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PIH HEALTH DOWNEY HOSPTIAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
PIH HEALTH DOWNEY HOSPTIAL (EIN 95-1903935)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201241369349307774
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)
Timestamp2012-05-15T17:54:53-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1355 S Grand Ave Suite 2000AddressLine1
CityLos AngelesCity
StateCAState
ZIP Code90071ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN951903935EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Downey Community Hospital FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDOWNNameControl
Phone5629045251Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line111500 Brookshire AvenueAddressLine1
CityDowneyCity
StateCAState
ZIP Code90241ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKENNETH STROPLEName
TitlePRESIDENT & CEOTitle
Date Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2139724000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DOWNEY REGIONAL MEDICAL CTR HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKEN STROPLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line111500 BROOKSHIRE AVENUEAddressLine1
CityDOWNEYCity
StateCAState
ZIP Code90241ZIPCode
FieldValueIRS element (for citing)
Gross Receipts157712518GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DRMCI.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1956YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionDOWNEY REGIONAL MEDICAL CENTER-HOSPITAL PROVIDES THE SURROUNDING COMMUNITY WITH A COMPREHENSIVE RANGE OF INPATIENT ACUTE CARE SERVICES FOR MEDICAL, SURGICAL, PEDIATRIC, OBSTETRIC, & CRITICAL CARE PATIENTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees1512TotalNbrEmployees
Total Nbr Volunteers209TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year100000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year155469406ProgramServiceRevenuePriorYear
Program Service Revenue CY157113965ProgramServiceRevenueCY
Investment Income Prior Year-2689568InvestmentIncomePriorYear
Investment Income Current Year72649InvestmentIncomeCurrentYear
Other Revenue Prior Year635836OtherRevenuePriorYear
Other Revenue Current Year525904OtherRevenueCurrentYear
Total Revenue Prior Year153515674TotalRevenuePriorYear
Total Revenue Current Year157712518TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year85540032SalariesEtcPriorYear
Salaries Etc Current Year76749152SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year83945612OtherExpensePriorYear
Other Expenses Current Year92390544OtherExpensesCurrentYear
Total Expenses Prior Year169485644TotalExpensesPriorYear
Total Expenses Current Year169139696TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-15969970RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-11427178RevenuesLessExpensesCY
Total Assets BOY80666136TotalAssetsBOY
Total Assets EOY76061622TotalAssetsEOY
Total Liabilities BOY94436339TotalLiabilitiesBOY
Total Liabilities EOY100958149TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-13770203NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-24896527NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionCONSISTENT WITH THE MISSION OF DOWNEY REGIONAL MEDICAL CENTER, INC., THE MISSION OF DOWNEY REGIONAL MEDICAL CENTER-HOSPITAL IS TO PROVIDE THE HIGHEST QUALITY HEALTH CARE TO OUR PATIENTS, TO ASSESS AND ADDRESS ALL HEALTH CARE NEEDS OF OUR SERVICE AREA, AND TO PROVIDE A SYNERGISTIC SUPPORTIVE WORKING ENVIRONMENT FOR OUR PATIENTS, EMPLOYEES, PHYSICIANS AND VOLUNTEERS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense145781717Expense
Grants0Grants
Revenue157113965Revenue
DescriptionDOWNEY REGIONAL MEDICAL CENTER (DRMC) HAS PROVIDED ADVANCED HEALTH AND HEALING FOR THE RESIDENTS OF DOWNEY AND THE SURROUNDING COMMUNITIES FOR MORE THAN 50 YEARS, DELIVERING EVER-IMPROVING VALUE AND QUALITY TO PATIENTS. THIS PRIVATE, NON-PROFIT HOSPITAL RAPIDLY RESPONDS TO EMERGING PATIENT DESIRES. DRMC HAS APPLIED THE LATEST TECHNOLOGY AND SKILLS TO BECOME RECOGNIZED AS A PREMIERE HEALTHCARE FACILITY IN SOUTHEAST LOS ANGELES COUNTY. IT IS RANKED AS ONE OF THE 10 BEST HOSPITALS IN LOS ANGELES COUNTY. THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS, THE GOLD STANDARD FOR HEALTHCARE QUALITY AND SAFETY, AND THE MOST RESPECTED ACCREDITING BODY FOR HEALTHCARE PROVIDERS ALSO VALIDATE THIS REPUTATION WITH ABOVE AVERAGE SCORES. SPECIALIZED CARE IS PROVEDED BY DRMC THROUGH ITS EMERGENCY CARE CENTER, FAMILY BIRTH CENTER AND HEART CENTER, AS WELL AS HOME HEALTH, IMAGING, REHABILITATION AND SURGICAL SERVICES. IN ADDITION, DRMC HOSTS NUMEROUS SUPPORT GROUPS, COMMUNITY EDUCATION CLASSES AND OTHER OUTREACH EVENTS FOR PEOPLE OF ALL AGES. THE SENIOR CARE RESOURCES PROVIDE HEALTH FAIRS, LECTURES, HEALTH INFORMATION AND SCREENINGS SPECIFICALLY TARGETED FOR SENIORS. FOR MORE INFORMATION ON DOWNEY REGIONAL MEDICAL CENTER, VISIT THE WEBSITE AT WWW.DRMCI.ORG.Description
Total Program Service Expense145781717TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109678NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1512NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
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 BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledCAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonCHARLES SHIELDSNamePerson
Telephone Number5629045251TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line111500 BROOKSHIRE AVEAddressLine1
CityDOWNEYCity
StateCAState
ZIP Code90241ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JACK CAMPBELL
Director- EMERITUS3.0X000
RICHARD GUESS MD
DIRECTOR3.0X000
RAGAA ISKAROUS MD
DIRECTOR3.0X000
RONALD KOLAR
DIRECTOR3.0X000
J ARTHUR MORRIS
DIRECTOR3.0X000
KAROL MORRISON
DIRECTOR3.0X000
MD HOP MORRISON
DIRECTOR3.0X000
MARY LOU SCHMIDT
DIRECTOR3.0X000
MARK SCHNEIDER DO
DIRECTOR3.0X000
SAMUEL SMOCK
DIRECTOR3.0X000
KENNETH STROPLE
PRESIDENT & CEO40.0X414476017700X
SUSANNE SUNDBERG
CHAIRMAN3.0X000X
Jim BALL
1ST VICE CHAIRMAN/Treasurer3.0X000X
WILLIAM HARE
2ND VICE CHAIRMAN3.0X000X
BEVERLY MATHIS
SECRETARY3.0X000X
Lois Rossi
Director3.0X000
KAUSHAL TAMBOLI MD
DIRECTOR3.0X000
ROBERT ELLIOT FULLER
EXECUTIVE VP & COO40.033274807900X
GALEN GORMAN
Executive VP & CFO40.0312739017700X
JOSEFINA VELARDE
ICU RN40.0223305015751X
LELA LIBERTY ROSALES
OR RN40.0192514012897X
NOEMI GUEVARRA
ICU RN40.0207918015147X
WILLIAM GENE STEIN
VICE PRESIDENT ANCILLARY OPER.40.0224745013869X
LINDA TAEK BUDDINE
RN SUPERVISOR40.0189951013671X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2098396TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation114635TotalOtherCompensation
Number Individuals GT100 K84NumberIndividualsGT100K
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
CYMETRIX CORPORATION
PO BOX 51302LOS ANGELESCA90051COLLECTION SERVICES3535130
ARNOLD PORTER LLP
777 south figueroa street 4th flooLOS ANGELESCA900175844LEGAL952766
SOUTHLAND MGMT GROUP INC
3650 E SOUTH ST 301LAKEWOODCA90712HEMODIALYSIS562925
DOWNEY ANESTHESIA MEDICAL
5951 VARIEL AVENUEWOODLAND HILLSCA91367ANESTHETIC SERVICES335900
LEVENE NEALE BENDER YOO BRILL
10250 CONSTELLATION BLVD SUITE 17LOS ANGELESCA90067LEGAL248538
FieldValueIRS element (for citing)
Number Of Contractors GT100 K65NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES621110157025861157025861
MEDICAL TRAINING PROGRAM REVENUE6241005270052700
COMMUNITY EDUCATION REVENUE6241003540435404
FieldValueIRS element (for citing)
Total Program Service Revenue157113965TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column72649TotalRevenueColumn
Exclusion$72,649ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA900099308522$308,522
VENDING MACHINE90009921673$21,673
MEDICAL RECORD COPIES9000994725$4,725

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column190984TotalRevenueColumn
Exclusion$190,984ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue525904TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column157712518TotalRevenueColumn
Related Or Exempt Function Income157113965RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$598,553ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

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)
Total1033237Total
Program Services0ProgramServices
Management And General1033237ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total61164582Total
Program Services56883061ProgramServices
Management And General4281521ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1284837Total
Program Services1194898ProgramServices
Management And General89939ManagementAndGeneral
Fundraising0Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total8773086Total
Program Services8158970ProgramServices
Management And General614116ManagementAndGeneral
Fundraising0Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4493410Total
Program Services4178871ProgramServices
Management And General314539ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total3955541Total
Program Services0ProgramServices
Management And General3955541ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total380820Total
Program Services0ProgramServices
Management And General380820ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total39415803Total
Program Services36656697ProgramServices
Management And General2759106ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total3969Total
Program Services0ProgramServices
Management And General3969ManagementAndGeneral
Fundraising0Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2363025Total
Program Services2197613ProgramServices
Management And General165412ManagementAndGeneral
Fundraising0Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2037412Total
Program Services2037412ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total63592Total
Program Services63592ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total2595757Total
Program Services0ProgramServices
Management And General2595757ManagementAndGeneral
Fundraising0Fundraising

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4204902Total
Program Services4204902ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total2349223Total
Program Services2349223ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES197576231975762300
REORGANIZATION EXPENSE7052264070522640
BAD DEBT EXPENSE6248303624830300
CAFETERIA SUPPLIES1020162948751714110
OTHER OPERATING EXPENSES576383536036403470

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total365765Total
Program Services365765ProgramServices
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total169139696Total
Program Services145781717ProgramServices
Management And General23357979ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6320BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY6316586BOY
EOY3351894EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY685252EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26670467BOY
EOY24081514EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1692544BOY
EOY1797587EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2763060BOY
EOY8895243EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis133966102LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec108499926LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28600267BOY
EOY25466176EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6655915BOY
EOY5655461EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY-52608BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY8013585BOY
EOY6128495EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY80666136BOY
EOY76061622EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY23922705BOY
EOY72753289EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY20620016BOY
EOY12052241EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY5303796BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY425611BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY44164211BOY
EOY16152619EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY94436339BOY
EOY100958149EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-14072930BOY
EOY-25199254EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY302727BOY
EOY302727EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-13770203BOY
EOY-24896527EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80666136BOY
EOY76061622EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-11427178ReconcilationRevenueExpenses
Reconcilation Other Changes300854ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedfalseFSAudited
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule D IRS990ScheduleD

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3239242OtherCostOrOtherBasis
Book Value3239242BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5220110OtherCostOrOtherBasis
Depreciation5220110Depreciation
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis56803334OtherCostOrOtherBasis
Depreciation46990459Depreciation
Book Value9812875BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis70230611OtherCostOrOtherBasis
Depreciation63962368Depreciation
Book Value6268243BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6145816OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value6145816BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings25466176TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INTERCOMPANY-DRMCI984428
INTERCOMPANY-DRMC PROPERTIES5144067
FieldValueIRS element (for citing)
Total Book Value Other Assets6128495TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED SHARED RISK$1,608,299
UHC/PACIFICARE ADVANCE$2,055,889
MANAGED CARE IBNR$8,517,191
ACCRUED DEFERRED COMPENSATION$1,656,823
A/R CREDIT BALANCE$1,305,846
OTHER LIABILITIES$1,008,571
FieldValueIRS element (for citing)
Total Of Amounts16152619TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage350.FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage406.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CarefalseAmountsBudgetedForCharityCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense10188665TotalCommunityBenefitExpense
Net Community Benefit Expense10188665NetCommunityBenefitExpense
Percent Of Total Expense0.04030PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense53026269TotalCommunityBenefitExpense
Direct Offsetting Revenue50953269DirectOffsettingRevenue
Net Community Benefit Expense2073000NetCommunityBenefitExpense
Percent Of Total Expense0.00820PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense133662581TotalCommunityBenefitExpense
Direct Offsetting Revenue121262406DirectOffsettingRevenue
Net Community Benefit Expense12400175NetCommunityBenefitExpense
Percent Of Total Expense0.04900PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense196877515TotalCommunityBenefitExpense
Direct Offsetting Revenue172215675DirectOffsettingRevenue
Net Community Benefit Expense24661840NetCommunityBenefitExpense
Percent Of Total Expense0.09750PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1188106TotalCommunityBenefitExpense
Net Community Benefit Expense1188106NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense189204TotalCommunityBenefitExpense
Net Community Benefit Expense189204NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense195473TotalCommunityBenefitExpense
Net Community Benefit Expense195473NetCommunityBenefitExpense
Percent Of Total Expense0.00080PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense1572783TotalCommunityBenefitExpense
Net Community Benefit Expense1572783NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense198450298TotalCommunityBenefitExpense
Direct Offsetting Revenue172215675DirectOffsettingRevenue
Net Community Benefit Expense26234623NetCommunityBenefitExpense
Percent Of Total Expense0.10370PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$6,248,303BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare41400049AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare37349749CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall4050300MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Downey Regional Medical Center-HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line111500 Brookshire AvenueAddressLine1
CityDowneyCity
StateCAState
ZIP Code90241ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Downey Regional Medical Center-HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE H, PART I, LINE 3CThe organization uses the Federal Poverty Guidelines (FPG) to determine eligibility for providing free and discounted care to low income individuals.
SCHEDULE H, PART I, LINE 6AThe Hospital's Community Benefit report is filed on a separate basis and is not included in a report prepared by a related organization.
SCHEDULE H, PART I, LINE 7GThe Hospital did not include any costs attributable to a physician clinic in the amounts listed in the table at Part I line 7g, subsidized health services.
SCHEDULE H, PART I, LINE 7, COLUMN F$6,248,303 in bad expenses included in Form 990, Part IX, line 25 was subtracted for purposes of calculating the percentages in this column.
SCHEDULE H, PART I, LINE 7 TABLEThe methodology for calculating unpaid costs in government programs, care for the uninsured, and charity care is based on Downey Regional Medical Center's payor-specific cost-to-charge ratios, offset by (any) actual payments received. Physician services include backup services in the emergency and surgical areas to cover the cost of physicians on call for uninsured patients. Psychiatric services include those provided to hospitalized patients. Unreimbursed costs may include an hourly rate for labor and actual costs for supplies, materials and other purchased services. Any offsetting revenue is deducted from the costs of providing services. Unreimbursed costs were estimated by each department responsible for providing the program/service. The payor-specific cost-to-charge system covers all patient segments, e.g. inpatient, outpatient, self-pay, uninsured, Medicare and Medicaid, etc. Schedule H, part II Community Building Activities: IN FISCAL YEAR ENDING 2011, SOME OF THE activities conducted by Downey Regional Medical Center in support of the above objectives included the following: charity care for patients without the ability to pay for necessary treatment, absorbing the unpaid costs of care for the uninsured and patients with Medi-Cal and Medicare, financial assistance programs for uninsured and underinsured patients, providing payment for physician services in the Medical Center's Emergency Care Center and Surgical Services, offering community health events and education, support and participation in community organizations and committees, and health education and training programs for students attending area nursing and allied health schools, colleges and universities, as well as ongoing professional training for hospital nursing and other staff. The economic value of community benefits provided by Downey Regional Medical Center in Fiscal Year Ending 2011 is estimated at $26,234,623.
SCHEDULE H, PART III, LINE 4The Hospital determines the amount reported in Part III lines 2 and 3 based on the cost-to-charge ratios discussed above.
SCHEDULE H, PART III, LINE 8The Hospital prepares Medicare cost reports in accordance with Provider Reimbursement Manual (PRM) 2150ff and PRM 15-2, 1000ff, as follows: Total allowable costs of a provider are apportioned between program beneficiaries and other patients so that the share borne by the program is based upon actual services received by program beneficiaries. The ratio of covered beneficiary charges to total patient charges for the services of each ancillary department is applied to the cost of the department. Added to this amount is the cost of routine services for program beneficiaries, determined on the basis of a separate average cost per diem for all patients for general routine patient care areas. In hospitals, another factor to be considered is a separate average cost per diem for each intensive care unit, coronary care unit, and other special care inpatient hospital units.
SCHEDULE H, PART III, LINE 9BDowney Regional Medical Center as part of its mission provides charity care to patients who do not have adequate insurance coverage and/or financial resources to pay their Hospital bills. This policy ensures that DRMC is in compliance with the guidelines set forth in the Accounting and Reporting Manual of the California Hospitals published by the State of California, Office of the Statewide Health Planning Development. Downey Regional Medical Center pre-screens patients for possible charity eligibility at pre-registration, registration, discharge, and at any other time the facility staff encounters information detailing the patient's financial need. Charity is re-screened throughout the revenue cycle by Financial Counseling, Patient Financial Services, and any vendor we assign responsibility to, when events trigger review. If DRMC has initiated external collection activities and then discovers a request for charity review has been made, the collections process will continue until a financial assessment has been made. We will inform the collection agencies of our financial assessment review. Charity eligibility will be evaluated on the current financial status of the patient or guarantor, to allow for recent financial hardships that result in a newfound need for charity service. The guarantor of payment must make all attempts by either signing a Promissory Note for Installment Payments or a request for partial charity service. In the case of charity denial, the patient will have thirty (30) calendar days to appeal the decision, correct any deficiencies in documentation, or request a review of the denial. Within the first thirty (30) days following a charity denial, DRMC will not refer the patient account to any external collection agency. If no appeal or request for review is made during that thirty-day period, DRMC will initiate external collection activities at the appropriate account age. Accounts may be returned from bad debt status if financial circumstances warrant and charity may be applied. Patients who are approved for financial assistance and who have existing hospital accounts in bad debt status may have those past accounts reviewed on a case by case basis, to determine if they qualify for reclassifying the existing bad debt accounts to charity status. If patients do not provide the necessary documentation to be considered for financial assistance, or if a patient does not respond to offers of financial assistance, the Hospital's Patient Financial Services departement will utilize outside sources of information to determine eligibility. Debt collection agencies engaged in collecting self pay balances on behalf of the Hospital will provide written notices to patients regarding the availability of financial assistance for uninsured and/or underinsured patients during the collection process. Debt collection agencies are required to treat patients fairly, may only contact patients between 8am and 9pm; and generally may not give information about the patient's debt to another person.
SCHEDULE H, PART VThe hospital does not have other unlicensed facilities.
SCHEDULE H, PART VI, LINE 2IN 2010, DOWNEY REGIONAL MEDICAL CENTER COMPLETED A COMMUNITY NEEDS ASSESSMENT. FIRST, THE HOSPITAL VERIFIED ITS SERVICE AREA DEFINITION TO FOCUS ON THE COMMUNITIES SURROUNDING THE HOSPITAL. NEXT, A COMPREHENSIVE WORK PLAN - INCLUDING BOTH PRIMARY AND SECONDARY DATA - WAS ESTABLISHED. THE WORK PLAN FOCUSED ON A THOROUGH DESCRIPTION OF SERVICE AREA DEMOGRAPHICS, COMMUNITY HEALTH STATUS (REVIEWING INDICATORS RELATED TO AVAILABILITY OF HEALTH INSURANCE, LEADING CAUSES OF DEATH, PREVENTABLE HOSPITALIZATIONS, BIRTH-RELATED OUTCOMES, AND AGE-SPECIFIC HEALTH CONSIDERATIONS), AND CONSULTATION WITH THE COMMUNITY REGARDING IMPORTANT HEALTH ISSUES. AT THE CONCLUSION OF THE ASSESSMENT, THE REPORT WAS DISTRIBUTED AND REVIEWED BY ADMINISTRATION. the FINDINGS OF THE NEEDS ASSESSMENT ARE USED BY MEDICAL CENTER STAFF IN THEIR PLANNING OF HEALTH-RELATED PROGRAMS.NEEDS ASSESSMENT:
SCHEDULE H, PART VI, LINE 3All patients are provided with a written notice that contains information about the availability of the Hospital's Financial Assistance policy, including information about eligibility, as well as contact information for a hospital employee or office from which the person may obtain further information about these policies. The notice shall be provided in English and in other languages. Notice of the Hospital's Financial Assistance policy is clearly and conspicuously posted in locations that are visible to the public, including, but not limited to, all of the following: o Emergency Department o Patient Financial Services o Patient Registration o Outpatient Surgical Center o Rehabilitation Department Determination of financial assistance is generally made at the time of admission, or shortly thereafter. However, events after discharge could change the ability of the patient to pay. All Hospital Financial Asistance requests are referred to either the Eligiblity Representatives or a Patient Financial Services representative. In the event an outsource agency discovers a patient that may qualify under the Hospital's guidelines, they will refer those patients to the appropriate Hospital personnel.PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE
SCHEDULE H, PART VI, LINE 4The needs assessment included a summary of population and household demographics, measures related to access to health care, mortality, maternal and infant health, child and adolescent health, adult health, and senior health; and findings from community consultations. The hospital uses the findings of the 2010 needs assessment in the preparation of community benefits plans for the next three fiscal years, in accordance with Senate Bill 697 (community benefits legislation for not-for-profit hospitals). Downey Regional Medical Center, located in Downey, defined its service area for purposes of the 2010 Community Needs Assessment to include the following communities: o Downey o Bell o Bellflower o Cerritos o Huntington Park o Lynwood o Maywood o Norwalk o Paramount o Pico Rivera o Santa Fe Springs o South Gate THE SERVICE AREA POPULATION (2010) IS ESTIMATED AT 873,937 PERSONS. THE POPULATION IN THE SERVICE AREA IS FORECAST TO INCREASE 2.7 PERCENT IN THE NEXT FIVE YEARS. GROWTH PROJECTIONS FOR HOUSEHOLDS AND FAMILIES ARE ESTIMATED TO INCREASE 1.8 PERCENT AND 1.8 PERCENT. TO ASSIST WITH PROVIDING CONTEXT TO THE SERVICE AREA DEMOGRAPHICS, KEY STATISTICS ARE COMPARED TO LOS ANGELES COUNTY FOR 2010. OF NOTE, IN COMPARISON TO LOS ANGELES COUNTY, THE SERVICE AREA HAS A HIGHER PROPORTION OF: HISPANIC RESIDENTS; PERSONS SPEAKING SPANISH AT HOME; ADULTS WITH LESS THAN A 9TH GRADE EDUCATION, SOME HIGH SCHOOL (NO DIPLOMA), AND HIGH SCHOOL GRADUATES; EMPLOYED PERSONS WITH BLUE COLLAR OCCUPATIONS; HOUSEHOLDS WITH 3 OR MORE PERSONS, HOUSEHOLDS WITH INCOMES FROM $15,000 TO $99,999; HOUSEHOLDS HEADED BY PERSONS 65 YEARS AND OLDER; OWNER OCCUPIED HOUSEHOLDS; HOUSEHOLDS WITH NO CHILDREN UNDER AGE 18 YEARS PRESENT; AND FAMILIES BELOW THE POVERTY LEVEL. Population characteristics correlated with health status include age 65 years and older, cultural diversity (persons of non-Hispanic White race/ethnicity), language spoken at home (persons five years and older speaking Spanish or Asian/Pacific Island languages), educational attainment (persons 25 years and older with less than a high school degree or GED), household income, and poverty level (families below the poverty level). The closure by Los Angeles County of Martin Luther King Harbor Hospital has continued to place pressures on Downey Regional Medical Center. The majority of the inpatients at the MLK Harbor Hospital were Medi-Cal beneficiaries. As these patients seek other hospitals to receive services, many will continue to be brought to or come to Downey Regional due to its proximity.COMMUNITY INFORMATION
SCHEDULE H, PART VI, LINE 5DURING FISCAL YEAR ENDed 2011, DOWNEY REGIONAL MEDICAL CENTER CONTINUED TO PURSUE THE FOLLOWING OBJECTIVES: 1. To continue to provide affordable and accessible health care services. 2. To continue the development of health education, promotion and wellness services to improve the health status of the community. 3. To continue to coordinate efforts with education and training programs. Many of the Hospital's governing body is comprised of persons who reside in the Hospital's primary service area who are neither employees nor contractors of the Hospital nor family members thereof. The Hospital extends medical staff privileges to all qualified physicians in its community for some or all of its deparments. The Hospital applies surplus funds to continuing and improving healthcare operations in the community.PROMOTION OF COMMUNITY HEALTH
SCHEDULE H, PART VI, LINE 7A COMMUNITY BENEFIT REPORT IS FILED IN THE STATE OF CALIFORNIA.STATE FILING OF COMMUNITY BENEFIT REPORT:

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 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
KENNETH STROPLE
36195704752004999000177000432176000
ROBERT ELLIOT FULLER
27526502392503355800079000340648000
JOSEFINA VELARDE
2133890209107825000157510239056000
LELA LIBERTY ROSALES
1875140005000000128970205411000
NOEMI GUEVARRA
1993250368504908000151470223065000
GALEN GORMAN
3127390000000177000330439000
WILLIAM GENE STEIN
18729300037452000138690238614000
LINDA TAEK BUDDINE
1849510005000000136710203622000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierTax indemnification and gross-up paymentsIdentifier
Return ReferenceSCHEDULE J, PART I, LINE 1AReturnReference
ExplanationThe Organization provided gross-up payments for the employee's share of their HMO coverage for the executives, including the CEO, COO and CFO. These amounts were included in taxable compensation for each person who received this benefit.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
AUDITED FINANCIAL STATEMENTSPART IV, LINE 20BTHE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS for the year ended June 30, 2011, are in process and HAVE NOT yet BEEN ISSUED. ELECTION OF MEMBERS TO THE GOVERNING BODY Part VI, Line 7A THE ORGANIZATION HAS ONE MEMBER, DOWNEY REGIONAL MEDICAL CENTER, INC., A 501(C)(3) ORGANIZATION. THE MEMBER MAY APPOINT OR REMOVE HOSPITAL DIRECTORS.
APPROVAL OF DECISIONSPART VI, LINE 7BThe powers and authority of the member includes the following: to establish the mission, long-range goals, strategies, corporate policies and performance criteria for the Hospital; to direct funds not required for day-to-day operations of the hospital to be transferred to the corporate account; to approve dissolution, merger or consolidation of the hospital; to amend or restate the articles of incorporation or the bylaws; to change or approve the change of the purposes of the hospital; to approve the annual budget and long-term capital and operational budgets; to approve independent auditors; to enter into any agreement for the sale, lease, exchange, mortgage, pledge, or other disposition or gift of all, or substantially all of the property and assets of the hospital; and to enter into agreements or incur debts. The actions of the hospital's board of directors are subject to the ultimate authority of the member.
PROCESS TO REVIEW FORM 990PART VI, LINE 10The Board of Directors has delegated the review of the Form 990 to the CEO. The organization's Director of Accounting works closely with the outside accounting firm it engages to review the return; and the final draft of Form 990 is also reviewed by the CFO prior to providing the final draft to the Board of Directors. In addition to consulting with the CFO, the Director of Accounting also met with various personnel involved in the preparation process of the return. Also, the CFO worked closely with the accounting firm hired to prepare and review the Form 990. Subsequent to the review, the CEO reports back to the Board regarding the oversight of the Form 990 and the final draft is provided to the entire voting Board before the return is filed.
MONITORING AND ENFORCEMENT OF CONFLICT OF INTEREST POLICYPART VI, LINE 12CAn annual conflict of interest disclosure, aimed at determining any family and business relationships and transactions or other transactions that may pose a potential conflict, is distributed to all covered persons (i.e., board members, officers, key employees, and executive leadership). Covered persons are required to disclose real or potential conflicts at the time when such conflicts arise. The completed questionnaires are reviewed by the Board of Directors. The procedures for addressing any conflict of interest includes, but is not limited to, the following: (1) the conflicting interst is fully disclosed to the Board; (2) the interested person responds to factual questions related to the substance of the transaction or arrangement being considered, after which he/she shall leave the meeting; (3) the person with the conflict of interest is excluded from the discussion and approval of such transaction; (4) alternatives to the proposed transaction are investigated, and competitive bids or comparable valuations are obtained; (5) any conflicting issues during the course of a Board meeting which cannot be resolved is referred to the Governance Committee; and (6) the transaction or action must be approved by a majority of disinterested persons.
PROCESS FOR DETERMINING COMPENSATIONPART VI, LINE 15 A and BThe Board appoints a Compensation Committee, comprised solely of independent directors, none of which have a conflict of interest with respect to the compensation arrangement, to be accountable for setting reasonable compensation packages for the Chief Executive Officer, the Chief Financial Officer, and the Chief Operating Officer. The Compensation Committee develops, consistent with the organization's philosophy and principles, the annual performance goals and criteria to be used in determining merit increases and variable compensation criteria for officers and key employees. The Compensation Committee also may hire a qualified independent compensation and benefits specialist (independent expert) to review, analyze and provide benchmarking data for the total compensation and benefits packages of officers and key employees. Appropriate comparability data is obtained from the independent sources (last obtained in 2007 and NO RAISES FOR COVERED PERSONS HAVE BEEN GIVEN POST-2007), i.e., total economic benefits paid by similarly situated organizations (both taxable and tax-exempt) for similar job responsibilities. The Committee's written records include the Key deliberations of the Committee, including: (A) The terms of the transaction that was approved and the date it was approved; (B) The members of the authorized body who were present during debate on the transaction that was approved and those who voted on it; (C) The comparability data obtained and relied upon by the authorized body and how the data was obtained; and (D) Any actions taken with respect to consideration of the transaction by anyone who is otherwise a member of the authorized body but who had a conflict of interest with respect to the transaction are also documented in minutes which are approved at the next Committee meeting. The review of other officer and key employee compensation packages are delegated to the CEO and the recommendations are reviewed, approved and documented by the Board (as described above). Benchmarking data is obtained from multiple sources in determining appropriate total economic benefits.
DOCUMENTS AVAILABLE TO THE PUBLICPART VI, LINE 19While federal tax laws do not mandate that the organization's governing documents, conflict of interest policy and financial statements be made available for public inspection, the organization makes these documents available upon request.
OTHER CHANGES IN NET ASSETSPART XI, LINE 5PRIOR YEAR ADJUSTMENT $300,854

Schedule R IRS990ScheduleR

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
DOWNEY REGIONAL MEDICAL CENTER INC
11500 BROOKSHIRE AVENUEDOWNEYCA90241954504845SUPPO. ORGANICA501(C)(3)11aNA
MEMORIAL TRUST FOUNDATION OF DOWNEY REGI
11500 BROOKSHIRE AVENUEDOWNEYCA90241203883428FUNDRAISINGCA501(C)(3)11aNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
DRMC PROPERTIES
11500 BROOKSHIRE AVENUEDOWNEYCA90241954769768REAL ESTATECADRMC INCC CORP001.00000
DRMC INSURANCE SERVICES
11500 BROOKSHIRE AVENUEDOWNEYCA90241953967987INSURANCECADRMC INCC CORP001.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
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 OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg