMBERS OF THE GENERAL PUBLIC. THESE NOTICES SHALL BE POSTED IN ENGLISH AND SPANISH AND ANY OTHER LANGUAGES THAT ARE REPRESENTATIVE OF FIVE PERCENT (5%), OR MORE, OF THE PATIENTS IN THE HOSPITAL'S SERVICE AREA ACCORDING TO THE FEDERAL TITLE VI GUIDELINES.SCHEDULE H, PART VI, LINE 3
COMMUNITY INFORMATIONLONG BEACH, CALIFORNIA, THE 36TH LARGEST CITY IN THE NATION, THE 7TH LARGEST IN CALIFORNIA, AND 2ND LARGEST IN LOS ANGELES COUNTY, IS ONE OF THE MOST DIVERSE CITIES IN THE NATION. THE CITY IS LOCATED ABOUT 20 MILES SOUTH OF DOWNTOWN LOS ANGELES AND 105 MILES NORTH OF SAN DIEGO AND BORDERS ORANGE COUNTY ON ITS SOUTHEAST EDGE. WITH NEARLY HALF A MILLION RESIDENTS, THE ETHNIC, CULTURAL AND LANGUAGE DIVERSITY OF THE CITY IS A SOURCE OF PRIDE. COMMUNITY HOSPITAL LONG BEACH, LONG BEACH MEMORIAL MEDICAL CENTER AND EARL & LORRAINE MILLER CHILDREN'S HOSPITAL ARE SITUATED IN THE SOUTH BAY AREA OF LOS ANGELES COUNTY WITHIN AN AREA REFERRED TO AS SERVICE PLANNING AREA 8 (SPA 8). ACCORDING TO THE 2010 US CENSUS, 41% OF THE POPULATION IS IDENTIFIED AS HISPANIC, 14% AS BLACK OR AFRICAN AMERICAN, 13% AS ASIAN AND 29% AS WHITE. OVER 9% OF THE TOTAL POPULATION IS AGE 65 OR OLDER. CHILDREN UNDER THE AGE OF 18 COMPRISE 25% OF THE POPULATION AND 31% (THE MAJORITY) ARE BETWEEN 25 AND 44 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME IS $50,040. ABOUT 18.8% OF THE POPULATION WAS BELOW THE POVERTY LINE. THE PRIMARY SERVICE AREA COMES FROM ZIP CODES WITHIN THE CITY OF LONG BEACH. THEIR SECONDARY SERVICE AREA INCLUDES THE CITIES OF LAKEWOOD, SEAL BEACH, COMPTON, BELLFLOWER, CARSON, CERRITOS, PARAMOUNT, LOS ALAMITOS, SIGNAL HILL, CYPRESS, NORWALK, LYNWOOD, AND WILMINGTON. FOUNTAIN VALLEY, CALIFORNIA IS LOCATED SOUTHWEST AND NORTHEAST OF THE SAN DIEGO FREEWAY (INTERSTATE 405), WHICH DIAGONALLY BISECTS THE CITY IN ORANGE COUNTY. IT IS SURROUNDED BY HUNTINGTON BEACH ON THE SOUTH AND WEST, WESTMINSTER AND GARDEN GROVE ON THE NORTH, SANTA ANA ON THE NORTHWEST AND COSTA MESA ON THE SOUTHEAST. ACCORDING TO THEIR 2010 CENSUS, THERE WERE 55,313 PEOPLE IN THE CITY. THE RACIAL MAKE-UP WAS 57% WHITE, 3% BLACK OR AFRICAN-AMERICAN, AND 33% ASIAN WITH THE REMAINDER FROM OTHER OR TWO OR MORE RACES. 13% OF THE POPULATION IDENTIFIED THEMSELVES FROM HISPANIC OR LATINO DESCENT. OVER 18% OF THE POPULATION WAS AGE 65 YEARS OR OLDER. CHILDREN UNDER THE AGE OF 18 COMPRISED 21% OF THE POPULATION AND 29% (THE MAJORITY) WERE BETWEEN 25 AND 44 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY WAS $88,809. ABOUT 4.4% OF THE POPULATION WAS BELOW THE POVERTY LINE, INCLUDING 5.3% OF THOSE UNDER AGE. THE SERVICE AREA OF ORANGE COAST MEMORIAL MEDICAL CENTER INCLUDES FOUNTAIN VALLEY, CORONA DEL MAR, COSTA MESA, CYPRESS, GARDEN GROVE, HUNTINGTON BEACH, SEAL BEACH, SURFSIDE, TUSTIN, WESTMINSTER, AND PARTS OF SANTA ANA AND ANAHEIM. LAGUNA HILLS, CALIFORNIA IS LOCATED IN SOUTHERN ORANGE COUNTY. ACCORDING TO THE 2010 CENSUS THERE WERE 30,344 PEOPLE RESIDING IN THE CITY. THE RACIAL MAKE-UP OF THE CITY WAS 73% WHITE, 1% AFRICAN-AMERICAN, AND 13% ASIAN WITH THE REMAINDER FROM OTHER OR TWO OR MORE RACES. 21% OF THE POPULATION IDENTIFIED THEMSELVES FROM HISPANIC OR LATINO DESCENT. OVER 12% OF THE POPULATION WAS AGE 65 YEARS OR OLDER. CHILDREN UNDER THE AGE OF 18 COMPRISED 22% OF THE POPULATION AND 35% (THE MAJORITY) WERE BETWEEN 45 AND 64 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY WAS $88,495. ABOUT 5.0% OF THE POPULATION WAS BELOW THE POVERTY LINE, INCLUDING 6% OF THOSE UNDER AGE 18. THE COMMUNITY OF SADDLEBACK MEMORIAL MEDICAL CENTER-LAGUNA HILLS ENCOMPASSES THE FOLLOWING TWELVE AREAS: ALISO VIEJO, FOOTHILL RANCH, IRVINE, LADERA RANCH, LAGUNA BEACH, LAGUNA HILLS, LAGUNA NIGUEL, LAGUNA WOODS, LAKE FOREST, MISSION VIEJO, RANCHO SANTA MARGARITA AND TRABUCO CANYON. SAN CLEMENTE, CALIFORNIA IS LOCATED SIX MILES SOUTH OF SAN JUAN CAPISTRANO AT THE SOUTHERN TIP OF ORANGE COUNTY. ACCORDING TO THE US 2010 CENSUS THERE WERE 63,522 PEOPLE IN THE CITY. THE RACIAL MAKE-UP OF THE CITY WAS 86% WHITE, .6% AFRICAN-AMERICAN, AND 4% ASIAN WITH THE REMAINDER FROM OTHER OR TWO OR MORE RACES. 17% OF THE POPULATION IDENTIFIED THEMSELVES FROM HISPANIC OR LATINO DESCENT. OVER 13% OF THE POPULATION WAS AGE 65 YEARS OR OLDER. CHILDREN UNDER THE AGE OF 18 COMPRISED 24% OF THE POPULATION AND 29% (THE MAJORITY) WERE BETWEEN 45 AND 64 YEARS OLD. THE MEDIAN HOUSEHOLD INCOME FOR THE CITY WAS $82,393 IN 2009. ABOUT 7.8% OF THE POPULATION WAS BELOW THE POVERTY LINE, INCLUDING 11.8% OF THOSE UNDER AGE 18. THE COMMUNITY OF SADDLEBACK MEMORIAL MEDICAL CENTER- SAN CLEMENTE INCLUDES CAPISTRANO BEACH, DANA POINT, SAN CLEMENTE AND SAN JUAN CAPISTRANO.SCHEDULE H, PART VI, LINE 4
PROMOTION OF COMMUNITY HEALTHMEDICAL STAFF MEMBERSHIP IS OPEN TO ANY PHYSICIAN REGARDLESS OF GROUP OR OTHER AFFILIATION. CLINICAL PRIVILEGES ARE GRANTED BASED ON MEETING THE PREREQUISITE CRITERIA. EACH FACILITY HAS A COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) THAT IS STAFFED BY HOSPITAL EMPLOYEES AND LED BY COMMUNITY MEMBERS. THE CBOC IS INVOLVED IN THE STRATEGIC PLANNING PROCESS TO ENSURE THAT THE VARIOUS COMMUNITY BENEFIT ACTIVITIES PROVIDED ALIGN WITH THE HEALTH NEEDS OF OUR COMMUNITIES. AS A NOT-FOR-PROFIT ORGANIZATION, ANY SURPLUS OF FUNDS IS INVESTED BACK INTO THE ORGANIZATION WHICH GREATLY BENEFITS THE COMMUNITY. IN THE PAST YEAR, TWO NEW PATIENT CARE BUILDINGS WERE OPENED ON TWO DIFFERENT CAMPUSES CONTAINING STATE OF THE ART MEDICAL EQUIPMENT. THE SYSTEM HAS MADE A COMMITMENT AND A SIZEABLE FINANCIAL INVESTMENT TO INSTALL AN ELECTRONIC MEDICAL RECORD (EMR) SYSTEM AT ALL THE HOSPITAL SITES. MEMORIALCARE IS ALSO PARTNERING WITH PHYSICIANS TO INSTALL COMPATIBLE SYSTEMS FOR THEIR PRACTICES. THREE OF OUR HOSPITALS HAVE INVESTED IN THE DAVINCI SURGICAL ROBOT. USE OF THIS TECHNOLOGY PROVIDES FOR LESS INVASIVE SURGERIES AND QUICKER RECOVERY TIMES. TO HELP EASE THE SHORTAGE OF HEALTH CARE PROFESSIONALS AVAILABLE AND ENSURE THE FUTURE NEEDS OF OUR COMMUNITIES ARE MET, EACH YEAR WE TRAIN HUNDREDS OF PHYSICIANS, NURSES AND OTHER PROFESSIONALS INCLUDING PHARMACISTS AND SPEECH, OCCUPATIONAL, PHYSICAL AND RESPIRATORY THERAPISTS. LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC) PARTNERS WITH THE UNIVERSITY OF CALIFORNIA, IRVINE TO TRAIN MEDICAL RESIDENTS IN VARIOUS SPECIALTIES, INCLUDING PEDIATRIC MEDICINE. LBMMC ALSO MAINTAINS A PHARMACY RESIDENCY PROGRAM ON SITE THAT TRAINS PHARMACISTS IN BOTH THE ADULT AND PEDIATRIC PHARMACIES. ON THE NURSING SIDE, LBMMC PARTNERS WITH CALIFORNIA STATE UNIVERSITY LONG BEACH TO PROVIDE CLINICAL TRAINING TO THEIR NURSING STUDENTS. MEMORIALCARE'S RESEARCH ADMINISTRATION OVERSEES SCIENTIFIC AND CLINICAL RESEARCH THAT ENABLES THE ORGANIZATION TO REMAIN AT THE FOREFRONT OF DISCOVERY AND PROVIDE PATIENTS WITH EVIDENCE-BASED BEST PRACTICE MEDICINE. THOUSANDS OF PATIENTS AND THEIR FAMILIES BENEFIT FROM OUR DIVERSE RESEARCH PROGRAMS IN CANCER, HEART DISEASE, ORTHOPEDICS, INFECTIOUS DISEASES, GYNECOLOGY, OBSTETRICS, UROLOGY, PEDIATRICS, NEONATOLOGY AND MORE. THE SYSTEM HAS ALSO INVESTED IN ITS EMPLOYEES BY PROMOTING "THE GOOD LIFE", AN EMPLOYEE WELLNESS PROGRAM THAT PROVIDES INFORMATION, PROGRAMS AND SUPPORT TO EMPLOYEES AND THEIR FAMILIES TO HELP THEM GET OR STAY HEALTHY.SCHEDULE H, PART VI, LINE 5
AFFILIATED HEALTH CARE SYSTEMMEMORIALCARE HEALTH SYSTEM IS AN INTEGRATED DELIVERY SYSTEM THAT EXISTS FOR THE BENEFIT OF THE COMMUNITIES WE SERVE. IT IS OUR MISSION TO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. AS A NOT-FOR-PROFIT HEALTH SYSTEM, PROVIDING COMMUNITY BENEFITS IS A VITAL PART OF FULFILLING THAT MISSION. WE COMMIT TO IDENTIFY AND FULFILL THE UNMET HEALTH NEEDS OF THE PEOPLE WHO LIVE AND WORK IN THE COMMUNITIES WE SERVE. IN ADDITION TO OUR HOSPITAL CAMPUSES OUR SYSTEM INCLUDES HEALTHEXPRESS WALK-IN CLINICS, THE MEMORIALCARE PHYSICIAN SOCIETY AND PHILANTHROPIC FOUNDATIONS. OUR HEALTHEXPRESS CLINICS, LOCATED IN SELECT GROCERY STORES, ALLOW PATIENTS TO WALK IN TO RECEIVE CONVENIENT CARE FOR MINOR CONDITIONS. THE PHYSICIAN SOCIETY INCLUDES MORE THAN 1,700 DOCTORS WHO PARTNER WITH MEMORIALCARE TO IMPROVE CLINICAL OUTCOMES AND PATIENT SAFETY THROUGH THE USE OF MEDICINE'S BEST PRACTICES. OUR PHILANTHROPIC FOUNDATIONS HAVE STRONG COMMUNITY TIES. THE GIFTS AND GRANTS MADE HELP TO FUND HEALTH CARE EDUCATION, CLINICAL RESEARCH, MEDICAL EQUIPMENT AND PATIENT CARE PROGRAMS. OUR SUCCESS AS A SYSTEM IS NOT ONLY MEASURED BY OUR ABILITY TO TREAT PATIENTS, BUT ALSO BY THE COMMUNITY'S WELL BEING. EACH YEAR WE DESIGN A BROAD RANGE OF PROGRAMS THAT MEET THE HEALTH NEEDS AND IMPROVE THE QUALITY OF LIFE WITHIN OUR COMMUNITIES. THESE COMMUNITY BENEFIT PROGRAMS ARE ESSENTIAL IN PROMOTING THE HEALTH OF THE COMMUNITIES WE SERVE.SCHEDULE H, PART VI, LINE 6
STATE FILING OF COMMUNITY BENEFIT REPORTCALIFORNIASCHEDULE H, PART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
LONG BEACH POLICE FOUNDATION
PO BOX 15418LONG BEACHCA90815330835185501(C)(3)22500PROGRAM SUPPORT
SADDLEBACK MEMORIAL FOUNDATION
24451 HEALTH CNTR DRLAGUNA HILLSCA92653330011887501(C)(3)200000PROGRAM SUPPORT
CITY OF FOUNTAIN VALLEY
10200 SLATER AVEFOUNTAIN VALLEYCA92708952138356Government6150COMMUNITY SUPPORT
AGE WELL SENIOR SERVICES
24300 EL TORO ROADLAGUNA WOODSCA92637931163563501(C)(3)20000GRANT TO PROVIDE MEALS ON WHEELS SERVICES TO SENIORSBUILDING A SUITE 2000
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants4TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSIdentifier
Return ReferenceSCHEDULE I, PART I, LINE 2ReturnReference
ExplanationLONG BEACH MEMORIAL MEDICAL CENTER, MEMORIALCARE MEDICAL FOUNDATION, ORANGE COAST MEMORIAL MEDICAL CENTER, AND SADDLEBACK MEMORIAL MEDICAL CENTER VALIDATE EACH RECIPIENT ORGANIZATION AND HOW ITS MISSION FITS INTO THAT OF THEIR MISSION. MANAGEMENT REVIEWS EACH ONE FOR VALUE TO THE MISSION OF THE ORGANIZATION. ONCE IT IS GIVEN, ONLY TO LEGITIMATE ORGANIZATIONS, IT IS LEFT UP TO THE DISCRETION OF THE GRANTEE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (36 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Barry S Arbuckle
0859787044836501250300660290210570152026800
La Donna Butler
2665430797710567230245000154160442953000
Adolfo Oscar Chanez
218910031974023273000158110289968000
Kathy R Dawson
1832420514840225340122500142710283781000
Stephen B Geidt
34937101430450457690515330157740605492000
Cheryl Jacob
139261076778016779024500049210262239000
Hugo L Folli
1920970544420183790245000197680309186000
Tony Struthers
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Kenneth Dalebout
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John Bishop
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Richard DeCarlo
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Diane Hendel
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Wendy L Dorchester
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Judith A Fix
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Tamra L Kaplan
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Melvin Marks MD
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William M Roberts MD
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Donna E Hartman
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Linda L Hoff
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Pamela S Chevreaux
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Jane H Hodding
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Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, LINE 1ACERTAIN EXECUTIVES RECEIVE A PERCENTAGE OF BASE COMPENSATION FOR DISCRETIONARY SPENDING. THESE AMOUNTS ARE INCLUDED IN OTHER REPORTABLE COMPENSATION. SCHEDULE J, PART I, LINE 3 THE COMPENSATION OF THE ORGANIZATIONS' CHIEF EXECUTIVE OFFICERS IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT. SEE SCHEDULE O FOR 990, PART VI, LINE 15A FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION.
SCHEDULE J, PART I, LINE 4BMEMORIAL HEALTH SERVICES SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP), COVERING SELECTED EXECUTIVES, AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PROVIDES FOR A LUMP SUM PAYMENT TO EACH EXECUTIVE AT VESTING DATE, AS DEFINED IN THE SERP AGREEMENT. NO SERP PAYMENTS WERE MADE FOR YEAR ENDED 6/30/2011.
SCHEDULE J, PART I, LINE 7CERTAIN MEMBERS OF EXECUTIVE MANAGEMENT RECEIVE PART OF THEIR OVERALL COMPENSATION IN THE FORM OF AN INCENTIVE PAYMENT. SEVERAL DIFFERENT FINANCIAL AND NON-FINANCIAL METRICS ARE UTILIZED IN THE FORMULA WHICH ARE REVIEWED AND APPROVED EACH YEAR IN ADVANCE BY THE COMPENSATION COMMITTEE OF THE MEMORIAL HEALTH SERVICES BOARD. ANY INCENTIVE PAYMENTS AWARDED ARE ALSO APPROVED ANNUALLY BY THE COMPENSATION COMMITTEE, AFTER AN AUDIT AND/OR REVIEW HAS BEEN CONDUCTED.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
PARKINSON'S AND MOVEMENT DISORDER I
DIANE TRUONG/SEE PART V132971RENTAL INCOME PROVIDED - OCMMCfalse
COLUMBIA EMERGENCY MEDICAL GROUP
GAIL CURRUTHERS/PART V853402MEDICAL SVCS PROVIDED TO LBMMCfalse
MILLER CHILDREN'S SUBSPECIALTY
LUPE PADILLA/PART V4094963MEDICAL SVCS PROVIDED TO LBMMCfalse
MEMORIALCARE MEDICAL GROUP
MARK CIANCIOLA/PART V8299453MEDICAL SVCS PROVIDED TO MMFfalse
FARMERS MERCHANTS BANK
SEAN MILLER/PART V219568BANK FEESfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBUSINESS TRANSACTIONS INVOLVING RELATED PARTIESIdentifier
Return ReferenceSCHEDULE L, PART IVReturnReference
ExplanationDIANE TRUONG IS A BOARD MEMBER OF OCMMC AND THE EXECUTIVE DIRECTOR OF PARKINSON'S & MOVEMENT DISORDER INSTITUTE ("INSTITUTE"). THE INSTITUTE IS THE SOLELY OWNED MEDICAL PRACTICE OF HER SPOUSE, DR. DANIEL TRUONG. THE INSTITUTE RENTS SPACE FROM OCMMC AT FAIR MARKET VALUE. GAIL CURRUTHERS, M.D. IS A BOARD MEMBER OF LBMMC AND IS ALSO A PARTNER OF COLUMBIA EMERGENCY MEDICAL GROUP. LUPE PADILLA, M.D. IS A BOARD MEMBER OF LBMMC AND IS ALSO A PARTNER OF THE MILLER CHILDREN'S SUBSPECIALTY. MARK CIANCIOLA IS A BOARD MEMBER OF MMF AND IS ALSO AN OFFICER AND OWNER OF MEMORIALCARE MEDICAL GROUP, FORMERLY BRISTOL PARK MEDICAL GROUP. SEAN MILLER IS A BOARD MEMBER OF LBMMC AND IS ALSO THE OFFICER OF FARMERS & MERCHANTS BANK.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF OTHER PROGRAM SERVICESFORM 990, PART III, LINE 4AMEMORIALCARE HEALTH SYSTEM IS A LEADING SOUTHERN CALIFORNIA NOT-FOR-PROFIT INTEGRATED DELIVERY SYSTEM WITH NEARLY 11,000 EMPLOYEES AND 2,300 AFFILIATED PHYSICIANS. THE MEMORIALCARE HOSPITALS INCLUDE LONG BEACH MEMORIAL MEDICAL CENTER, MILLER CHILDREN'S HOSPITAL LONG BEACH, COMMUNITY HOSPITAL LONG BEACH, ORANGE COAST MEMORIAL MEDICAL CENTER-FOUNTAIN VALLEY SADDLEBACK MEMORIAL MEDICAL CENTER LAGUNA HILLS AND SADDLEBACK MEMORIAL MEDICAL CENTER SAN CLEMENTE. THE MEMORIALCARE HEALTH SYSTEM OPERATES 1,537 LICENSED BEDS. FOR FY2011, THE SYSTEM'S HOSPITALS RECORDED 305,481 PATIENT DAYS, 67,974 PATIENT DISCHARGES, 37,127 SURGERIES, 9,505 BABIES DELIVERED, 169,406 EMERGENCY DEPARTMENT VISITS, AND 57,464 HOME HEALTH VISITS. THE HEALTH SYSTEM HAS GAINED WIDESPREAD RECOGNITION FOR OUR UNIQUE APPROACH TO HEALTH CARE. THE ORGANIZATION HAS BEEN IDENTIFIED AS ONE OF THE TOP 100 INTEGRATED HEALTH NETWORKS IN THE NATION, AS WELL AS TOP 10 IN THE WEST (FROM SDI). OUR HOSPITALS ARE RANKED AS HIGH PERFORMERS IN 18 SPECIALTIES BY US NEWS AND WORLD REPORT. WE ARE PARTICULARLY PROUD TO BE ONE OF ONLY 29 COMPANIES WORLDWIDE SELECTED AS A 2011 GALLUP GREAT WORKPLACE WINNER! LONG BEACH MEMORIAL MEDICAL CENTER LONG BEACH MEMORIAL, A STATE-OF-THE-ART, 462-ADULT BED COMMUNITY HOSPITAL, GOT ITS START IN 1907 AS SEASIDE HOSPITAL IN A CONVERTED 13-ROOM VICTORIAN HOME. LONG BEACH MEMORIAL IS HOME TO THESE SPECIALIZED CENTERS: MEMORIALCARE TODD CANCER INSTITUTE, MEMORIALCARE HEART AND VASCULAR INSTITUTE, REHABILITATION & PHYSICAL THERAPY AND THE EMERGENCY TRAUMA CENTER. THE TODD CANCER INSTITUTE IS COMMITTED TO THE EARLY DIAGNOSIS, RESEARCH, TREATMENT AND EDUCATION OF PATIENTS WITH CANCER OR SERIOUS BLOOD DISORDERS. THE MEMORIALCARE TODD CANCER INSTITUTE AT LONG BEACH MEMORIAL IS A LEADER IN MAKING INDIVIDUALIZED CANCER THERAPY A CLINICAL REALITY. THE AMERICAN COLLEGE OF SURGEONS COMMISSION ON CANCER ACCREDITS THE MEMORIALCARE TODD CANCER INSTITUTE AS A TEACHING HOSPITAL CANCER PROGRAM, WHICH IS THE HIGHEST LEVEL ACCREDITATION POSSIBLE FOR COMMUNITY HOSPITALS. MEMORIALCARE HEART AND VASCULAR INSTITUTE IS WIDELY RESPECTED AS ONE OF THE REGION'S TOP CARDIAC CENTERS. THE CALIFORNIA OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT RANKS MEMORIALCARE HEART AND VASCULAR INSTITUTE AS ONE OF THE BEST IN SOUTHERN CALIFORNIA FOR PERFORMANCE IN TREATING HEART ATTACK PATIENTS. MEMORIALCARE HEART AND VASCULAR INSTITUTE HOUSES CALIFORNIA'S MOST SOPHISTICATED CARDIAC CARE CENTER AND HAS PIONEERED TREATMENTS SUCH AS CARDIAC RESYNCHRONIZATION, HOMOGRAPH VALVE SURGERY AND CARDIAC BYPASS. REHABILITATION AND PHYSICAL THERAPY PROVIDES LEADING REHABILITATION SPECIALISTS THE MOST ADVANCED TECHNOLOGY, MAKING IT ONE OF CALIFORNIA'S MOST RESPECTED REHABILITATION CENTERS. THE REHABILITATION DEPARTMENT USES AN INTERDISCIPLINARY TREATMENT APPROACH TO MANAGE A WIDE VARIETY OF DIAGNOSES. THE DEPARTMENT IS A CENTER OF EXCELLENCE FOR BRAIN INJURY AND SPINAL CORD INJURY. OUR CERTIFIED PRIMARY STROKE CENTER RECEIVED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL, ACKNOWLEDGING THAT OUR PROGRAM IMPROVES PATIENT OUTCOMES BY RIGOROUSLY ADHERING TO NATIONAL STANDARDS AND GUIDELINES. A FULL CONTINUUM OF CARE IS PROVIDED FOR PATIENTS FROM INPATIENT ACUTE AND SUB-ACUTE CARE TO OUTPATIENT, RESIDENTIAL AND DAY TREATMENT SETTINGS. IN ADDITION TO PATIENT CARE AND CLINICAL RESEARCH, LONG BEACH MEMORIAL IS STRONGLY COMMITTED TO EDUCATION. IT HAS BEEN A TEACHING HOSPITAL FOR MORE THAN 50 YEARS, TRAINING RESIDENTS AND FELLOWS IN GRADUATE MEDICAL EDUCATION THROUGH AFFILIATIONS WITH LOCAL UNIVERSITIES. LONG BEACH MEMORIAL SUPPORTS A REVOLUTIONARY NURSING PROGRAM IN PARTNERSHIP WITH CALIFORNIA STATE UNIVERSITY, LONG BEACH, AND CONTINUES TO SPONSOR A NURSING PROGRAM WITH LONG BEACH CITY COLLEGE. LONG BEACH MEMORIAL HAS CONCENTRATED ITS COMMUNITY BENEFIT RESOURCES ON INSTITUTING PROGRAMS FOCUSED ON COMMUNITIES WITH DISPROPORTIONATE UNMET HEALTH NEEDS. OUR GOVERNANCE OVERSIGHT PROCESS INCLUDED: - INTEGRATION OF COMMUNITY HOSPITAL LONG BEACH INTO THE MHS AND LONG BEACH MEMORIAL COMMUNITY BENEFIT PROCESSES FOR COUNTING AND REPORTING COMMUNITY BENEFIT. - COMMUNITY BENEFIT OVERSIGHT COMMITTEE (CBOC) STRUCTURE APPROVED - COMMUNITY BENEFIT STANDARDS ADOPTED FOR THE MEMORIALCARE HEALTH SYSTEM OUR AREAS OF FOCUS INCLUDED: ACCESS TO CARE, HEALTH AND WELLNESS AND CHRONIC DISEASE PREVENTION AND CARE. LONG BEACH MEMORIAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH 29 DIFFERENT PROGRAMS AND ACTIVITIES, WHICH INCLUDE COMMUNITY HEALTH EDUCATION, COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF CANCER, STROKE, HEART HEALTH, WOMEN'S HEALTH, DISASTER PREPAREDNESS, HEALTH FAIRS, HEALTH SCREENINGS, RESPIRATORY CARE, SENIOR HEALTH AND TOBACCO EDUCATION. WE OFFER DISEASE SPECIFIC SUPPORT GROUPS SUCH AS STROKE, CANCER AND DIABETES, WHICH ARE PART OF THE COMMUNITY-BASED CLINICAL SERVICES. SUPPORT GROUPS ARE FACILITATED BY PHYSICIANS OR NURSES AND SOCIAL WORKERS. ADDITIONALLY, WE PROVIDE AN ONCOLOGY LIFE COACH AND HELP-LINES, WHICH COMMUNITY MEMBERS CAN CALL TO ASK QUESTION E.G., CANCER RELATED INFORMATION. WE ALSO PROVIDE HOMELESS ASSISTANCE, HOUSING VOUCHERS AND CONNECTION TO MEDICAL HOMES AND A BLOOD DONOR CENTER. OVER 122,000 PEOPLE WERE SERVED THROUGH THESE EFFORTS.
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED...HOSPITAL EMPLOYEES ARE INVOLVED IN MANY LOCAL, COUNTY, STATE AND NATIONAL ORGANIZATIONS THAT PROMOTE HEALTH, PRIMARY PREVENTION, WORKFORCE DEVELOPMENT AND ADVOCACY EFFORTS RELATED TO THE HOSPITAL'S MISSION. RECOGNIZING THE NEED TO REFLECT THE DIVERSITY OF OUR PATIENT POPULATION AND THE COMMUNITIES WE SERVE, RECRUITMENT OF UNDERREPRESENTED MINORITIES IS A PRIORITY. WE PARTICIPATED IN THE NANN AND EMPLOYMENT DEVELOPMENT DEPARTMENT JOB FAIRS FOR WORKFORCE DEVELOPMENT AND HAVE A PARTNERSHIP WITH THE PACIFIC GATEWAY TO TRAIN UNEMPLOYED RESIDENTS THROUGH A UNIQUE SIX WEEK PROGRAM, WITH SKILLS IN HEALTH CARE. MILLER CHILDREN'S HOSPITAL LONG BEACH (MCHLB) PROVIDES SPECIALIZED PEDIATRIC CARE FOR CHILDREN AND YOUNG ADULTS, WITH CONDITIONS RANGING FROM COMMON TO COMPLEX-AS WELL AS MATERNITY CARE FOR EXPECTANT MOTHERS-ALL UNDER ONE ROOF. ONLY FIVE PERCENT OF ALL HOSPITALS ARE CHILDREN'S HOSPITALS, MAKING THEM UNIQUE NOT ONLY TO CHILDREN'S HEALTH CARE NEEDS IN THE COMMUNITY, BUT ACROSS THE REGION. MCHLB IS ONE OF ONLY EIGHT FREE-STANDING CHILDREN'S HOSPITALS IN CALIFORNIA. THE PEDIATRIC HOSPITAL OPENED IN 1970, WITH MANY INNOVATIVE PATIENT AND FAMILY CENTERED CARE FEATURES, SUCH AS PATIENT ROOMS TO ACCOMMODATE A PARENTS' OVERNIGHT STAY. MILLER CHILDREN'S OPENED WITH 65 ACTIVE PEDIATRIC PHYSICIANS AND SURGEONS ALONG WITH SERVICES SUCH AS AN EXPANDED NICU, CLEFT PALATE PROGRAM, ALLERGY, ENT, ENDOCRINE, UROLOGY AND GENERAL SURGERY. CURRENTLY THERE ARE 324 LICENSED PEDIATRIC AND WOMEN'S BEDS. MILLER CHILDREN'S HOSPITAL LONG BEACH (MCHLB) IS A NOT-FOR-PROFIT, PEDIATRIC TEACHING HOSPITAL THAT TREATS MORE THAN 8,000 CHILDREN EACH YEAR AND HAS BECOME A REGIONAL PEDIATRIC DESTINATION FOR MORE THAN 84,000 CHILDREN, WHO NEED SPECIALIZED CARE IN THE OUTPATIENT SPECIALTY AND SATELLITE CENTERS. THE MEMORIALCARE CENTER FOR WOMEN AT MILLER CHILDREN'S HOSPITAL LONG BEACH DELIVERS MORE THAN 6,000 BABIES EACH YEAR AND TRANSPORTS NEARLY 100 HIGH-RISK MOMS TO MCHLB EACH YEAR. MORE THAN 750 PEDIATRIC SPECIALISTS AND SUB-SPECIALISTS, AS WELL AS NEARLY 100 OB/GYNS, INCLUDING 10 HIGH-RISK PREGNANCY SPECIALISTS (MATERNAL FETAL SUB-SPECIALISTS), ENSURE THAT THE HIGHEST QUALITY, COMPASSIONATE CARE IS GIVEN TO EACH PATIENT AND THEIR FAMILY. MILLER CHILDREN'S FEATURES EIGHT CENTERS OF EXCELLENCE, INCLUDING SEVEN MAJOR INPATIENT CARE CENTERS WITHIN THE HOSPITAL AND COMPREHENSIVE OUTPATIENT SPECIALTY CENTERS THAT FEATURE MORE THAN 30 SUB-SPECIALTIES, AND INCLUDE 16 CALIFORNIA CHILDREN SERVICES (CCS) APPROVED SPECIAL CARE CENTERS. THESE CENTERS PROVIDE SPECIALIZED CARE FOR CHILDREN WITH CHRONIC CONDITIONS, SUCH AS PULMONARY, GASTROENTEROLOGY, ORTHOPEDICS, CARDIOLOGY, REHABILITATION, DIABETES, ASTHMA, AUTISM, AND HEMATOLOGY/ONCOLOGY (CANCER) CONDITIONS. MILLER CHILDREN'S PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH COMMUNITY LECTURES, PRESENTATIONS AND WORKSHOPS IN THE AREAS OF CHILDHOOD CANCER, MATERNAL HEALTH, SAFETY AND DISASTER PREPAREDNESS, HEALTH FAIRS, HEALTH SCREENINGS, RESPIRATORY CARE AND TOBACCO EDUCATION. COMMUNITY BASED CLINICAL SERVICES AND HEALTH CARE SUPPORT SERVICES WHICH INCLUDE PERINATAL DIABETES AND PREGNANCY PROGRAM, CHILD SAFETY EFFORTS AND ASTHMA OUTREACH AND EDUCATION FOR CHILDREN. MILLER CHILDREN'S ADMINISTERS THE REGIONAL PERINATAL PROGRAM AND THE CALIFORNIA DIABETES & PREGNANCY PROGRAM (SWEET SUCCESS). THESE PROGRAMS TRAIN CLINICAL STAFF AT AFFILIATED HOSPITALS REGARDING DIABETES AND PREGNANCY. OUR CHILD SAFETY EFFORTS INCLUDE: CARE SEAT, BIKE HELMET DISTRIBUTION AND PEDESTRIAN SAFETY. THE LONG BEACH ALLIANCE FOR CHILDREN WIIH ASTHMA PROVIDES COMMUNITY HEALTH WORKERS USING THE PROMOTORES MODEL; PROVIDE ASTHMA CONTROL EDUCATION TO PHYSICIANS, NURSES AND THE COMMUNITY. THE BICKERSTAFF PEDIATRIC/FAMILY HIV CENTER PROVIDES CARE TO HIV INFECTED/EXPOSED CHILDREN AND THEIR PARENTS. INFECTIOUS DISEASE SERVICES BOTH OUTPATIENT AND INPATIENT CONSULTATION SERVICES, EDUCATION TO MEDICAL STUDENTS AND RESIDENTS ARE PROVIDED. ON STAFF IS A PSYCHIATRIST TO ASSIST WITH PSYCHIATRIC NEEDS AT THE BICKERSTAFF PEDIATRIC FAMILY CENTER. THE BICKERSTAFF PEDIATRIC/FAMILY HIV CENTER'S MISSION IS TO PROVIDE SENSITIVE, CULTURALLY APPROPRIATE, COMPREHENSIVE FAMILY-CENTERED MEDICAL CARE AND CASE MANAGEMENT SERVICES TO CHILDREN AND THEIR FAMILIES INFECTED AND AFFECTED BY THE HIV VIRUS IN LONG BEACH AND SURROUNDING COMMUNITIES. MILLER CHILDREN'S HOSPITAL HOSTS A NUMBER OF OUTPATIENT CLINICS THAT ARE OFFERED TO CHILDREN AND YOUTH IN THE COMMUNITY, REGARDLESS OF THEIR ABILITY TO PAY. AT THESE SPECIALTY CARE CLINICS, SPECIALLY DESIGNATED MULTIDISCIPLINARY TEAMS ARE RESPONSIBLE FOR ALL CARE COORDINATION AND CASE MANAGEMENT OF PATIENTS IN THESE PROGRAMS. COMMUNITY HOSPITAL LONG BEACH (CHLB) JOINED THE MEMORIALCARE HEALTH SYSTEM AND SPECIFICALLY THE LONG BEACH MEMORIAL AND MILLER CHILDREN'S HOSPITAL LONG BEACH CAMPUS ON APRIL 29, 2011. THESE THREE HOSPITALS ARE UNDER THE SAME TAX IDENTIFICATION NUMBER BUT ARE SEPARATELY LICENSED HOSPITALS. CHLB IS A 208-BED ACUTE-CARE HOSPITAL THAT HAS BEEN PROVIDING WARM AND PERSONALIZED TOP-QUALITY MEDICAL CARE THAT ITS PATIENTS HAVE COME TO TREASURE AND TRUST SINCE FIRST OPENING ITS DOORS IN 1924. COMMUNITY HOSPITAL LONG BEACH HAS MORE THAN 265 BOARD-CERTIFIED PHYSICIANS SERVICING THE GREATER LONG BEACH AREA, AND OFFERS INTENSIVE CARE, STATE-OF-THE-ART IMAGING, A COMPREHENSIVE CANCER CARE CENTER, CARDIOVASCULAR DIAGNOSTICS, BEHAVIORAL HEALTH, WOMEN'S HEART SCREENINGS, OCCUPATIONAL MEDICINE, WELLNESS AND DIABETES SERVICES AND MORE. ADDITIONALLY, COMMUNITY HOSPITAL HAS A 24-HOUR EMERGENCY DEPARTMENT OFFERING HIGH-TECH CARE AND MINIMAL WAIT TIMES. COMMUNITY HOSPITAL LONG BEACH PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES THROUGH ITS DIABETES 101 AND WOMEN'S HEART HEALTH PROGRAM. THE PROGRAM OFFERS DIABETES EDUCATION CLASSES, SUPPORT GROUPS AND FREE HEALTH SCREENINGS.
PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED...COMMUNITY HOSPITAL LONG BEACH HAS A NURSING EDUCATION PROGRAM PARTNERING WITH LONG BEACH CITY COLLEGE, LOS ANGELES HARBOR COLLEGE, CALIFORNIA STATE UNIVERSITY FULLERTON AND AMERICAN CAREER COLLEGE. COMMUNITY HOSPITAL LONG BEACH IS A COMMUNITY PARTNER IN PROVIDING DEDICATED SPACE FOR EXAMINATIONS OF VICTIMS OF SEXUAL ASSAULT. IN 1994, COMMUNITY HOSPITAL WAS SELECTED AS THE SITE FOR THE SEXUAL ASSAULT RESPONSE TEAM (SART) PROGRAM. SART IS A MULTIDISCIPLINARY TEAM APPROACH FOR THE CARE OF VICTIMS OF SEXUAL ASSAULT OF ALL AGES AND IS PROVIDED FOR THE CITY OF LONG BEACH AND SURROUNDING AREAS. MEMORIALCARE MEDICAL FOUNDATION MEMORIALCARE MEDICAL FOUNDATION (MMF) IS A NOT-FOR-PROFIT MULTI-SPECIALTY OUTPATIENT CLINIC THAT CONTRACTS EXCLUSIVELY WITH MEMORIALCARE MEDICAL GROUP (FORMERLY BRISTOL PARK MEDICAL GROUP) AND MEMORIAL PROMPT CARE AND FAMILY MEDICINE TO OFFER COMPREHENSIVE MEDICAL CARE TO PATIENTS. MMF OPERATES TWELVE LOCATIONS THROUGHOUT ORANGE COUNTY IN THE AREAS OF INTERNAL MEDICINE, FAMILY MEDICINE, PEDIATRICS, GERIATRICS MEDICINE, PULMONOLOGY, GASTROENTEROLOGY, NEUROLOGY, PHYSIATRY, SLEEP MEDICINE AND ACUPUNCTURE. IN ADDITION, MMF OFFERS TELEPHONE ADVICE NURSES, AS WELL AS LAB AND X-RAY SERVICES AT MOST LOCATIONS. ORANGE COAST MEMORIAL MEDICAL CENTER OCMMC BECAME A MEMBER OF THE NOT-FOR-PROFIT MEMORIALCARE MEDICAL CENTERS (PARENT COMPANY MEMORIALCARE HEALTH SYSTEM) IN JANUARY, 1996. IN MAY 1997, THE HOSPITAL WAS GRANTED NOT-FOR-PROFIT STATUS RETROACTIVE TO DECEMBER 26, 1995, THE DATE OF INCORPORATION. FORMERLY, OCMMC WAS KNOWN AS FHP HOSPITAL AND OPERATED AS A FOR-PROFIT FACILITY. SERVICES OCMMC, IN COOPERATION WITH 563 PHYSICIANS AND MORE THAN 1,200 EMPLOYEES, OFFERS A HIGH LEVEL OF PROFESSIONAL CARE IN NEARLY EVERY MEDICAL SPECIALTY. THE HOSPITAL ACCEPTS MOST HEALTH INSURANCE PLANS AND IS AFFILIATED WITH WELL-KNOWN MEDICAL GROUPS INCLUDING AFFILIATED DOCTORS OF ORANGE COUNTY, ALAMITOS IPA, BRISTOL PARK MEDICAL GROUP, EDINGER MEDICAL GROUP, MEMORIAL PROMPT CARE & FAMILY MEDICINE, MONARCH HEALTHCARE, MEMORIAL HEALTHCARE IPA AND TALBERT MEDICAL GROUP. MISSION AND VISION THE MISSION AND VISION STATEMENTS OF OCMMC REFLECT A COMMITMENT TO UPHOLDING THE HIGHEST STANDARDS OF CARE AND MEETING THE NEEDS OF THE COMMUNITY. THE SENIOR ADMINISTRATIVE TEAM AND MEDICAL EXECUTIVE COMMITTEE AS WELL AS THE OCMMC BOARD OF DIRECTORS ACTIVELY PARTICIPATED IN THE DEVELOPMENT AND APPROVAL OF THE STATEMENTS. THEY READ AS FOLLOWS: MISSION TO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. VISION TO BE THE PREFERRED, OPERATIONALLY EXCELLENT, FISCALLY SOUND PROVIDER OF COMPREHENSIVE, HIGH- QUALITY HEALTH CARE SERVICES. THE MISSION AND VISION STATEMENTS ARE AN INTEGRAL PART OF THE EMPLOYEE ORIENTATION PROCESS AND ARE REVIEWED BY EACH EMPLOYEE DURING THEIR ANNUAL UPDATE. IN ADDITION, THE STATEMENTS WERE INTRODUCED AT THE MEDICAL EXECUTIVE COMMITTEE AND INCORPORATED INTO THE HOSPITAL BYLAWS. THE BOARD OF DIRECTORS ALSO REVIEWED AND APPROVED THE MISSION AND VISION STATEMENTS. ORGANIZATIONAL COMMITMENT ORANGE COAST MEMORIAL MEDICAL CENTER HAS CREATED AN ENVIRONMENT WHICH FOSTERS COMMUNITY OUTREACH. DEPARTMENT DIRECTORS, EMPLOYEES, PHYSICIANS, SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS ALL PARTICIPATE IN DEVELOPING AND IMPLEMENTING OUTREACH ACTIVITIES AND NEW PROGRAMS. AS OUTLINED IN THE MISSION AND VISION STATEMENTS, OCMMC IS COMMITTED TO ENSURING PROGRAMS AND SERVICES ARE MEETING THE NEEDS OF THE COMMUNITY. COMMUNITY NEED IS A MAJOR CONSIDERATION WHEN THE HOSPITAL EVALUATES A NEW SERVICE OR A COMMUNITY HEALTH EVENT. DEPARTMENT DIRECTORS, EMPLOYEES AND PHYSICIANS ARE DIRECTLY INVOLVED IN THE PLANNING AND IMPLEMENTATION OF PROGRAMS TO BENEFIT THE COMMUNITY, EITHER INDIVIDUALLY OR THROUGH THEIR ROLES ON VARIOUS COMMITTEES WHICH REVIEW AND RECOMMEND OUTREACH PROGRAMS AND NEW SERVICES. THEY ALSO WORK WITH LOCAL SCHOOL DISTRICTS, COMMUNITY ORGANIZATIONS AND HEALTH PLANS TO DEVELOP SERVICES, HEALTH FAIRS, EDUCATIONAL SEMINARS, MEDIA ARTICLES AND OTHER PROGRAMS THAT BENEFIT THE OVERALL HEALTH OF PEOPLE SERVED BY OCMMC. IN ADDITION, MANY OF THE ACTIVITIES ARE STAFFED VOLUNTARILY BY PHYSICIANS AND EMPLOYEES. SENIOR MANAGEMENT AND THE BOARD OF DIRECTORS PROVIDE RECOMMENDATIONS, ENDORSEMENTS AND ALLOCATION OF FUNDS TO ENSURE THE HOSPITAL FULFILLS ITS COMMITMENT TO MEETING THE HEALTH CARE NEEDS OF ITS COMMUNITY. THE BOARD IS COMPRISED OF TEN COMMUNITY MEMBERS ALONG WITH PHYSICIANS, REPRESENTATIVES OF THE HOSPITAL, AND REPRESENTATIVES FROM MEMORIALCARE. COMMUNITY MEMBERS SERVING ON THE BOARD HELP THE HOSPITAL GAUGE THE NEEDS OF THE COMMUNITY AND DETERMINE WHETHER OCMMC'S PROGRAMS ARE ADDRESSING THEM EFFECTIVELY. COMMUNITY STAKEHOLDERS ARE AN IMPORTANT PART OF OCMMC'S COMMITMENT TO DELIVERING QUALITY COMMUNITY BENEFIT PROGRAMS TO THE LOCAL COMMUNITY. A COMMITTEE MADE UP OF LOCAL PHYSICIANS, COMMUNITY VOLUNTEERS, SCHOOL DISTRICT AND NON-PROFIT ORGANIZATION LEADERS HELP ENSURE THAT COMMUNITY BENEFIT PROGRAMMING AT OCMMC IS DIRECTED TOWARDS THE NEEDS OF THE VULNERABLE, ARE PLANNED IN SUCH A WAY TO ENSURE SUSTAINABILITY, AND EVALUATED TO DETERMINE OUTCOME MEASURES. THE PUBLIC RELATIONS DEPARTMENT IS CHARGED WITH INFORMING EMPLOYEES, PHYSICIANS AND THE COMMUNITY ABOUT NEW PROGRAMS AND OUTREACH ACTIVITIES. NEWSLETTERS, EMPLOYEE FORUMS, MEETINGS, RADIO PROGRAMS AND PRESS RELEASES ARE SOME OF THE AVENUES USED TO DISSEMINATE INFORMATION AND SECURE INVOLVEMENT. AT SIGNIFICANT EXPENSE AND EFFORT, THE HOSPITAL ALSO PROMOTES ITS ACTIVITIES TO THE COMMUNITY-AT-LARGE THROUGH PAID ADVERTISEMENTS, DIRECT MAIL LITERATURE, FLYERS AND VIA THE HOSPITAL'S WEBSITE. THE FOREMOST TOOL FOR PROMOTING COMMUNITY OUTREACH PROGRAMS IS A COMMUNITY NEWSLETTER, WHICH IS DISTRIBUTED QUARTERLY AND SENT TO NEARLY 100,000 HOUSEHOLDS IN THE PRIMARY AND SECONDARY MARKET AREAS. WE RECOGNIZE THE PRESENCE OF SEVERAL VULNERABLE POPULATIONS WITHIN THE OCMMC SERVICE AREA. THE HOSPITAL STRIVES TO PROVIDE COMMUNITY BENEFIT ACTIVITIES TO THE LOCAL VULNERABLE THAT HELP TO BRIDGE THE GAPS THEY MAY HAVE IN REACHING HEALTH CARE SERVICES. ONE PARTICULAR EXAMPLE IS THE VIETNAMESE OUTREACH PROGRAM. BICULTURAL AND BILINGUAL VIETNAMESE STAFF CONDUCT COMMUNITY-BASED MONTHLY SCREENINGS AND EDUCATIONAL EVENTS. COMMUNITY AWARENESS OF THESE EVENTS IS SECURED THROUGH REGULAR VIETNAMESE RADIO AND TV PROGRAMS. SADDLEBACK MEMORIAL MEDICAL CENTER A 325 BED ACUTE CARE, NOT-FOR-PROFIT HOSPITAL WITH TWO LOCATIONS, LAGUNA HILLS AND SAN CLEMENTE, SADDLEBACK MEMORIAL MEDICAL CENTER HAS BEEN MEETING THE HEALTHCARE NEEDS OF SOUTH ORANGE COUNTY RESIDENTS SINCE 1974. SADDLEBACK MEMORIAL TREATS MORE THAN HALF A MILLION PEOPLE EACH YEAR, INCLUDING INPATIENTS, OUTPATIENTS, NEW BABIES AND PATIENTS IN THE EMERGENCY DEPARTMENT. IN ADDITION TO 24-HOUR EMERGENCY CARE, SADDLEBACK MEMORIAL OFFERS COMPLETE CRITICAL, SURGICAL AND OBSTETRICAL SERVICES, AS WELL AS A VARIETY OF EDUCATIONAL CLASSES AND PROGRAMS IN KEEPING WITH ITS MISSION OF ENHANCING THE HEALTH AND WELL-BEING OF INDIVIDUALS, FAMILIES AND THE COMMUNITY. ITS CENTERS OF EXCELLENCE INCLUDE: -SADDLEBACK WOMEN'S HOSPITAL, WITH LDRP SUITES, A FETAL DIAGNOSTICS CENTER FOR HIGH-RISK PREGNANCIES, A NEONATAL INTENSIVE CARE UNIT AND MEMORIALCARE BREAST CENTER; - SADDLEBACK HEART INSTITUTE AND WELLNESS CENTER, INCLUDING TWO CARDIAC CATHETERIZATION LABORATORIES, AN OPEN-HEART SURGERY PROGRAM, A CARDIAC REHABILITATION PROGRAM, EDUCATIONAL CLASSES, SCREENINGS AND SUPPORT GROUPS; -SADDLEBACK REHABILITATION AND ORTHOPEDIC SERVICES AND TALEGA OUTPATIENT REHABILITATION CENTER, OFFERING INPATIENT AND OUTPATIENT REHABILITATION PROGRAMS AND COMPREHENSIVE ORTHOPEDIC SERVICES, INCLUDING HIP AND KNEE REPLACEMENTS; -SADDLEBACK CANCER SERVICES, WITH A FULL LINE ON ONCOLOGY TREATMENTS AND STATE-OF THE-ART RADIOLOGY SERVICES; -SADDLEBACK HOME CARE SERVICES, PROVIDING A SKILLED HOME CARE AND HOSPICE SERVICES.
SUPPLEMENTAL INFORMATIONFORM 990, PART IV, LINE 2THE FOLLOWING ORGANIZATIONS WERE REQUIRED TO FILE A SCHEDULE B: LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), AND SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC). FORM 990, PART IV, LINE 4 THE FOLLOWING ORGANIZATIONS ENGAGED IN LOBBYING ACTIVITIES: LBMMC, OCMMC, AND SMMC. FORM 990, PART IV, LINE 11D THE FOLLOWING ORGANIZATIONS REPORTED AN AMOUNT FOR OTHER ASSETS ON PART X, LINE 15 THAT WAS ABOVE 5% OF TOTAL ASSETS: LBMMC AND SMMC. FORM 990, PART IV, LINE 11E THE FOLLOWING ORGANIZATIONS REPORTED AN AMOUNT FOR OTHER LIABILITIES ON PART X, LINE 25: LBMMC, OCMCC AND SMMC. FORM 990, PART IV, LINE 18 THE FOLLOWING ORGANIZATION HAD MORE THAN $15,000 OF GROSS RECEIPTS FROM FUNDRAISING EVENTS: OCMMC. FORM 990, PART IV, LINE 21 THE FOLLOWING ORGANIZATIONS PAID MORE THAN $5,000 IN EXPENSES FOR GRANTS OR ASSISTANCE TO GOVERNMENTS OR ORGANIZATIONS IN THE U.S.: LBMMC, OCMMC, AND SMMC. FORM 990, PART IV, LINE 28C THE FOLLOWING ORGANIZATION HAD BUSINESS TRANSACTIONS WITH INTERESTED PERSONS: OCMMC. FORM 990, PART IV, LINE 33 THE FOLLOWING ORGANIZATION OWNED 100% OF A DISREGARDED ENTITY: SMMC. FORM 990, PART V, LINE 3A THE FOLLOWING ORGANIZATIONS HAD UNRELATED BUSINESS GROSS INCOME OF $1,000 OR MORE DURING THE YEAR COVERED BY THIS RETURN: LBMMC, OCMMC, AND SMMC. FORM 990, PART V, LINE 7A/B THE FOLLOWING ORGANIZATION PROVIDED GOODS AND SERVICES TO A DONOR IN EXCHANGE FOR A CONTRIBUTION OF $75 OR MORE AND NOTIFIED THE DONOR: OCMMC.
DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6MEMORIAL HEALTH SERVICES IS THE SOLE CORPORATE MEMBER OF ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC) AND MEMORIALCARE MEDICAL FOUNDATION (MMF).
DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTSFORM 990, PART VI, LINE 7ATHE MHS BOARD, AS THE TAX-EXEMPT PARENT AND CORPORATE MEMBER, HAS THE RIGHT TO ELECT AND REMOVE THE MEMBERS OF THE GOVERNING BODIES OF LBMMC, OCMMC, SMMC AND MMF.
DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTSFORM 990, PART VI, LINE 7BTHE EXERCISE OF THE FOLLOWING POWERS IS RESERVED TO THE CORPORATION'S MEMBER, MEMORIAL HEALTH SERVICES: A. ADOPT MISSION, PHILOSOPHY AND VALUES STATEMENTS OF THE CORPORATION AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS. B. AMEND ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. C. ELECT AND REMOVE DIRECTORS OF THE CORPORATION. D. SELL, LEASE, EXCHANGE, MORTGAGE, PLEDGE OR OTHERWISE DISPOSE OF ALL OR SUBSTANTIALLY ALL, THE PROPERTY AND ASSETS OF THE CORPORATION. E. MERGE, CONSOLIDATE OR VOLUNTARILY DISSOLVE THE CORPORATION. F. FORM A SUBSIDIARY OR ENTER INTO AN AGREEMENT TO ACT AS A GENERAL PARTNER. G. RETAIN AN ATTORNEY OR FIRM OF ATTORNEYS TO PROVIDE LEGAL SERVICES FOR THE CORPORATION. H. AUTHORIZE THE PURCHASE OF INSURANCE PROVIDING COVERAGE FOR THE CORPORATION AND ITS PROPERTIES AS WELL AS THE ESTABLISHMENT AND OPERATION OF A PROGRAM OF RISK MANAGEMENT. I. RETAIN AN ACCOUNTANT OR FIRM OF ACCOUNTANTS TO PROVIDE ACCOUNTING AND AUDITING SERVICES FOR THE CORPORATION. J. ADOPT ANNUAL OPERATING AND CAPITAL BUDGETS FOR THE CORPORATION. K. INCUR INDEBTEDNESS, AS SO DEFINED, IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. L. AUTHORIZE ANY UNBUDGETED EXPENDITURE IN EXCESS OF $250,000 FOR CAPITAL IMPROVEMENTS TO THE PROPERTIES OWNED BY THE CORPORATION AND NOT APPROVED BY THE BUDGET PROCEDURE. M. ADOPT A STRATEGIC LONG-RANGE OR MASTER PLAN FOR THE CORPORATION AND TO RETAIN ANY CONSULTANTS WITH RESPECT THERETO.
DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990FORM 990, PART VI, LINE 11BTHE 990 WAS PREPARED BY THE ACCOUNTING DEPARTMENT WITH INFORMATION GATHERED FROM LEGAL AND UPPER MANAGEMENT. THE FORM 990 WAS REVIEWED BY THE CONTROLLER OF EACH FACILITY AND THE CFO'S. THE MHS CFO REVIEWS THE GROUP RETURN FORM 990 WITH THE BOARD OF THE CENTRAL ORGANIZATIONS OF THE GROUP, MHS, PRIOR TO BEING FILED WITH THE IRS.
DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTERESTFORM 990, PART VI, LINE 12CTHE GENERAL COUNSEL'S OFFICE ANNUALLY SURVEYS EACH DIRECTOR AND OFFICER AND REQUIRES AFFIRMATION THAT THE CONFLICT OF INTEREST POLICY HAS BEEN READ AND UNDERSTOOD. THE RESULTS OF THE SURVEY ARE REPORTED TO THE GOVERNANCE COMMITTEE OF THE PARENT WHICH COMMITTEE IS RESPONSIBLE FOR GOVERNANCE OVERSIGHT AND NOMINATIONS. CONFLICTS ARE EVALUATED FOR BEING OCCASIONAL OR DISABLING IN NATURE. THE GENERAL COUNSEL MAKES THE INITIAL EVALUATION AND ADVISES THE GOVERNANCE COMMITTEE IN ITS DELIBERATIONS. IF AND AS AN OCCASIONAL CONFLICT IS IDENTIFIED, THE GENERAL COUNSEL ADVISES THE SUBJECT DIRECTOR AND GOVERNANCE IN A "REBUTTABLE PRESUMPTION" TYPE PROCESS. SHOULD A DISABLING CONFLICT BE IDENTIFIED, THE DIRECTOR RESIGNS OR IS REMOVED UPON THE RECOMMENDATION OF THE GENERAL COUNSEL, GOVERNANCE COMMITTEE AND BOARD. IN ADDITION, AN ANNUAL NOTICE IS SENT BY EMAIL TO EACH EMPLOYEE HAVING EMAIL REGARDING THE ACCEPTANCE OF GIFTS.
ADOPTION OF WHISTLEBLOWER POLICYFORM 990, PART VI, LINE 13WHILE ALL ENTITIES HAVE WHISTLEBLOWER POLICIES IN PLACE, THE POLICIES HAD NOT BEEN FORMALLY APPROVED BY THE BOARD, OR A COMMITTEE OF THE BOARD, BY JUNE 30, 2011. THE POLICIES WILL BE ADOPTED BY THE BOARD BEFORE JUNE 30, 2012. ADOPTION OF DOCUMENT DESTRUCTION AND RETENTION POLICY FORM 990, PART VI, LINE 14 WHILE ALL ENTITIES HAVE DOCUMENT DESTRUCTION AND RETENTION POLICIES IN PLACE, THE POLICIES HAD NOT BEEN FORMALLY APPROVED BY THE BOARD, OR A COMMITTEE OF THE BOARD, BY JUNE 30, 2011. THE POLICIES WILL BE ADOPTED BY THE BOARD BEFORE JUNE 30, 2012.
PROCESS USED TO DETERMINE COMPENSATIONFORM 990, PART VI, LINES 15A & 15BVP'S AND ABOVE (INCLUSIVE OF CEO'S) COMPENSATION IS REVIEWED BY AN EXTERNAL CONSULTANT WITH FINAL REVIEW AND APPROVAL BY THE MHS BOARD OF DIRECTORS AND THEIR OUTSIDE COUNSEL. ALL MARKET DATA IS OBTAINED FROM THIRD PARTY SURVEY SOURCES. MARKET DATA REVIEWS ARE COMPLETED CONSISTENTLY ON ANNUAL BASIS. REVIEW OF MANAGER, PROGRAM DIRECTOR, DIRECTOR AND EXECUTIVE DIRECTOR COMPENSATION IS CONDUCTED BY MHS COMPENSATION MANAGER IN CONJUNCTION WITH THE COMPENSATION VALUE ADDED TEAM. FINAL APPROVAL IS OBTAINED FROM THE MHS COO AND MHS SVP PEOPLE & CULTURE/LEGAL. MANAGEMENT WAS REVIEWED ON FEBRUARY 26, 2010 AND EXECUTIVES WERE REVIEWED AND APPROVED BY THE COMPENSATION COMMITTEE IN OCTOBER OF 2009. THIS PROCESS IS DOCUMENTED IN THE COMPENSATION COMMITTEE MINUTES AND APPROVED IN MEMORIAL HEALTH SERVICE MINUTES.
FORM 990, PART VI, LINE 16ATHE FOLLOWING ORGANIZATIONS INVESTED IN, CONTRIBUTED ASSETS TO, OR PARTICIPATED IN A JOINT VENTURE OR SIMILAR ARRANGEMENT WITH A TAXABLE ENTITY DURING THE YEAR: OCMMC AND SMMC. WRITTEN POLICY AND PROCEDURES FOR JOINT VENTURES FORM 990, PART VI, LINE 16B OCMMC AND SMMC'S BOARD, OR COMMITTE DELEGATED WITH AUTHORITY, WILL ADOPT WRITTEN POLICIES AND PROCEDURES REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL TAX LAW AND TAKE STEPS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS WITH RESPECT TO SUCH ARRANGEMENT BY JUNE 30, 2012.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIIBARRY ARBUCKLE IS THE PRESIDENT/CEO OF THE RELATED ORGANIZATION, ANAHEIM MEMORIAL MEDICAL CENTER (AMMC) AND THE TAX-EXEMPT PARENT, MEMORIAL HEALTH SERVICES (MHS). HE SERVES ON THE BOARD OF LONG BEACH MEMORIAL MEDICAL CENTER (LBMMC), MEMORIALCARE MEDICAL FOUNDATION (MMF), ORANGE COAST MEMORIAL MEDICAL CENTER (OCMMC), AND SADDLEBACK MEMORIAL MEDICAL CENTER (SMMC). HE IS ALSO THE CHAIRMAN OF THE BOARD OF DIRECTORS OF NATIONAL HEALTHCARE SERVICES (NHS), A RELATED FOR-PROFIT ENTITY. HE DEVOTES 50 HOURS PER WEEK TO MHS, 2 HOURS PER WEEK TO LBMMC, NHS, OCMMC, AND SMMC AND 1 HOUR PER WEEK TO AMMC AND MMF. THE COMPENSATION REPORTED ON PART VII AND SCHEDULE J FOR BARRY ARBUCKLE REPRESENTS HIS ENTIRE COMPENSATION, WHICH WAS PAID BY MHS. BRUCE CHANNING SERVES ON THE BOARD OF DIRECTORS OF SMMC, AS WELL AS THE BOARD OF DIRECTORS OF THE SADDLEBACK MEMORIAL FOUNDATION (SMF) AND MEMORIAL HEALTH SERVICES (MHS). HE DEVOTES 2 HOURS PER WEEK TO SMMC AND MHS AND 1 HOUR PER WEEK TO SMF. LARRY JACKSON, CHAIRMAN OF THE BOARD OF DIRECTORS AT LBMMC, ALSO SERVES ON THE BOARD OF DIRECTORS OF MEMORIAL HEALTH SYSTEMS (MHS), A RELATED TAX EXEMPT ORGANIZATION. HE DEVOTES 2 HOURS PER WEEK TO LBMMC AND 2 HOURS PER WEEK TO MHS. ROBERT SCHACK, CHAIRMAN OF THE BOARD OF DIRECTORS AT OCMMC, ALSO SERVES ON THE BOARD OF DIRECTORS OF MHS. HE DEVOTES 2 HOURS PER WEEK TO EACH. LARRY LAMBERT, BOARD MEMBER AND VICE-CHAIRMAN OF MMF AND MHS ALSO SERVES ON THE BOARD OF DIRECTORS OF OCMMC. HE DEVOTES 2 HOURS TO EACH. THOMAS COLLINS, CHAIRMAN OF THE BOARD AT MMF, IS ALSO THE SECRETARY OF THE BOARD OF DIRECTORS AT MHS. HE DEVOTES 2 HOURS PER WEEK TO EACH. THOMAS ROGERS, BOARD MEMBER AT SMMC, ALSO SERVES ON THE BOARD OF DIRECTORS OF MHS. HE DEVOTES 2 HOURS TO EACH. DIANA HENDEL, CEO AND EVP OF LBMMC, ALSO SERVES ON THE BOARD OF DIRECTORS OF MEMORIAL MEDICAL CENTER FOUNDATION. SHE DEVOTES 60 HOURS PER WEEK TO MHS AND 1 HOUR PER WEEK TO MMCF.
OTHER CHANGES IN NET ASSETS OR FUND BALANCEFORM 990, PART XI, LINE 5PRIOD PERIOD ADJUSTMET - ($ 147,804) UNREALIZED ASC LOSS (OCMMC) - ($ 608,225) CHANGE IN VALUE - SPLIT INTEREST AGREEMENTS (OCMMC) - ($ 63,801) FUND BALANCE ASC (SMMC) - ($ 45) ELIMINATATION OF ASC EQUITY (SMMC) - ($ 437,459) OTHER CHANGE IN GIFT SHOP/THRIFT SHOP (SMMC) - ($ 6,814) BRISTOL PARK & MEMORIALCARE PROMPT CARE AQC (OCMMC) - $83,597,642 ROUNDING - $ 5 ------------- TOTAL $82,333,499
CONSOLIDATED AUDITED FINANCIALS AND INDEPENDENT AUDITORFORM 990, PART XII, LINE 2BTHE MEMBERS OF THE GROUP ARE INCLUDED IN CONSOLIDATED AUDITED FINANCIALS AND MHS' AUDIT COMMITTEE SELECTS AN INDEPENDENT AUDITOR ON BEHALF OF THE CONSOLIDATED GROUP.
A-133 AUDITFORM 990, PART XII, LINES 3A AND 3BTHE FOLLOWING ORGANIZATION WAS REQUIRED TO UNDERGO AN AUDIT OR AUDITS, AND COMPLETED THE AUDIT, AS SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 AS A RESULT OF A FEDERAL AWARD: LBMMC.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateTotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MEMORIALCARE SURGICAL CNTR AT SADDLEBACK
24411 HEALTH CENTER DRIVE104LAGUNA HILLSCA92653203678259HEALTHCARECA80691325550352NA
MEMORIALCARE IMAGING CNTR - SAN CLEMENTE
675 CAMINO DE LOS MARES 101SAN CLEMENTECA92673270713649IMAGING CNTRCA29799713196743NA

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ANAHEIM MEMORIAL MEDICAL CENTER
1111 WEST LA PALMA AVENUEANAHEIMCA92801951966746HEALTHCARECA501(C)(3)9MHS
AMERICAN INST FOR PHILANTHROPIC STUDIES
2801 ATLANTIC AVENUELONG BEACHCA90801953756364PHILAN. EDU.CA501(C)(3)11, IIMMCF

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
MEMORIALCARE SURGICAL CENTER AT OC
9920 TALBERT AVENUEFOUNTAIN VALLEYCA92708261394069HEALTHCARE SVCSCANARELATED-11869394282668false$0false0.62000
MEMORIALCARE SURG CTR SADDLEBACK LLC
24411 HEALTH CENTER DRIVE SUITE 10LAGUNA HILLSCA92653203678259HEALTHCARE SVCANARELATED-10620240false$0false0.00000

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
NATIONAL HEALTHCARE SERVICES
330 GOLDEN SHORE AVENUELONG BEACHCA92802953496341MEDICAL SERVICESCANAC-CORP
ANAHEIM HEALTH FACILITIES SERVICE CORP
1111 WEST LA PALMA AVENUEANAHEIMCA928012881300026906MEDICAL CLINICCANAC-CORP
SADDLEBACK MEDICAL VENTURES
330 GOLDEN SHORE AVENUE 120LONG BEACHCA90802330308236MEDICAL SERVICESCANAC-CORP
MEMORIAL CONTINUING CARE
330 GOLDEN SHORE AVENUELONG BEACHCA92802330043615MEDICAL SERVICESCANAC-CORP
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (31 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
LONG BEACH MEMORIAL MEDICAL CENTER (SMMC)
O51757
SADDLEBACK MEMORIAL MEDICAL CENTER (LBMMC)
P51757
LONG BEACH MEMORIAL MEDICAL CENTER (SMMC)
P672526
SADDLEBACK MEMORIAL MEDICAL CENTER (LBMMC)
O672526
ORANGE COAST MEMORIAL MEDICAL CENTER (SMMC)
O124773
SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC)
P124773
ORANGE COAST MEMORIAL MEDICAL CENTER (SMMC)
P1741806
SADDLEBACK MEMORIAL MEDICAL CENTER (OCMMC)
O1741806
ORANGE COAST MEMORIAL MEDICAL CENTER (SMMC)
N229789
SADDLEBACK MEMORIAL MEDICAL CENTER (OCCMC)
N229789
MEMORIALCARE MEDICAL FOUNDATION (SMMC)
N1159684
SADDLEBACK MEMORIAL MEDICAL CENTER (MMF)
N1159684
SADDLEBACK MEMORIAL FOUNDATION (SMMC)
B200000
SADDLEBACK MEMORIAL FOUNDATION (SMMC)
C3957020
MEMORIALCARE SURG CNTR- ORANGE COAST (OCMMC)
A(IV)778859
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
P3535180
ORANGE COAST MEMORIAL MEDICAL CENTER (LBMMC)
O3535180
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
O1010379
ORANGE COAST MEMORIAL MEDICAL CENTER (LBMMC)
P1010379
ORANGE COAST MEMORIAL MEDICAL CENTER (LBMMC)
J116870
LONG BEACH MEMORIAL MEDICAL CENTER (OCMMC)
I116870
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
C4407813
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
O2571507
MEMORIAL MEDICAL CENTER FOUNDATION (LBMMC)
R6687731
MEMORIALCARE MEDICAL FOUNDATION (OCMMC)
O254895
ORANGE COAST MEMORIAL MEDICAL CENTER (MMF)
P254895
NATIONAL HEALTHCARE SERVICES
0
ANAHEIM HEALTH FACILITIES SERVICE CORPORATION
0
SADDLEBACK MEDICAL VENTURES
0
MEMORIAL CONTINUING CARE
0
AMERICAN INSTITUTE FOR PHILANTHROPIC STUDIES
0

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
IDENTIFICATION OF RELATED ORAGANIZATIONS TAXABLE AS A PARTNERSHIPSCHEDULE R, PART III1. MEMORIALCARE SURGICAL CENTER AT ORANGE COAST, LLC EIN: 26-1394069 ADDRESS: 9920 TALBERT AVENUE, FOUNTAIN VALLEY, CA 92708 2. MEMORIALCARE SURGICAL CENTER AT SADDLEBACK, LLC EIN: 20-3678259 ADDRESS: 24411 HEALTH CENTER DRIVE, #104, LAGUNA HILLS, CA 92653 THIS PARTNERSHIP HAD A TECHNICAL TERMINATION ON 9/30/2010 AND IS NOW A SINGLE MEMBER LLC.
TRANSACTIONS WITH RELATED ORGANIZATIONSSCHEDULE R, PART V, LINE 2THE NAME IN PARENTHESES IS THE NAME OF THE FILING ORGANIZATION WITH WHOM THE TRANSACTION WAS ENTERED INTO.

Affiliate Listing AffiliateListing

Affiliate Affiliate (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINName ControlNameControl
LONG BEACH MEMORIAL MEDICAL CENTER
2801 ATLANTIC AVELONG BEACHCA90806953527031LONG
MEMORIALCARE MEDICAL FOUNDATION
2742 DOW AVETUSTINCA92780271504911MEMO
ORANGE COAST MEMORIAL MEDICAL
9920 TALBERT AVEFOUNTAIN VLYCA92708330687414ORAN
SADDLEBACK MEMORIAL MEDICAL CENTER
24451 HEALTH CENTER DRLAGUNA HILLSCA92653952585792SADD