2022-05-13T19:02:22-05:00 2021-06-30 910189318 Moss Adams LLP 21700 Oxnard Street Suite 300 Woodland Hills CA 91367 990 2020-07-01 330687414 Orange Coast Memorial Medical Center ORAN 7143787000 9920 Talbert Avenue Fountain Valley CA 927085115 AARON COLEY CFO 7143787000 2022-05-09 1 AARON COLEY 999009999 Lauren A Haverlock P00545829 8185771900 2022-05-09 3 AAL1 IAL1 2020 2022-09-23 18:48:47Z AARON COLEY 9920 Talbert Avenue Fountain Valley CA 927085115 377322036 0 5661 X WWW.MEMORIALCARE.ORG X 1995 CA TO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. 0 0 0 90 0 0 6633308 21721493 0 355347055 170283 235784 -28960 0 6774631 377304332 190555 119745 0 0 134729242 143324053 0 0 0 217899541 221987068 352819338 365430866 -346044707 11873466 324595949 365843553 84238951 114688942 240356998 251154611 TO IMPROVE THE HEALTH AND WELL BEING OF INDIVIDUALS, FAMILIES AND OUR COMMUNITIES THROUGH INNOVATION AND THE PURSUIT OF EXCELLENCE. 0 0 338060984 SEE SCHEDULE O 338060984 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 X 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 CA X Ann-Marie Wilson 7143787000 9920 Talbert Avenue Fountain Valley CA 92708 X Barry S Arbuckle Board Member 12.00 48.00 X X 0 0 0 Tom Rogers Vice Chair 1.00 0.00 X X 0 0 0 Sharon Cheever Chair 1.00 0.00 X X 0 0 0 Teresa Evans Board Member 1.00 0.00 X 0 0 0 Thomas Feldmar Secretary 1.00 0.00 X X 0 0 0 James W Gauss Board Member 1.00 0.00 X 0 0 0 Catherine Y Han MD Board Member 1.00 0.00 X 0 0 0 Julio Ibarra MD Board Member 1.00 0.00 X 0 0 0 Lalita M Komanapalli MD Board Member 1.00 0.00 X 0 0 0 Joel Lautenschleger Board Member 1.00 0.00 X 0 0 0 Donna Rane-Szostak EdD Board Member 1.00 0.00 X 0 0 0 David A Wolf Board Member 1.00 0.00 X 0 0 0 Marcia Manker CEO/EVP 29.00 2.00 X 0 0 0 Aaron B Coley CFO 29.00 2.00 X 0 0 0 Emily M Randle COO 60.00 0.00 X 0 0 0 0 0 0 0 0 0 0 0 21460406 261087 21721493 NET PATIENT REVENUE LE 900099 354812303 354812303 534752 534752 355347055 253488 253488 17704 -17704 -17704 -17704 377304332 355329351 0 253488 X 119745 119745 1431873 1360279 71594 98700821 93347152 5353669 5981634 5793603 188031 29802779 28018045 1784734 7406946 7174111 232835 4848804 3916980 931824 243174 17451 225723 147947 147947 50676 50676 60273984 46851215 13422769 2078084 1981253 96831 9565683 8884338 681345 16755479 15742332 1013147 6096404 2673408 3422996 15886 892 14994 82330 21303 61027 10211000 10211000 15904934 15876312 28622 4560294 3939007 621287 Medical Supplies 57245257 57117618 127639 Capitated Claims 23839748 23839748 HQAF 11074739 11074739 Dues and subscriptions 294215 100453 193762 -1301570 -1301570 365430866 338060984 27369882 0 -104967 -159824 16000 10000 51419896 47396392 7384338 6648399 1214032 1634351 312558880 188850383 133238332 123708497 131428318 186605738 324595949 365843553 59901172 76581713 10000 13750 24327779 38093479 84238951 114688942 X 239109013 249771636 1247985 1382975 240356998 251154611 324595949 365843553 11873466 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50676 50676 365430865 365481541 1000000 250000 0 0 1000000 1000000 1500000 50676 50676 250000 250000 375000 Part II-B, Line 1: Lobbying expenses are a portion of dues paid to Healthcare Associations allocated to lobbying activities. SCHEDULE C, PART II-B, LINE 1I LOBBYING EXPNESES ARE THE PORTION OF DUES PAID TO HEALTHCARE ASSOCIATIONS - ALLOCATED TO LOBBYING ACTIVITIES. 16061790 16061790 159162294 73027409 86134885 2308090 2308091 -1 103251867 90372709 12879158 31774839 23142174 8632665 123708497 Due From Affiliates 178618462 Other Assets 4809028 Other Receivables 136493 Right of Use Assets 3041755 186605738 Medical Professional Liability 13104691 Workers Comp Liability 9236996 Due to Third Party Payors 157468 Due to Affiliates 5959 Other Liabilities 12075042 Operating Lease Liabilities 3513323 38093479 0 1 0 0 0 0 0 1 0 Form 990, Part VI, Section B, line 11b Provided before efiling Form 990, Part VI, Section C, line 19 Upon Request Form 990, Part IX, line 11g Other Fees: Program service expenses 46,851,215. Management and general expenses 13,422,769. Fundraising expenses 0. Total expenses 60,273,984. MEMORIAL HEALTH SERVICES 17360 BROOKHURST STREET FOUNTAIN VALLEY CA 92708 951643381 HEALTHCARE CA N/A 0 LONG BEACH MEMORIAL MEDICAL CENTER 2801 ATLANTIC AVENUE LONG BEACH CA 90801 953527031 HEALTHCARE CA MHS 0 SADDLEBACK MEMORIAL MEDICAL CENTER 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 952585792 HEALTHCARE CA MHS 0 ANAHEIM MEMORIAL MEDICAL CENTER 1111 WEST LA PALMA AVENUE ANAHEIM CA 92801 951966746 HEALTHCARE CA MHS 0 Memorialcare Surgical Center at Orange C 9920 Talbert Ave Fountain Valley CA 92708 261394069 HEALTHCARE SV CA 0 0 NATIONAL HEALTHCARE SERVICES 330 GOLDEN SHORE AVENUE LONG BEACH CA 92802 953496341 MEDICAL SVCS. CA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 LONG BEACH MEMORIAL MEDICAL CENTER