BAKERSFIELD MEMORIAL HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: BAKERSFIELD MEMORIAL HOSPITAL (EIN 95-1802779)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-05-05
IRS object ID: 201101259349301575
Schema version: 2009v1.7
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-05-05T17:09:33-05:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	55 SECOND STREET SUITE 1400	AddressLine1
City	SAN FRANCISCO	City
State	CA	State
ZIP Code	94105	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	951802779	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Bakersfield Memorial Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	BAKE	NameControl
Phone	6613271792	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 1888	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	933011888	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jon Van Boening	Name
Title	PRESIDENT	Title
Date Signed	2011-05-04	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	4159635100	Phone

Field	Value	IRS element (for citing)
Tax Year	2009	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	Jon Van Boening	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	420 34th Street	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	283943165	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	WWW.CHWHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1951	YearFormation
State Legal Domicile	CA	StateLegalDomicile
Activity Or Mission Description	TO PROVIDE MEDICAL AND HEALTHCARE SERVICES TO THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	12	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	1668	TotalNbrEmployees
Total Nbr Volunteers	17	TotalNbrVolunteers
Total Gross UBI	2323158	TotalGrossUBI
Net Unrelated Business Txbl Income	-451841	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3047283	ContributionsGrantsPriorYear
Contributions Grants Current Year	1025853	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	248651879	ProgramServiceRevenuePriorYear
Program Service Revenue CY	261609627	ProgramServiceRevenueCY
Investment Income Prior Year	1647035	InvestmentIncomePriorYear
Investment Income Current Year	2326484	InvestmentIncomeCurrentYear
Other Revenue Prior Year	1850581	OtherRevenuePriorYear
Other Revenue Current Year	1842322	OtherRevenueCurrentYear
Total Revenue Prior Year	255196778	TotalRevenuePriorYear
Total Revenue Current Year	266804286	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	86742	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	160996	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	127364665	SalariesEtcPriorYear
Salaries Etc Current Year	137203445	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	248047	TotalFundrsngExpCurrentYear
Other Expense Prior Year	101025124	OtherExpensePriorYear
Other Expenses Current Year	112619705	OtherExpensesCurrentYear
Total Expenses Prior Year	228476531	TotalExpensesPriorYear
Total Expenses Current Year	249984146	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	26720247	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	16820140	RevenuesLessExpensesCY
Total Assets BOY	312328165	TotalAssetsBOY
Total Assets EOY	325887074	TotalAssetsEOY
Total Liabilities BOY	127115283	TotalLiabilitiesBOY
Total Liabilities EOY	123865147	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	185212882	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	202021927	NetAssetsOrFundBalancesEOY
Mission Description	BAKERSFIELD MEMORIAL HOSPITAL IS DEDICATED TO DELIVERING HEALTH SERVICES THAT ARE COMPASSIONATE, HIGH-QUALITY AND AFFORDABLE. WE PROMOTE HEALTHY LIFESTYLES AS AN INTEGRAL PART OF THE COMMUNITY WE SERVE, WITH A SPECIAL CONCERN FOR THE UNDERSERVED.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	182138501	Expense
Grants	160996	Grants
Revenue	211663064	Revenue
Description	BAKERSFIELD MEMORIAL HOSPITAL'S MISSION IS TO CONTRIBUTE TO THE HEALTH OF THE COMMUNITY THROUGH THE PROVISION OF QUALITY SERVICES DELIVERED IN A COMPASSIONATE AND COST EFFECTIVE MANNER. THE HOSPITAL HAS 430 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 116,381; EMERGENCY VISITS OF 59,071; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 8,430; AND INPATIENT AND OUTPATIENT CARDIAC PROCEDURES OF 6,394. BMH HAS A 24-HOUR EMERGENCY ROOM AND PROVIDES SERVICES TO BENEFICIARIES OF THE MEDICARE PROGRAM AS WELL AS A WIDE RANGE OF COMMERCIALLY INSURED. BMH ALSO PROVIDES SERVICES TO INDIVIDUALS WITHOUT THE ABILITY TO PAY - SERVICES FOR WHICH BMH RECEIVES NO REIMBURSEMENT FROM ANY OUTSIDE SOURCE. INPATIENT SERVICES: ACUTE MEDICAL/SURGICAL CARE/PSYCHIATRIC, SKILL NURSING; CANCER CENTER; CARDIOVASCULAR SURGERY; CARDIAC CATHETERIZATION LAB; EMERGENCY/QUICK CARE; INTENSIVE CARE; PHARMACY; SURGERY; SPEECH PATHOLOGY; SOCIAL SERVICES; RESPIRATORY CARE; PHYSICAL THERAPY; TRANSITIONAL CARE UNIT AND WOMEN AND INFANT CARE UNIT. OUTPATIENT SERVICES: AMBULATORY TREATMENT CENTER; CARDIAC REHABILITATION; CARDIOPULMONARY; DIAGNOSTIC IMAGING; LABORATORY; OUTPATIENT SURGERY CENTER; REHABILITATION SERVICES; AND WELLNESS/OCCUPATIONAL MEDICINE. SUPPORT SERVICES: CHAPLAINCY PROGRAM; EDUCATIONAL SERVICES; HEALTH SCIENCES LIBRARY; AS WELL AS SUPPORT, TIME AND MONEY TO ORGANIZATIONS AND INDIVIDUALS THROUGHOUT THE COMMUNITY.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	23036943	Expense
Grants	0	Grants
Revenue	26185353	Revenue
Description	CARDIOLOGY SERVICE LINE	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20174049	Expense
Grants	0	Grants
Revenue	21558850	Revenue
Description	ORTHOPEDICS SERVICE LINE	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	225349493	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Balance Sheet Amounts Reported	true	BalanceSheetAmountsReported
Independent Audit Financial Stmt	false	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	true	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	206	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1668	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Nbr Voting Governing Body Members	12	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	CA	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JOHN HOLBERT CONTROLLER	NamePerson
Telephone Number	6613274647	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	420 34TH STREET	AddressLine1
City	BAKERSFIELD	City
State	CA	State
ZIP Code	93301	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
Stephen T Clifford
Director	8.0	X	0	0	0
Dr John R Findley
Director	8.0	X	0	0	0
D Bradley Hannink
Director	8.0	X	0	0	0
Dr Susan P Helper
Director	8.0	X	0	0	0
Russell Judd
Director	8.0	X	0	586776	65218
Dr Javier Miro
Director	8.0	X	0	0	0
Dr Madan Mukhopadhyay
Director	8.0	X	0	0	0
Sandra Serrano
Director	8.0	X	0	0	0
Robert Noriega
Secretary / Treasurer	8.0	X	0	0	0	X
Edward H Shuler
Vice Chairman	8.0	X	0	0	0	X
Thomas W Smith
Chairman	8.0	X	0	0	0	X
Jon Van Boening
Service Area Leader	40.0	X	0	572558	71973	X
Jesica Hanson
CFO	40.0		204514	0	27087	X
Terri Church
VP / CNE	40.0		207863	0	19435		X
Sheri Comaianni
VP / HR	40.0		195513	0	16328		X
Dr Robert Marshall
VP / MA	40.0		280870	0	27317		X
Bruce Peters
VP/COO	40.0		262722	0	37011		X
Dr Rodney Mark Root
VP/MA	40.0		0	0	0		X
Whabong Anderson
Registered Nurse	40.0		264470	0	22264			X
Editha Lolin
Registered Nurse	40.0		249211	0	25564			X
David J Lozano
Director of Pharmacy	40.0		196710	0	28415			X
Karen J Simpson
Registered Nurse	40.0		201190	0	16036			X
Gena L Cook
Registered Nurse	40.0		180561	0	28714			X
Jim Eppink
Former Key Employee			141041	0	7087				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	2384665	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	1159334	TotalReportableCompFrmRltdOrgs
Total Other Compensation	392449	TotalOtherCompensation
Number Individuals GT100 K	224	NumberIndividualsGT100K
Formers Listed	true	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
TRAVEL NURSE SOLUTIONS LLC
3500 BLUE LAKE DR SUITE 290	BIRMINGHAM	AL	35243	Medical Services	774154
CROSS COUNTRY TRAVCORPS
LA LOCKBOX FILE 50941	LOS ANGELES	CA	900740941	Traveling Nurse Serv	743873
HARRISON MARKETING ADVERTISING
5001 CALIFORNIA AVE STE 209	BAKERSFIELD	CA	93309	Advertising	559378
MICHAEL K BROWN LANDSCAPE INC
3541 ALKEN ST	BAKERSFIELD	CA	93308	Landscaping	438649
AUREUS NURSING LLC
PO BOX 3037	OMAHA	NE	681030037	Traveling Nurse Serv	425535

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	36	NumberOfContractorsGT100K
Related Organizations	747589	RelatedOrganizations
All Other Contributions	278264	AllOtherContributions
Total Contributions	1025853	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
PATIENT REV/CHARITY CARE	900099	177440445	177440445
MEDICARE/MEDICAID PAYMENTS	900099	81547021	81547021
KERN HOME HEALTH RESOURCES	621610	390891	390891
LABORATORY	621500	2202360		2202360
MEDICAL OFFICE BUILDING RENTS	621110	21909	21909

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	7001	TotalRevenueColumn
Related Or Exempt Function Income	7001	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	261609627	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	1659615	TotalRevenueColumn
Exclusion	$1,659,615	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	2250	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	2250	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	2250	TotalRevenueColumn
Exclusion	$2,250	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	17449798	Securities
Other	355950	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	16776929	Securities
Other	361950	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	672869	Securities
Other	-6000	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	666869	TotalRevenueColumn
Exclusion	$666,869	ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	ExclusionExclusionAmount	Unrelated Business RevenueUnrelatedBusinessRevenue
CAFETERIA REVENUE	900099	816277	$816,277
GIFT SHOP	900099	490001	$490,001
MANAGEMENT SERVICES (JV)	541610	52500		52500

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	481294	TotalRevenueColumn
Unrelated Business Revenue	68298	UnrelatedBusinessRevenue
Exclusion	$412,996	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	1840072	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	266804286	TotalRevenueColumn
Related Or Exempt Function Income	259407267	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	2323158	UnrelatedBusinessRevenue
Exclusion	$4,048,008	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	160996	Total
Program Services	160996	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1601699	Total
Program Services	1517367	ProgramServices
Management And General	81922	ManagementAndGeneral
Fundraising	2410	Fundraising

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	27000	Total
Program Services	27000	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	107814428	Total
Program Services	103165368	ProgramServices
Management And General	4487825	ManagementAndGeneral
Fundraising	161235	Fundraising

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6095452	Total
Program Services	5164979	ProgramServices
Management And General	914318	ManagementAndGeneral
Fundraising	16155	Fundraising

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	14828351	Total
Program Services	12595839	ProgramServices
Management And General	2224379	ManagementAndGeneral
Fundraising	8133	Fundraising

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	6836515	Total
Program Services	5786525	ProgramServices
Management And General	1025477	ManagementAndGeneral
Fundraising	24513	Fundraising

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	392343	Total
Management And General	392343	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	93761	Total
Management And General	93761	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	102395	Total
Management And General	102395	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22080565	Total
Program Services	16522372	ProgramServices
Management And General	5548072	ManagementAndGeneral
Fundraising	10121	Fundraising

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1102423	Total
Management And General	1102423	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	7627902	Total
Program Services	6837418	ProgramServices
Management And General	771826	ManagementAndGeneral
Fundraising	18658	Fundraising

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7797107	Total
Program Services	5847830	ProgramServices
Management And General	1949277	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3635147	Total
Program Services	3051284	ProgramServices
Management And General	583763	ManagementAndGeneral
Fundraising	100	Fundraising

Travel Travel

Field	Value	IRS element (for citing)
Total	135386	Total
Program Services	50665	ProgramServices
Management And General	84417	ManagementAndGeneral
Fundraising	304	Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	282457	Total
Program Services	84737	ProgramServices
Management And General	197720	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5927105	Total
Program Services	5927105	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	9104038	Total
Program Services	7727758	ProgramServices
Management And General	1376280	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	750594	Total
Program Services	630527	ProgramServices
Management And General	115551	ManagementAndGeneral
Fundraising	4516	Fundraising

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral	FundraisingFundraising
BAD DEBT EXPENSE	8997958	8997958
LICENSES & TAXES	267499	160003	107336	160
DUES & SUBSCRIPTIONS	368947	100748	266457	1742
MEDICAL SUPPLIES	40021885	40021885
RECRUITING	1044901		1044901

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	2887292	Total
Program Services	971129	ProgramServices
Management And General	1916163	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	249984146	Total
Program Services	225349493	ProgramServices
Management And General	24386606	ManagementAndGeneral
Fundraising	248047	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	2550	BOY
EOY	3000	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	103319146	BOY
EOY	116813654	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	39205064	BOY
EOY	32461624	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3143328	BOY
EOY	2274861	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	3494394	BOY
EOY	3821291	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3912246	BOY
EOY	1408690	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	278759494	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	153880107	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	130562948	BOY
EOY	124879387	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	18837182	BOY
EOY	21269797	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	4677910	BOY
EOY	5095995	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	4548921	BOY
EOY	17840775	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	624476	BOY
EOY	18000	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	312328165	BOY
EOY	325887074	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	17199761	BOY
EOY	21284035	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	299585	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	35000000	BOY
EOY	35000000	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	74615937	BOY
EOY	67581112	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	127115283	BOY
EOY	123865147	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	181002723	BOY
EOY	198754952	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	4140159	BOY
EOY	3196975	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	70000	BOY
EOY	70000	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	185212882	BOY
EOY	202021927	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	312328165	BOY
EOY	325887074	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

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

Contributor Address US ContributorAddressUS

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

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	true	GrantsOtherOrganizations
Grants Other Organizations	$17,974	GrantsOtherOrganizationsAmount
Direct Contact Legislators	false	DirectContactLegislators
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	false	OtherActivities
Total Lobbying Expenditures IIB	17974	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	PART II-B, LINE 1F	Identifier
Explanation	Lobbying expenditures paid by the Parent organization for annual membership dues where expenses are allocated to the hospital: American Hospital Association $1,300 Catholic Health Association $1,931 Hospital Association of So. Cal $14,743 ========== TOTAL $17,974	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Contributions	70000	Contributions
End Of Year Balance	70000	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	true	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	true	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4943176	OtherCostOrOtherBasis
Book Value	4943176	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	179069945	OtherCostOrOtherBasis
Depreciation	81793315	Depreciation
Book Value	97276630	BookValue

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovements

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	88523380	OtherCostOrOtherBasis
Depreciation	69795820	Depreciation
Book Value	18727560	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6222993	OtherCostOrOtherBasis
Depreciation	2290972	Depreciation
Book Value	3932021	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	124879387	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (2 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INTEREST IN BAK MEM HOSP FDN	3266975	F
INVSTMENT IN HLTH RELATED ORGS	14573800	F

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	17840775	TotalOfBookValueProgramRelated
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescription	AmountAmount
DUE TO RELATED PARTIES	$63,886,630
OTHER NON-CURRENT LIABILITIES	$97,101
PENSION PAYABLE	$3,572,381
DEFERRED COMPENSATION	$25,000

Field	Value	IRS element (for citing)
Total Of Amounts	67581112	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	ExplanationExplanation
FORM 990, PART X, LINE 25	The consolidated audited financial statements did not include a FIN 48 footnote disclosure as the liability was determined not material for reporting purposes.
Sch D, PART V, LINE 4	Bakersfield Memorial Foundation, a related organization, holds a permanent endowment fund. The earnings on this endowment is used to fund nursing scholarships granted by the Foundation each year.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare

Discounted Other DiscountedOther

Field	Value	IRS element (for citing)
Other	X	Other
Discounted Other Percentage	500.	DiscountedOtherPercentage

Field	Value	IRS element (for citing)
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	false	ExpensesExceededBudget
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	5648	PersonsServed
Total Community Benefit Expense	4832765	TotalCommunityBenefitExpense
Direct Offsetting Revenue	934500	DirectOffsettingRevenue
Net Community Benefit Expense	3898265	NetCommunityBenefitExpense
Percent Of Total Expense	0.01620	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Persons Served	43229	PersonsServed
Total Community Benefit Expense	62038421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	50585842	DirectOffsettingRevenue
Net Community Benefit Expense	11452579	NetCommunityBenefitExpense
Percent Of Total Expense	0.04750	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	48877	PersonsServed
Total Community Benefit Expense	66871186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51520342	DirectOffsettingRevenue
Net Community Benefit Expense	15350844	NetCommunityBenefitExpense
Percent Of Total Expense	0.06370	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	27961	PersonsServed
Total Community Benefit Expense	831253	TotalCommunityBenefitExpense
Direct Offsetting Revenue	60560	DirectOffsettingRevenue
Net Community Benefit Expense	770693	NetCommunityBenefitExpense
Percent Of Total Expense	0.00320	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Persons Served	38684	PersonsServed
Total Community Benefit Expense	910041	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	910041	NetCommunityBenefitExpense
Percent Of Total Expense	0.00380	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	23044	PersonsServed
Total Community Benefit Expense	546892	TotalCommunityBenefitExpense
Direct Offsetting Revenue	36961	DirectOffsettingRevenue
Net Community Benefit Expense	509931	NetCommunityBenefitExpense
Percent Of Total Expense	0.00210	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	89689	PersonsServed
Total Community Benefit Expense	2288186	TotalCommunityBenefitExpense
Direct Offsetting Revenue	97521	DirectOffsettingRevenue
Net Community Benefit Expense	2190665	NetCommunityBenefitExpense
Percent Of Total Expense	0.00910	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	138566	PersonsServed
Total Community Benefit Expense	69159372	TotalCommunityBenefitExpense
Direct Offsetting Revenue	51617863	DirectOffsettingRevenue
Net Community Benefit Expense	17541509	NetCommunityBenefitExpense
Percent Of Total Expense	0.07280	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Persons Served	2385	PersonsServed
Total Community Building Expense	76420	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	76420	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Persons Served	4963	PersonsServed
Total Community Building Expense	41552	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	41552	NetCommunityBuildingExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Persons Served	7348	PersonsServed
Total Community Building Expense	117972	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	117972	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	true	BadDebtExpenseReported
Bad Debt Expense	$1,888,508	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	56072020	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	60218036	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-4146016	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

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

Field	Value	IRS element (for citing)
Description Ent Primary Activity	AMBULATORY SURGERY CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.60000	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.40000	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Bakersfield Memorial Hospital	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	420 34th St	AddressLine1
City	Bakersfield	City
State	CA	State
ZIP Code	93301	ZIPCode

Field	Value	IRS element (for citing)
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Not applicable. Bakersfield Memorial Hospital (BMH) uses Federal Poverty Guidelines (FPG) to determine eligibility.	IncomeBasedCriteria
Annual Community Benefit Expln	The organization prepares a separate community benefit report.	AnnualCommunityBenefitExpln
Costing Method Used	For purposes of calculating the amounts provided in the table, BMH uses a cost accounting system that combines relative value units (RVU) and cost to charge ratios (CCR) to allocate costs to the patient level. The cost accounting system algorithm allocates total operating expenses to the procedure charge code level based upon an RVU for procedures that have been studied and assigned an RVU, or based upon a CCR for unstudied procedures that do not have an RVU assigned. When a CCR is used, the system calculates that CCR on a departmental specific basis at the hospital where the services were provided. The calculation is similar to the Worksheet 2 of Schedule H, Ratio of Patient Care Cost to Charges, except it is calculated on a departmental specific basis, not in the aggregate. The allocated procedure charge code level costs are then rolled up to the patient level based upon the billed procedure charge codes associated with those services provided to each specific patient. This is done for all patient segments including inpatient, outpatient, emergency department, private insurance, Medicaid, Medicare, uninsured and self pay. The cost accounting system is utilized to determine the unreimbursed cost of Medicaid and other means-tested government programs. The cost of charity care is calculated by applying the CCR derived from the cost accounting system on a per facility basis, to the charges incurred on patients that qualify for charity care at the respective facility. The actual cost is reported for other community benefit activities such as community health improvement services, community benefit operations, health professions education, subsidized health services, research and cash and in-kind donations.	CostingMethodUsed
Subsidized Health Services Expln	There were no costs attributable to a physician clinic included in subsidized health services in Part I table.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	The amount of bad debt expense included on Form 990, Part IX, line 25, column (A) is $8,997,958 and has been subtracted for purposes of calculating the percentages in column (f).	PercentOfTotalExpenseExpln
Bad Debt Footnote	The amount of the organization's bad debt at cost is determined by applying the CCR (see above) to patient charges that are deemed to be uncollectible. This amount represents the cost of services provided to patients who are unable or refuse to pay their bills and do not qualify for free or discounted care, government sponsored programs or other financial assistance, and are otherwise uninsured. Any portion of a patient bill remaining after applying financial, uninsured or other discounts or payments received on the account that are ultimately determined to be uncollectible are written off to bad debt. As noted in Part I, Line 3, BMH provides free or discounted care to uninsured or under-insured individuals at or below 500% of the Federal Poverty Level. BMH also provides patients options for prompt pay discounts, discounts for the medically indigent, and interest-free extended payment plans for patients who have demonstrated good faith and are cooperating in resolving their hospital bills. All accounts for eligible uninsured patients receive an automatic uninsured discount of 25% for patients seen at California facilities. The expected patient payment amount on the patient's bill reflects this discount. BMH makes every effort in determining if a patient qualifies for charity care upon admission. BMH follows CHW's financial assistance policy. CHW's financial assistance policy is communicated to patients upon admission and is available in the languages primarily spoken in the community. It is also posted in various common areas of the hospital and is provided upon billing if eligibility is not previously determined. Eligibility is reevaluated as needed and amounts are classified as charity as soon as eligibility is known. CHW also utilizes a Payment Assistance Rank Ordering (PARO) scoring system to assist in determining if a patient may qualify for charity care even though they have not applied for it. PARO is a methodology that applies consistent screening and application standards to all patients utilizing historical data to develop a predictive model for healthcare financial assistance. In its development, special attention was paid to those socio-economic factors that might adversely affect those patients deserving the most attention. Other criteria are also utilized to ensure that no services that have qualified as charity are reported as bad debt. As such, BMH does not believe that any amounts included in Part III, Line 2, are attributable to patients eligible under the organization's charity care policy. The following is an excerpt from CHW and its subordinate corporations' consolidated annual audited financial statements for the year ended June 30, 2010, related to accounts receivable and allowances for charity and doubtful accounts: Patient accounts receivable and net patient service revenue are reported at the net realizable amount from patients, third-party payors, and others for services rendered. BMH manages its collection risk by regularly reviewing its accounts and contracts and by providing appropriate allowances. Reserves for charity and uncollectible amounts have been established and are netted against patient accounts receivable in the consolidated balance sheet.	BadDebtFootnote
Shortfall As Community Benefit	BMH prepares Medicare cost reports in a manner that comports with Provider Reimbursement Manual (PRM) 15-1, 2150ff and PRM 15-2, 1000ff. As such, the following language per the PRM 15-1 describes the computation of costs per the Medicare Cost Report: 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. Another factor to be considered is a separate average cost per diem for intensive care unit, coronary care unit, and other special care inpatient hospital units. CHW believes that the entire Medicare shortfall of $345.6 million, as reported below in Part VI, Line 7, constitutes community benefit. The IRS Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by CHW hospitals in order to continue treating the elderly in our communities. The hospitals provide care regardless of this shortfall and thereby relieve the federal government of the burden of paying the full cost for Medicare beneficiaries. This shortfall includes $4.1 million reported on Part III, Section B, Line 8, primarily for fee for service Medicare patients, as well as the unreimbursed portion of Medicare Managed Care and Medicare Capitated programs for BMH.	ShortfallAsCommunityBenefit
Debt Collection Policy	BMH ensures that patient accounts are processed fairly and consistently. BMH follows CHW's Patient Payment Assistance Policy. CHW's collection policy contains provisions that prohibit the collection of amounts due from patients who the organization knows qualify for charity care. Accounts with incorrect or incomplete demographic information are assigned to a collection agency if BMH or the billing company retained by CHW is unable to obtain an updated address through skip tracing or other means. For patients who have an application pending for either government-sponsored financial assistance or for assistance under CHW's Patient Payment Assistance Policy, or where the patient is attempting in good faith to settle an outstanding bill with the facility via payment plans, BMH will not knowingly send that patient's bill to an outside collection agency. Legal action will not be pursued to collect debts from patients who have qualified for charity or are cooperating in good faith to resolve their debt. BMH does not impose wage garnishments or liens on primary residences. On self-pay accounts that do not meet the criteria noted above, the initial determination of assignment to a collection agency will vary depending on the nature of the account with the final decision being at the discretion of each hospital patient financial assistance department. Upon assignment of such a patient account to a collection agency, CHW requires the agency to comply with the Fair Debt Collection Practices Act.	DebtCollectionPolicy
Number Of Facility Type Expln	NONE	NumberOfFacilityTypeExpln
Needs Assessment	Bakersfield Memorial Hospital utilizes the following methods to assess community needs and the effectiveness of our response to these challenges. Employees of the Department of Special Needs & Community Outreach serve on 11 different boards or committees that respond to a wide variety of community concerns. Each quarter all hospital exempt employees report the names of the community organizations, neighborhood groups, and related community health activities in which they participate. Our participation as a collaborative partner provides an opportunity to share information, resources and ideas, solve problems, identify options, and evaluate the success of our efforts. The Community Benefit Committee helps ensure that our outreach services address identified community needs and is effectively working to improve the overall health status of the community and quality of life for its residents. The community wide assessment conducted in 2003 by DNA and Company, Inc. provided us with a baseline of demographic, health, and social indicators for Kern County. In 2006, United Way of Kern County, in collaboration with Bakersfield Memorial Hospital, Community Action Partnership of Kern, Delano Regional Medical Center, Kaiser Permanente, Mercy Hospitals of Bakersfield, and San Joaquin Community Hospital, sponsored the most recent Kern County Community Assessment. This report updated countywide statistics and helped to validate the community issues targeted for improvement that resulted from the 2003 Kern County Community Assessment. The Kern County Network for Children Report Card 2008 is also used to corroborate the focus of our services. The CHW Reporting Sheet for Community Needs Index (CNI) for Kern County prepared by Thomson/CHW is used to further validate the identification of communities (based on ZIP codes) that are the most socio economically disadvantaged and thus most in need. Residents of these communities tend to have Disproportionate Unmet Health Related Needs (DUHN); i.e., lack of education, lack of health care insurance, homelessness or transient lifestyles, no or limited access to quality health care, high prevalence of conditions such as diabetes, heart disease, obesity, and substance abuse. During 2010, Bakersfield Memorial Hospital, with other community partners, launched www.HealthyKern.org. This new website can be utilized as a single Internet source dedicated to hosting current Kern County health information. Local health data will be more readily available. These same community partners in collaboration with Healthy Communities Institute (Berkeley) began the process for our community needs assessment. The process includes key informant interviews, committee planning meetings, priority areas of concern, and implementation strategies. The Kern County needs assessment will be completed by December 30, 2010.	NeedsAssessment
Patient Education Assistance	Communication of the Financial Assistance Program to Patients and the Public: Information about patient financial assistance available from CHW, including a contact number, was disseminated by the CHW facility by various means, including the publication of notices in patient bills and by posting notices in the Emergency and Admitting Departments, and at other public places as the CHW facility may elect. Such information was provided in the primary languages spoken by the populations served by the CHW facility. THE Information was posted in the Patient Access (Admitting) departments in the hospital as well as in the Patient Business Office. If the opportunity was not available for patient access to discuss the policy with the patient, a Comspec representative (a contractor for the business office), discussed the various options during the patient's hospital stay. The information regarding payment assistance and the availability of government aid WAS also given in a brochure to each patient during the registration process. Any member of the CHW facility staff or medical staff may make referral of patients for financial assistance. The patient or a family member, a close friend or associate of the patient may also make a request for financial assistance.	PatientEducationAssistance
Community Information	Bakersfield Memorial Hospital serves all of Kern County, including Bakersfield (the county seat) and outlying rural communities such as Taft, Arvin and Lake Isabella. The county stretches more than 8,100 square miles, geographically making it the third largest county in the state. Other nine Hospitals serving the community are as follows: Bakersfield Heart, Bakersfield Memorial, Good Samaritan, Kern Medical Center, Mercy, Mercy Southwest, Ridgecrest Regional, San Joaquin Community, and Tehachapi. There are also eight Federally-designated medically underserved areas or populations, which are the McFarland-Delano Service Area, Bakersfield East/Lakeview/La Loma Service Area, Ridgecrest Service Are, and Other Kern service Areas (5). According to the California Department of Finance, Kern County's estimated population for 2010 is 871,728, and it is the 13th largest county based on population and the 7th fastest growing within the state's 58 counties. By the year 2020, Kern County is projected to reach 1.1 million in population (California Department of Finance). Bakersfield's population of 333,719 (2010 estimate from the California Department of Finance) makes it the 11th largest city in California and places it among the top 100 largest metropolitan areas in the nation. The median income for households in Kern County is $35,446. Approximately 41% of Kern County's population resides in rental occupied housing units and 16% of Kern County residents are unemployed (U.S. Census Bureau, American Fact Finder, CA EDD, Kern County, California) Based on 2010 population estimates (California Department of Finance), Kern County's population is ethnically and culturally diverse with 43.2 percent white (non Hispanic/Latino), 45.1 percent Hispanic/Latino, 5.5 percent African American, 3.8 percent Asian/Pacific Islander, 0.8 percent American Indian/Alaskan, and 1.3 percent multi-race. The demographics are dramatically shifting in Kern County as seen in the population of children of the county with nearly sixty percent of the 0 to 5 year old population now being Hispanic. One in five Kern County residents and 16.8 percent of families live in poverty. According to the 2007 California Health Interview Survey, 8.6 percent of Kern County children did not have health insurance coverage for all or part of the previous year compared to 10.2 percent statewide. During the 2006 07 school year, 35.6 percent of Kern County students tested had unhealthy body composition (obesity) based on individual Body Mass Index (BMI) scores. Many of Bakersfield's poorest residents are concentrated in the city's southeast quadrant, the site of our two community outreach centers. The population is largely African American and Hispanic/Latino, with a high concentration of limited English speaking individuals (many undocumented), elevated youth gang activity, and a high unemployment rate. For many low income individuals and families living in the outlying rural communities of Kern County, geographic isolation heightens barriers to healthcare and other social services. Our initiatives focus on providing preventive healthcare and related beneficial services free of cost (or minimal charge) to families/individuals facing the most severe economic and social challenges. We offer compassionate and valuable services to vulnerable children, frail elderly, limited English speaking, low income families, and immigrants.	CommunityInformation
Community Building Activities	The mission of Bakersfield Memorial Hospital and our status as the largest health care provider in Kern County dictate that we occupy a leadership role in building a healthier community. It is a responsibility that we eagerly embrace as a defining characteristic of our organization. The Community Benefit Report and Plan contains examples of the programs and initiatives we have undertaken that make a positive, measurable impact on the community we serve (i.e., dollars spent on indigent medical care, children fed and clothed, victims served, and families taught to manage chronic disease). In fiscal year 2010 CHSB provided support to the following: Program: Committee That Responds to Community Need Description: CHW Kern Service Area employees donating their time and expertise to boards and committees that serve the community. Program: Homemaker Care Program - Training Description: The Homemaker Care Program provides a two-week comprehensive employment readiness skills training focusing in individuals transitioning from unemployment into the workforce. In collaboration with over 20 community agencies, the Homemaker Care Program will offer skills training in the field of In-Home Supportive Services. Program: Support a Community Endeavor Description: CHW Kern Service Area employees volunteering their time to support community endeavors that promote health and well-being. Program: Boy Scouts Description: The Boy Scout pack at the CHW Learning Center is part of the "Scout Reach" program which strives to bring the Boy Scout message to underserved boys who otherwise would not be able to participate in a scouting program. Program: Employment Counseling Description: Designed to enhance the skills of residents in Southeast Bakersfield who are entering the job market by providing resume preparation, interview techniques, assistance with application preparation and additional support with job search services. Program: Girl Scouts Description: The Girl Scout troop at the CHW Learning Center is part of the scouting outreach to underserved girls in the community. The program strives to bring the Girl Scout message to girls who would otherwise not be able to participate in a scouting program. Program: Holiday Baskets Description: Holiday baskets are provided by St. Philips Parish to provide food to families in need during the holiday season. The CHW Learning and Outreach Centers submit eligible families to the church contact and distribute the baskets to eligible families. Program: Homework Club Description: The Homework Club provides an academically structured after school program for underserved students attending first through seventh grades. The Program focuses on providing a safe environment for pre-teens to work on homework and other academic skills. Program: Pack-A-Sack Lunch Program Description: The Pack-a-Sack Program is a community-supported effort that provides a nutritious snack to after-school programs in underserved areas of Kern County. Twice a month during the school year, students at Tevis Jr. High School prepare snacks under the supervision of parents and teachers. These brown bag lunches are then delivered to the CHW Learning Center for distribution to a variety of after school programs. Program: School Supportive Services Description: The School Supportive Services Program provides support to Elementary, Junior High and High Schools throughout Kern County by sponsoring events, providing clothing and shoes and offering educational in-service presentations to students and their families. Program: Translation Services Description: The Translation Services Program provides translation of correspondence, business documents, and general written materials for individuals in the underserved population who need assistance in understanding the written word. Program: Value Enhancement Program Description: The Value Enhancement Program (VEP) is designed to develop a young person's self-worth and a sense of pride by providing needed community service.	CommunityBuildingActivities
Other Information	As a not-for-profit organization dedicated to improving the quality of life, BMH reinvests all its operating and investment income in hospital improvements, technology enhancements, community health programs, and employee benefits. This active reinvestment makes it possible for us to deliver on our mission, including ensuring that everyone has access to health care. Medical staff privileges are open to physicians whose experience and training are verified through a credentialing process. The process gathers and verifies credentials, allows the medical staff to evaluate an applicant's qualifications, previous experience, and competence, and to ultimately make a decision to grant or deny medical staff membership and clinical privileges. Credentials verification is the determination whether a practitioner's credentials are authentic and valid. BMH is guided by a fiduciary board. The board is responsible for ensuring that community health is one of the major goals in the strategic planning process. All of BMH Board of Directors reside in the primary service area. They are a diverse group that includes community members, physicians, faith based representatives, and business health executives who provide a broad spectrum of perspectives on plans presented for their approval. Caring for the community beyond the hospital walls led to the founding, in 1991, of the Department of Special Needs & Community Outreach. Today, the department operates more than 58 programs in Bakersfield, Arvin, Shafter, McFarland, Delano, Lake Isabella, Ridgecrest, Taft, and other outlying communities in Kern County where there is limited access to health care and related services. With 24 employees (20.5 FTEs) and an annual budget of $1,110,807, the department's programs target low income, uninsured, or underinsured individuals, as well as Kern County citizens with unmet health needs, including migrant farmworkers and other disenfranchised populations. The department frequently collaborates with more than 80 public, private, and nonprofit organizations. Our outreach program completed a national pilot project for Advancing the State of the Art in Community Benefit (ASACB) by demonstrating and researching best practices regarding community benefit programs. A Community Benefit Committee assists the Department of Special Needs & Community Outreach in prioritizing programs that are in line with the hospitals' strategic plans. Committee members include representatives of the hospitals' Executive Management Teams, the business community, social service agencies, community volunteers, CHW board members, and employees. This group meets four times annually to help ensure that our outreach services respond to identified community needs and are effectively working to improve the overall health status of the community. The Committee provides input, advice, and approval for the Community Benefit Plan. The approved plan is then submitted to the Bakersfield Memorial Hospital Board for final approval.	OtherInformation
Affiliated Health Care System	BMH is affiliated with CHW. Affiliates of CHW also promote the health of additional communities in Bakersfield, San Bernardino, San Francisco, San Andreas, and Grass Valley/Nevada City, California. These affiliates follow practices similar to those noted above in determining the unmet healthcare needs of their communities. Total unsponsored community benefit expense for CHW and its subordinate corporations for the year ended June 30, 2010, is as follows: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 110,381 142,746,446 1.7% Unpaid Costs of Medicaid/Medi-Cal 944,650 558,385,256 6.5% Other Means-tested Programs 269,294 56,864,415 0.7% Community Services: Community Health Services 553,419 48,887,807 0.5% Health Professions Education 21,746 6,431,872 0.1% Subsidized Health Services 212,434 36,161,087 0.4% Donations 256,564 8,509,998 0.1% Community Building Activities 69,194 1,805,508 0.0% Community Benefit Operations 11,547 5,645,250 0.1% Total Community Services for the poor 1,124,904 107,441,522 1.2% Total Benefits for the Poor 2,449,229 865,437,639 10.1% Benefits for the Broader Community: Community Services: Community Health Services 2,464,586 19,716,268 0.2% Health Professions Education 49,929 46,618,328 0.5% Subsidized Health Services 114,349 13,649,835 0.2% Research 23,285 27,190,380 0.3% Donations 158,111 3,762,689 0.1% Community Building Activities 77,077 6,774,273 0.1% Community Benefit Operations 95,948 2,000,665 0.0% Total Benefits for the Broader Community 2,983,285 119,712,438 1.4% Total Community Benefits 5,432,514 985,150,077 11.5% Unpaid Costs of Medicare 995,245 345,619,895 4.0% Total Community Benefits including Cost of Medicare 6,427,759 1,330,769,972 15.5%	AffiliatedHealthCareSystem
Reports Filed With States	CA	ReportsFiledWithStates

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Purpose Of GrantPurposeOfGrant
Bakersfield Mercy Hospital
2201 Truxton Ave	Bakersfield	CA	93301	941196203	501 (c) (3)	7940	0	n/a	n/a	Advocacy for Poor
Bakersfield Memorial Hospital Auxiliary
420 34th Street	Bakersfield	CA	93301	951802779	501(c)(3)	12350	0	n/a	n/a	Hospital Support
AMERICAN GENERAL MEDIA
PO Box 2700	Bakersfield	CA	93308	201232360	N/A	5250	0	n/a	n/a	Svc for poor
CYSTIC FIBROSIS FOUNDATION
6420 Wilshire Blvd 1st Fl	Los Angeles	CA	90048	131930701	501 (c) (3)	6000	0	n/a	n/a	social health
TERRIO THERAPY FITNESS
PO Box 13310	Bakersfield	CA	933893310	912073074	N/A	10500	0	n/a	n/a	Personal Health
American Heart Association
404 Truxtun Ave	Bakersfield	CA	93301	135613797	501 (c) (3)	33030	0	n/a	n/a	Personal Health

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	39	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	6	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PART I - GENERAL INFORMATION ON GRANTS & ASSISTANCE	Identifier
Explanation	PART I, LINE 2: Donations are provided to the community to further the mission of the hospital and support various community programs. Bakersfield Memorial Hospital provides donations to support community programs through its Special Needs department and by donating directly to various community events and programs. Special Needs The director of Special Needs reviews and approves all grants and donations related to its department. Once the grant/donation is provided no further tracking is conducted as the organizations receiving the grant are charitable organizations. Donating Directly to Community Events/Programs The Vice President and Manager of Business Development review and evaluate donations made directly to the community from the hospital. Organizations seeking donations may be charitable or non-charitable. The following are the criteria that Business Development use to evaluate donations: 1. Relevancy to healthcare 2. Further the hospital's mission 3. Provide a community benefit (i.e. health education) and/or improve the lives of the community in which the hospital serves 4. Opportunity for the hospital to build and foster relationships in the community to further its mission The cost-benefit of the donation/grant is reviewed. Afterwards, a member of the senior management team (VP Business Development, CFO, or President) approves the transactions. The Bakersfield Memorial Hospital's President approves any donation greater than $5,000.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	true	WrittenPolicyReTAndEExpenses
Substantiation Required	true	SubstantiationRequired
Severance Payment	true	SeverancePayment
Supplemental Nonqual Retire Plan	true	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Russell Judd
0	347126	0	230116	0	9534	0	37621	0	27597	0	651994	0	0
Jon Van Boening
0	351289	0	191072	0	30197	0	35589	0	36384	0	644531	0	0
Jesica Hanson
167701	0	36388	0	425	0	10837	0	16250	0	231601	0	0	0
Terri Church
179128	0	27806	0	929	0	13706	0	5729	0	227298	0	0	0
Sheri Comaianni
159601	0	33311	0	2601	0	10385	0	5943	0	211841	0	0	0
Dr Robert Marshall
228423	0	45894	0	6553	0	14825	0	12492	0	308187	0	0	0
Bruce Peters
210748	0	42840	0	9134	0	20618	0	16393	0	299733	0	0	0
Whabong Anderson
259631	0	2469	0	2370	0	16562	0	5702	0	286734	0	0	0
Editha Lolin
226248	0	14764	0	8199	0	16333	0	9231	0	274775	0	0	0
David J Lozano
163072	0	24920	0	8718	0	16407	0	12008	0	225125	0	0	0
Karen J Simpson
198749	0	2424	0	17	0	10485	0	5551	0	217226	0	0	0
Gena L Cook
170431	0	9729	0	401	0	12763	0	15951	0	209275	0	0	0
Jim Eppink
40651	0	0	0	100390	0	3110	0	3977	0	148128	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifier	ExplanationExplanation
PART I, LINE 1A and Line 3	Part I, Line 1A Club dues have been paid by the organization for business use by one director/officer, who is the service area leader, for recruiting and business entertainment purposes. No amounts have been included as reportable income as expenses related to personal usage are paid by the employee. Part I, Line 3 Although the organization employs personnel, the Organization relied on a related organization, Catholic Healthcare West, that used one or more of the methods described in Schedule J, Part I, Line 3, to establish the Organization's Service Area Leader's compensation. See Schedule O disclosure for Form 990, Part VI, Section B, Line 15a for additional information.
PART I, LINE 4a	The organization's key employees and its highest compensated employees participate in a severance plan that provides fair compensation, ranging from payments of 2 months to 12 months of base compensation, depending on the executive's position, in the event of a position elimination or other involuntary termination, in accordance with the guidelines of the plan. Payments pursuant to the plan arrangement for one former key employee occurred during 2009; J. Eppink $82,503.
PART I, LINE 4b	The organization's key employees and certain officers and highly compensated employees hired prior to June 30, 2006 are eligible to participate in the CHW Executive Deferred Compensation Plan, a nonqualified 457(f) plan which is intended to provide a benefit approximating the difference, if any, between the benefit provided under the CHW excess benefit plan and the benefit provided under the qualified benefit plan that substantially replaced the excess plan. No benefit will vest under the 457(f) plan before the latter of the attainment of age 62 while employed or the completion of 15 years of service.
PART II, SUPPLEMENTAL DISCLOSURES	The organization's executive compensation philosophy is designed to assist the organization in attracting and retaining the caliber of executives required to enable the organization to fulfill its mission of providing high quality healthcare for all persons regardless of their ability to pay for services, improving the quality of life in the communities the organization serves, promoting employee satisfaction, and ensuring financial stability. A substantial portion of executive compensation is performance based and is linked to organizational goals approved in advance by the Compensation and Benefits Committee. These goals include attainment of annual and long-term financial performance, certain healthcare quality standards and the organization's commitment to serving the poor and disenfranchised in the communities it serves. Total compensation, which includes base salary, annual and long-term incentive compensation, targets the 75th percentile of the market in which the organization competes for executives, commensurate with the size and complexity of the organization.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
521598225	13033FTN0	2004-05-19	150000000	NEW MONEY TO VARIOUS PROJECT & MED	false	false
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
521643828	13033FYE4	2005-11-10	200000000	NEW MONEY TO FINANCE CAPITAL EXPEN	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Amount DefeasedAmountDefeased	Amount UnspentAmountUnspent	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
10054205	0	0	0	0	0	10054205	2006	false	false	true	true
26804899	0	0	0	0	0	26804899	2008	false	false	true	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Any Research AgreementsAnyResearchAgreements	Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI	Total Private Business UseTotalPrivateBusinessUse	Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
false	true	true	true	true	0.00000	0.00000	0.00000	true
false	true	true	true	true	0.00000	0.00000	0.00000	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiled	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Gross Proceeds InvestedGrossProceedsInvested	Exception To RebateExceptionToRebate
false	true	false	false	true	false
true	true	false	false	true	false

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationship	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues	Amount Of TransactionAmountOfTransaction
Jon Van Boening
BOARD MEMBER/OFFICER	SEE SCHEDULE O	false
Bruce Peters
OFFICER	SEE SCHEDULE O	false
Jesica Hanson
KEY EMPLOYEE	SEE SCHEDULE O	false
Javier E Miro MD Inc
BM, J MIRO IS SOLE OWNER	MEDICAL SERVICES	false	27000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
PART VI - GOVERNANCE, MANAGEMENT, DISCLOSURE	SECTION A, LINE 6: The sole corporate member is Catholic Healthcare West, a 501(c)(3) exempt organization. SECTION A, LINE 7A: CHW, as the sole corporate member, ratifies the selection of members and the CHW Board approves new Board members of the organization. SECTION A, LINE 7B: Reserved rights of the corporate member include adoption of mission and philosophy statements, amendment or restatement of articles of incorporation and bylaws, dissolution of the corporation, acquisition of another corporation, creation of a new subsidiary, merger or consolidation with another corporation, participation as a general or limited partner in any venture, incurring long-term indebtedness in excess of normal operating requirements, ratification of board member appointments and dismissals, selection and removal of independent auditors, and transactions outside the ordinary course of business. SECTION B, LINE 11A: The Board of Directors has delegated the review of the Form 990 to the Finance and Planning Committee. The organization's CFO and Controller worked closely with the Parent Organization and AN INDEPENDENT accounting firm it engaged to review the return and presented each section of the final draft of Form 990, excluding compensation schedules to the Finance and Planning Committee. Subsequent to its review, the Finance and Planning Committee reported back to the Board regarding its oversight of the Form 990 and the final draft, excluding compensation schedules was provided to the entire voting Board before the return was filed. SECTION B, LINE 12C: The Organization has adopted CHW's Conflicts of Interest Policy. The Organization's Board is charged with monitoring proposed or ongoing transactions for conflicts of interest and addressing any potential or actual conflicts. Pursuant to the conflicts of interest policy, an annual conflict of interest disclosure statement, 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 (e.g., board members, officers and executive leadership, key employees and all management personnel whose responsibilities include business decisions which may give rise to conflicts of interest). Covered persons are also required to disclose real or potential conflicts at the time such conflicts arise. When an individual becomes a covered person and annually thereafter, each covered person is required to submit an updated disclosure statement and to sign a statement affirming that he/she: (1) has received a copy of the conflicts of interest policy; (2) has read the policy and understands said policy; and (3) agrees to comply with all requirements of the policy, including completing the conflicts of interest disclosure statement. The completed questionnaires are reviewed by CHW's Legal Department and any persons with actual or potential conflicts are informed via written communication. The procedures for addressing any conflict of interest related to a proposed transaction include, but are not limited to, the following: (1) the conflicting interest 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) if warranted, alternatives to the proposed transaction are investigated, and competitive bids or comparable valuations are obtained; (5) any conflicting issues arising during the course of a board meeting which cannot be resolved are to be referred to an independent committee of the Board of Directors; and (6) the transaction or action must be approved by a majority of disinterested persons. All conflicts of interest, whether resolved or unresolved, are reported in the Organization's Form 990. SECTION B, LINE 15A: Although the organization employs personnel, the Service Area Leader is compensated by Catholic Healthcare West (CHW). CHW's Compensation and Benefits department conducts an annual review and analysis to provide benchmarking data for the total compensation and benefits package of the Service Area Leader. Appropriate comparability data for similar jobs in peer companies (both taxable and tax-exempt) is obtained from independent third-party survey sources. SECTION B, LINE 15B: Compensation of other Key Employees is based on a comprehensive EVALUATION FOCUSING ON ALL ASPECTS OF THE INCUMBENT'S ASSIGNED DUTIES AND assessed performance in carrying out the philosophy and mission of CHW and its sponsoring congregations. Additionally, comparative data and market surveys regarding compensation in the surrounding marketplace are considered. The salaries are finalized by the Service Area Leader in coordination with the organization's VP of Human Resources. SECTION C, LINE 19: 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 its financial statements available upon request.
Sch L, Part IV	GemCare-Mercy-Memorial Health System, LLC: Effective January 1, 2010, Bakersfield Memorial Hospital, a California nonprofit public benefit corporation, and CHW d/b/a Mercy Hospitals of Bakersfield, entered into an LLC Operating agreement with GemCare Holdings, Inc. and Managed Care Systems, LLC. This Operating agreement formed GemCare-Mercy-Memorial Health System, LLC (GMMHS). The purpose of this business venture is to pool the resources of each owner to promote community health and expand the healthcare system. In exchange for GMMHS' shares, Bakersfield Memorial Hospital contributed $7,252,500, resulting in an ownership interest of 25%. Upon the creation of this venture, the Chief Executive Officer became a member of the Board of Directors. GemCare Holdings provides insurance coverage for Bakersfield Memorial Hospital's employees. Managed Care Systems administer those benefits. Millennium Surgery Center: Effective January 1, 2010, Bakersfield Memorial Hospital, a California nonprofit hospital, entered into a stock purchase agreement with Millennium Surgery Center, Inc., an ambulatory surgery center. The purpose of this joint venture is to provide medical, surgical, and related healthcare services in Bakersfield, CA. BMH contributed $7,050,000 in exchange for 60% of the stock of Millennium Surgery Center. This transaction resulted in Bakersfield Memorial Hospital becoming a majority shareholder in this venture. Upon the creation of this venture, the Bakersfield Memorial Hospital's Chief Executive, Operating, and Finance Officers became members of the Millennium Surgery Center's Board of Directors. Also on January 1, 2010, Bakersfield Memorial Hospital entered into a consulting agreement with Millennium Surgery Center for the administration and negotiation of the surgery center's managed care program. Jon Van Boening is a member of the GMMHS Board. Jon Van Boening, Jesica Hanson, and Bruce Peters are members of the MSC's Board. These individuals who are directors of Millennium Surgery Center and GMHHS do not receive compensation payment for their services.
Sch R, Part V, Line 2	1) Bakersfield Memorial Hospital provided managed care consulting services to Millenium. These services were paid based on contract terms established by current market value of such services. 2) Amounts included were related to shareowner distributions. The Millenium's CEO and CFO reviewed the quarterly financials to determine the amount of the distribution. After the CEO and CFO reviewed the amount for distribution, this information was provided to the Board of Directors for approval. 3) The FMV analysis was used to determine the capital contributions for Millennium. The appraisals/FMV evaluations were performed by an external and reputable organization.
Sch K, Part IV	Bond Issuance A (Issuer EIN: 52-1598225) Part II, Line 5 Issuance costs were paid with equity (cash), not with bond proceeds. Part IV CALCULATIONS PERFORMED BY ARBITRAGE CONSULTANT AND THERE WAS NO REBATABLE ARBITRAGE LIABILITY SO NO FORM 8038-T FILED

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1
Catholic Healthcare West
185 Berry Street	San Francisco	CA	94107	941196203	Hospital	CA	501(c)(3)	3	NA
Bakersfield Memorial Hospital Foundation
420 34th Street	Bakersfield	CA	93301	953555043	Fundraising	CA	501(c)(3)	11a	NA

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	Kern Home Health Resources	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	26220 Enterprise Court	AddressLine1
City	Lake Forest	City
State	CA	State
ZIP Code	92630	ZIPCode

Field	Value	IRS element (for citing)
EIN	330184040	EIN
Primary Activity	Home infusion	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	INVESTMENT	PredominantIncomeType
Share Of Total Income	386539	ShareOfTotalIncome
Share Of EOY Assets	521304	ShareOfEOYAssets
Disproportionate Allocations	false	DisproportionateAllocations
Code V	$0	CodeVAmount
General Or Managing Partner	true	GeneralOrManagingPartner

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	MILLENNIUM SURGERY CENTER INC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	9300 STOCKDALE HWY STE 200	AddressLine1
City	BAKERSFIELD	City
State	CA	State
ZIP Code	93311	ZIPCode

Field	Value	IRS element (for citing)
EIN	770513445	EIN
Primary Activity	AMBULATORY SURG	PrimaryActivity
Legal Domicile State	CA	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Type Of Entity	S CORP	TypeOfEntity
Share Of Total Income	0	ShareOfTotalIncome
Share Of EOY Assets	0	ShareOfEOYAssets
Percentage Ownership	0.60000	PercentageOwnership

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	true	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	true	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	false	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	true	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	true	PerformOfServicesByOtherOrgs
Sharing Of Facilities	true	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	true	OtherTransferToOtherOrg
Other Transfer From Other Org	true	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
MILLENNIUM SURGERY CENTER INC
r	352568
MILLENNIUM SURGERY CENTER INC
k	7050000