2018-05-15T12:03:51-05:00 2017-06-30 910189318 Moss Adams LLP 101 Second Street Suite 900 San Francisco CA 94105 990 2016-07-01 956105984 MEMORIAL MEDICAL CENTER FOUNDATION MEMO 5629334483 2801 ATLANTIC AVENUE LONG BEACH CA 90806 Yair Katz CFO 5629334483 2018-05-14 1 Richard Croghan P00089862 4159561500 2018-04-24 2016 2022-09-23 18:48:47Z Sharon Thornton 2801 ATLANTIC AVENUE LONG BEACH CA 90806 21876289 0 5661 X WWW.LBMMCF.ORG X 1964 CA To raise funds and provide support for patient programs, clinical research, medical equipment, and capital expansion at the hospitals and other healthcare facilities operated by Long Beach Memorial Medical Center, a nonprofit public benefit corporation and tax-exempt public charity within in the meaning of Section 501(c)(3) of the Internal Revenue Code. 27 23 0 28 0 0 6021497 5822260 0 0 3236869 5184889 -360529 716503 8897837 11723652 8595025 4594600 0 0 2539517 1736946 0 0 1407950 1009593 1105840 12144135 7437386 -3246298 4286266 168166190 182764875 22998582 22110432 145167608 160654443 X To cultivate and secure all types of gifts, grants, bequests, and to administer trust and endowment funds and fund development programs, for Long Beach Memorial Medical Center, a nonprofit public benefit corporation and tax-exempt public charity within in the meaning of Section 501(c)(3) of the Internal Revenue Code, and its hospitals, including but not limited to Long Beach Memorial Medical Center and Miller Children's and Women's Hospital, and its programs, centers, and clinics. 0 0 4594600 4594600 A 29-MEMBER VOLUNTEER BOARD OF DIRECTORS, A FINANCE COMMITTEE, AND A GRANTS APPLICATION COMMITTEE MEET BI-MONTHLY. THE INVESTMENT COMMITTEEMEETS QUARTERLY AND THE NOMINATING COMMITTEE MEETS AT LEAST ANNUALLY. THE BOARD HAS HELPED RAISE PHILANTHROPIC GIFTS, GRANTS AND BEQUESTS. THEY PROVIDE OVERSIGHT OF INVESTMENT OF ASSETS ENTRUSTED AND STEWARD THE DISTRIBUTION IN SUPPORT OF RESEARCH, MEDICAL EDUCATION, CAPITAL EQUIPMENT AND BUILDINGS AND PATIENT PROGRAMS AT LONG BEACH MEMORIAL,MILLER & WOMEN'S HOSPITAL LONG BEACH AND COMMUNITY HOSPITAL LONGBEACH BY MATCHING THE NEED WITH DONORS' WISHES. THEIR WORK INCLUDES THE OF ALL ASSETS IN THE ENTIRE PORTFOLIO CONTAINING MORE THAN 150 CHARITABLE TRUSTS AND CHARITABLE GIFT ANNUITIES. SINCE ITS INCEPTION OVER 50 YEARS AGO, COMMUNITY MEMBERS HAVE GIVEN TIME, TALENT AND TREASURE TO OVERSEE THIS FOUNDATION. THOUSANDS OF PHILANTHROPIC FRIENDS GAVE OVER $340 MILLION IN PHILANTHROPIC GIFTS FOR: (1) MEDICAL EDUCATION, IN SUPPORT OF OUR TEACHING PROGRAM PROVIDINGIN-HOUSE 24 HOUR PHYSICIAN CARE FOR PATIENTS; (2) STAFF AND COMMUNITY HEALTH CARE EDUCATION; (3) PATIENT CARE INITIATIVES, CRITICAL CLINICAL EQUIPMENT AND CAPITAL SUPPORT FOR CONSTRUCTION AND RENOVATION; (4) SIGNIFICANT SUPPORT OF A CLINICAL RESEARCH PROGRAM THROUGH THE OFFICE OF RESEARCH AND RESEARCH ADMINISTRATION WITH OVER 360 ACTIVE PROJECTS; (5) A CENTER FOR HEALTH EDUCATION, INCLUDING AN ELECTRONIC MEDICAL LIBRARY, THEATER AND FORUM WHERE GRAND ROUNDS AND OTHER EDUCATION AND COMMUNITY BENEFIT PROGRAMS ARE HELD; (6) THE MILLER CHILDREN'S & WOMEN'S HOSPITAL LONG BEACH, THE LEAVY RADIATION ONCOLOGY CENTER, TODD CANCER INSTITUTE, THE MEMORIAL HEART AND VASCULAR INSTITUTE, ETC. FOUNDATION FUNDS HAVE BENEFITED AN UNTOLD NUMBER OF PATIENTS,COMMUNITY MEMBERS, AND HEALTH CARE PROFESSIONALS. 4594600 1 1 0 0 0 1 0 0 0 1 0 1 0 0 1 1 1 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 12 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 X 27 23 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 CA X Gary Muenzel 5629331671 2801 Atlantic Avenue long beach CA 90806 CHRISTINE WALKER-BOWMAN BOARD MEMBER-CHAIR 1.00 X X 0 0 0 GARY VAN ARNAM BOARD MEMBER-1st VICE CHAIR 1.00 X X 0 0 0 JOHN FIELDER BOARD MEMBER-2nd VICE CHAIR 1.00 X X 0 0 0 DEBORAH MASSAGLIA BOARD MEMBER-TREASURER 1.00 X X 0 0 0 SANDY WELLS BOARD MEMBER-SECRETARY 1.00 X X 0 0 0 ALEX BELLEHUMEUR BOARD MEMBER 1.00 X 0 0 0 BEN ALVARADO BOARD MEMBER 1.00 X 0 0 0 BILL WEBSTER MD BOARD MEMBER 1.00 X 0 0 0 DAVID ERICKSON BOARD MEMBER 1.00 X 0 0 0 GARY COOPER BOARD MEMBER 1.00 X 0 0 0 GIL DODSON BOARD MEMBER 1.00 X 0 0 0 JAMES EMSLIE BOARD MEMBER 1.00 X 0 0 0 JAMES WELLS MD BOARD MEMBER 1.00 X 0 0 0 JEFFREY LUTHER MD BOARD MEMBER 1.00 X 0 0 0 JOE ZUCCHERO BOARD MEMBER 1.00 X 0 0 0 JOHN WANG BOARD MEMBER 1.00 X 0 0 0 KATHERINE KEESAL BOARD MEMBER 1.00 X 0 0 0 KATHY LINGLE BOARD MEMBER 1.00 X 0 0 0 KEVIN PETERSON BOARD MEMBER 1.00 X 0 0 0 LISA CHAPMAN BOARD MEMBER 1.00 X 0 0 0 MARI HOOPER BOARD MEMBER 1.00 X 0 0 0 PETER RIDDER BOARD MEMBER 1.00 X 0 0 0 ROBERT FUNARI BOARD MEMBER 1.00 X 0 0 0 RON PIAZZA BOARD MEMBER 1.00 X 0 0 0 SUSAN LAPUTZ BOARD MEMBER 1.00 X 0 0 0 John Bishop BOARD MEMBER 2.00 58.00 X 0 663949 41185 CECILIA BELEW BOARD MEMBER-PRESIDENT 30.00 30.00 X X 0 435260 30454 BRIAN T KRAWIEC CFO (Partial Year) 30.00 30.00 X 0 222612 22254 Yair Katz CFO (STARTING 5/17) & CFO-LBMMC 6.00 54.00 X 0 341074 23739 JOAN T RUBIO Vice President, Foundation 60.00 X 0 187181 22231 JAMES F NORMANDIN thru 32216 Former VP, Legacy Planning 0.00 X 0 231263 30908 DIANA L HENDEL thru 83115 Former CEO/EVP - LBMMC 0.00 X 0 420234 0 0 2501573 170771 0 1 1 0 Highland Associates Inc 2545 Highland Ave S Suite 200 Birmingham AL 35205 Investment Consulting 271153 1 680686 5141574 77347 5822260 3121472 3121472 11770363 9706946 2063417 2063417 2063417 1162194 680686 445691 716503 716503 11723652 0 0 5901392 4594600 4594600 488498 244249 244249 903036 126425 776611 10782 10782 253406 68420 184986 81224 21930 59294 13272 13272 283035 283035 474987 474987 16607 16607 93258 43552 49706 72908 13803 59105 26090 26090 6139 4635 1504 25211 25211 19301 19301 BAD DEBTS 37955 37955 Taxes and Fees 21189 21189 DONOR DEVELOPMENT 15888 15888 7437386 4594600 1434836 1407950 6838108 7714798 795085 1820491 3215551 3373258 2621836 4696930 124248035 153095645 29804716 11467766 642859 595987 168166190 182764875 51954 4027739 668517 299494 342011 328461 21936100 17454738 22998582 22110432 X 29576188 34882222 67505088 77864364 48086332 47907857 145167608 160654443 168166190 182764875 X 4286266 12477569 -1277000 X 0 1 X 1 0 X 8262371 10991800 11440257 6021497 5822260 42538185 8262371 10991800 11440257 6021497 5822260 42538185 4710021 37828164 3755796 3072083 4036917 3677656 3121472 17663924 716503 716503 99446 34691 30728 2616 167481 61086093 0.61930 0.61810 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6 0 0 0 9000 0 2850201 0 1 1 1 1127843 1127843 87484314 13271105 5837797 94917622 113612000 1140754 -4869623 4294614 18104203 87484314 110754000 5385000 236000 2650145 112855 113612000 92502000 4017000 15599000 1268288 95712 110754000 85625114 153000 8278000 1473042 81072 92502000 0.36030 0.48250 0.15720 0 0 0 ALTERNATIVE INVESTMENTS 11467766 F 11467766 DUE TO AFFILIATES 1089070 SPLIT INTEREST AGREEMENT LIABILITY 16365668 17454738 X 22894925 12477569 -1277000 11200569 11694356 474987 -445691 29296 11723652 7408090 445691 445691 6962399 474987 474987 7437386 Part IV, Line 1b: MEMORIAL MEDICAL CENTER FOUNDATION ACTS AS THE CUSTODIAN AND ADMINISTRATOR OF CERTAIN ASSETS OF ONE SUPPORTING FOUNDATION WHICH SUPPORTS AND BENEFITS THE MEMORIAL MEDICAL CENTER FOUNDATION AND OTHER PUBLICLY SUPPORTED CHARITIES. THE MAIN RESPONSIBILITIES OF THE FOUNDATION ARE THE PROPER STEWARDSHIP AND ACCOUNTING OF THE FOUNDATION'S ASSETS IN ORDER TO ACCOMPLISH ITS PUBLIC MISSION. Part V, Line 4: All endowment funds are permanently restricted. All cumulative undistributed endowment income is held and identified as temporarily restricted. The principal, or original gift amount, is held in perpetuity and cannot be used, or transferred to related organizations as funding or grant revenue, without appropriate court, California Attorney General, and/or donor approval. Only net investment income, consistent with within policy guidelines and thresholds, may be used annually. Part X, Line 2: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, CLARIFIES THE ACCOUNTING FOR INCOME TAXES BY PRESCRIBING A MINIMUM RECOGNITION THRESHOLD THAT A TAX POSITION IS REQUIRED TO MEET BEFORE BEING RECOGNIZED IN THE FINANCIAL STATEMENTS. ASC 740 ALSO PROVIDES GUIDANCE ON DE-RECOGNITION, MEASUREMENT, CLASSIFICATION, INTEREST, AND PENALTIES, DISCLOSURE AND TRANSITION. THE GUIDANCE IS APPLICABLE TO PASS-THROUGH ENTITIES AND TAX-EXEMPT ORGANIZATIONS. NO SIGNIFICANT TAX LIABILITY FOR TAX BENEFITS, INTEREST OR PENALTIES WAS ACCRUED AT JUNE 30, 2017 AND 2016. Part XI, Line 2d - Other Adjustments: Change in value of split-interest agreements -1,277,000. Part XI, Line 4b - Other Adjustments: Fundraising Expenses -445,691. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 445,691. Dancing for Our Stars 723924 332656 391268 100543 1944 51829 Team Spirit 220703 167971 52732 3500 45441 9 898253 180059 718194 66207 41077 1500 133650 1842880 680686 1162194 69707 141620 3444 230920 445691 716503 1 Long Beach Memorial Medical Center PO Box 1428 long beach CA 908011428 953527031 501(c)(3) 4585598 Program support 1 0 Part I, Line 2: Long Beach Memorial Medical Center (LBMMC), a California nonprofit corporation and tax-exempt public charity under Section 501(c)(3) of the Internal Revenue Code, request grants from the organization by submitting request forms to the president of the organization. These forms require information and supporting documentation about the need for and use of the requested funds. The President reviews each request to ensure it is complete, inquires if there appears to be any missing information, confers with the LBMMC chief financial and chief operating officer to discuss any questions or learn more about the request. Once this diligence is completed, the requests are presented to the Grant Applications Committee of the organization's board of directors for evaluation and consideration. The Grant Applications Committee meets regularly to consider grant requests. Each grant request is considered separately on its own merits, and the Grant Applications Committee prioritizes approvals and funding, and may seek further information from LBMMC's chief executive officer, chief operating officer and/or chief financial officer in prioritizing funding requests. The Grant Committee's recommendations to fund requests are then presented to the Finance Committee of the organization's board of directors for further consideration. If the Finance Committee recommends approval of a grant request, the Finance Committee forwards its recommendation to the organization's board of directors for final approval. LBMMC reports to the organization on the status of projects funded and the use of the grants, and this information is provided to the organization's board of directors. 1 1 0 0 0 0 0 0 0 John Bishop BOARD MEMBER 0 462529 0 168958 0 32462 0 18550 0 22635 0 705134 0 0 CECILIA BELEW BOARD MEMBER-PRESIDENT 0 288480 0 95878 0 50902 0 15900 0 14554 0 465714 0 0 BRIAN T KRAWIEC CFO (Partial Year) 0 173787 0 29203 0 19622 0 13365 0 8889 0 244866 0 0 Yair Katz CFO (STARTING 5/17) & CFO-LBMMC 0 262955 0 51225 0 26894 0 0 0 23739 0 364813 0 0 JOAN T RUBIO Vice President, Foundation 0 165856 0 9731 0 11594 0 0 0 22231 0 209412 0 0 JAMES F NORMANDIN thru 32216 Former VP, Legacy Planning 0 73733 0 0 0 157530 0 26500 0 4408 0 262171 0 0 DIANA L HENDEL thru 83115 Former CEO/EVP - LBMMC 0 65492 0 0 0 354742 0 0 0 0 0 420234 0 0 Part I, Lines 4a-b Part I, lINE 4a: JAMES F. NORMANDIN received a severance payment of $157,530 and THE AMOUNT WAS reported in his W-2. Part I, Line 4b: MEMORIAL HEALTH SERVICES SPONSORS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) COVERING SELECTED EXECUTIVES AS APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. THE SERP PROVIDES FOR A LUMP SUM PAYMENT TO EACH EXECUTIVE AT VESTING DATE AS DEFINED IN THE SERP AGREEMENT. THERE WERE NO PAYOUTS FROM THE SERP DURING THE CURRENT YEAR. DIANA HENDEL - MET REQUIREMENTS TO BE PAID SERP PAYMENT. Schedule J, Part I, Line 3 THE COMPENSATION OF THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS DETERMINED BY MEMORIAL HEALTH SERVICES (MHS), THE TAX-EXEMPT PARENT OF MEMORIAL MEDICAL CENTER FOUNDATION'S SOLE MEMBER, LONG BEACH MEMORIAL MEDICAL CENTER. SEE SCHEDULE O FORM 990, PART VI, LINES 15A AND 15B FOR THE PROCESS USED BY MHS TO DETERMINE COMPENSATION. X 3 77347 Stock value of gift 0 0 1 1 Part I, Column (b): THE AMOUNTS REPORTED IN COLUMN B ARE THE NUMBER OF CONTRIBUTIONS RECEIVED BY MEMORIAL MEDICAL CENTER FOUNDATION. Part I, Line 32b: THE ORGANIZATION USES THIRD PARTIES TO SELL THE FOLLOWING NON-CASH CONTRIBUTIONS: EQUITIES, BONDS, REAL ESTATE - RESIDENTIAL, VIA THIRD PARTY AGENTS OR BROKERS. Form 990, Part VI, Section A, line 2 CHRISTINE WALKER AND JAMES NORMANDIN HAVE A BUSINESS RELATIONSHIP. Form 990, Part VI, Section A, line 6 The organization's sole member is Long Beach Memorial Medical Center, a California nonprofit public benefit corporation and a public charity within the meaning of Section 501(c)(3) of the Internal Revenue Code. Form 990, Part VI, Section A, line 7a THE LONG BEACH MEMORIAL (LBM) BOARD APPOINTS THE MEMBERS OF THE MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) BOARD. Form 990, Part VI, Section A, line 7b The organization's sole member, Long Beach Memorial Medical Center, elects the members of the organization's board of directors and must approve any changes to the organization's governing documents. Form 990, Part VI, Section B, line 11b THE ORGANIZATION ENGAGES AN INDEPENDENT ACCOUNTING FIRM TO ASSIST WITH THE PREPARATION ITS ANNUAL FORM 990, AND THE PRESIDENT AND CHIEF FINANCIAL OFFICER OF THE ORGANIZATION PROVIDE ALL THE FINANCIAL DATA AND OTHER INFORMATION FOR THE REPORTING PERIOD NECESSARY TO COMPLETE THE FORM 990. THE CHIEF FINANCIAL OFFICER THEN REVIEWS THE FORM 990, WITH ASSISTANCE FROM OTHER EXECUTIVES, INCLUDING LEGAL, FINANCE AND COMPLIANCE, AS NEEDED OR APPROPRIATE. FINALLY, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR REVIEW PRIOR TO A MEETING OF THE BOARD OF DIRECTORS, SO THAT ANY QUESTIONS OR CONCERNS CAN BE ADDRESSED AT THE MEETING OF THE BOARD AND PRIOR TO FILING. Form 990, Part VI, Section B, line 12c Each director, officer, and key employee is required to complete an annual survey that requires disclosure of actual or potential conflicts of interest and affirmation that the organization's conflict of interest policy has been read and understood. The results of the survey are reported to the organization's executive leadership, the organization's board of directors, the sole member's board of directors, and the governing body of Memorial Health Services, a nonprofit public benefit corporation and tax-exempt public charity within the meaning of Section 501(c)(3) of the Internal Revenue Code, which is the ultimate parent of the organization. Questions and conflicts are evaluated in consultation with the organization's legal, compliance, and finance executives, and outside experts as necessary, so that conflicts may be appropriately managed and addressed in accordance with the California Nonprofit Corporation Law and the applicable principles governing tax exempt public charities. In addition, an annual notice is sent to each employee to remind employees of the organization's policy regarding the acceptance of gifts from vendors and others who do or seek to do business with the organization. Finally, each employee is required to attest annually that they have read and understood the organization's Code of Conduct. Form 990, Part VI, Section B, line 15 The chief executive officer (CEO) of the organization is not compensated by the organization, but is compensated by the ultimate parent of the organization, Memorial Health Services (MHS), a California nonprofit corporation and a public charity described in Section 501(c)(3) of the Internal Revenue Code. The organization reimburses MHS for this expense. The compensation of all executives holding the position of vice president or a higher (e.g., senior vice president or c-level officer), including the CEO, are reviewed annually by an independent consultant with expertise in assessing whether executive compensation is reasonable and consistent with fair market value, considering appropriate market data. The results of this review are presented to the Compensation Committee of the governing body of MHS for consideration, and based upon this information, compensation (including any proposed changes to compensation) is approved only if the Compensation Committee, having considered the review and data presented by the independent expert consultant, determines that the compensation is reasonable and consistent with fair market value. Such determinations are reflected in the minutes of the meeting(s) of the Compensation Committee. Form 990, Part VI, Section C, line 19 The organization does not make its governing documents (articles of incorporation, bylaws) available to the general public. However, the articles of incorporation are available from the California Secretary of State's office. The organization's Research conflict of interest policy is posted on the organization's website at: https://www.memorialcare.org/services/research-clinical-trials/conflict-inte rest-research-policy-250. The organization's audited financial statements are available to the general public upon request. Form 990, Part XI, line 9: Change in value of split-interest agreements -1,277,000. AMERICAN INST FOR PHILANTHROPIC STUDIES 2801 ATLANTIC AVENUE LONG BEACH CA 90806 953756364 PHILAN. EDU. CA 501(c)(3) Line 7 MMCF 1 ANAHEIM MEMORIAL MEDICAL CENTER 1111 WEST LA PALMA AVENUE ANAHEIM CA 92801 951966746 HEALTHCARE CA 501(c)(3) Line 10 MHS 0 SEASIDE HEALTH PLAN 2801 ATLANTIC AVENUE LONG BEACH CA 90806 461870181 MEDICAL SVCS CA 501(c)(4) MHS 0 SADDLEBACK MEMORIAL FOUNDATION 24451 HEALTH CENTER DRIVE LAGUNA HILLS CA 92653 330011887 PHILANTHROPY CA 501(c)(3) Line 7 SMMC 0 MEMORIALCARE HOME HEALTH LLC 23521 PASEO DE VALENCIA STE 100 FOUNTAIN VALLEY CA 92708 463056446 HEALTHCARE CA N/A BEACH SURGICAL HOLDINGS LLC 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM AL 35244 371708521 HEALTHCARE CA N/A MEMORIALCARE INNOVATION FUND LP 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 460791893 HEALTHCARE CA N/A BEACH SURGICAL HOLDINGS II LLC 17360 BROOKHURST ST FOUNTAIN VALLEY CA 92708 472083076 HEALTHCARE CA N/A Summation health Ventures 320 GOLDEN SHORE AVENUE STE 120 LONG BEACH CA 90802 465252681 INVESTMENTS DE N/A CHARITABLE REMAINDER TRUST (61) SUPPORT CA N/A T 1 CHARITABLE LEAD TRUST (1) SUPPORT CA N/A T 1 NATIONAL HEALTHCARE SERVICES 330 GOLDEN SHORE AVENUE LONG BEACH CA 90802 953496341 MEDICAL SERVICES CA N/A C 0 SADDLEBACK MEDICAL VENTURES 330 GOLDEN SHORE AVENUE LONG BEACH CA 90802 330308236 MEDICAL SERVICES CA N/A C 0 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 SCHEDULE R, PART II MEMORIAL MEDICAL CENTER FOUNDATION (MMCF) IS RELATED TO THE CENTRAL ORGANIZATION AND SUBORDINATE ORGANIZATIONS IN THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION. MMCF AND THE SUBORDINATES ARE BOTH CONTROLLED BY THE CENTRAL ORGANIZATION, MEMORIAL HEALTH SERVICES (MHS). THE CENTRAL ORGANIZATION AND SUBORDINATE ORGANIZATIONS OF THE MEMORIAL HEALTH SERVICES GROUP EXEMPTION HAVE NOT BEEN INCLUDED IN SCHEDULE R, PART II, IN ACCORDANCE WITH THE IRS INSTRUCTIONS.