BAKERSFIELD MEMORIAL HOSPITAL: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
BAKERSFIELD MEMORIAL HOSPITAL (EIN 95-1802779)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-04
IRS object ID
201821249349301672
Schema version
2016v3.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-04T19:38:43-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line155 SECOND STREET SUITE 1400AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN951802779EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bakersfield Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% BERNADETTE JAMESInCareOfNm
Business Name ControlBAKEBusinessNameControlTxt
Phone6613271792PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1185 BERRY STREET SUITE 300AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94107ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDAVID YEAGERPersonNm
Person TitleCFOPersonTitleTxt
Phone6613274647PhoneNum
Signature2018-05-04SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonVALERIE J BALLPreparerPersonNm
PTINP00178114PTIN
Phone4159635100PhoneNum
Preparation2018-05-04PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDAVID YEAGERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 34th StreetAddressLine1Txt
CityBakersfieldCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$543,051,485GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.Bakersfieldmemorial.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1951FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO PROVIDE MEDICAL AND HEALTHCARE SERVICES TO THE COMMUNITY. TO THE COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee1955TotalEmployeeCnt
Total Volunteers139TotalVolunteersCnt
Total Gross UBI$890,333TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$639,490NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,404,907PYContributionsGrantsAmt
CY Contributions Grants$2,344,701CYContributionsGrantsAmt
PY Program Service Revenue$421,290,269PYProgramServiceRevenueAmt
CY Program Service Revenue$413,061,713CYProgramServiceRevenueAmt
PY Investment Income$8,317,027PYInvestmentIncomeAmt
CY Investment Income$14,256,668CYInvestmentIncomeAmt
PY Other Revenue$1,944,861PYOtherRevenueAmt
CY Other Revenue$1,406,596CYOtherRevenueAmt
PY Total Revenue$433,957,064PYTotalRevenueAmt
CY Total Revenue$431,069,678CYTotalRevenueAmt
PY Grants And Similar Paid$5,321,660PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,926,799CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$181,394,624PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$200,981,520CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$210,092,228PYOtherExpensesAmt
CY Other Expenses$208,900,065CYOtherExpensesAmt
PY Total Expenses$396,808,512PYTotalExpensesAmt
CY Total Expenses$414,808,384CYTotalExpensesAmt
PY Revenues Less Expenses$37,148,552PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,261,294CYRevenuesLessExpensesAmt
Total Assets BOY$561,112,134TotalAssetsBOYAmt
Total Assets EOY$587,177,850TotalAssetsEOYAmt
Total Liabilities BOY$118,742,845TotalLiabilitiesBOYAmt
Total Liabilities EOY$115,012,676TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$442,369,289NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$472,165,174NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionBAKERSFIELD MEMORIAL HOSPITAL (BMH) 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.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$366,035,962ExpenseAmt
Grant$4,926,799GrantAmt
Revenue$411,466,429RevenueAmt
DescBAKERSFIELD 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 386 BEDS AND SERVICED PATIENTS AS FOLLOWS: OUTPATIENT VISITS OF 149,815; EMERGENCY VISITS OF 77, 490; INPATIENT AND OUTPATIENT OPERATING ROOM CASES OF 8,822; AND INPATIENT AND OUTPATIENT CARDIAC PROCEDURES OF 3,495. 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; CANCER CENTER; CARDIOVASCULAR SURGERY; CARDIAC CATHETERIZATION LAB; PEDIATRIC ACUTE AND INTENSIVE CARE; NEONATAL INTENSIVE CARE; 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.Desc
Total Program Service Expenses$366,035,962TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document196IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1955EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonBERNADETTE JAMESPersonNm
Phone9166313370PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110901 GOLD CENTER DRIVE SUITE 300AddressLine1Txt
CityRANCHO CORDOVACityNm
State AbbreviationCAStateAbbreviationCd
ZIP95670ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Morgan Clayton
Director8.00.0Yes (X)$0$0$0
John R Findley MD
Director8.00.0Yes (X)$0$0$0
Stephen Helvie MD
Director8.00.0Yes (X)$0$0$0
Donald McMurtrey
Director8.00.0Yes (X)$0$0$0
Javier Miro MD
Director8.00.0Yes (X)$0$0$0
Bruce Peters
Director8.032.0Yes (X)$0$547,796$72,063
Sandra Serrano
Director8.00.0Yes (X)$0$0$0
Susie Small
Director8.00.0Yes (X)$0$0$0
Stephen T Clifford
Vice-Chairman8.00.0Yes (X)$0$0$0Yes (X)
D Bradley Hannink
Secretary / Treasurer8.00.0Yes (X)$0$0$0Yes (X)
Robert Noriega
Chairman8.00.0Yes (X)$0$0$0Yes (X)
Jon VanBoening
President & CEO40.00.0Yes (X)$0$1,394,656$176,465Yes (X)
Jesica Hanson
VP / CFO40.00.0$463,513$0$68,622Yes (X)
David Yeager
VP / CFO40.00.0$18,750$0$1,463Yes (X)
Susan Benham
VP Chief Dev Officer40.00.0$154,374$0$33,158Yes (X)
Terri Church
VP / CNE40.00.0$247,581$0$42,741Yes (X)
Sheri Comaianni
VP / HR40.00.0$295,176$0$42,580Yes (X)
Kenneth Keller
VP/COO40.00.0$394,996$0$69,386Yes (X)
Robin Mangarin-Scott
VP STRATEGIC MRKTG COMM CCASA40.00.0$217,338$0$40,815Yes (X)
Rodney Mark Root MD
VP / CMO40.00.0$324,133$0$55,444Yes (X)
Michael Sloan
VP / HR40.00.0$281,151$0$65,490Yes (X)
Kevin Walters
VP, Chief Strategy Officer/CAO40.00.0$548,614$0$76,762Yes (X)
Whabong Anderson
Registered Nurse40.00.0$267,778$0$31,239Yes (X)
Michele Chin
Pharmacist40.00.0$206,236$0$29,544Yes (X)
Jean Estallo
Registered Nurse40.00.0$204,443$0$25,591Yes (X)
Yehia Guirguis
Pharmacist40.00.0$231,697$0$22,503Yes (X)
Karen J Simpson
Registered Nurse40.00.0$229,456$0$26,560Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,085,236TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,942,452TotReportableCompRltdOrgAmt
Total Other Compensation$880,426TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K423IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
SC ANDERSON INC
2160 MARS CTBAKERSFIELDCA93308Contractor$3,404,446
TRIMEDX LLC
5451 LAKEVIEW PKWY S DRINDIANAPOLISIN46268Management services$3,079,328
VALLEY CHILDRENS MEDICAL GROUP
9300 VALLEY CHILDRENS PLMADERACA93636Medical Services$2,775,714
PREMIER HOSPITALISTS OF BFL
3838 SAN DIMAS STBAKERSFIELDCA93301Medical Services$2,388,343
TERRIO THERAPY-FITNESS INC
8302 ESPRESSO DRBAKERSFIELDCA93314Physical Therapists$2,381,878
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K118CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd
Related Organizations$2,083,021RelatedOrganizationsAmt
All Other Contributions$261,680AllOtherContributionsAmt
Total Contributions$2,344,701TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PATIENT NET OF CHARITY & BAD DEBT & EHR900099$254,074,158$254,074,158$0$0
MEDICARE/MEDICAID PAYMENTS900099$156,410,703$156,410,703$0$0
MILLENNIUM SURGERY CENTER INC621990$1,595,284$0$1,595,284$0
MEANINGFUL USE900099$391,763$391,763$0$0
EDUCATION541610$122,776$122,776$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$467,029TotalRevenueColumnAmt
Related Or Exempt Func Income$467,029RelatedOrExemptFuncIncomeAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$413,061,713TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,648,665TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,648,665ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$136,161RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$136,161RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$136,161TotalRevenueColumnAmt
Exclusion$136,161ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$123,561,810SecuritiesAmt
Other$28,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$111,940,742SecuritiesAmt
Other$41,065OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$11,621,068SecuritiesAmt
Other-$13,065OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,608,003TotalRevenueColumnAmt
Unrelated Business Revenue$23,315UnrelatedBusinessRevenueAmt
Exclusion$11,584,688ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA722514$1,166,804$0$0$1,166,804
GIFT SHOP453220$527,431$0$0$527,431
CLINICAL TRIAL STUDIES/SPECIMEN TESTING900099$23,919$0$23,919$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$447,719TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$752,185UnrelatedBusinessRevenueAmt
Exclusion$304,466ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,270,435OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$431,069,678TotalRevenueColumnAmt
Related Or Exempt Func Income$411,466,429RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$890,333UnrelatedBusinessRevenueAmt
Exclusion$16,368,215ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,844,538TotalAmt
Program Services$4,844,538ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$82,261TotalAmt
Program Services$82,261ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,542,142TotalAmt
Program Services$3,283,997ProgramServicesAmt
Management And General$258,145ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$260,535TotalAmt
Program Services$186,978ProgramServicesAmt
Management And General$73,557ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$149,100,866TotalAmt
Program Services$140,036,618ProgramServicesAmt
Management And General$9,064,248ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$13,365,789TotalAmt
Program Services$11,598,663ProgramServicesAmt
Management And General$1,767,126ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$24,706,541TotalAmt
Program Services$24,649,576ProgramServicesAmt
Management And General$56,965ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$10,005,647TotalAmt
Program Services$9,405,308ProgramServicesAmt
Management And General$600,339ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$198,222TotalAmt
Program Services$0ProgramServicesAmt
Management And General$198,222ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,593TotalAmt
Program Services$0ProgramServicesAmt
Management And General$51,593ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$21,872TotalAmt
Program Services$0ProgramServicesAmt
Management And General$21,872ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,063,518TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,063,518ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$58,216,350TotalAmt
Program Services$41,612,927ProgramServicesAmt
Management And General$16,603,423ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,630,799TotalAmt
Program Services$101,589ProgramServicesAmt
Management And General$1,529,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,799,789TotalAmt
Program Services$5,578,325ProgramServicesAmt
Management And General$2,221,464ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$21,383,606TotalAmt
Program Services$7,574,200ProgramServicesAmt
Management And General$13,809,406ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,457,945TotalAmt
Program Services$4,457,945ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$364,296TotalAmt
Program Services$131,199ProgramServicesAmt
Management And General$233,097ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$369,864TotalAmt
Program Services$327,654ProgramServicesAmt
Management And General$42,210ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,291,648TotalAmt
Program Services$2,291,648ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$10,973,874TotalAmt
Program Services$10,973,874ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,348,890TotalAmt
Program Services$3,348,890ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES$62,029,571$62,026,379$3,192$0
MEDI-CAL PROVIDER FEE$16,456,764$16,456,764$0$0
MEDICAL PRVDR/OUT-OF-NTWRK CST$16,327,324$16,327,324$0$0
UBI TAXES PAID$251,000$0$251,000$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,663,140TotalAmt
Program Services$739,305ProgramServicesAmt
Management And General$923,835ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$414,808,384TotalAmt
Program Services$366,035,962ProgramServicesAmt
Management And General$48,772,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$4,290BOYAmt
EOY$4,340EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$21,661,682BOYAmt
EOY$22,229,507EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,669,618BOYAmt
EOY$54,710,066EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,045,195BOYAmt
EOY$1,634,288EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,145,621BOYAmt
EOY$6,779,354EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$95,871,524BOYAmt
EOY$74,487,252EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$347,442,957LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$192,979,645LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$138,384,516BOYAmt
EOY$154,463,312EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$99,364,453BOYAmt
EOY$97,713,649EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$127,697,526BOYAmt
EOY$145,566,543EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$17,893,948BOYAmt
EOY$17,215,778EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$12,373,761BOYAmt
EOY$12,373,761EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$561,112,134BOYAmt
EOY$587,177,850EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$57,776,507BOYAmt
EOY$58,135,674EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$65,382EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,887,593BOYAmt
EOY$27,887,593EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$1,697,442BOYAmt
EOY$1,130,906EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,381,303BOYAmt
EOY$27,793,121EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$118,742,845BOYAmt
EOY$115,012,676EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$434,751,319BOYAmt
EOY$464,137,438EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,547,970BOYAmt
EOY$7,957,736EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$70,000BOYAmt
EOY$70,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$442,369,289BOYAmt
EOY$472,165,174EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$561,112,134BOYAmt
EOY$587,177,850EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$16,261,294ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$13,180,608NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$353,983OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$21,872OtherActivitiesAmt
Total Lobbying Expenditures$21,872TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1iFormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES PAID BY THE PARENT ORGANIZATION FOR ANNUAL MEMBERSHIP DUES WHERE EXPENSES ARE ALLOCATED TO THE HOSPITAL: AMERICAN HOSPITAL ASSOCIATION $3,166 CATHOLIC HEALTH ASSOCIATION $2,617 HOSPITAL ASSOCIATION OF SOUTHERN CALIFORNIA $15,083 340 B HEALTH $89 GREATER BAKERSFIELD CHAMBER OF COMMERCE $66 SOCIETY OF THORACIC SURGEONS $711 OTHER LOBBYING DUES ALLOCATED TO LOBBYING $140 ------- TOTAL $21,872 =======ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,153BeginningYearBalanceAmt
Contributions-$117ContributionsAmt
End Year Balance$71,036EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$71,346BeginningYearBalanceAmt
Investment Earnings Or Losses-$193InvestmentEarningsOrLossesAmt
End Year Balance$71,153EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,228BeginningYearBalanceAmt
Investment Earnings Or Losses$7InvestmentEarningsOrLossesAmt
Other Expenditures-$1,111OtherExpendituresAmt
End Year Balance$71,346EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,221BeginningYearBalanceAmt
Investment Earnings Or Losses$7InvestmentEarningsOrLossesAmt
End Year Balance$70,228EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$70,214BeginningYearBalanceAmt
Investment Earnings Or Losses$7InvestmentEarningsOrLossesAmt
End Year Balance$70,221EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.98500PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.01500TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,263,176OtherCostOrOtherBasisAmt
Book Value$5,263,176BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$211,329,362OtherCostOrOtherBasisAmt
Depreciation$111,530,810DepreciationAmt
Book Value$99,798,552BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,291,384OtherCostOrOtherBasisAmt
Depreciation$242,781DepreciationAmt
Book Value$1,048,603BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$112,576,427OtherCostOrOtherBasisAmt
Depreciation$77,265,458DepreciationAmt
Book Value$35,310,969BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,982,608OtherCostOrOtherBasisAmt
Depreciation$3,940,596DepreciationAmt
Book Value$13,042,012BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$154,463,312TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescOTHER SECURITIESDesc
Book Value$145,566,543BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$145,566,543TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO RELATED PARTIES$21,873,404
PENSION PAYABLE$5,524,266
DEFERRED COMPENSATION$95,573
OTHER NON-CURRENT LIABILITIES$299,878
FieldValueIRS element (for citing)
Total Liability$27,793,121TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch D, PART V, LINE 4Bakersfield 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.
Sch D, PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTEDIGNITY HEALTH REVIEWS ITS TAX POSITIONS ANNUALLY AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS THAT REQUIRE RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other500.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served1890PersonsServedCnt
Total Community Benefit Expns$1,365,550TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,365,550NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served67794PersonsServedCnt
Total Community Benefit Expns$169,032,740TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$124,489,318DirectOffsettingRevenueAmt
Net Community Benefit Expns$44,543,422NetCommunityBenefitExpnsAmt
Total Expense0.10740TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served69684PersonsServedCnt
Total Community Benefit Expns$170,398,290TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$124,489,318DirectOffsettingRevenueAmt
Net Community Benefit Expns$45,908,972NetCommunityBenefitExpnsAmt
Total Expense0.11070TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs28ActivitiesOrProgramsCnt
Persons Served24960PersonsServedCnt
Total Community Benefit Expns$1,814,602TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$240,724DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,573,878NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served23PersonsServedCnt
Total Community Benefit Expns$16,817TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,817NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs21ActivitiesOrProgramsCnt
Persons Served20480PersonsServedCnt
Total Community Benefit Expns$1,464,965TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$28,096DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,436,869NetCommunityBenefitExpnsAmt
Total Expense0.00350TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs50ActivitiesOrProgramsCnt
Persons Served45463PersonsServedCnt
Total Community Benefit Expns$3,296,384TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$268,820DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,027,564NetCommunityBenefitExpnsAmt
Total Expense0.00730TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs50ActivitiesOrProgramsCnt
Persons Served115147PersonsServedCnt
Total Community Benefit Expns$173,694,674TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$124,758,138DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,936,536NetCommunityBenefitExpnsAmt
Total Expense0.11800TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served213PersonsServedCnt
Total Community Benefit Expns$61,232TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$26,335DirectOffsettingRevenueAmt
Net Community Benefit Expns$34,897NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served19PersonsServedCnt
Total Community Benefit Expns$43,465TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$19,221DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,244NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served359PersonsServedCnt
Total Community Benefit Expns$36,691TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$36,691NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served591PersonsServedCnt
Total Community Benefit Expns$141,388TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$45,556DirectOffsettingRevenueAmt
Net Community Benefit Expns$95,832NetCommunityBenefitExpnsAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$1,026,971BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$71,805,846ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$88,449,337CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$16,643,491MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
MILLENNIUM SURGERY
AMBULATORY SURGERY CENTER0.580590.42330.4233
MEMORIAL MEDICAL PLA
MOB0.21440.66060.6606
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Bakersfield Memorial HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1420 34th StreetAddressLine1Txt
CityBakersfieldCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.bakersfieldmemorial.orgWebsiteAddressTxt
State License120000181StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Bakersfield Memorial HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsfalseCHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLHTTP://WWW.HEALTHYKERN.ORG/OtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care500.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLsee section cFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee section cFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsee section cFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE H, PART VFormAndLineReferenceDesc
ExplanationSCHEDULE H, PART V, SEC B, LINE 5 THE CHNA PRIMARY DATA COLLECTION PROCESS WAS DESIGNED TO IDENTIFY COMMUNITY ISSUES, SOLICIT INFORMATION ON DISPARITIES AMONG SUBPOPULATIONS, ASCERTAIN COMMUNITY ASSETS TO ADDRESS NEEDS, AND DISCOVER GAPS IN RESOURCES. INFORMATION WAS OBTAINED THROUGH A COMMUNITY SURVEY OF 935 RESIDENTS AND 33 INTERVIEWS WITH KEY COMMUNITY STAKEHOLDERS, THE PUBLIC HEALTH DEPARTMENT, SERVICE PROVIDERS, MEMBERS OF MEDICALLY UNDERSERVED, LOW-INCOME, AND MINORITY POPULATIONS IN THE COMMUNITY, AND INDIVIDUALS OR ORGANIZATIONS SERVING OR REPRESENTING THE INTERESTS OF SUCH POPULATIONS. A COMPLETE LIST OF INTERVIEWEES NAMES, TITLES AND ORGANIZATIONS IS IN THE CHNA REPORT. THE SURVEY WAS AVAILABLE IN AN ELECTRONIC FORMAT AND IN A PAPER VERSION IN ENGLISH AND SPANISH. IT WAS DISTRIBUTED TO HOSPITAL PATIENTS, IN HOSPITAL WAITING ROOMS AND SERVICE SITES, AND THROUGH SOCIAL MEDIA INCLUDING HOSPITAL FACEBOOK PAGES. THE SURVEY WAS ALSO DISTRIBUTED TO COMMUNITY PARTNERS WHO MADE THEM AVAILABLE TO THEIR CLIENTS. THIRTY-FIVE PERCENT OF RESPONDENTS WERE ON MEDICAID OR HAD NO INSURANCE, AND 10 PERCENT HAD MEDICARE COVERAGE. SCHEDULE H, PART V, SEC B, LINE 6A DELANO REGIONAL MEDICAL CENTER, DIGNITY HEALTH MERCY HOSPITALS BAKERSFIELD, KAISER PERMANENTE AND ADVENTIST HEALTH BAKERSFIELD (FKA SAN JOAQUIN COMMUNITY HOSPITAL) SCHEDULE H, PART V, SEC B, LINE 7A ALL DIGNITY HEALTH HOSPITAL FACILITY COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS CAN BE ACCESSED AT https://www.dignityhealth.org/about-us/community-health/community-health-p rograms-and-reports/community-health-needs-assessments. CHNA REPORT WEB SITE LOCATION FOR BAKERSFIELD MEMORIAL HOSPITAL IS PROVIDED BELOW. http://www.dignityhealth.org/mercy-bakersfield/dignity-health-in-kern-coun ty/community-programs/community-benefit-report SCHEDULE H, PART V, SEC B, LINE 10A DIGNITY HEALTH HOSPITAL FACILITY IMPLEMENTATION STRATEGY DOCUMENTS CAN BE ACCESSED AT https://www.dignityhealth.org/about-us/community-health/community-health-p rograms-and-reports/community-health-needs-assessments. IMPLEMENTATION STRATEGIES ARE ALSO ON BAKERSFIELD MEMORIAL HOSPITALS WEB SITE, AT THE SAME LOCATION AS THEIR CHNA REPORTS LISTED IN PART V, SECTION B, LINE 7a ABOVE. SCHEDULE H, PART V, SEC B, LINE 11 AMONG THE SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE 2015 CHNA, BAKERSFIELD MEMORIAL HOSPITAL WILL ADDRESS: OVERWEIGHT AND OBESITY; ACCESS TO HEALTH CARE; CHRONIC DISEASES (ASTHMA/LUNG DISEASE, CANCER, CARDIOVASCULAR DISEASE, DIABETES); AND BASIC NEEDS SERVICES. THE HOSPITAL IS ADDRESSING THESE NEEDS IN NUMEROUS WAYS DESCRIBED IN DETAIL IN THE IMPLEMENTATION STRATEGY, WHICH IS WIDELY AVAILABLE TO THE PUBLIC ONLINE. PROGRAMS INCLUDE: PATIENT FINANCIAL ASSISTANCE; BREAST HEALTH PROGRAM; COMMUNITY HEALTH INITIATIVE; HOMEMAKER CARE PROGRAM; PRESCRIPTION PURCHASES FOR INDIGENTS; COMMUNITY WELLNESS PROGRAM; CHRONIC DISEASE SELF-MANAGEMENT PROGRAM/DIABETES SELF-MANAGEMENT PROGRAM; ASTHMA MANAGEMENT PROJECT; SMOKING CESSATION PROGRAM; IN-HOME HEALTH EDUCATION; HEALTH EDUCATION AND SCREENINGS; HEALTHY KIDS IN HEALTHY HOMES; LEARNING AND OUTREACH CENTERS; AND ART AND SPIRITUALITY CENTER. TAKING EXISTING HOSPITAL AND COMMUNITY RESOURCES INTO CONSIDERATION, MERCY HOSPITALS WILL NOT DIRECTLY ADDRESS THE REMAINING SIGNIFICANT HEALTH NEEDS IDENTIFIED IN THE CHNA INCLUDING: DENTAL HEALTH, ENVIRONMENTAL HEALTH, MATERNAL AND INFANT HEALTH, MENTAL HEALTH, SEXUALLY TRANSMITTED INFECTIONS AND SUBSTANCE ABUSE. MERCY HOSPITALS CANNOT ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, THEREFORE, IT WILL CONCENTRATE ON THOSE HEALTH NEEDS THAT CAN MOST EFFECTIVELY BE ADDRESSED GIVEN THE ORGANIZATIONS AREAS OF FOCUS AND EXPERTISE. SCHEDULE H, PART V, SEC B, LINES 16A, 16B AND 16C HTTP://WWW.DIGNITYHEALTH.ORG/BAKERSFIELDMEMORIAL/PATIENTS-AND-VISITORS/PAT IENTS/BILLING-INFORMATION/PAYMENT-ASSISTANCE SCHEDULE H, PART V, SEC B, LINE 16j ADDITIONAL MEASURES TAKEN TO PUBLICIZE THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY INCLUDE THE PROVISION OF BROCHURES EXPLAINING AVAILABLE GOVERNMENT SPONSORED PROGRAMS AND THE FINANCIAL ASSISTANCE POLICY, A COPY OF THE FINANCIAL ASSISTANCE APPLICATION, A TELEPHONE NUMBER FOR PATIENTS TO REQUEST FURTHER INFORMATION ABOUT THE PROGRAM, AVAILABLITY OF INFORMATION IN LANGUAGES OTHER THAN ENGLISH, CONTACT INFORMATION FOR FINANCIAL COUNSELORS OR OTHER REPRESENTATIVES WHO CAN PROVIDE INFORMATION. THE FACILITY'S WEB SITE ALSO CONTAINS THE FINANCIAL ASSISTANCE POLICY, PLAIN LANGUAGE SUMMARY OF THE POLICY, APPLICATION, BILLING AND COLLECTION POLICY, A DESCRIPTION OF THE AMOUNT GENERALLY BILLED AND A LISTING OF PROVIDERS AT EACH FACILITY THAT ARE COVERED AND NOT COVERED BY THE FINANICAL ASSISTANCE POLICY. CONTACT INFORMATION CAN ALSO BE FOUND ON THE FACILITYS WEB PAGE.ExplanationTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Sch H, PART I, LINE 7FOR 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.
Sch H, PART I, LINE 7B, COLUMN (F)BEGINNING IN 2009, THE STATE OF CALIFORNIA ESTABLISHED PROVIDER FEE PROGRAMS. THESE PROGRAMS ARE FUNDED BY QUALITY ASSURANCE FEES PAID BY PARTICIPATING HOSPITALS AND MATCHING FEDERAL FUNDS. BMH RECOGNIZED QUALITY ASSURANCE FEES DURING THE YEAR OF $16.46 MILLION WHICH ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE RELATED TO UNREIMBURSED MEDICAID (PART I, LINE 7B, COLUMN C), AND RECOGNIZED FEE-FOR-SERVICE SUPPLEMENTAL PAYMENTS OF $39.77 MILLION DURING THE YEAR REFLECTED UNDER THE MEDICAID PROGRAM AS DIRECT OFFSETTING REVENUE (PART I, LINE 7B, COLUMN D). THIS NET INCREASE IN THE COST OF THE MEDICAID PROGRAM IS DRIVING THE INCREASE IN THE OVERALL COST OF COMMUNITY BENEFIT EXPENSE AS A PERCENT OF TOTAL EXPENSES WHEN COMPARED TO PRIOR YEARS. THE CALIFORNIA HOSPITAL ASSOCIATION CREATED A PRIVATE PROGRAM, THE CALIFORNIA HEALTH FOUNDATION AND TRUST ("CHFT"), ESTABLISHED FOR SEVERAL PURPOSES, INCLUDING AGGREGATING AND DISTRIBUTING FINANCIAL RESOURCES TO SUPPORT CHARITABLE ACTIVITIES AT VARIOUS HOSPITALS AND HEALTH SYSTEMS IN CALIFORNIA. DURING THE YEAR, BMH RECORDED A PLEDGE TO A GRANT FUND ESTABLISHED BY CHFT IN THE AMOUNT $0.74 MILLION. THE GRANT IS REPORTED UNDER OTHER BENEFITS (PART I, LINE 7I, COLUMN C), AS CASH AND IN-KIND CONTRIBUTIONS TO COMMUNITY GROUPS.
Sch H, PART II - COMMUNITY BUILDING ACTIVITIESTHE MISSION OF BAKERSFIELD MEMORIAL HOSPITAL AS THE LARGEST HEALTH CARE PROVIDER IN KERN COUNTY IS TO OCCUPY A LEADERSHIP ROLE IN BUILDING A HEALTHIER COMMUNITY. 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, AND FAMILIES TAUGHT TO MANAGE CHRONIC DISEASE). SOME OF THE COMMUNITY BUILDING PROGRAMS OFFERED INCLUDE: COMMUNITY SUPPORT PROGRAM: HOMEWORK CLUB DESCRIPTION: THE HOMEWORK CLUB PROVIDES AN ACADEMICALLY STRUCTURED AFTER SCHOOL PROGRAM FOR UNDERSERVED STUDENTS ATTENDING FIRST THROUGH SIXTH GRADE. THE PROGRAM FOCUSES ON PROVIDING A SAFE ENVIRONMENT FOR PRE-TEENS TO WORK ON HOMEWORK AND OTHER ACADEMIC SKILLS. LEADERSHIP DEVELOPMENT 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. PARTICIPANTS ARE TRAINED TO OFFER COMPETENT AND RELIABLE SERVICES TO THE EVER GROWING SENIOR POPULATION. PROGRAM: ART FOR HEALING DESCRIPTION: THE ART AND SPIRITUALITY CENTER OFFERS COMMUNITY MEMBERS AN OPPORTUNITY TO EXPERIENCE THE HEALING BENEFITS THAT MAY COME FROM CREATIVE EXPRESSION. THE CENTER IS ALSO OPEN TO THOSE WHO JUST WANT TO COME INTO A QUIET AND REFLECTIVE SPACE TO READ, PRAY OR HAVE A QUIET CONVERSATION WITH OTHERS. COALITION BUILDING PROGRAM: SUPPORT A COMMUNITY ENDEAVOR DESCRIPTION: DIGNITY HEALTH EMPLOYEES VOLUNTEER THEIR TIME TO SUPPORT COMMUNITY ENDEVOURS THAT PROMOTE HEALTH AND WELL-BEING. PROGRAM: COMMITTEE THAT RESPONDS TO COMMUNITY NEEDS DESCRIPTION: BAKERSFIELD MEMORIAL HOSPITAL EMPLOYEES DONATING THEIR TIME AND EXPERTISE TO BOARDS AND COMMITTEES THAT SERVE THE COMMUNITY.
Sch H, PART III, LINE 2THE AMOUNT OF THE ORGANIZATION'S BAD DEBT AT COST IS DETERMINED BY APPLYING THE CCR (SEE SCHEDULE H, PART I, LINE 7) 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. BAKERSFIELD MEMORIAL HOSPITAL (BMH) PROVIDES FREE OR DISCOUNTED CARE TO UNINSURED OR UNDER-INSURED INDIVIDUALS THAT FALL INTO THREE CATEGORIES; UNDER 200%, 201%-350% OR 351%-500% OF THE FEDERAL POVERTY LEVEL. BMH ALSO PROVIDES PATIENTS OPTIONS FOR PROMPT PAY DISCOUNTS, 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 AT BMH RECEIVE AN AUTOMATIC UNINSURED DISCOUNT OF 30%. THE EXPECTED PATIENT PAYMENT AMOUNT ON THE PATIENT'S BILL REFLECTS THIS DISCOUNT. DISCOUNTS ARE ACCOUNTED FOR AS DEDUCTIONS FROM REVENUE, NOT AS BAD DEBT EXPENSE.
Sch H, PART III, LINE 3BMH MAKES EVERY EFFORT IN DETERMINING IF A PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE UPON ADMISSION. BMH FOLLOWS DIGNITY HEALTH'S FINANCIAL ASSISTANCE POLICY. BMH'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, SUCH AS EMERGENCY ROOMS, URGENT CARE CENTERS, ADMITTING AND REGISTRATION DEPARTMENTS, HOSPITAL BUSINESS OFFICES LOCATED ON FACILITY CAMPUSES, AND OTHER PUBLIC PLACES, 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. DIGNITY HEALTH ALSO UTILIZES A PAYMENT ASSISTANCE RANK ORDERING (PARO) SCORING SYSTEM TO ASSIST IN DETERMINING IF AN UNINSURED PATIENT MAY QUALIFY FOR FINANCIAL ASSISTANCE EVEN THOUGH THEY HAVE NOT APPLIED FOR IT. PARO IS A METHODOLOGY THAT APPLIES CONSISTENT SCREENING AND APPLICATION STANDARDS TO ALL UNINSURED PATIENTS UTILIZING HISTORICAL DATA TO DEVELOP A PREDICTIVE MODEL FOR HEALTHCARE PAYMENT ASSISTANCE. IN ITS DEVELOPMENT, SPECIAL ATTENTION WAS PAID TO THOSE SOCIOECONOMIC 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 FINANCIAL ASSISTANCE WERE 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 FINANCIAL ASSISTANCE POLICY, AND THEREFORE, NO PORTION OF BAD DEBT EXPENSE IS INCLUDED AS COMMUNITY BENEFIT EXPENSE.
Sch H, PART III, LINE 4THE FOLLOWING IS AN EXCERPT FROM DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS' CONSOLIDATED ANNUAL AUDITED FINANCIAL STATEMENTS FOR THE YEAR ENDED JUNE 30, 2017, 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.
Sch H, PART III, LINE 8BMH 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. BMH BELIEVES THAT THE ENTIRE MEDICARE SHORTFALL OF $1,197 MILLION, AS REPORTED IN PART III, LINE 6, 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 BMH AND OTHER 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 $16.6 MILLION REPORTED ON PART III, SECTION B, LINE 7, PRIMARILY FOR FEE FOR SERVICE MEDICARE PATIENTS, AS WELL AS THE UNREIMBURSED PORTION OF MEDICARE MANAGED CARE AND MEDICARE CAPITATED PROGRAMS FOR BMH.
Sch H, PART III, LINE 9BBMH ENSURES THAT PATIENT ACCOUNTS ARE PROCESSED FAIRLY AND CONSISTENTLY. BMH FOLLOWS DIGNITY HEALTH'S PATIENT FINANCIAL ASSISTANCE POLICY. BMH'S BILLING AND COLLECTION POLICY CONTAINS PROVISIONS THAT PROHIBIT THE COLLECTION OF AMOUNTS DUE FROM PATIENTS WHOM THE ORGANIZATION KNOWS QUALIFY FOR FINANCIAL ASSISTANCE. ACCOUNTS WITH INCORRECT OR INCOMPLETE DEMOGRAPHIC INFORMATION ARE ASSIGNED TO A COLLECTION AGENCY IF BMH OR THE BILLING COMPANY RETAINED BY DIGNITY HEALTH 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 BMH'S PATIENT FINANCIAL 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. 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 HE BILLING COMPANY RETAINED BY DIGNITYHEALTH. UPON ASSIGNMENT OF SUCH A PATIENT ACCOUNT TO A COLLECTION AGENCY, DIGNITY HEALTH REQUIRES THE AGENCY TO COMPLY WITH THE FAIR DEBT COLLECTION PRACTICES ACT.
Sch H, PART VI, LINE 2 - NEEDS ASSESSMENTIN ADDITION TO CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT AT LEAST EVERY THREE YEARS, BAKERSFIELD MEMORIAL HOSPITAL CONTINUOUSLY ASSESSES THE HEALTH NEEDS OF THE COMMUNITIES IT SERVES BY WORKING COLLABORATIVELY WITH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS, OTHER NON-PROFIT ORGANIZATIONS, PUBLIC HEALTH DEPARTMENT, AND OTHER HEALTH, SOCIAL SERVICE AND COMMUNITY DEVELOPMENT ORGANIZATIONS. THE HOSPITAL GAINS AND MAINTAINS KNOWLEDGE OF HEALTH NEEDS IN PART THROUGH COMMUNITY HEALTH PARTNERSHIPS AND LOCAL ADVOCACY CONDUCTED IN CONJUNCTION WITH COMMUNITY PARTNERS. BAKERSFIELD MEMORIAL HOSPITAL CREATES AND MAKES WIDELY AVAILABLE TO THE PUBLIC ANNUAL COMMUNITY BENEFIT REPORTS THAT SUMMARIZE IDENTIFIED HEALTH NEEDS, UPDATE COMMUNITY DEMOGRAPHIC INFORMATION, AND REPORT ON RECENT AND PLANNED COMMUNITY HEALTH PROGRAMS, INCLUDING GOALS, OBJECTIVES AND MEASURABLE RESULTS. BAKERSFIELD MEMORIAL HOSPITAL PARTNERS WITH THE HEALTHY COMMUNITIES INSTITUTE TO OFFER A WEB-BASED COMMUNITY ASSESSMENT. THE HEALTHYKERN.ORG WEBSITE HAS MORE THAN 180 LOCAL LIFE INDICATORS AND 2,200 BEST PRACTICES AVAILABLE TO THE ENTIRE COMMUNITY FREE OF CHARGE. THE WEBSITE IS FREQUENTLY UPDATED WITH REPORTING AND TRACKING TOOLS AVAILABLE. ANOTHER TOOL USED TO ASSESS HEALTH NEED IS THE COMMUNITY NEED INDEX (CNI) CREATED AND MADE PUBLICLY AVAILABLE BY DIGNITY HEALTH AND TRUVEN HEALTH ANALYTICS. THE CNI ANALYZES DATA AT THE ZIP CODE LEVEL ON FIVE FACTORS KNOWN TO CONTRIBUTE OR BE BARRIERS TO HEALTH CARE ACCESS: INCOME, CULTURE/LANGUAGE, EDUCATION, HOUSING STATUS, AND INSURANCE COVERAGE. SCORES FROM 1.0 (LOWEST BARRIERS) TO 5.0 (HIGHEST BARRIERS) FOR EACH FACTOR ARE AVERAGED TO CALCULATE A CNI SCORE FOR EACH ZIP CODE IN THE COMMUNITY. RESEARCH HAS SHOWN THAT COMMUNITIES WITH THE HIGHEST CNI SCORES EXPERIENCE TWICE THE RATE OF HOSPITAL ADMISSIONS FOR AMBULATORY CARE SENSITIVE CONDITIONS AS THOSE WITH THE LOWEST SCORES.
Sch H, PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEINFORMATION ABOUT PATIENT FINANCIAL ASSISTANCE AVAILABLE FROM BMH, INCLUDING A CONTACT NUMBER ARE MADE AVAILABLE TO PATIENTS AND THE PUBLIC. PATIENTS ARE INFORMED OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM VIA SIGNAGE IN ALL ADMITTING AREAS AND IN VARIOUS COMMON AREAS OF THE HOSPITAL. FINANCIAL ASSISTANCE PROGRAM INFORMATION NOTICES ARE POSTED IN THE EMERGENCY AND ADMITTING DEPARTMENTS AND AT OTHER PUBLIC PLACES AS THE DIGNITY HEALTH FACILITY MAY ELECT. SUCH INFORMATION IS PROVIDED IN THE PRIMARY LANGUAGES SPOKEN IN THE COMMUNITIES BMH SERVES. THE SIGNAGE INCLUDES NOTIFICATION THAT ALL UNINSURED PATIENTS RECEIVE AN UNINSURED DISCOUNT OF 30%, AND THAT FURTHER DISCOUNTS MAY BE PROVIDED UPON THE COMPLETION AND SUBMISSION OF A FINANCIAL ASSISTANCE APPLICATION OR WITH PROMPT PAYMENT. FINANCIAL ASSISTANCE INFORMATION, GOVERNMENT PROGRAM RESOURCE INFORMATION, TOOLS TO ASSIST PATIENTS IN FINDING HEALTH COVERAGE, ANSWERS TO FREQUENTLY ASKED BILLING QUESTIONS, AND OTHER SUCH INFORMATION CAN ALSO BE FOUND ON DIGNITY HEALTH'S WEBSITE AT WWW.DIGNITYHEALTH.ORG. AT THE POINT OF REGISTRATION, BROCHURES ARE MADE AVAILABLE TO ALL PATIENTS EXPLAINING THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND THE AVAILABILITY OF GOVERNMENT SPONSORED PROGRAMS. COPIES OF THE FINANCIAL ASSISTANCE APPLICATION ARE MADE AVAILABLE TO ALL UNINSURED PATIENTS IN ADDITION TO THE BROCHURE UPON ADMISSION TO THE FACILITY. IF FINANCIAL ASSISTANCE ELIGIBILITY IS NOT DETERMINED PRIOR TO BILLING, INITIAL BILLING STATEMENTS TO UNINSURED PATIENTS INCLUDE A REQUEST TO THE PATIENT TO PROVIDE ANY INSURANCE INFORMATION THAT WAS VALID FOR THE DATES OF SERVICE BILLED, A STATEMENT INFORMING PATIENTS WITHOUT INSURANCE COVERAGE THAT THEY MAY BE ELIGIBLE FOR A GOVERNMENT SPONSORED PROGRAM OR FACILITY FUNDED FINANCIAL ASSISTANCE, INSTRUCTIONS ON HOW TO APPLY FOR A GOVERNMENT PROGRAM OR FINANCIAL ASSISTANCE AND THE PROVISION OF SUCH APPLICATIONS. ADDITIONALLY, CONTRACT TERMS WITH COLLECTION VENDORS WORKING ON BEHALF OF BMH REQUIRE ALL INITIAL STATEMENTS TO UNINSURED PATIENTS TO INCLUDE VERBIAGE INFORMING PATIENTS OF THE FACILITY'S FINANCIAL ASSISTANCE PROGRAM AND A COPY OF THE FINANCIAL ASSISTANCE APPLICATION. ALSO, ANY MEMBER OF THE BMH FACILITY STAFF OR MEDICAL STAFF MAY MAKE REFERRALS OF PATIENTS FOR FINANCIAL ASSISTANCE. THE PATIENT, A FAMILY MEMBER, A CLOSE FRIEND OR AN ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIAL ASSISTANCE.
Sch H, PART VI, LINE 4-COMMUNITY INFORMATIONBAKERSFIELD MEMORIAL HOSPITAL SERVES ALL OF KERN COUNTY, INCLUDING BAKERSFIELD AND OUTLYING RURAL COMMUNITIES. MEMORIAL DETERMINES THE PRIMARY SERVICE AREA BY ASSIGNING ZIP CODES BASED ON PATIENT DISCHARGES. OVER 70% OF INPATIENT DISCHARGES CONSTITUTE THE PRIMARY SERVICE AREA (OFFICE OF STATEWIDE HEALTH PLANNING AND DEVELOPMENT). THE COUNTY COVERS MORE THAN 8,100 SQUARE MILES, GEOGRAPHICALLY MAKING IT THE THIRD LARGEST COUNTY IN THE STATE. THE LANDSCAPE IS DIVERSE, RANGING FROM HIGH DESERT TO MOUNTAINS TO VAST EXPANSES OF RICH AGRICULTURAL FLATLANDS. KERN COUNTY CONSISTENTLY RANKS AMONG THE TOP FIVE MOST PRODUCTIVE AGRICULTURAL COUNTIES IN THE UNITED STATES AND IS ONE OF THE NATIONS LEADING PETROLEUM-PRODUCING COUNTIES. AGRICULTURE IS THE THIRD LARGEST INDUSTRY IN THE COUNTY AND ACCOUNTS FOR 24% OF PRIVATE SECTOR JOBS. SEASONAL AND CYCLICAL FLUCTUATIONS IN EMPLOYMENT IN THE AGRICULTURE AND PETROLEUM INDUSTRIES DRIVE KERN COUNTYS UNEMPLOYMENT RATE CONSISTENTLY WELL ABOVE THE STATE AVERAGE. A SUMMARY DESCRIPTION OF THE COMMUNITY IS BELOW, AND ADDITIONAL COMMUNITY FACTS AND DETAILS CAN BE FOUND IN THE CHNA REPORT ONLINE. Total Population: 592,122 Race/Ethnicity: White - Non-Hispanic 31.9%; Black/African American - Non-Hispanic 5.4%; Hispanic or Latino 55.2%; Asian/Pacific Islander 4.8%; All Others 2.7% Median Income: $54,262 Unemployment: 7.5% No High School Diploma: 25.1% Medicaid: 32.6% Uninsured: 9.4% OTHER AREA HOSPITALS: 9 NEARLY TWO-THIRDS OF KERN COUNTY'S RESIDENTS-AND MOST OF ITS MAJOR HEALTH CARE PROVIDERS-ARE CLUSTERED IN AND AROUND BAKERSFIELD. IN ADDITION TO BAKERSFIELD MEMORIAL HOSPITAL, OTHER HEALTH PROVIDERS IN BAKERSFIELD INCLUDE TWO OTHER DIGNITY HEALTH HOSPITALS - MERCY HOSPITAL DOWNTOWN AND MERCY HOSPITAL SOUTHWEST, KERN MEDICAL CENTER, KAISER PERMANENTE, ADVENTIST HEALTH BAKERSFIELD (FKA SAN JOAQUIN COMMUNITY HOSPITAL), THE HEART HOSPITAL, GOOD SAMARITAN HOSPITAL, CLINICA SIERRA VISTA AND, OMNI FAMILY HEALTH. THE SERVICE AREA FOR THESE PROVIDERS IS BAKERSFIELD. WHENEVER POSSIBLE, AN EFFORT IS MADE FOR COMMUNITY-BASED COLLABORATION TO SOLVE PROBLEMS AND ENSURE SUSTAINABLE HEALTH PROGRAMS OVER THE LONG TERM TO POPULATIONS THAT NEED IT THE MOST. MANY OF BAKERSFIELD'S POOREST RESIDENTS ARE CONCENTRATED IN THE CITY'S SOUTHEAST QUADRANT, THE SITE OF TWO OF OUR 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. THESE NEIGHBORHOODS INCLUDE RUNDOWN MOTELS THAT HOUSE A TRANSIENT HOMELESS POPULATION, INCLUDING MANY FAMILIES WITH CHILDREN. MOST OF THESE RESIDENTS HAVE NOT RECEIVED HEALTH SERVICES OR ASSISTANCE BECAUSE OF POVERTY, CHRONIC SUBSTANCE ABUSE, LANGUAGE BARRIERS, LACK OF TRANSPORTATION, A STRONG MISTRUST OF ESTABLISHED INSTITUTIONS, AND LACK OF KNOWLEDGE AND UNDERSTANDING ABOUT ACCESSING AND USING AVAILABLE SERVICES. FOR MANY LOW-INCOME INDIVIDUALS AND FAMILIES LIVING IN THE OUTLYING RURAL COMMUNITIES OF KERN COUNTY, GEOGRAPHIC ISOLATION HEIGHTENS THESE BARRIERS TO HEALTH CARE AND OTHER SERVICES.
Sch H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHBAKERSFIELD MEMORIAL HOSPITAL HAS A BOARD OF DIRECTORS. THE BOARD IS RESPONSIBLE FOR ENSURING THAT COMMUNITY HEALTH IS ONE OF THE MAJOR GOALS IN THE STRATEGIC PLANNING PROCESS. MEMORIAL HOSPITALS PRESIDENT IS COMMITTED TO THE COMMUNITY BENEFIT PROCESS AND ACCOUNTABLE TO DIGNITY HEALTH SYSTEM LEADERSHIP. THE COMMUNITY BENEFIT COMMITTEE OF THE BOARD ASSISTS THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH IN PRIORITIZING PROGRAMS THAT ARE IN LINE WITH THE HOSPITALS STRATEGIC PLAN. COMMITTEE MEMBERS INCLUDE REPRESENTATIVES OF THE HOSPITAL EXECUTIVE MANAGEMENT TEAM, THE BUSINESS COMMUNITY, SOCIAL SERVICE AGENCIES, COMMUNITY VOLUNTEERS, BOARD MEMBERS, AND EMPLOYEES. THIS GROUP MEETS SIX 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. BAKERSFIELD MEMORIAL HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN KERN COUNTY IN ALL OF IT'S DEPARTEMENTS WITH THE EXCEPTION OF CLOSED SERVICE AND CONTRACTS FOR DOCTOR GROUPS (E.G. PATHOLOGY). BAKERSFIELD MEMORIAL HOSPITAL 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. CARING FOR THE COMMUNITY BEYOND THE HOSPITAL WALLS LED TO THE FOUNDING IN 1991 OF THE DEPARTMENT OF SPECIAL NEEDS AND COMMUNITY OUTREACH FOR MERCY AND MEMORIAL HOSPITALS. IN RESPONSE TO IDENTIFIED UNMET HEALTH-RELATED NEEDS IN THE COMMUNITY, TODAY THE DEPARTMENT OPERATES MORE THAN 45 PROGRAMS IN BAKERSFIELD, ARVIN, SHAFTER, MCFARLAND, DELANO, LAKE ISABELLA, LOST HILLS, RIDGECREST, TAFT, TEHACHAPI, WASCO, AND OTHER OUTLYING COMMUNITIES IN KERN COUNTY WHERE THERE IS LIMITED ACCESS TO HEALTH CARE AND RELATED SERVICES. BAKERSFIELD MEMORIAL HOSPITAL MAKES MANY ADDITIONAL CONTRIBUTIONS TO IMPROVE THE HEALTH STATUS OF OUR COMMUNITY. THESE NON-QUANTIFIABLE BENEFITS TAKE MANY FORMS INCLUDING: NURTURING GRASSROOTS COMMUNITY-BASED INITIATIVES; LENDING THE EXPERTISE OF OUR EMPLOYEES TO COMMUNITY COLLABORATIVES AND BOARDS; AND ACTIVELY ADVOCATING FOR THE POOR AND UNDERSERVED. WE ARE AN ENTHUSIASTIC PARTICIPANT IN A NUMBER OF COLLABORATIVE EFFORTS THAT BRING TOGETHER DIVERSE ORGANIZATIONS FROM THE PUBLIC, PRIVATE, AND NONPROFIT SECTORS.
Sch H, PART VI, LINE 6-AFFILIATED HEALTH CARE SYSTEMBMH IS AFFILIATED WITH DIGNITY HEALTH. AFFILIATES OF DIGNITY HEALTH ALSO PROMOTE THE HEALTH OF ADDITIONAL COMMUNITIES IN CALIFORNIA, ARIZONA, AND NEVADA. THESE AFFILIATES FOLLOW PRACTICES SIMILAR TO THOSE NOTED ABOVE IN DETERMINING THE UNMET HEALTHCARE NEEDS OF THEIR COMMUNITIES. TOTAL UNSPONSORED COMMUNITY BENEFIT EXPENSE FOR DIGNITY HEALTH AND ITS SUBORDINATE CORPORATIONS FOR THE YEAR ENDED JUNE 30, 2017, IS AS FOLLOWS: Persons Net Comm % of Served Benefit Exp excl Bad Debt Benefits for the Poor: Traditional Charity Care 88,031 98,807,000 0.8% Unpaid Costs of Medicaid/Medi-Cal 1,656,712 1,074,093,000 8.3% Other Means-tested Programs 305,907 9,812,000 0.1% Community Services: Community Health Services 351,566 38,258,000 0.3% Health Professions Education 48 177,000 0.0% Subsidized Health Services 352,535 55,272,000 0.4% Donations 111,409 23,470,000 0.2% Community Building Activities 2,233 2,064,000 0.0% Community Benefit Operations 1,732 9,012,000 0.1% Total Community Services for the poor 819,523 128,253,000 1.0% Total Benefits for the Poor 2,870,173 1,310,965,000 10.2% Benefits for the Broader Community: Community Services: Community Health Services 312,585 14,413,000 0.1% Health Professions Education 34,107 67,391,000 0.5% Subsidized Health Services 2,780 1,486,000 0.0% Research 703 8,804,000 0.1% Donations 22,184 8,543,000 0.1% Community Building Activities 20,730 2,429,000 0.0% Community Benefit Operations 54 1,180,000 0.0% Total Benefits for the Broader Community 393,143 104,246,000 0.8% Total Community Benefits 3,263,316 1,415,211,000 11.0% Unpaid Costs of Medicare 1,384,961 1,196,946,000 9.3% Total Community Benefits including Unpaid Cost of Medicare 4,648,277 2,612,157,000 20.3%

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxt
Cal State Bakersfield Foundation
9001 STOCKDALE HWYBAKERFIELDCA93311952643086501(c)(3)$75,000N/AN/AEducation Support
GARDEN PATHWAYS INC
4949 29TH STBAKERFIELDCA93301770442212501(c)(3)$54,625N/AN/ACommunity Health
HOFFMAN HOSPICE OF THE VALLEY INC
8501 BRIMHALL RD SUITE 100BAKERFIELDCA93312770386207501(c)(3)$27,417N/AN/ACommunity Health
CATHOLIC CHARITIES OF THE DIOCESE OF FRESNO
149 N FULTON STFRESNOCA93701941678938501(c)(3)$13,800N/AN/ACommunity Health
MARCH OF DIMES FOUNDATION
3550 N CENTRAL AVEPHOENIXAZ85012131846366501(c)(3)$10,000N/AN/ACommunity Health
VALLEY CHILDRENS MEDICAL GROUP
9300 VALLEY CHILDRENS PLMADERACA93636464150987501(c)(3)$10,000N/AN/ACommunity Health
CBCC FOUNDATION FOR COMMUNITY WELLNESS INC
6401 TRUXTONBAKERFIELDCA93307770491071501(c)(3)$5,300N/AN/ACommunity Health
GLOBAL FAMILY CARE NETWORK INC
PO BOX 13160BAKERFIELDCA93389208346599501(c)(3)$6,250N/AN/ACommunity Support
Dignity Health (Valley Integrated Provider Network
185 Berry StreetSan FranciscoCA94107941196203501(c)(3)$462,500N/AN/AHospital Support
Dignity Health Medical Foundation
3400 Data DriveRancho CordovaCA95670680220314501(c)(3)$2,967,223N/AN/AMedical Fnd Support
California Health Foundation and Trust
1215 K Street Suite 800SacramentoCA95814941498697501(c)(3)$742,782N/AN/ACommunity Health
Bakersfield Memorial Hospital Foundation
420 34th StreetBakersfieldCA93301953555043501(c)(3)$438,382N/AN/AFoundation Support
FieldValueIRS element (for citing)
Total501c3 Org12Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
PROVISION OF FOOD/MEALS16545$1,782$46,658FMVFOOD
DONATION OF CLOTHING/OTHER TO PATIENTS/NEEDY542$400$2,731FMVCLOTHING/HH GOODS
PROVISION PRESCRIPTION FOR INDIGENTS202$0$30,690BOOKPHARMACEUTICALS

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2 - GENERAL INFORMATION ON GRANTS & ASSISTANCEFormAndLineReferenceDesc
ExplanationDONATIONS 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 THAT MEET SPECIFIC CRITERIA THROUGH ITS SPECIAL NEEDS DEPARTMENT AND ALSO DONATES DIRECTLY TO VARIOUS COMMUNITY EVENTS AND PROGRAMS THROUGH THE MARKETING AND BUSINESS DEVELOPMENT DEPARTMENTS. 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 SENIOR DIRECTOR OF SALES AND MARKETING REVIEWS AND EVALUATES REQUESTS FOR THE HOSPITAL TO DONATE TO OR SPONSOR COMMUNITY EVENTS AND PROGRAMS. ORGANIZATIONS SEEKING DONATIONS MAY BE CHARITABLE OR NON-CHARITABLE. THE FOLLOWING ARE THE CRITERIA THAT MARKETING USES TO EVALUATE DONATIONS: 1. RELEVANCY TO HEALTHCARE-RELATED ISSUES 2. RELEVANCE TO THE HOSPITAL'S MISSION 3. RELEVANCE TO THE HOSPITAL'S PRESENCE OR SUPPORT OF COMMUNITY PROGRAMS OR SERVICES. 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 REACH IN THE COMMUNITY (I.E. BUSINESS DEVELOPMENT, SERVICE-LINE GROWTH, ETC.)IF DEEMED APPROPRIATE AND MEETING THE CRITERIA, THE REQUEST IS PRESENTED TO THE HOSPITAL PRESIDENT, WHO APPROVES THE SPONSORSHIP OR DONATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce Peters
Director$0$361,620$0$178,976$0$7,200$0$50,161$0$21,902$0$619,859$0$0
Jon VanBoening
President & CEO$0$579,232$0$622,221$0$193,203$0$101,732$0$74,733$0$1,571,121$0$146,544
Jesica Hanson
VP / CFO$301,426$0$119,589$0$42,498$0$41,015$0$27,607$0$532,135$0$0$0
Susan Benham
VP Chief Dev Officer$153,250$0$300$0$824$0$15,965$0$17,193$0$187,532$0$0$0
Terri Church
VP / CNE$235,021$0$10,300$0$2,260$0$25,650$0$17,091$0$290,322$0$0$0
Sheri Comaianni
VP / HR$176,921$0$90,297$0$27,958$0$28,601$0$13,979$0$337,756$0$0$0
Kenneth Keller
VP/COO$359,858$0$300$0$34,838$0$37,452$0$31,934$0$464,382$0$0$0
Robin Mangarin-Scott
VP STRATEGIC MRKTG COMM CCASA$186,265$0$28,421$0$2,652$0$16,959$0$23,856$0$258,153$0$0$0
Rodney Mark Root MD
VP / CMO$311,810$0$300$0$12,023$0$32,329$0$23,115$0$379,577$0$0$0
Michael Sloan
VP / HR$145,678$0$21,380$0$114,093$0$19,188$0$46,302$0$346,641$0$0$0
Kevin Walters
VP, Chief Strategy Officer/CAO$391,547$0$154,445$0$2,622$0$46,156$0$30,606$0$625,376$0$0$0
Whabong Anderson
Registered Nurse$248,505$0$14,229$0$5,044$0$22,169$0$9,070$0$299,017$0$0$0
Michele Chin
Pharmacist$205,936$0$300$0$0$0$21,557$0$7,987$0$235,780$0$0$0
Jean Estallo
Registered Nurse$199,872$0$3,807$0$764$0$17,270$0$8,321$0$230,034$0$0$0
Yehia Guirguis
Pharmacist$190,122$0$300$0$41,275$0$14,853$0$7,650$0$254,200$0$0$0
Karen J Simpson
Registered Nurse$225,828$0$3,267$0$361$0$17,965$0$8,595$0$256,016$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ACLUB DUES HAVE BEEN PAID BY THE ORGANIZATION FOR BUSINESS USE BY ONE DIRECTOR/OFFICER, WHO IS THE PRESIDENT, 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. SCHEDULE J, PART I, LINE 3 ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE ORGANIZATION RELIED ON A RELATED ORGANIZATION, DIGNITY HEALTH, THAT USED ONE OR MORE OF THE METHODS DESCRIBED IN SCHEDULE J, PART I, LINE 3, TO ESTABLISH THE ORGANIZATION'S PRESIDENT'S COMPENSATION. SEE SCHEDULE O DISCLOSURE FOR FORM 990, PART VI, SECTION B, LINE 15A FOR ADDITIONAL INFORMATION.
PART I, LINE 4aCERTAIN LISTED PERSONS PARTICIPATE IN DIGNITY HEALTH'S SEVERANCE PLAN THAT PROVIDES MARKET-STANDARD COMMPENSATION, 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. NO PAYMENTS WERE MADE PURSUANT TO THE PLAN ARRANGEMENT DURING 2016.
PART I, LINE 4bCERTAIN OFFICERS PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN, A NONQUALIFIED SUPPLEMENTAL BENEFIT PLAN LIMITED TO PARTICIPANTS IN THE DIGNITY HEALTH RETIREMENT PLAN WHOSE BENEFITS ARE AFFECTED BY THE LIMITATIONS IMPOSED BY SECTIONS 401(A)(17) AND 415 OF THE INTERNAL REVENUE CODE. BENEFIT SERVICE UNDER THIS PLAN WAS FROZEN AS OF JANUARY 1, 2008. THERE WERE NO PAYMENTS RELATED TO THIS PLAN IN 2016. CERTAIN LISTED PERSONS ARE ELIGIBLE TO PARTICIPATE IN NON-QUALIFIED 457(F) PLANS THAT ARE SUBJECT TO SUBSTANTIAL RISK OF FORFEITURE, AS REQUIRED BY THE IRS. THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR EXECUTIVES HIRED PRIOR TO JUNE 30, 2006. THE BENEFIT IS INTENDED TO BRIDGE THE DIFFERENCE, IF ANY, BETWEEN THE BENEFIT PROVIDED UNDER THE DIGNITY HEALTH EXCESS BENEFIT PLAN HAD BENEFIT SERVICE NOT BEEN FROZEN AT JANUARY 1, 2008, AND THE BENEFITS PROVIDED FROM ALL OTHER QUALIFIED AND NON-QUALIFIED PLANS. BENEFITS VEST UNDER THIS 457(F) PLAN AT THE LATER OF THE DATE THE PARTICIPANT ATTAINS AGE 62 OR IS CREDITED WITH 15 YEARS OF SERVICE. THE 2010 EXECUTIVE DEFERRED COMPENSATION PLAN IS FOR CERTAIN OFFICERS AND KEY EMPLOYEES, PRIMARILY THOSE WHO ARE NOT ELIGIBLE TO PARTICIPATE IN THE DIGNITY HEALTH EXCESS BENEFIT PLAN OR THE 2007 EXECUTIVE DEFERRED COMPENSATION PLAN DESCRIBED ABOVE. THIS BENEFIT PROVIDES AN ANNUAL ACCRUAL OF 10% OF TOTAL COMPENSATION AND IS PAYABLE ANNUALLY ON JULY 1 ONCE VESTED, WHICH IS AGE 62 WITH 5 YEARS OF SERVICE; THE PLAN ALSO ALLOWS FOR SPECIAL AWARDS. PAYMENTS PURSUANT TO THE PLAN ARRANGEMENTS FOR ONE BOARD MEMBER/OFFICER OCCURRED DURING 2016 INCLUDE J. VANBOENING, $146,544. COMPENSATION AMOUNTS FOR THE SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANS DISCUSSED ABOVE ARE REPORTED AS DEFERRED COMPENSATION IN THE YEAR ACCRUED (SCHEDULE J, PART II, COLUMN C) AND ARE REFLECTED AGAIN AS REPORTABLE COMPENSATION IN THE YEAR PAID (SCHEDULE J, PART II, COLUMN B(III)).
PART II, SUPPLEMENTAL DISCLOSURESTHE 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 PATIENT AND 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 DIGNITY HEALTH'S HUMAN RESOURCES AND COMPENSATION 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, IS ESTABLISHED TO APPROXIMATE THE PREVAILING MARKET CONDITIONS FOR EXECUTIVES OF COMPANIES OF SIMILAR SIZE, REVENUES AND COMPLEXITY. PAYMENTS PURSUANT TO A LONG-TERM FINANCIAL PERFORMANCE GOAL WERE PAID IN CALENDAR YEAR 2016.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
A52159822513033FTN02004-05-19$150,000,000BOND A: CUSIP 13033FTN0-SEE PRT VIfalsefalseYes (true)
CALIFORNIA HEALTH FACILITIES FINANCING AUTHORITY
B52164382813033FYE42005-11-10$200,000,000BOND B: CUSIP 13033FYE4-SEE PRT VIfalsefalseYes (true)

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$2,887,593$0$0$0$0$0$0$2,887,593$0$02006falsefalseYes (true)Yes (true)
B$0$0$26,804,899$0$0$0$0$0$0$26,804,899$0$02008falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.004000.000000.00400falsefalse0.00000falseYes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.004000.000000.00400falsefalse0.00000falseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0Yes (true)Yes (true)
0
BfalsefalsefalseYes (true)Yes (true)falsefalse0Yes (true)Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
BOND A: CUSIP 13033FTN0PART I, COLUMN (C) THE CHFFA 2004 SERIES J BONDS WERE EXCHANGED IN NOVEMBER 2009 FOR THE CHFFA 2009 SERIES H BONDS IN AN EXCHANGE PURSUANT TO NOTICE 2008-41 THAT WAS NOT TREATED AS A NEW ISSUANCE FOR PURPOSES OF SECTIONS 103 AND 141-150 OF THE INTERNAL REVENUE CODE. PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE. THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN IN PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY BAKERSFIELD MEMORIAL HOSPITAL AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART II, LINE 3 IN MAY 2013, ALL OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS MATURED AND WERE REPAID TO THE ISSUER. OF SUCH REPAYMENTS, BAKERSFIELD MEMORIAL HOSPITAL BORROWED THE SUM OF $2,887,5937 TO FINANCE THE CONSTRUCTION/RENOVATION OF FACILITIES AND THE ACQUISITION OF MEDICAL EQUIPMENT AT VARIOUS HOSPITALS. ALTHOUGH THE FACILITIES ORIGINALLY FINANCED WITH PROCEEDS OF THE BONDS WERE SUBSTANTIALLY COMPLETED IN THE YEAR INDICATED, REPAYMENTS OF THE LOANS ORIGINATED WITH PROCEEDS OF THE BONDS WERE AND/OR WILL BE RECYCLED INTO NEWLY ORIGINATED LOANS CONTINGENT ON DEMAND BY PARTICULAR BORROWERS AT THE TIME OF A LOAN REPAYMENT. COMPLETION DATES OF PROJECTS FINANCED OR TO BE FINANCED WITH SUCH RECYCLED AMOUNTS ARE NOT INDICATED. PART IV, LINE 2C THE MOST RECENT REBATE COMPUTATION DATE WAS 6/30/2016, AS OF WHICH IT WAS DETERMINED THAT NO REBATE WAS DUE.
BOND B: CUSIP 13033FYE4PART I, COLUMN (E) THE DIFFERENCE BETWEEN THE ISSUE PRICE IN PART I, COLUMN (E) AND PART II, LINE 3 IS PRIMARILY A RESULT OF THE FACT THAT THE COMPOSITE BOND ISSUE WAS A POOLED FINANCING ISSUE. THE FULL ISSUE PRICE OF WHICH IS SHOWN IN PART I, COLUMN (E). IN COMPARISON, THE AMOUNT OF PROCEEDS SHOWN IN PART II, LINE 3 REFLECTS ONLY THE PORTION OF THE BOND ISSUE BORROWED BY BAKERSFIELD MEMORIAL HOSPITAL AND CURRENTLY OUTSTANDING. A SMALL PART OF THE DIFFERENCE BETWEEN THE ISSUE PRICE AND PROCEEDS IS DUE TO INVESTMENT EARNINGS. PART I, COLUMN (F) FINANCE ACQUISITION OF MEDICAL EQUIPMENT AND CONSTRUCTION AND RENOVATION OF HOSPITAL FACILITIES. PART IV, LINE 2C AS OF THIS BOND ISSUE'S PRIOR REBATE COMPUTATION DATE OF 1/28/2015, IT WAS DETERMINED THAT NO REBATE WAS DUE.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
MARISSA MCMURTREY
FAMILY MEMBR, D MCMURTREY, BOD$71,624EMPLOYMENTfalse
BRENDA MCMURTREY
FAMILY MEMBR, D MCMURTREY, BOD$115,355EMPLOYMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PARTS VI, VII, XI AND XIFORM 990, PART VI, LINE 2A J. VAN BOENING, J. HANSON, B. PETERS - BUSINESS RELATIONSHIP J. VAN BOENING, B. PETERS - BUSINESS RELATIONSHIP FORM 990, PART VI, SECTION A, LINE 6 THE SOLE CORPORATE MEMBER IS DIGNITY HEALTH, A 501(C)(3) EXEMPT ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A DIGNITY HEALTH, AS THE SOLE CORPORATE MEMBER, RATIFIES THE SELECTION OF MEMBERS AND THE DIGNITY HEALTH BOARD APPROVES NEW BOARD MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, 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. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO WORKED CLOSELY WITH THE PARENT ORGANIZATION AND AN INDEPENDENT ACCOUNTING FIRM IT ENGAGED TO REVIEW. DUE TO TIMING THE FINAL DRAFT OF THE FORM 990 WAS NOT PRESENTED TO THE BOARD BEFORE THE RETURN WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION HAS ADOPTED DIGNITY HEALTH'S CONFLICTS OF INTEREST POLICY. UNDER SUCH POLICIES, THE EVP/GENERAL COUNSEL IS RESPONSIBLE FOR COLLECTING, REVIEWING AND VALIDATING ANNUAL DISCLOSURES OF ALL COVERED PERSONS (I.E., BOARD AND BOARD COMMITTEE MEMBERS, OFFICERS AND EXECUTIVE LEADERSHIP, KEY EMPLOYEES, MANAGEMENT PERSONNEL AT THE VICE PRESIDENT LEVEL AND ABOVE, AND ANY OTHER PERSONNEL AT HIS OR HER DISCRETION). ALL COVERED PERSONS ARE REQUIRED TO DISCLOSE ACTUAL OR POTENTIAL CONFLICTS ARISING FROM THE BUSINESS, FINANCIAL AND PERSONAL INTERESTS HELD BY SUCH COVERED PERSONS OR THEIR FAMILY MEMBERS. COVERED PERSONS ARE REQUIRED TO DISCLOSE TO THEIR SUPERIORS AND TO RELEVANT DECISION MAKERS ANY INTEREST THAT MAY PRESENT A CONFLICT, OR THE APPEARANCE OF A CONFLICT OF INTEREST. SUCH DISCLOSURE IS REQUIRED ON A TRANSACTIONAL BASIS AT THE TIME SUCH CONFLICTS ARISE, WHEN AN INDIVIDUAL BECOMES A COVERED PERSON, AND ANNUALLY THEREAFTER. EACH COVERED PERSON IS REQUIRED TO CERTIFY AT LEAST ANNUALLY THAT HE/SHE: (1) HAS RECEIVED A COPY OF THE POLICY APPLICABLE TO HIS/HER POSITION; (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 AS REQUIRED BY THE POLICY. THE PRESIDENT/CEO AND EVP/GENERAL COUNSEL PREPARE ANNUAL REPORTS OF REPORTED CONFLICTS OF INTEREST, WHICH ARE PROVIDED TO THE BOARD OF DIRECTORS, COMMITTEE CHAIRS, AND KEY LEADERS OF THE ORGANIZATION TO ENABLE RESPONSIBLE INDIVIDUALS TO MONITOR AND MANAGE DISCLOSED CONFLICTS OF INTEREST AND ASSURE DECISIONS ARE MADE IN THE ORGANIZATION'S BEST INTERESTS. THE PROCEDURES FOR ADDRESSING A 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 OF DIRECTORS, MEMBERS OF BOARD COMMITTEES WITH SUBJECT MATTER JURISDICTION AND ANY OTHER RELEVANT DECISION-MAKERS; (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 INTERESTED PERSON 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) THE TRANSACTION OR ACTION IS APPROVED BY A MAJORITY OF DISINTERESTED PERSONS, CONSISTENT WITH ANY REQUIREMENTS OF BYLAWS OR POLICIES; AND (6) ANY CONFLICTING ISSUES ARISING DURING THE COURSE OF A BOARD MEETING WHICH CANNOT BE RESOLVED MAY BE REFERRED TO AN INDEPENDENT COMMITTEE OF THE BOARD OF DIRECTORS. THERE ARE SIMILAR CONFLICTS OF INTEREST PROVISIONS UNDER DIGNITY HEALTHS STANDARDS OF CONDUCT, WHICH ARE APPLICABLE TO ALL EMPLOYEES AND WHICH ARE ADMINISTERED BY THE VP/CORPORATE COMPLIANCE OFFICER WHO HAS REPORTING RESPONSIBILITY TO THE PRESIDENT/CEO AS WELL AS TO THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15A ALTHOUGH THE ORGANIZATION EMPLOYS PERSONNEL, THE PRESIDENT IS COMPENSATED BY DIGNITY HEALTH. BOARD OF DIRECTORS APPOINTS A HUMAN RESOURCES AND COMPENSATION COMMITTEE, COMPRISED OF INDEPENDENT DIRECTORS, WHO ARE ACCOUNTABLE FOR SETTING REASONABLE COMPENSATION PACKAGES FOR EACH OFFICER AND CERTAIN KEY EMPLOYEES (INCLUDING THE PRESIDENT/CEO). THE HUMAN RESOURCES AND COMPENSATION COMMITTEE APPROVES, CONSISTENT WITH THE ORGANIZATION'S PHILOSOPHY AND PRINCIPLES, THE ANNUAL PERFORMANCE GOALS AND CRITERIA TO BE USED IN DETERMINING MERIT INCREASES AND VARIABLE COMPENSATION CRITERIA FOR OFFICERS AND KEY EXECUTIVES. THE HUMAN RESOURCES AND COMPENSATION COMMITTEE ALSO ENGAGES OUTSIDE LEGAL COUNSEL AS NECESSARY AND QUALIFIED INDEPENDENT COMPENSATION AND BENEFITS SPECIALISTS (INDEPENDENT EXPERTS) TO REVIEW, ANALYZE AND PROVIDE BENCHMARKING DATA FOR THE TOTAL COMPENSATION AND BENEFITS PACKAGES OF OFFICERS AND KEY EXECUTIVES. APPROPRIATE COMPARABLE DATA IS OBTAINED FROM THE INDEPENDENT EXPERTS, (E.G., TOTAL ECONOMIC BENEFITS PAID BY SIMILARLY SITUATED ORGANIZATIONS, BOTH TAXABLE AND TAX-EXEMPT, FOR SIMILAR JOB RESPONSIBILITIES). KEY DELIBERATIONS OF THE COMMITTEE ARE DOCUMENTED IN MEETING MINUTES WHICH ARE APPROVED AT THE NEXT COMMITTEE MEETING AND PROVIDED TO THE BOARD OF DIRECTORS. THE DOCUMENTATION OF THE DELIBERATIONS INCLUDES (A) THE TERMS OF THE TRANSACTION APPROVED AND THE DATE APPROVED; (B) THE MEMBERS OF THE COMMITTEE WHO WERE PRESENT DURING DISCUSSION OF THE APPROVED TRANSACTION AND THOSE WHO VOTED ON IT; AND (C) THE COMPARABILITY DATA OBTAINED AND RELIED UPON BY THE COMMITTEE AND HOW THE DATA WAS OBTAINED. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION OF OTHER OFFICERS AND 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 DIGNITY HEALTH 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. FORM 990, PART VI, SECTION C, LINE 19 FEDERAL TAX LAWS DO NOT MANDATE THAT THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY BE MADE AVAILABLE FOR PUBLIC INSPECTION. FORM 990 AND THE COPY OF AUDITED FINANCIAL STATEMENTS ATTACHED TO IT ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 CHANGE OF OWNERSHIP INTEREST-JV; $(55,783) INTEREST IN UNCONSOLIDATED FOUNDATION; $409,766
FORM 990 - SAFE HARBOR ELECTION DISCLOSURETANGIBLE PROPERTY REGULATION STATEMENT SECTION 1.263(A)-1(F) DE MINIMIS SAFE HARBOR ELECTION TAXPAYER IS MAKING THE DE MINIMIS SAFE HARBOR ELECTION UNDER TREASURY REGULATION 1.263(A)-1(F) FOR ALL ELIGIBLE AMOUNTS PAID OR INCURRED DURING THE TAXABLE YEAR.
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL FEES TOTAL FEES:15150299
FORM 990 PART IX LINE 11GDESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:13090940
FORM 990 PART IX LINE 11GDESCRIPTION:ADMINISTRATIVE SERVICES TOTAL FEES:12001746
FORM 990 PART IX LINE 11GDESCRIPTION:REVENUE SERVICES EXPENSE TOTAL FEES:9246075
FORM 990 PART IX LINE 11GDESCRIPTION:PROFESSIONAL FEES TOTAL FEES:3839470
FORM 990 PART IX LINE 11GDESCRIPTION:JANITORIAL/CLEANING/WASTE MGMT TOTAL FEES:1617760
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY & LINEN SVCS TOTAL FEES:889448
FORM 990 PART IX LINE 11GDESCRIPTION:MATERIALS/INVENTORY MANAGEMENT TOTAL FEES:786512
FORM 990 PART IX LINE 11GDESCRIPTION:LAND/PLANT SCAPING & PEST CONT TOTAL FEES:567863
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL & NON-MEDICAL TRANSPOR TOTAL FEES:308869
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER PURCHASED SERVICES TOTAL FEES:717368

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DIGNITY HEALTH
185 Berry StreetSan FranciscoCA94107941196203HospitalCA501(c)(3)3NAfalse
Bakersfield Memorial Hospital Foundation
420 34th StreetBakersfieldCA93301953555043FundraisingCA501(c)(3)12aBMHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Memorial Medical Plaza LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13538 San Dimas STE B 201AddressLine1Txt
CityBakersfieldCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93301ZIPCd
FieldValueIRS element (for citing)
EIN364510880EIN
Primary ActivitiesMOBPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$67,778ShareOfTotalIncomeAmt
Share Of EOY Assets$3,715,675ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V$0UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.21000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MILLENNIUM SURGERY CENTER INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line19300 STOCKDALE HWY STE 200AddressLine1Txt
CityBAKERSFIELDCityNm
State AbbreviationCAStateAbbreviationCd
ZIP93311ZIPCd
FieldValueIRS element (for citing)
EIN770513445EIN
Primary ActivitiesAMBULATORY SUPrimaryActivitiesTxt
Legal Domicile StateCALegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeS CORPEntityTypeTxt
Share Of Total Income$1,729,741ShareOfTotalIncomeAmt
Share Of EOY Assets$7,236,956ShareOfEOYAssetsAmt
Ownership0.58096OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Bakersfield Memorial Hospital foundation
b$438,382Per agreement
Bakersfield Memorial Hospital foundation
c$2,083,021Per agreement
Bakersfield Memorial Hospital foundation
P$65,675PER AGREEMENT
millennium surgery center inc
l$57,750per agreement
millennium surgery center inc
s$1,508,400see part vi

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSch R, PART V, LINE 2FormAndLineReferenceDesc
ExplanationTRANSACTIONS B AND C: BMH IS SUPPORTED BY ONE FUNDRAISING FOUNDATION. AS A SUPPORTING ORGANIZATION, THE FOUNDATION OPERATES FOR THE BENEFIT OF, TO RAISE FUNDS FOR, OR TO CARRY OUT THE PURPOSES OF BMH. AS A RESULT, PAYMENTS ARE MADE DIRECTLY TO THE SUPPORTED ORGANIZATION FROM THE FOUNDATION OR DIRECTLY TO THE FOUNDATION FROM BMH. AMOUNTS REPORTED UNDER TRANSACTION TYPE "B" REPRESENT FUNDS BMH TRANSFERRED TO THE FOUNDATION FOR OPERATIONAL EXPENSES. AMOUNTS REPORTED AS TRANSACTION TYPE "C" REPRESENT FUNDS RECEIVED FROM THE FOUNDATION AS GRANTS TO BMH. TRANSACTION L: BAKERSFIELD MEMORIAL HOSPITAL PROVIDED MANAGED CARE CONSULTING SERVICES TO MILLENNIUM SURGERY CENTER INC. THESE SERVICES WERE PAID BASED ON CONTRACT TERMS ESTABLISHED BY CURRENT MARKET VALUE OF SUCH SERVICES. TRANSACTION P: BASED ON AGREEMENT SET FORTH WITH BAKERSFIELD MEMORIAL HOSPITAL FOUNDATION, SELECT ADMINISTRATIVE EXPENSES ARE REIMBURSED ON A MONTHLY BASIS TO THE FOUNDATION. TRANSACTION S: AMOUNTS INCLUDED WERE RELATED TO SHAREHOLDER DISTRIBUTIONS. MILLENNIUM SURGERY CENTER INC'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.ExplanationTxt

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